2017
DOI: 10.7189/jogh.07.010408
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Increasing use of mental health services in remote areas using mobile technology: a pre–post evaluation of the SMART Mental Health project in rural India

Abstract: BackgroundAbout 25% of the Indian population experience common mental disorders (CMD) but only 15–25% of them receive any mental health care. Stigma, lack of adequate mental health professionals and mental health services account for this treatment gap, which is worse in rural areas. Our project evaluated task shifting and mobile–technology based electronic decision support systems to enhance the ability of primary care health workers to provide evidence–based mental health care for stress, depression, and sui… Show more

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Cited by 81 publications
(72 citation statements)
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“…These impasses have also emerged in the literature on service delivery for diverse populations [32]. Disparities in MHC provision in rural vs urban areas are attributed to unavailable services, capacity problems in care provision, and social stigma [33]. Another determinant of the mhcGAP is the social stigma which was discussed by the participants in connection to the differences in funding for MH as opposed to other health services [34,35].…”
Section: Discussionmentioning
confidence: 99%
“…These impasses have also emerged in the literature on service delivery for diverse populations [32]. Disparities in MHC provision in rural vs urban areas are attributed to unavailable services, capacity problems in care provision, and social stigma [33]. Another determinant of the mhcGAP is the social stigma which was discussed by the participants in connection to the differences in funding for MH as opposed to other health services [34,35].…”
Section: Discussionmentioning
confidence: 99%
“…The total project duration was for 24 months from May 2014 to April 2016 including a formative phase where the interventions were tested and refined [ 15 ]. The project was conducted in 30 villages associated with two PHCs, located in an ST area of the West Godavari district of Andhra Pradesh [ 9 ]. Fifteen villages from each PHC were randomly selected and then it was ensured that each village had adequate number of ASHAs proportionate to the population.…”
Section: Methodsmentioning
confidence: 99%
“…SMART Mental Health Project was conducted across two rural sites, a Scheduled Tribe (ST) Area and a non-Scheduled Tribe Area, of Andhra Pradesh, a south-Indian state [ 8 , 9 ]. Scheduled Tribe communities are identified by the administration based on their unique cultural and linguistic characteristics, which deem them to be an indigenous community, hence guaranteeing special administrative rights and status.…”
Section: Introductionmentioning
confidence: 99%
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“…Nevertheless, ASHA workers are rarely targeted by community mental health awareness campaigns [12,27]. Considering the importance of ASHA workers in rural healthcare and their increasing participation in mental health interventions [5,13,21,28], they should be included in mental health education efforts.…”
Section: Discussionmentioning
confidence: 99%