Title: Help-seeking behaviour of patients attending outpatient of state mental health hospital

Authors: Abhilaksh Kango, Anukriti Singh

 DOI: https://dx.doi.org/10.18535/jmscr/v9i6.15

Abstract

Aim: To study the help-seeking behaviour of patients attending outpatient of HHMH & R, Shimla. 

Material and Methods: A cross-sectional observation was done on patients attending outpatient in our hospital to analyse the help seeking patterns of care used by them. Information related to sociodemographic features, clinical characteristics was collected and subjected to a semi-structured interview schedule after informed consent.

Results: Traditional faith healers were first choice in 23 (32.4%) followed by physician, alternative medicine. Only few patients (1.4%) opted to visit psychiatrist as first choice. Main reasons to visit various facilities first were due to easy accessibility (26.8%) and main reason to visit us was lack of response (43.7%).  

Conclusion: Mentally ill Patients look for help due to multiple reasons from psychiatrists, general physicians, faith healers and alternative medicine. It is cardinal to educate various general physicians which will help in early detection and proper treatment of mental health issues.

Keywords: Himachal Hospital of Mental Health and Rehabilitation (HHMH&R).

References

  1. Gater R, de Almeida e Sousa B, Barrientos G, Caraveo J, Chandrashekar CR, Dhadphale M, et al. The pathways to psychiatric care: A cross-cultural study. Psychol Med. 1991;21:761-74.
  2. National Institute of Health and Family Welfare. National Mental Health Program. New Delhi: NIHFW; 2005.
  3. Rogler LH, Cortes DE. Help-seeking pathways: A unifying concept in mental health care. Am J Psychiatr. 1993;150:554-61.
  4. Chadda RK, Agarwal V, Singh MC, Raheja D. Help seeking behaviour of psychiatric patients before seeking care at a mental hospital. Int J Soc Psychiatry. 2001;47:71-8.
  5. Janakiramaiah N, Badrinath B, Channabasavanna SM, Kaliaperumal VG.Dealing with deviant behaviour. Indian J Psychiatry. 1979;21:206-10.
  6. Lahariya C, Singhal S, Gupta S, Mishra A. Pathway of care among psychiatric patients attending a mental health institution in central India. Indian J Psychiatry. 2010;52:333-8.
  7. Loganathan S, Murthy RS. Experiences of stigma and discrimination endured by people suffering from schizophrenia. Indian J Psychiatry. 2008;50:39-46.
  8. Weiss M , Sharma SD, Gaur RK, Sharma JS, Desai A, Doongaji DR. Traditional concepts of mental disorder among Indian psychiatric patients: Preliminary report of work in progress. Soc Sci Med. 1986;2: 379-86.
  9. Government of India. National Mental Health Programme for India. Government of India, New Delhi: Ministry of Health and Family Welfare; 1982.
  10. Chadda RK, Sood M, Kumar N. Experiences of a sensitization program on common mental disorders for primary care physicians using problem basedlearning approach. Indian J Psychiatry. 2009; 51:289-91.
  11. Kessler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S, et al. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Arch Gen Psychiatry. 1994;51:8-19.
  12. Regier DA, Farmer ME, Rae DS, Myers JK, Kramer M, Robins LN, et al. One-month prevalence of mental disorders in the United States and sociodemographic characteristics: The Epidemiologic Catchment Area study. Acta Psychiatr Scand. 1993;88:35-47.

Corresponding Author

Dr Abhilaksh Kango

Psychiatrist, Himachal Hospital of Mental Health and Rehabilitation, Shimla (HP), 171005