abstract: 'BackgroundGlobally, a treatment gap exists for individuals with severe

  mental illness, with 75\% of people with psychosis failing to receive

  appropriate care. This is most pronounced in low and middle-income

  countries, where there are neither the financial nor human resources to

  provide high-quality community-based care. Low-cost, evidence-based

  interventions are urgently needed to address this treatment gap. AimTo

  conduct a situation analysis to (i) describe the provision of

  psychosocial interventions within the context of existing care in two

  LMICs-India and Pakistan, and (ii) understand the barriers and

  facilitators of delivering a new psychosocial intervention. MethodA

  situation analysis including a quantitative survey and individual

  interviews with clinicians, patients and caregivers was conducted.

  Quantitative survey data was collected from staff members at 11 sites

  (private and government run hospitals) to assess organizational

  readiness to implement a new psychosocial intervention. To obtain

  in-depth information, 24 stakeholders including clinicians and service

  managers were interviewed about the typical care they provide and/or

  receive, and their experience of either accessing or delivering

  psychosocial interventions. This was triangulated by six interviews with

  carer and patient representatives. Results and discussionThe results

  highlight the positive views toward psychosocial interventions within

  routine care and the enthusiasm for multidisciplinary working. However,

  barriers to implementation such as clinician time, individual attitudes

  toward psychosocial interventions and organizational concerns including

  the lack of space within the facility were highlighted. Such barriers

  need to be taken into consideration when designing how best to implement

  and sustain new psychosocial interventions for the community treatment

  of psychosis within LMICs.'
affiliation: 'Bird, VJ (Corresponding Author), Queen Mary Univ London, Wolfson Inst
  Populat Hlth, Unit Social \& Community Psychiat, London, England.

  Bird, Victoria Jane, Queen Mary Univ London, Wolfson Inst Populat Hlth, Unit Social
  \& Community Psychiat, London, England.

  Davis, Syjo; Ramachandran, Padmavati; Venkatraman, Lakshmi, Schizophrenia Res Fdn,
  Chennai, India.

  Jawed, Abeer; Qureshi, Onaiza; Shahab, Areeba, Interact Res \& Dev, Karachi, Pakistan.'
article-number: '807259'
author: Bird, Victoria Jane and Davis, Syjo and Jawed, Abeer and Qureshi, Onaiza and
  Ramachandran, Padmavati and Shahab, Areeba and Venkatraman, Lakshmi
author-email: v.j.bird@qmul.ac.uk
author_list:
- family: Bird
  given: Victoria Jane
- family: Davis
  given: Syjo
- family: Jawed
  given: Abeer
- family: Qureshi
  given: Onaiza
- family: Ramachandran
  given: Padmavati
- family: Shahab
  given: Areeba
- family: Venkatraman
  given: Lakshmi
da: '2023-09-28'
doi: 10.3389/fpsyt.2022.807259
files: []
issn: 1664-0640
journal: FRONTIERS IN PSYCHIATRY
keywords: 'severe mental illness; psychosis; psychological interventions; India;

  Pakistan; low and middle-income countries; situation analysis'
keywords-plus: 'MENTAL-HEALTH; TREATMENT GAP; DIALOG PLUS; DISORDERS; ILLNESS; PATIENT;

  NEEDS'
language: English
month: AUG 1
number-of-cited-references: '38'
orcid-numbers: 'Bird, Victoria/0000-0002-2053-7679

  Qureshi, Onaiza/0000-0002-3861-3473'
papis_id: d97a4f6eb470aa7b90a5e81ce5b4f0d4
ref: Bird2022implementingpsychoso
researcherid-numbers: 'Bird, Victoria/N-1165-2013

  '
times-cited: '2'
title: Implementing psychosocial interventions within low and middle-income countries
  to improve community-based care for people with psychosis-A situation analysis
type: Article
unique-id: WOS:000841641000001
usage-count-last-180-days: '1'
usage-count-since-2013: '2'
volume: '13'
web-of-science-categories: Psychiatry
year: '2022'