TY - JOUR
T1 - Pathways to mental health care in Bangladesh, India, Japan, Mongolia, and Nepal
AU - Hashimoto, Naoki
AU - Fujisawa, Daisuke
AU - Giasuddin, Noor Ahmed
AU - Kenchaiah, Basanth Kumar
AU - Narmandakh, Altanzul
AU - Dugerragchaa, Khongorzul
AU - Tamrakar, Sharad Man
AU - Adhikari, Shailendra Raj
AU - Sartorius, Norman
N1 - Funding Information:
This study was initially proposed and planned by the JYPO at a Fellowship Program of the WPA regional meeting in Seoul, Korea, in 2007. Young psychiatrists in Bangladesh, India, Mongolia, and Nepal participated in the study through an international partnership of young psychiatrist organizations in Asia and personal relationships among the young psychiatrists.
Funding Information:
The study in Yokohama was part of a domestic collaborative study in Japan that was supported by a grant from Pfizer Health Research. The study in Vellore was funded by an intramural grant from the fluid research fund (22X257) of the Christian Medical College, Vellore, India. The studies in the other 3 areas were performed on a volunteer basis and were not supported by any grants.
Publisher Copyright:
© 2010 APJPH.
PY - 2015/3/4
Y1 - 2015/3/4
N2 - 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.
AB - 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.
KW - Bangladesh
KW - India
KW - Japan
KW - Mongolia
KW - Nepal
KW - help seeking
KW - pathway
KW - psychiatry
UR - http://www.scopus.com/inward/record.url?scp=84926353041&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84926353041&partnerID=8YFLogxK
U2 - 10.1177/1010539510379395
DO - 10.1177/1010539510379395
M3 - Article
C2 - 21159690
AN - SCOPUS:84926353041
SN - 1010-5395
VL - 27
SP - NP1847-NP1857
JO - Asia-Pacific Journal of Public Health
JF - Asia-Pacific Journal of Public Health
IS - 2
ER -
