PDF(Pubmed)
Abstract：
OBJECTIVE: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
摘要：
目标：由于持续的冲突，在克什米尔获得精神病学服务具有挑战性，不安全和传统卫生工作者发挥的根本作用。我们旨在评估克什米尔心理健康服务的主要途径，印度。
方法：这项基于医院的横断面研究于2012年3月至2017年6月在克什米尔一家精神疾病医院的门诊精神科进行。使用便利抽样方法选择新转诊的患者。进行了一项调查，以收集有关人口统计数据和患者寻求精神障碍治疗时的主要途径的信息。
结果：共采访了518名患者。大约一半的受访者（48.8％）参加了一般途径的临床咨询，如医生或神经科医生，而31.8%的人因严重的精神疾病而去看精神科医生。对于一些患者（17.8％），他们获得心理健康服务的最初途径是传统治疗师。
结论：当前的研究揭示了在印度克什米尔寻求精神病治疗的不同途径。需要进一步的研究来解决治疗差距和改善克什米尔人口获得精神卫生服务的方法。
方法：这项基于医院的横断面研究于2012年3月至2017年6月在克什米尔一家精神疾病医院的门诊精神科进行。使用便利抽样方法选择新转诊的患者。进行了一项调查，以收集有关人口统计数据和患者寻求精神障碍治疗时的主要途径的信息。
结果：共采访了518名患者。大约一半的受访者（48.8％）参加了一般途径的临床咨询，如医生或神经科医生，而31.8%的人因严重的精神疾病而去看精神科医生。对于一些患者（17.8％），他们获得心理健康服务的最初途径是传统治疗师。
结论：当前的研究揭示了在印度克什米尔寻求精神病治疗的不同途径。需要进一步的研究来解决治疗差距和改善克什米尔人口获得精神卫生服务的方法。
