title: Development and piloting of a plan for integrating mental health in primary care in Sehore district, Madhya Pradesh, India.
abstract: BACKGROUND
  The large treatment gap for mental disorders in India underlines the need for integration of mental health in primary care.
  
  
  OBJECTIVE
  To operationalise the delivery of the World Health Organization Mental Health Gap Action Plan interventions for priority mental disorders and to design an integrated mental healthcare plan (MHCP) comprising packages of care for primary healthcare in one district.
  
  
  METHODS
  Mixed methods were used including theory of change workshops, qualitative research to develop the MHCP and piloting of specific packages of care in a single facility.
  
  
  RESULTS
  The MHCP comprises three enabling packages: programme management, capacity building and community mobilisation; and four service delivery packages: awareness for mental disorders, identification, treatment and recovery. Challenges were encountered in training primary care workers to improve identification and treatment.
  
  
  CONCLUSIONS
  There are a number of challenges to integrating mental health into primary care, which can be addressed through the injection of new resources and collaborative care models.
authors.affiliation: Rahul Shidhaye, MD(Psych), MHS, Public Health Foundation of India, Bhopal, Madhya Pradesh, India, and CAPHRI School for Public Health and Primary Care, Maastricht University, The Netherlands; Sanjay Shrivastava, MBBS, Vaibhav Murhar, MA(Psychol), PRIME project (India), Sangath, India; Sandesh Samudre, BAMS, MPH, Shalini Ahuja, MHMPP, BPT, Public Health Foundation of India; Rohit Ramaswamy, PhD, MPH, Grad.Dipl.(Bios), Public Health Leadership and Maternal and Child Health, University of North Carolina, Chapel Hill, North Carolina, USA and Adjunct Faculty, Public Health Foundation of India; Vikram Patel, MRCPsych, PhD, FMedSci, London School of Hygiene & Tropical Medicine, London, UK, Public Health Foundation of India and Sangath, India rahul.shidhaye@phfi.org.
authors.forename: Rahul
authors.initials: R
authors.lastname: Shidhaye
authors.affiliation: Rahul Shidhaye, MD(Psych), MHS, Public Health Foundation of India, Bhopal, Madhya Pradesh, India, and CAPHRI School for Public Health and Primary Care, Maastricht University, The Netherlands; Sanjay Shrivastava, MBBS, Vaibhav Murhar, MA(Psychol), PRIME project (India), Sangath, India; Sandesh Samudre, BAMS, MPH, Shalini Ahuja, MHMPP, BPT, Public Health Foundation of India; Rohit Ramaswamy, PhD, MPH, Grad.Dipl.(Bios), Public Health Leadership and Maternal and Child Health, University of North Carolina, Chapel Hill, North Carolina, USA and Adjunct Faculty, Public Health Foundation of India; Vikram Patel, MRCPsych, PhD, FMedSci, London School of Hygiene & Tropical Medicine, London, UK, Public Health Foundation of India and Sangath, India.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Shrivastava
authors.affiliation: Rahul Shidhaye, MD(Psych), MHS, Public Health Foundation of India, Bhopal, Madhya Pradesh, India, and CAPHRI School for Public Health and Primary Care, Maastricht University, The Netherlands; Sanjay Shrivastava, MBBS, Vaibhav Murhar, MA(Psychol), PRIME project (India), Sangath, India; Sandesh Samudre, BAMS, MPH, Shalini Ahuja, MHMPP, BPT, Public Health Foundation of India; Rohit Ramaswamy, PhD, MPH, Grad.Dipl.(Bios), Public Health Leadership and Maternal and Child Health, University of North Carolina, Chapel Hill, North Carolina, USA and Adjunct Faculty, Public Health Foundation of India; Vikram Patel, MRCPsych, PhD, FMedSci, London School of Hygiene & Tropical Medicine, London, UK, Public Health Foundation of India and Sangath, India.
authors.forename: Vaibhav
authors.initials: V
