2003
DOI: 10.1192/bjp.182.1.57
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Evaluation of a community-based rehabilitation model for chronic schizophrenia in rural India

Abstract: The CBR model is a feasible model of care for chronic schizophrenia in resource-poor settings.

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Cited by 184 publications
(177 citation statements)
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“…Thus, we now know that lay people or community health workers can be trained to deliver psychological and psychosocial interventions for people with depressive and anxiety disorders, schizophrenia and dementia (Bolton et al 2003(Bolton et al , 2007Chatterjee et al 2003 ;Ran et al 2003 ;Dias et al 2008 ;Rahman et al 2008) in a diverse range of low-and middle-income countries. A crucial element of these task-shifting interventions, and a significant departure from earlier efforts to improve primary mental health care, is the role of mental health specialists extending well beyond the training phase to providing continuing supervision, quality assurance and support to the community health workers (Patel & Kirkwood, 2008).…”
mentioning
confidence: 99%
“…Thus, we now know that lay people or community health workers can be trained to deliver psychological and psychosocial interventions for people with depressive and anxiety disorders, schizophrenia and dementia (Bolton et al 2003(Bolton et al , 2007Chatterjee et al 2003 ;Ran et al 2003 ;Dias et al 2008 ;Rahman et al 2008) in a diverse range of low-and middle-income countries. A crucial element of these task-shifting interventions, and a significant departure from earlier efforts to improve primary mental health care, is the role of mental health specialists extending well beyond the training phase to providing continuing supervision, quality assurance and support to the community health workers (Patel & Kirkwood, 2008).…”
mentioning
confidence: 99%
“…Other approaches we used were the integration of mental health into general health care, and the utilization of non-specialist personnel for a wide variety of mental health tasks, including suicide prevention, disaster psychosocial care, drug dependence care, rehabilitation, care of persons with mental retardation and schizophrenia, public mental health education, and mental health care in children and in the elderly (5)(6)(7)(8).…”
mentioning
confidence: 99%
“…Based on the data from the earlier non randomized study[9], it was assumed that a difference of at least 20% reduction on the PANSS total score of 65 (sd 10) i.e. 13 points to 52, would be highly clinically significant.…”
Section: Methodsmentioning
confidence: 99%
“…In addition, the CBR method has a strong focus on empowerment of service users, social inclusion, livelihood support and equalising of opportunities for people with disabilities; all of these are of particular relevance to persons with schizophrenia. A non-randomised controlled study from rural India showed that CBR using trained lay community workers was feasible and improved outcomes for people with schizophrenia, compared with routine outpatient care [9]. A more recent study from the same site has described the impact of specific components of the complex intervention on long-term outcomes in people with schizophrenia[10].…”
Section: Introductionmentioning
confidence: 99%