Framework and approach for measuring performance and progress of mental health systems and services in India: National Mental Health Survey 2015–2016
Abstract Background Previous attempts of Mental Health Systems Assessment in India were restricted in scope and scale. Information on all aspects of mental health systems (leadership/governance, legislation, financing, service delivery, workforce, access to essential medicines, information systems,...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-03-01
|
| Series: | International Journal of Mental Health Systems |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13033-020-00349-8 |
| _version_ | 1828394575541043200 |
|---|---|
| author | Banavaram Anniappan Arvind Gopalkrishna Gururaj Girish N. Rao Banandur S. Pradeep Varghese Mathew Vivek Benegal Melur Sukumar Gautham Amudhan Senthil Arun Kokane Bir Singh Chavan P. K. Dalal Daya Ram Kangkan Pathak Singh R. K. Lenin Lokesh Kumar Singh Pradeep Sharma Pradeep Kumar Saha C. Ramasubramaniam Ritambhara Y. Mehta T. M. Shibukumar the NMHS collaborators group |
| author_facet | Banavaram Anniappan Arvind Gopalkrishna Gururaj Girish N. Rao Banandur S. Pradeep Varghese Mathew Vivek Benegal Melur Sukumar Gautham Amudhan Senthil Arun Kokane Bir Singh Chavan P. K. Dalal Daya Ram Kangkan Pathak Singh R. K. Lenin Lokesh Kumar Singh Pradeep Sharma Pradeep Kumar Saha C. Ramasubramaniam Ritambhara Y. Mehta T. M. Shibukumar the NMHS collaborators group |
| author_sort | Banavaram Anniappan Arvind |
| collection | DOAJ |
| description | Abstract Background Previous attempts of Mental Health Systems Assessment in India were restricted in scope and scale. Information on all aspects of mental health systems (leadership/governance, legislation, financing, service delivery, workforce, access to essential medicines, information systems, intersectoral activities, and monitoring and evaluation) was scarcely available. The National Mental Health Survey-Mental Health Systems Assessment (NMHS-MHSA), a unique endeavor, assessed the performance of mental health systems and services through health systems assessment framework. The present paper discusses the design and methodology adopted under NMHS-MHSA along with emphasizing its implication for India and other LMICs. Methods NMHS-MHSA was undertaken in 12 Indian states by contextually adapting WHO-AIMS instrument. Data was collated from several secondary sources including interviews of key stakeholders. Utilizing the data a set of 15-quantitative, 5-morbidity and 10-qualitative indicators were developed to summarize the functional status of mental health systems in the surveyed states. This information was authenticated through state level stakeholder’s consultation and consensus building workshops following which a state mental health systems report card with indicators was developed. Conclusion The process and robust method of data compilation enabled NMHS-MHSA to be a reliable and comprehensive method for assessing mental health systems at the state level. It’s envisaged that the assessment provides requisite impetus for strengthening mental health program and mental health systems in India. Being less resource intensive, low -and middle- income countries can adopt NMHS-MHSA tool and methodology to assess their mental health systems with contextual modifications. |
| first_indexed | 2024-12-10T07:56:54Z |
| format | Article |
| id | doaj.art-0915450686ab4d3e89547f2e1885ac22 |
| institution | Directory Open Access Journal |
| issn | 1752-4458 |
| language | English |
| last_indexed | 2024-12-10T07:56:54Z |
| publishDate | 2020-03-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Mental Health Systems |
| spelling | doaj.art-0915450686ab4d3e89547f2e1885ac222022-12-22T01:56:52ZengBMCInternational Journal of Mental Health Systems1752-44582020-03-0114111110.1186/s13033-020-00349-8Framework and approach for measuring performance and progress of mental health systems and services in India: National Mental Health Survey 2015–2016Banavaram Anniappan Arvind0Gopalkrishna Gururaj1Girish N. Rao2Banandur S. Pradeep3Varghese Mathew4Vivek Benegal5Melur Sukumar Gautham6Amudhan Senthil7Arun Kokane8Bir Singh Chavan9P. K. Dalal10Daya Ram11Kangkan Pathak12Singh R. K. Lenin13Lokesh Kumar Singh14Pradeep Sharma15Pradeep Kumar Saha16C. Ramasubramaniam17Ritambhara Y. Mehta18T. M. Shibukumar19the NMHS collaborators groupCentre for Public Health, Department of Epidemiology, National Institute of Mental Health and Neuro SciencesCentre for Public Health, Department of Epidemiology, National Institute of Mental Health and Neuro SciencesCentre for Public Health, Department of Epidemiology, National Institute of Mental Health and Neuro SciencesCentre for Public Health, Department of Epidemiology, National Institute of Mental Health and Neuro SciencesDepartment of Psychiatry, National Institute of Mental Health and Nero SciencesDepartment of Psychiatry, National Institute of Mental Health and Nero SciencesCentre for Public Health, Department of Epidemiology, National Institute of Mental Health and Neuro SciencesCentre for Public Health, Department of Epidemiology, National Institute of Mental Health and Neuro SciencesDepartment of Community Medicine, All India Institute of Medical SciencesDepartment of Psychiatry, Government Medical College and HospitalDepartment of Psychiatry, King George’s Medical UniversityDepartment of Psychiatry, Central Institute of PsychiatryDepartment of Psychiatry, LGB Regional Institute of Mental HealthDepartment of Psychiatry, Regional Institute of Medical SciencesDepartment of Psychiatry, All India Institute of Medical SciencesDepartment