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Home arrow Language & Literature arrow The Palgrave Handbook of Sociocultural Perspectives on Global Mental Health
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Lessons Learned

Below, we have summarised the lessons learned in integrating mental health care into PHCs organised according to their relevance to diagnosis, treatment, follow-up, rehabilitation, co-morbidities and the impact.

Diagnosis

(a) The administration of a screening tool in the form of a questionnaire, administered systematically at the village level (in focus groups with village heads and self-help groups) to identify people with mental illnesses was very useful in improving awareness on identifying mental health problems in the community as well as extending care to the invisible mentally ill.

(b) Initially, patients often presented to the clinic several years after onset of the illness. This trend slowly shifted to patients with recent onset of symptoms visiting the clinic. Patients with depression often presenting with multiple somatic symptoms were diagnosed and initiated on treatment. As the programme progressed, we began receiving referrals from community members, often households or neighbours who could identify patients with symptoms of mental illness and refer them to the monthly clinic.

 
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