Naoki Hashimoto1, Daisuke Fujisawa2, Noor Ahmed Giasuddin3, Basanth Kumar Kenchaiah4, Altanzul Narmandakh5, Khongorzul Dugerragchaa5, Sharad Man Tamrakar6, Shailendra Raj Adhikari7, Norman Sartorius8. 1. Hokkaido University, Sapporo, Japan Japan Young Psychiatrists Organization (JYPO), Tokyo, Japan hashinao@vega.ocn.ne.jp. 2. Japan Young Psychiatrists Organization (JYPO), Tokyo, Japan National Cancer Center East, Kashiwa, Japan. 3. Mental Hospital, Pabna, Bangladesh South Asian Association for Regional Cooperation, Association of Young Psychiatrists and Trainees Mumbai, India. 4. South Asian Association for Regional Cooperation, Association of Young Psychiatrists and Trainees Mumbai, India Christian Medical College, Vellore, India. 5. Mongolian National Mental Health Center, Ulaanbaatar, Mongolia. 6. South Asian Association for Regional Cooperation, Association of Young Psychiatrists and Trainees Mumbai, India Norvic International Hospital, Kathmandu, Nepal. 7. South Asian Association for Regional Cooperation, Association of Young Psychiatrists and Trainees Mumbai, India Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal. 8. Association for the Improvement of Mental Health Programs, Geneva, Switzerland.
Abstract
INTRODUCTION: As mental health systems are still developing in many Asian countries, knowledge of the pathways to mental health care (MHC) in this region would be very important. AIMS: To clarify the pathways to MHC in 5 Asian countries. METHOD: A total of 50 new subjects attending each institution were interviewed. Pathway diagrams, the patterns and duration of care seeking, and the previous treatment were compared. RESULTS: Four major pathways were direct access, referrals from private practitioners, referrals from general hospitals, and referrals from native or religious healers. General practitioners did not play a pivotal role in any of the areas, whereas native or religious healers had an important place in all areas except for Yokohama, Japan. Family members had a significant impact on the decision to seek MHC. CONCLUSIONS: Studies of pathways to MHC in Asian countries are feasible and can provide data of interest in the organization of care.
INTRODUCTION: As mental health systems are still developing in many Asian countries, knowledge of the pathways to mental health care (MHC) in this region would be very important. AIMS: To clarify the pathways to MHC in 5 Asian countries. METHOD: A total of 50 new subjects attending each institution were interviewed. Pathway diagrams, the patterns and duration of care seeking, and the previous treatment were compared. RESULTS: Four major pathways were direct access, referrals from private practitioners, referrals from general hospitals, and referrals from native or religious healers. General practitioners did not play a pivotal role in any of the areas, whereas native or religious healers had an important place in all areas except for Yokohama, Japan. Family members had a significant impact on the decision to seek MHC. CONCLUSIONS: Studies of pathways to MHC in Asian countries are feasible and can provide data of interest in the organization of care.
Authors: Tony V Pham; Bonnie N Kaiser; Rishav Koirala; Sujen Man Maharjan; Nawaraj Upadhaya; Lauren Franz; Brandon A Kohrt Journal: Cult Med Psychiatry Date: 2021-03
Authors: P K Maulik; S Devarapalli; S Kallakuri; A Tewari; S Chilappagari; M Koschorke; G Thornicroft Journal: Psychol Med Date: 2016-11-02 Impact factor: 7.723
Authors: Nazmun Nahar Nuri; Malabika Sarker; Helal Uddin Ahmed; Mohammad Didar Hossain; Claudia Beiersmann; Albrecht Jahn Journal: Int J Ment Health Syst Date: 2018-07-18