of Psychiatry, Sawai Man Singh Medical CollegeDepartment of Psychiatry, Institute of PsychiatryMental Health Program OfficeDepartment of Psychiatry, Government Medical CollegeDepartment of Psychiatry, Institute of Mental Health and Nero SciencesAbstract Background Previous attempts of Mental Health Systems Assessment in India were restricted in scope and scale. Information on all aspects of mental health systems (leadership/governance, legislation, financing, service delivery, workforce, access to essential medicines, information systems, intersectoral activities, and monitoring and evaluation) was scarcely available. The National Mental Health Survey-Mental Health Systems Assessment (NMHS-MHSA), a unique endeavor, assessed the performance of mental health systems and services through health systems assessment framework. The present paper discusses the design and methodology adopted under NMHS-MHSA along with emphasizing its implication for India and other LMICs. Methods NMHS-MHSA was undertaken in 12 Indian states by contextually adapting WHO-AIMS instrument. Data was collated from several secondary sources including interviews of key stakeholders. Utilizing the data a set of 15-quantitative, 5-morbidity and 10-qualitative indicators were developed to summarize the functional status of mental health systems in the surveyed states. This information was authenticated through state level stakeholder’s consultation and consensus building workshops following which a state mental health systems report card with indicators was developed. Conclusion The process and robust method of data compilation enabled NMHS-MHSA to be a reliable and comprehensive method for assessing mental health systems at the state level. It’s envisaged that the assessment provides requisite impetus for strengthening mental health program and mental health systems in India. Being less resource intensive, low -and middle- income countries can adopt NMHS-MHSA tool and methodology to assess their mental health systems with contextual modifications.http://link.springer.com/article/10.1186/s13033-020-00349-8Mental Health systemsServicesMethodologyPerformanceProgressIndia |
| spellingShingle | Banavaram Anniappan Arvind Gopalkrishna Gururaj Girish N. Rao Banandur S. Pradeep Varghese Mathew Vivek Benegal Melur Sukumar Gautham Amudhan Senthil Arun Kokane Bir Singh Chavan P. K. Dalal Daya Ram Kangkan Pathak Singh R. K. Lenin Lokesh Kumar Singh Pradeep Sharma Pradeep Kumar Saha C. Ramasubramaniam Ritambhara Y. Mehta T. M. Shibukumar the NMHS collaborators group Framework and approach for measuring performance and progress of mental health systems and services in India: National Mental Health Survey 2015–2016 International Journal of Mental Health Systems Mental Health systems Services Methodology Performance Progress India |
| title | Framework and approach for measuring performance and progress of mental health systems and services in India: National Mental Health Survey 2015–2016 |
| title_full | Framework and approach for measuring performance and progress of mental health systems and services in India: National Mental Health Survey 2015–2016 |
| title_fullStr | Framework and approach for measuring performance and progress of mental health systems and services in India: National Mental Health Survey 2015–2016 |
| title_full_unstemmed | Framework and approach for measuring performance and progress of mental health systems and services in India: National Mental Health Survey 2015–2016 |
| title_short | Framework and approach for measuring performance and progress of mental health systems and services in India: National Mental Health Survey 2015–2016 |
| title_sort | framework and approach for measuring performance and progress of mental health systems and services in india national mental health survey 2015 2016 |
| topic | Mental Health systems Services Methodology Performance Progress India |
| url | http://link.springer.com/article/10.1186/s13033-020-00349-8 |
| work_keys_str_mv | AT banavaramanniappanarvind frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 AT gopalkrishnagururaj frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 AT girishnrao frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 AT banandurspradeep frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 AT varghesemathew frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 AT vivekbenegal frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 AT melursukumargautham frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 AT amudhansenthil frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 AT arunkokane frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 AT birsinghchavan frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 AT pkdalal frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 AT dayaram frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 AT kangkanpathak frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 AT singhrklenin frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 AT lokeshkumarsingh frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 AT pradeepsharma frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 AT pradeepkumarsaha frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 AT cramasubramaniam frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 AT ritambharaymehta frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 AT tmshibukumar frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 AT thenmhscollaboratorsgroup frameworkandapproachformeasuringperformanceandprogressofmentalhealthsystemsandservicesinindianationalmentalhealthsurvey20152016 |