The development of a lay health worker delivered collaborative community based intervention for people with schizophrenia in India
Madhumitha Balaji, Sudipto Chatterjee, Mirja Koschorke, Thara Rangaswamy, Animish Chavan, Hamid Dabholkar, Lilly Dakshin, Pratheesh Kumar, Sujit John, Graham Thornicroft, Vikram Patel
BMC Health Services Research | BMC | Published : 2012
BACKGROUND: Care for schizophrenia in low and middle income countries is predominantly facility based and led by specialists, with limited use of non-pharmacological treatments. Although community based psychosocial interventions are emphasised, there is little evidence about their acceptability and feasibility. Furthermore, the shortage of skilled manpower is a major barrier to improving access to these interventions. Our study aimed to develop a lay health worker delivered community based intervention in three sites in India. This paper describes how the intervention was developed systematically, following the MRC framework for the development of complex interventions. METHODS: We reviewed..View full abstract
Awarded by Wellcome Trust
Awarded by National Institute for Health Research
This work was supported by the Wellcome Trust [grant number 084355/Z/07/Z]. GT is funded by the National Institute for Health Research (NIHR) Specialist Mental Health Biomedical Research Centre at the Institute of Psychiatry and the South London and Maudsley NHS Foundation Trust, and by an NIHR Programme for Applied Research award. VP is supported by a Wellcome Trust Senior Research Fellowship in Clinical Science. GT is a Visiting Professor at the University of KwaZulu Natal. The COPSI study is supported by the Wellcome Trust. The authors would like to thank the participants of the study, the treating psychiatrists and members of their team.