India, a country of diverse cultures, languages, life styles, and ethnicities, is becoming a land of economic change, political stability, technological advancement, and changing traditional structures of relationships as well as health consciousness. Being known for its ancient traditions, rituals, religious orientation, spiritual outlook and folk beliefs, Indian families attempt to continue certain healthy and traditional elements such as warmth, strong bond, hierarchy, extended support, cultural orientation, shared values and time, tolerance, respect for the aged and inculcation of religious teachings and traditions in families. These factors, or practices, in fact have strong therapeutic value in supplementing the growth and development of individuals in the family system in spite of its transitional position. This paper deals with the review of family-based mental health services and focuses on the changing trends of those practices in India and the advancement of Indian families in their engaging ability with mentally ill members as well as with the treating team.
Parenting skills are critically important to ensure that children are brought up in a safe environment. Recent evidence shows that studies of parenting skills are still at a preliminary stage in low- and middle-income countries. These need to involve family practitioners and religious groups who often play a major role in preparing young people in India. There are organized programmes available in the country for Christian adults to prepare themselves for marriage and family life through various church initiatives and activities. In order to develop a programme which can be used to prepare young parents for responsibilities of parenthood, a needs assessment was carried out among 70 young adults who attended a marriage preparation course in Bangalore, India. All the participants belonged to the Christian faith. Participants consisted of 53% men and 47% women whose average age for deciding to get married was 26.8 years. All of them expressed a need for such a preparatory programme for parenthood. They considered they needed to know about normal child development, behavioural management of children, to develop adequate skills in handling children at different ages, and deal with their own past issues with their own parents when they were being parented. The results suggest that the development of a preparatory programme for young adults to support them in the role of parenthood must take their views and needs into account.
Training of social workers according to the changing needs of the society is important. To this end, we decided to review the adequacy of mental health training in postgraduate programme in social work. The Mental Health Care Act 2017 defines psychiatric social worker (PSW) in India to have additional higher qualification beyond post-graduation in social work. The number of such qualified PSWs appears to be limited due to small number of institutes that offer advanced training in the country. Though, the number of available PSWs with such qualifications is rising, the manpower in proportion to the mental health needs in the country continues to remain low. It is therefore, relevant to review the quality of psychiatric social work education at postgraduate level if this level is to be considered as the desirable qualification for PSW. In this context, postgraduate social work syllabi from 71 universities including autonomous institutions were reviewed using semi-structured assessment. The results show a lack of uniform teaching components, training methods and insufficient skill orientation towards mental health interventions. These observations suggest that curricula and training are modified with strengthening and enhancing the quality of training of mental health at post-graduate level in Social Work.
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