1. Non-communicable diseases and the prospects of integrated behavioral health in India: current status and future directions.
- Author
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Padma Sri Lekha, P., Abdul Azeez, E.P., and O'Donnell, Ronald R.
- Subjects
MENTAL illness risk factors ,MENTAL illness treatment ,HEALTH literacy ,BEHAVIOR disorders ,HEALTH services accessibility ,MENTAL health services ,HUMAN services programs ,HEALTH status indicators ,SOCIAL determinants of health ,INTERPROFESSIONAL relations ,PRIMARY health care ,DISEASE management ,CULTURE ,NON-communicable diseases ,CLINICAL competence ,HEALTH promotion ,PHYSICIANS ,PUBLIC health ,MEDICAL needs assessment ,QUALITY assurance ,INTEGRATED health care delivery ,BIOPSYCHOSOCIAL model ,SOCIAL stigma - Abstract
Purpose: Contextual to the recognition of the complex interplay between health and behavioral aspects, integrated behavioral health (IBH) has emerged. Although this model is becoming popular in the Western world, its presence in the global context is not promising. This paper aims to explore the need for IBH in India and address its barriers to implementation and possible solutions. Design/methodology/approach: We analyzed the case of IBH and its potential implications for India using the current evidence base, authors' reflections and experience of implementing similar programs. Findings: This paper identifies contextual factors, including increased instances of non-communicable diseases and psychosocial and cultural determinants of health, that necessitate the implementation of IBH programs in India. The key features of different IBH models and their applicability are outlined. The current status of IBH and potential challenges in implementation in India in terms of human resources and other factors are delineated. We also discuss the potential models for implementing IBH in India. Originality/value: Integrating behavioral health in primary care is considered an effective and sustainable model to promote health and well-being across various target populations. Towards this end, this paper is the first to discuss the contextual factors of IBH in India. It is a significant addition to the knowledge base on IBH and its possible implementation barriers and strategies in low- and middle-income countries. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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