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SUNDAR: mental health for all by all

Published online by Cambridge University Press:  02 January 2018

Vikram Patel*
The Centre for Global Mental Health, London School of Hygiene and Tropical Medicine; Sangath; and Centre for Chronic Conditions and Injuries, Public Health Foundation of India
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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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This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (, which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright © Royal College of Psychiatrists 2015


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