Abstract
In South Asia, general hospital psychiatric units (GHPUs) have developed as an alternative to mental hospitals for the provision of comprehensive mental health services, training and research. GHPUs provide clinical care for all types of patients, including those with severe mental illnesses (SMIs). However, psychosocial rehabilitation is often neglected in GHPUs, partly because of the predominance of the medical model in routine clinical care and a lack of resources. This paper discusses the challenges in the management of SMIs in GHPUs and proposes a model of psychosocial rehabilitation which could be used in such settings.
Highlights
In South Asia, general hospital psychiatric units (GHPUs) have developed as an alternative to mental hospitals for the provision of comprehensive mental health services, training and research
Psychosocial rehabilitation is often neglected in GHPUs, partly because of the predominance of the medical model in routine clinical care and a lack of resources
This paper discusses the challenges in the management of severe mental illnesses (SMIs) in GHPUs and proposes a model of psychosocial rehabilitation which could be used in such settings
Summary
In South Asia, general hospital psychiatric units (GHPUs) have developed as an alternative to mental hospitals for the provision of comprehensive mental health services, training and research. GHPUs provide clinical care for all types of patients, including those with severe mental illnesses (SMIs). Psychosocial rehabilitation is often neglected in GHPUs, partly because of the predominance of the medical model in routine clinical care and a lack of resources. In South Asia, patients with severe mental illnesses (SMIs) are seen in a variety of mental health service settings, including general hospital psychiatric units (GHPUs), psychiatric hospitals, psychiatric nursing homes, poly-clinics and office-based practices. The GHPUs are the main resource for general mental healthcare in South Asia. They serve large numbers of patients with SMIs, common mental disorders, substance misuse, psychosexual disorders and childhood psychiatric disorders. This paper focuses on a model of PSR which could be used in such settings
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