University of Canterbury Home
    • Admin
    UC Research Repository
    UC Library
    JavaScript is disabled for your browser. Some features of this site may not work without it.
    View Item 
    1. UC Home
    2. Library
    3. UC Research Repository
    4. Faculty of Health
    5. Health: Journal Articles
    6. View Item
    1. UC Home
    2.  > 
    3. Library
    4.  > 
    5. UC Research Repository
    6.  > 
    7. Faculty of Health
    8.  > 
    9. Health: Journal Articles
    10.  > 
    11. View Item

    The effectiveness of a multi-pronged psycho-social intervention among people with mental health and epilepsy problems-a pre-post prospective cohort study set in North India (2021)

    Thumbnail
    View/Open
    The Effectiveness of a Multi-Pronged Psycho-Social Intervention Among People With Mental Health and Epilepsy Problems - A Pr.pdf (710.0Kb)
    The Effectiveness of a Multi-Pronged Psycho-Social Intervention Among People With Mental Health and Epilepsy Problems - A Pr.pdf (710.0Kb)
    Type of Content
    Journal Article
    UC Permalink
    https://hdl.handle.net/10092/105235
    
    Publisher's DOI/URI
    http://doi.org/10.34172/ijhpm.2020.62
    
    Publisher
    Maad Rayan Publishing Company
    ISSN
    2322-5939
    Language
    eng
    Collections
    • Health: Journal Articles [171]
    Authors
    Corcoran D
    Pillai P
    Deshpande S
    Sebastian MS
    Mathias, Kaaren cc
    show all
    Abstract

    Background: In low-and middle-income settings, many people with mental health problems cannot or do not access psychiatric services. Few studies of people with epilepsy and mental problems have evaluated the effectiveness of a predominantly psycho-social intervention, delivered by lay community workers. The aim of this study was to assess the effectiveness of a community-based complex mental health intervention within informal urban communities while simultaneously addressing social determinants of mental health among disadvantaged people with severe and common mental disorders (CMDs), and epilepsy. Methods: In this observational, prospective cohort study set in Uttarakhand, India, the lay-worker led intervention included psychoeducation, behavioural activation, facilitation of access to care, and facilitated psycho-social support groups. Participants were categorised as having a severe or CMD or epilepsy and assessed 5 times over 24 months using primary outcome measures, including the Patient Health Questionnaire (PHQ9) (severity of depression), the World Health Organization Disability Assessment Schedule (WHODAS 2.0), the Recovery Star, and scoring of a bespoke Engagement Index. Analysis included descriptive statistics as well as hierarchical linear regression models to report fixed effects as regression coefficients. Results: Among the 297 (baseline) participants only 96 people (31%) regularly used psychotropic medication (at least 4 weeks) and over 60% could not or did not consult a psychiatrist at all in the study period. Nonetheless, people with CMDs showed a significant reduction in their depression severity (PHQ9: B =-6.94, 95% CI-7.37 to-6.51), while people with severe mental disorders (SMDs) showed a significant reduction in their disability score (WHODAS 2.0: B =-4.86, 95% CI-7.14 to-2.57). People with epilepsy also reduced their disability score (WHODAS 2.0: B =-5.22, 95% CI-7.29 to-3.15). Conclusion: This study shows significant improvements in mental health, depression, recovery, disability and social engagement for people with common and SMDs, and epilepsy, through a community-based intervention that was non-pharmaceutical. It provides preliminary evidence of the value of predominantly psycho-social interventions implemented by lay health workers among people with limited or no access to psychiatric services.

    Citation
    Mathias K, Corcoran D, Pillai P, Deshpande S, Sebastian MS (2021). The effectiveness of a multi-pronged psycho-social intervention among people with mental health and epilepsy problems-a pre-post prospective cohort study set in North India. International Journal of Health Policy and Management. 10(9). 546-553.
    This citation is automatically generated and may be unreliable. Use as a guide only.
    Keywords
    Humans; Epilepsy; Prospective Studies; Mental Health; Mental Disorders; India
    ANZSRC Fields of Research
    42 - Health sciences::4203 - Health services and systems::420313 - Mental health services
    42 - Health sciences::4203 - Health services and systems::420305 - Health and community services
    42 - Health sciences::4206 - Public health::420602 - Health equity
    Rights
    All rights reserved unless otherwise stated
    http://hdl.handle.net/10092/17651

    Related items

    Showing items related by title, author, creator and subject.

    • “We’ve got through hard times before: acute mental distress and coping among disadvantaged groups during COVID-19 lockdown in North India - a qualitative study” 

      Rawat M; Philip S; Grills N; Mathias, Kaaren (Springer Science and Business Media LLC, 2020)
      Background: The COVID-19 crisis in India negatively impacted mental health due to both the disease and the harsh lockdown, yet there are almost no qualitative studies describing mental health impacts or the strategies of ...
    • Exploring Community Mental Health Systems - A Participatory Health Needs and Assets Assessment in the Yamuna Valley, North India. 

      Rawat M; Thompson A; Gaitonde R; Jain S; Mathias, Kaaren (Maad Rayan Publishing Company, 2020)
      Background: In India and global mental health, a key component of the care gap for people with mental health problems is poor system engagement with the contexts and priorities of community members. This study aimed to ...
    • The absurdity of research registration for community-oriented knowledge coproduction 

      Nagesh S; Varghese S; Qadeer I; Bhan A; Mathias, Kaaren (BMJ, 2021)
      Summary box: ►Requirement for a priori registration of research builds on the colonial roots of global health, excluding community-based researchers from global conversations. ► When communities and community-based ...
    Advanced Search

    Browse

    All of the RepositoryCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThesis DisciplineThis CollectionBy Issue DateAuthorsTitlesSubjectsThesis Discipline

    Statistics

    View Usage Statistics
    • SUBMISSIONS
    • Research Outputs
    • UC Theses
    • CONTACTS
    • Send Feedback
    • +64 3 369 3853
    • ucresearchrepository@canterbury.ac.nz
    • ABOUT
    • UC Research Repository Guide
    • Copyright and Disclaimer
    • SUBMISSIONS
    • Research Outputs
    • UC Theses
    • CONTACTS
    • Send Feedback
    • +64 3 369 3853
    • ucresearchrepository@canterbury.ac.nz
    • ABOUT
    • UC Research Repository Guide
    • Copyright and Disclaimer