Lakshminarayanan Monisha, Kathuria Nishtha, Mehra Sunil
Delhi University, India.
MAMTA-HIMC, India.
Asian J Psychiatr. 2020 Dec;54:102277. doi: 10.1016/j.ajp.2020.102277. Epub 2020 Jul 11.
The dearth of trained mental health care professionals to deliver specialized and complex models of interventions is one of the biggest barriers to accessing mental health care services particularly in less resourced settings. Perinatal mental health issues continue to contribute significantly to the global mental health burden. According to WHO (2015), 20 % of mothers in low and middle income countries suffer from a mental disorder after childbirth. There is robust research evidence particularly from LMICs to state that interventions delivered by non-specialist lay counsellors at the grass root level is emerging as an effective alternative to address the large treatment gaps.MAMTA Health Institute for mother and child(HIMC) is a pioneer organization in the field of RMNCH+A. Against this background, MAMTA HIMC explored the feasibility of remote training level health workers in the delivery of simple psycho social interventions for women in the perinatal period. Philips PAN India is a project at MAMTAHIMC which attempts to task shift expert mental health services to front line workers by interspersing simple psycho services into the framework of routine RMCH+A services. The paper aims to (1) Describe the experience of remote training of persons with no previous knowledge or experience of mental health to recognize mental health problems and deliver psychosocial services at the grassroot level 2) Discuss the impact and acceptability of the training.The paper recommends using non- specialized strategies, digital platforms, engaging community level human resources and low cost resources as opposed to complex conventional psychotherapies.
缺乏训练有素的精神卫生保健专业人员来提供专门且复杂的干预模式，是获得精神卫生保健服务的最大障碍之一，在资源较少的地区尤为如此。围产期心理健康问题继续在很大程度上加重了全球心理健康负担。根据世界卫生组织（2015年）的数据，低收入和中等收入国家20%的母亲在产后患有精神障碍。有充分的研究证据，尤其是来自低收入和中等收入国家的证据表明，由非专业的基层咨询顾问提供的干预措施正成为解决巨大治疗缺口的一种有效替代方案。玛姆塔母婴健康研究所（HIMC）是生殖、孕产妇、新生儿、儿童和青少年卫生与营养（RMNCH+A）领域的先驱组织。在此背景下，玛姆塔HIMC探讨了远程培训基层卫生工作者为围产期妇女提供简单心理社会干预措施的可行性。飞利浦全印度项目是玛姆塔HIMC的一个项目，该项目试图通过将简单心理服务融入常规RMCH+A服务框架，将专家级精神卫生服务任务转移给一线工作人员。本文旨在：（1）描述对以前没有精神卫生知识或经验的人员进行远程培训，使其能够识别心理健康问题并在基层提供心理社会服务的经历；（2）讨论该培训的影响和可接受性。本文建议采用非专业策略、数字平台，利用社区层面的人力资源和低成本资源，而非复杂的传统心理疗法。