authors.lastname: Murhar
authors.affiliation: Rahul Shidhaye, MD(Psych), MHS, Public Health Foundation of India, Bhopal, Madhya Pradesh, India, and CAPHRI School for Public Health and Primary Care, Maastricht University, The Netherlands; Sanjay Shrivastava, MBBS, Vaibhav Murhar, MA(Psychol), PRIME project (India), Sangath, India; Sandesh Samudre, BAMS, MPH, Shalini Ahuja, MHMPP, BPT, Public Health Foundation of India; Rohit Ramaswamy, PhD, MPH, Grad.Dipl.(Bios), Public Health Leadership and Maternal and Child Health, University of North Carolina, Chapel Hill, North Carolina, USA and Adjunct Faculty, Public Health Foundation of India; Vikram Patel, MRCPsych, PhD, FMedSci, London School of Hygiene & Tropical Medicine, London, UK, Public Health Foundation of India and Sangath, India.
authors.forename: Sandesh
authors.initials: S
authors.lastname: Samudre
authors.affiliation: Rahul Shidhaye, MD(Psych), MHS, Public Health Foundation of India, Bhopal, Madhya Pradesh, India, and CAPHRI School for Public Health and Primary Care, Maastricht University, The Netherlands; Sanjay Shrivastava, MBBS, Vaibhav Murhar, MA(Psychol), PRIME project (India), Sangath, India; Sandesh Samudre, BAMS, MPH, Shalini Ahuja, MHMPP, BPT, Public Health Foundation of India; Rohit Ramaswamy, PhD, MPH, Grad.Dipl.(Bios), Public Health Leadership and Maternal and Child Health, University of North Carolina, Chapel Hill, North Carolina, USA and Adjunct Faculty, Public Health Foundation of India; Vikram Patel, MRCPsych, PhD, FMedSci, London School of Hygiene & Tropical Medicine, London, UK, Public Health Foundation of India and Sangath, India.
authors.forename: Shalini
authors.initials: S
authors.lastname: Ahuja
authors.affiliation: Rahul Shidhaye, MD(Psych), MHS, Public Health Foundation of India, Bhopal, Madhya Pradesh, India, and CAPHRI School for Public Health and Primary Care, Maastricht University, The Netherlands; Sanjay Shrivastava, MBBS, Vaibhav Murhar, MA(Psychol), PRIME project (India), Sangath, India; Sandesh Samudre, BAMS, MPH, Shalini Ahuja, MHMPP, BPT, Public Health Foundation of India; Rohit Ramaswamy, PhD, MPH, Grad.Dipl.(Bios), Public Health Leadership and Maternal and Child Health, University of North Carolina, Chapel Hill, North Carolina, USA and Adjunct Faculty, Public Health Foundation of India; Vikram Patel, MRCPsych, PhD, FMedSci, London School of Hygiene & Tropical Medicine, London, UK, Public Health Foundation of India and Sangath, India.
authors.forename: Rohit
authors.initials: R
authors.lastname: Ramaswamy
authors.affiliation: Rahul Shidhaye, MD(Psych), MHS, Public Health Foundation of India, Bhopal, Madhya Pradesh, India, and CAPHRI School for Public Health and Primary Care, Maastricht University, The Netherlands; Sanjay Shrivastava, MBBS, Vaibhav Murhar, MA(Psychol), PRIME project (India), Sangath, India; Sandesh Samudre, BAMS, MPH, Shalini Ahuja, MHMPP, BPT, Public Health Foundation of India; Rohit Ramaswamy, PhD, MPH, Grad.Dipl.(Bios), Public Health Leadership and Maternal and Child Health, University of North Carolina, Chapel Hill, North Carolina, USA and Adjunct Faculty, Public Health Foundation of India; Vikram Patel, MRCPsych, PhD, FMedSci, London School of Hygiene & Tropical Medicine, London, UK, Public Health Foundation of India and Sangath, India.
authors.forename: Vikram
authors.initials: V
authors.lastname: Patel
mesh_terms: D019033:Delivery of Health Care, Integrated / Q000592:standards*; D003906:Developing Countries; D006801:Humans; D007194:India; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000458:organization & administration*; D010347:Patient Care Planning / Q000592:standards*; D010865:Pilot Projects; D011320:Primary Health Care / Q000458:organization & administration*; D015397:Program Evaluation; D036301:Qualitative Research