International Mental Health Perspectives on Person Centered Integrated Care

Main Article Content

Roy Abraham Kallivayalil
Kabir Garg
Adarsh Tripathi

Abstract

 Modern medicine, with all its scientific and technological advancements overshadowing the humanistic components, has time and again found to be falling short of the expectations of clients and service providers alike. Person Centered Integrated Care has been rapidly gaining momentum as the reply to the current shortcomings of health care delivery and has consistently been ranked as desirable. The need of the hour is to take coordinated and consolidated steps in this direction. This requires research, changes in the education and training system of the physicians and integration of service delivery. The present article discusses these avenues and outlines international efforts in this direction, with a special focus on mental health care. 

Article Details

Section
Regular Articles
Author Biography

Roy Abraham Kallivayalil, Dept of Psychiatry Pushpagiri Institute of Medical Sciences, Thiruvalla, India

Professor & Head, Dept of Psychiatry, Pushpagiri Institute of Medical Sciences, Thiruvalla, India Awarded MBBS from Med College, Kottayam (1977), DPM from Madurai Medical College (1980) and MD (Psychiatry) from Post graduate Institute of Medical Education & Research, Chandigarh, India in 1984. Was Professor & Head, Dept of Psychiatry, Govt Medical College, Kottayam and Trichur and later Principal at Co-operative Medical College, Kochi.Positions Previously held:State President, Indian Medical Association Kerala Chapter (1998-1999).State President, Indian Psychiatric Society, Kerala Chapter (1995-1996)General Secretary, Indian Psychiatric Society (2002 – 2006).Secretary General, SAARC Psychiatric Federation (2004-2006)Current Positions:President-Elect, Indian Psychiatric Society, New DelhiPresident, Indian Association for Social PsychiatryPresident, National Alliance for Mental Health (NAMH), IndiaCo -Chairman, Preventive Psychiatry Section, World Psychiatric Association, GenevaMember, International Network for Person Centered Med (INPCM), New YorkMember,Faculty of Medicine& Tech,Cochin University of Science and TechnologyAssociate Editor, Indian Journal of PsychiatryAwards & HonoursGovt of Kerala Best Doctor Award, 2007SAARC Psychiatric Federation Award, Kathmandu 2006Ramachandra N. Moorthy National Award for distinguished service in the field of Psychiatry for the year 1998-99 by Indian Medical Association, New Delhi.IMA CGP National award for health administration - Indian Medical Association (2000).

References

. Miles A, Mezzich JE. The care of the patient and the soul of the clinic: person-centered medicine as an emergent model of modern clinical practice. The International Journal of Person Centered Medicine. 2011;1(2):207-22.

. Zagreb Declaration on Person Centered Health Professional Education. Croatian Medical Journal. 2014;55(1):81-2.

. Snaedal J. Person Centered Medicine. World Medical & Health Policy. 2012;4(2):1-14.

. Braš M, Đorđević V, Janjanin M. Person-centered pain management – science and art. Croatian Medical Journal. 2013;54(3):296-300.

. Roberti di Sarsina P, Ottaviani L, Mella J. Tibetan medicine: a unique heritage of person-centered medicine. The EPMA Journal. 2011;2(4):385-9.

. Laine C, Davidoff F. Patient-centered medicine: a professional evolution. JAMA. 1996;275(2):152-6.

. World Health Organization. The World Health Report 2008: Primary Health Care : Now More Than Ever. Ed by van Lerberghe W. Geneva: World Health Organization, 2008.

. Institute of Medicine Committee on Social Sciences in Medical School Report. In: Cuff PA, Vanselow NA, editors. Improving Medical Education: Enhancing the Behavioral and Social Science Content of Medical School Curricula. Washington (DC): National Academies Press (US), National Academy of Sciences, 2004.

. Karle H. World Federation for Medical Education perspectives on person-centered medicine. International Journal of Integrated Care. 2010;10(Suppl):e007.

. Zachariah P. Rethinking Medical Education In India. The Hindu. 2009 September 9.

. Miles A. Person-centered medicine - at the intersection of science, ethics and humanism. International Journal of Person Centered Medicine 2012;2(3):5.

. Hojat M, Vergare MJ, Maxwell K, Brainard G, Herrine SK, Isenberg GA, et al. The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Academic Medicine. 2009; 84(9):1182-91.

. Edwards R, Voss SE, Iliffe S. The development and evaluation of an educational intervention for primary care promoting person-centred responses to dementia. Dementia (London, England). 2013.

. Rosstad T, Garasen H, Steinsbekk A, Sletvold O, Grimsmo A. Development of a patient-centred care pathway across healthcare providers: a qualitative study. BMC Health Services Research. 2013;13(1):121.

. Heusser P, Neugebauer E, Berger B, Hahn E. Integrative and Personalized Health Care - Requirements for a Timely Health-Care System. Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)). 2013;75(3):151 - 4.

. Roberti di Sarsina P, Tognetti Bordogna M. The need for higher education in the sociology of traditional and non-conventional medicine in Italy: towards a person-centered medicine. The EPMA Journal. 2011;2(4):357-63.

