Challenges in tracing treatment non-adherent persons with mental illness: Experiences from a rural community mental health center, India

Identification, enrollment, and retention in treatment are challenging processes in mental health care. The present paper highlights the challenges in tracing and reenrolling non-adherent persons with mental illness for treatment in a rural community mental health center. Unclear address, phone numb...

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Bibliographic Details
Published in:Asian journal of psychiatry 2022-01, Vol.67, p.102944-102944, Article 102944
Main Authors: Sriramalu, Sudhir Babu, Elangovan, Aravind Raj, Isaac, Mohan, Kalyanasundaram, Janaki Raman
Format: Article
Language:English
Subjects:
Community Health Workers
Community Mental Health Centers
Humans
India
Mental Disorders - epidemiology
Mental Disorders - therapy
Persons with mental illness
Rural community mental health center
Rural Population
Tracing
Treatment non-adherence
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Summary:Identification, enrollment, and retention in treatment are challenging processes in mental health care. The present paper highlights the challenges in tracing and reenrolling non-adherent persons with mental illness for treatment in a rural community mental health center. Unclear address, phone numbers not in use, relocation from the given address, no further contact details etc. are the barriers to trace and make the home visits. A detailed review of the medical record, having a network with the village informal health care workers and groups, utilizing peer group support, etc., are the facilitators for tracing the treatment non-adherent persons in the community. •TNA is a persistent issue in in mental health care services across the World.•Networking with the formal and informal health care providers, peer group in the community is most important in the process of tracing.•Documenting socio-demographic profile and of AADHAR number is essential for tracing and providing PSWIs for persons with mental illness.
ISSN:1876-2018
1876-2026
DOI:10.1016/j.ajp.2021.102944