Early Community based Ayu-Emergency Intervention in Psychiatric Emergencies: A Community Based Participatory Research
Introduction Psychiatry emergencies in India is major challenge for emergency service providers due to rapid growth of various behavioural, higher morbidity and mortality rate. Despite, psychiatry conditions are neglected area related to stigma, share, lack of awareness, and superstitious beliefs....
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Online Access: | https://www.cambridge.org/core/product/identifier/S092493382201505X/type/journal_article |
| _version_ | 1797616221030449152 |
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| author | M. Voegeli P. Sharma S. Sharma B. Sharma I. Goyal N. Sharma S. Lakshmanan A. Venu |
| author_facet | M. Voegeli P. Sharma S. Sharma B. Sharma I. Goyal N. Sharma S. Lakshmanan A. Venu |
| author_sort | M. Voegeli |
| collection | DOAJ |
| description |
Introduction
Psychiatry emergencies in India is major challenge for emergency service providers due to rapid growth of various behavioural, higher morbidity and mortality rate. Despite, psychiatry conditions are neglected area related to stigma, share, lack of awareness, and superstitious beliefs. There is an urgent need for specialist psychiatric emergency services, which can fill the huge gap between policymakers and health service providers joined together.
Objectives
Present feasibility study has been undertaken to evaluate the safety and efficacy of combined emergency and Ayurveda medicine management of psychiatric emergencies in community-based settings.
Methods
Ayu-Emergency Care project was developed in partnership with policy makers, researchers and health care providers, a collaborative platform of emergency medicine and Ayurveda medicine (Indian Traditional Medicine) for developing whole-system perspective, where providers work in a coordinated and joined-up way. Twenty trained care providers in psychiatry emergency and Ayurveda management worked in partnership with community-based organisation.
Results
Patients with major clinical difficulties, in the acute phase were treated and managed by Ayu-Emergencypractitioners. Severe Agitation and violence relating to substance abuse, anxiety disorder and psychosis were the most common admission diagnoses. 2-weeks results indicate that Ayurveda intervention can reduce anxiety(p<0.01), aggression (p< 0.001) and agitation (p<0.01) significantly with no side effects reported. Intervention found to be clinically beneficial and cost-efficient alternative to out-of-home placements (i.e., Incarceration, psychiatric hospitalisation).
Conclusions
The study’s findings highlight safety, efficacy and feasibility of intervention. Patients both prefer and seem to benefit from community-based ayu-psychiatric care, and early-intervention community program could be a good model for such care.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:37:14Z |
| format | Article |
| id | doaj.art-a0b47432ca9247a19e41fe60ca15b0ae |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:37:14Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-a0b47432ca9247a19e41fe60ca15b0ae2023-11-17T05:09:14ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S587S58710.1192/j.eurpsy.2022.1505Early Community based Ayu-Emergency Intervention in Psychiatric Emergencies: A Community Based Participatory ResearchM. Voegeli0P. Sharma1S. Sharma2B. Sharma3I. Goyal4N. Sharma5S. Lakshmanan6A. Venu7SAMU and CESU, Emergency Department, Mayotte, France AVP Research Foundation, Ayu-emergency, Coimbatore, IndiaSamata Ayurved Prakoshtha, Ayurveda, Jaipur, IndiaNMP Medical Research Institute, Integrative Therapies, Jaipur, IndiaD’Ultimate Life Sciences, Ayurveda, Bhilwara, IndiaNMP Medical Research Institute, Integrative Therapies, Jaipur, IndiaAarogyam (UK) CIC, Ayurveda Research, Leicester, United KingdomNMP Medical Research Institute, Integrative Therapies, Jaipur, IndiaAarogyam (UK) CIC, Ayurveda Research, Leicester, United Kingdom Introduction Psychiatry emergencies in India is major challenge for emergency service providers due to rapid growth of various behavioural, higher morbidity and mortality rate. Despite, psychiatry conditions are neglected area related to stigma, share, lack of awareness, and superstitious beliefs. There is an urgent need for specialist psychiatric emergency services, which can fill the huge gap between policymakers and health service providers joined together. Objectives Present feasibility study has been undertaken to evaluate the safety and efficacy of combined emergency and Ayurveda medicine management of psychiatric emergencies in community-based settings. Methods Ayu-Emergency Care project was developed in partnership with policy makers, researchers and health care providers, a collaborative platform of emergency medicine and Ayurveda medicine (Indian Traditional Medicine) for developing whole-system perspective, where providers work in a coordinated and joined-up way. Twenty trained care providers in psychiatry emergency and Ayurveda management worked in partnership with community-based organisation. Results Patients with major clinical difficulties, in the acute phase were treated and managed by Ayu-Emergencypractitioners. Severe Agitation and violence relating to substance abuse, anxiety disorder and psychosis were the most common admission diagnoses. 2-weeks results indicate that Ayurveda intervention can reduce anxiety(p<0.01), aggression (p< 0.001) and agitation (p<0.01) significantly with no side effects reported. Intervention found to be clinically beneficial and cost-efficient alternative to out-of-home placements (i.e., Incarceration, psychiatric hospitalisation). Conclusions The study’s findings highlight safety, efficacy and feasibility of intervention. Patients both prefer and seem to benefit from community-based ayu-psychiatric care, and early-intervention community program could be a good model for such care. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S092493382201505X/type/journal_article |
| spellingShingle | M. Voegeli P. Sharma S. Sharma B. Sharma I. Goyal N. Sharma S. Lakshmanan A. Venu Early Community based Ayu-Emergency Intervention in Psychiatric Emergencies: A Community Based Participatory Research European Psychiatry |
| title | Early Community based Ayu-Emergency Intervention in Psychiatric Emergencies: A Community Based Participatory Research |
| title_full | Early Community based Ayu-Emergency Intervention in Psychiatric Emergencies: A Community Based Participatory Research |
| title_fullStr | Early Community based Ayu-Emergency Intervention in Psychiatric Emergencies: A Community Based Participatory Research |
| title_full_unstemmed | Early Community based Ayu-Emergency Intervention in Psychiatric Emergencies: A Community Based Participatory Research |
| title_short | Early Community based Ayu-Emergency Intervention in Psychiatric Emergencies: A Community Based Participatory Research |
| title_sort | early community based ayu emergency intervention in psychiatric emergencies a community based participatory research |
| url | https://www.cambridge.org/core/product/identifier/S092493382201505X/type/journal_article |
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