title: Assessment of Health Systems and Services Including Availability of Components for Mental Health Care in Industries of Kolar District, India.
abstract: Non-communicable diseases (NCDs) and psychological hazards are increasingly observed in industries, necessitating the need to strengthen industrial health systems to control the same. District level data on level of functioning of industrial health systems and services with special focus on systems available for mental health care is lacking in India. This information is vital to plan need-based interventions for system strengthening.
  
  
  
  To assess the status of functioning of industrial health systems and services in Kolar district, India, with special focus on systems and services available for mental health care.
  
  
  
  This cross-sectional study was undertaken between October and December 2014 on a stratified random sample of 69 industries located in Kolar, which were stratified proportionately by their hazardous nature. Interview and observation checklist were used to assess and classify functioning of industrial health systems and services including those available for mental health care.
  
  
  
  Occupational safety and health (OSH) policy was present in 56% and health insurance in 39% of the 69 industries assessed. Pre-placement and periodical medical examination were conducted in 23% of industries. Health systems and services in hazardous industries were functioning at less than 50% level of functioning. Health systems and services for mental health care were non-existent.
  
  
  
  There is a need in Kolar district, India, to integrate the mental health components within existing industrial health systems, as per policy directives to implement setting based approaches in mental health programs.
authors.affiliation: Centre for Public Health, Department of Epidemiology, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India. drgauthamnimhans@gmail.com.
authors.forename: G M
authors.initials: GM
authors.lastname: Sukumar
authors.forename: S
authors.initials: S
authors.lastname: Rawat
authors.forename: S
authors.initials: S
authors.lastname: V H H
authors.forename: G
authors.initials: G
authors.lastname: Gururaj
mesh_terms: D003430:Cross-Sectional Studies; D003695:Delivery of Health Care; D006297:Health Services Accessibility; D006801:Humans; D007194:India; D007358:Insurance, Psychiatric; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000628:therapy*; D008603:Mental Health; D008605:Mental Health Services; D009784:Occupational Diseases / Q000453:epidemiology / Q000628:therapy*; D011785:Quality Assurance, Health Care / Q000379:methods; D017132:Workplace