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SUNDAR: mental health for all by all

  • Vikram Patel (a1)
Abstract

This article describes the rationale and principles for the SUNDAR approach adopted by Sangath, an Indian non-governmental organisation: to use lay people, with appropriate training and supervision, to deliver psychosocial interventions for a range of mental health conditions. This approach has been evaluated in a number of randomised controlled trials and is now being scaled up. At the core of this innovation is revisiting the questions of what constitutes mental healthcare, who provides mental healthcare and where mental healthcare is provided. In doing so, SUNDAR offers a vision for a mental healthcare system which is empowering, inclusive, equitable and effective.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Chatterjee, S., Naik, S., John, S., et al (2014) Effectiveness and cost-effectiveness of a community based intervention for people with schizophrenia and their caregivers in India: the COPSI randomised controlled trial. Lancet, 383, 13851394.
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Patel, V., Weiss, H. A., Chowdhary, N., et al (2011) Lay health worker led intervention for depressive and anxiety disorders in India: impact on clinical and disability outcomes over 12 months. British Journal of Psychiatry, 199, 459466.
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Patel, V. & Saxena, S., with De Silva, M. & Samele, C. (2013b) Transforming Lives, Enhancing Communities: Innovations in Mental Health. World Innovation Summit for Health. Available at http://www.wish-qatar.org/app/media/381 (accessed December 2014).
Shinde, S., Andrew, G., Bangash, O., et al (2013) The impact of a lay counselor led collaborative care intervention for common mental disorders in public and private primary care: a qualitative evaluation nested in the MANAS trial in Goa, India. Social Science and Medicine, 88, 4855.
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BJPsych International
  • ISSN: 2056-4740
  • EISSN: 2058-6264
  • URL: /core/journals/bjpsych-international
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SUNDAR: mental health for all by all

  • Vikram Patel (a1)
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