. MacWhinney IR. Family medicine in perspective. The New England Journal Of Medicine. 1975;293(4):176-81.

. Senf JH, Campos-Outcalt D, Kutob R. Factors related to the choice of family medicine: a reassessment and literature review. The Journal of the American Board of Family Practice / American Board of Family Practice. 2003;16(6):502-12.

. Green LA, Graham R, Bagley B, Kilo CM, Spann SJ, Bogdewic SP, et al. Task Force 1. Report of the task force on patient expectations, core values, reintegration, and the new model of family medicine. The Annals of Family Medicine. 2004;2(suppl 1):S33-S50.

. Alanen YO, Lehtinen V, Lehtinen K, Aaltonen J, V R. The Finnish integrated model for early treatment of schizophrenia and related psychoses. Martindale B, Bateman A, Crowe M, F M, editors. Glasgow: Gaskell (ISPS); 2000.

. Mezzich JE. World Psychiatric Association perspectives on person-centered psychiatry and medicine. In: Mezzich JE, Snaedal J, van Weel C, Heath I (eds): Conceptual Explorations on Person-centered Medicine. Int.J. Integrated Care, Supplement, Vol 10, 2010.

. Meshvara D. Mental health and mental health care in Asia. World Psychiatry. 2002;1(2):118-20.

. Garg UC, Garg K. Speaking to a Wider Audience about the Positive Contributions of Psychiatry. Mens Sana Monographs. 2014;12(1):71-8.

. Stewart M. Patient-centered Medicine: Transforming the Clinical Method: Radcliffe Medical Press; 2003.

. Herrman H, Saxena S, Moodie R. Promoting mental health: concepts, emerging evidence, practice: a report of the World Health Organization, Department of Mental Health and Substance Abuse in collaboration with the Victorian Health Promotion Foundation and the University of Melbourne: World Health Organization; 2005.

. Kakuma R, Minas H, van Ginneken N, Dal Poz MR, Desiraju K, Morris JE, et al. Human resources for mental health care: current situation and strategies for action. Lancet. 2011;378(9803):1654-63.

. Bruckner TA, Scheffler RM, Shen G, Yoon J, Chisholm D, Morris J, et al. The mental health workforce gap in low- and middle-income countries: a needs-based approach. Bulletin of the World Health Organization. 2011;89(3):184-94.

. Pentecost MJ. Wither Primary Care? The Permanente Journal. 2006;10(3):83-4.

. Copeland JR. World Federation for Mental Health perspectives on person-centered medicine. International Journal Of Integrated Care. 2010;10 Suppl:e009.

. Funk M, Saraceno B, Drew N, Faydi E. Integrating mental health into primary healthcare. Mental health in family medicine. 2008;5(1):5-8.

. Primary health care: International Conference on Primary Health Care, Alma-Ata, USSR, 6-12 September 1978. The Nursing journal of India. 1979;70(11):285-95.

. Patel V, Araya R, Chatterjee S, Chisholm D, Cohen A, De Silva M, et al. Treatment and prevention of mental disorders in low-income and middle-income countries. Lancet. 2007;370(9591):991-1005.

. Prince M, Patel V, Saxena S, Maj M, Maselko J, Phillips MR, et al. No health without mental health. Lancet. 2007;370(9590):859-77.

. Thielke S, Vannoy S, Unützer J. Integrating mental health and primary care. Primary care: Clinics in office practice. 2007;34(3):571-92.

. World Health O, World Organization of National Colleges A, Academic Associations of General Practitioners/Family P. Integrating Mental Health Into Primary Care: A Global Perspective: World Health Organization; 2008.

. Gateways to health. Waltham Forest public health report 2007/8. London: Waltham Forest NHS Primary Care Trust, 2008.

. Razzouk D, Gregorio G, Antunes R, Mari JDJ. Lessons learned in developing community mental health care in Latin American and Caribbean countries. World Psychiatry. 2012;11(3):191-5.

. Killion C, Cayetano C. Making mental health a priority in Belize. Archives of psychiatric nursing. 2009;23(2):157-65.

. Yasamy M, etal. Suicide Prevention in Four Cities. Regional and Intersectoral Congress of the World Psychiatric Association Advances in Psychiatry; 12-15 March; Athens2005.

. Yasamy M, al e. Determination of appropriate measures of mental health service delivery to natural disaster survivors. In: Education MoHaM, Interior Mot, editors. Tehran: Shahid Beheshti University of Medical Sciences Red Cresent Society; 1998.

. Joska JA, Sorsdahl KR. Integrating mental health into general health care: lessons from HIV. African journal of psychiatry. 2012;15(6):420-3.

. Reynolds HW, Sutherland EG. A systematic approach to the planning, implementation, monitoring, and evaluation of integrated health services. BMC health services research. 2013;13(1):168.

. Kallivayalil RA, Kumar PNS. Education in peron-centered medicine: Indian perpectives. The International Journal of Person Centered Medicine. 2012 Vol 2 Issue 2 pp 155-158