Patel Vikram
Professor of International Mental Health and Wellcome Trust Senior Research Fellow in Clinical Science; The Centre for Global Mental Health, London School of Hygiene and Tropical Medicine; Sangath; and Centre for Chronic Conditions and Injuries, Public Health Foundation of India.
BJPsych Int. 2015 Feb 1;12(1):21-23. doi: 10.1192/s2056474000000118. eCollection 2015 Feb.
This article describes the rationale and principles for the SUNDAR approach adopted by Sangath, an Indian non-governmental organisation: to use lay people, with appropriate training and supervision, to deliver psychosocial interventions for a range of mental health conditions. This approach has been evaluated in a number of randomised controlled trials and is now being scaled up. At the core of this innovation is revisiting the questions of constitutes mental healthcare, provides mental healthcare and mental healthcare is provided. In doing so, SUNDAR offers a vision for a mental healthcare system which is empowering, inclusive, equitable and effective.
本文介绍了印度非政府组织Sangath所采用的SUNDAR方法的基本原理和原则：利用经过适当培训和监督的非专业人员，针对一系列心理健康状况提供心理社会干预措施。该方法已在多项随机对照试验中得到评估，目前正在扩大规模。这项创新的核心在于重新审视谁构成精神卫生保健、谁提供精神卫生保健以及精神卫生保健如何提供等问题。通过这样做，SUNDAR为一个具有赋权性、包容性、公平性和有效性的精神卫生保健系统提供了愿景。
