Turk Psikiyatri Derg. 2024 Summer;35(2):95-101. doi: 10.5080/u26915.
Access to psychiatry services in Kashmir is challenging because of active enduring conflict, insecurity and a fundamental role played by the traditional health workers. We aimed to assess the main pathways to mental health services in Kashmir, India.
This cross-sectional hospital-based study was performed from March 2012 to June 2017 in the outpatient psychiatry department at a psychiatric disease hospital in Kashmir. A convenience sampling method was used to select newly referred patients to the services. A survey was developed to collect information on demographic data and the main pathways for patients when seeking care for mental disorders.
A total of 518 patients were interviewed. About half of the respondents (48.8 %) attended clinical consultation from a general pathway like a physician or a neurologist, while 31.8% were visiting a psychiatrist for a significant psychiatric disorder. For some patients (17.8%), their initial pathway to mental health services is traditional healers.
The current study revealed different pathways to seeking psychiatric care in Kashmir India. Further studies are needed to address the treatment gap and ways to improve access to mental health services for the Kashmir population.
由于活跃的持久冲突、不安全以及传统卫生工作者的基本作用，在克什米尔获得精神病服务具有挑战性。本研究旨在评估印度克什米尔地区获得精神卫生服务的主要途径。
这是一项横断面医院为基础的研究，于 2012 年 3 月至 2017 年 6 月在克什米尔一家精神病医院的门诊精神病科进行。采用便利抽样方法选择新转诊到该服务的患者。编制了一份调查问卷，以收集有关人口统计学数据和患者在寻求精神障碍治疗时的主要途径的信息。
共访谈了 518 名患者。约一半的受访者（48.8%）通过普通途径（如医生或神经科医生）接受临床咨询，而 31.8%的人是因为严重的精神障碍而就诊精神科医生。对于一些患者（17.8%）来说，他们寻求精神卫生服务的最初途径是传统的治疗师。
本研究揭示了在印度克什米尔寻求精神卫生服务的不同途径。需要进一步研究来解决治疗差距，并探索改善克什米尔地区民众获得精神卫生服务的途径。
