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Background: Mental health issues are common among college students, and structured services have been proven to enhance outcomes. Despite increased enrolment for higher education in India, college mental health services remain sparse. JEEVANI is the first structured state-wide college mental health service in India. This paper describes its framework and provides an overview of its functioning during the initial five months. Methods: In 2019–2020, the Directorate of Collegiate Education, Government of Kerala, implemented the program in 66 colleges catering to approximately 60,000 students. Qualified counsellors were trained to identify issues and provide interventions and early referrals, using a stepped-care approach. They conducted awareness programs to promote mental health and reduce stigma. Results: The services were accessed by 2,315 students during the assessment period (October 2019 to February 2020). The beneficiaries were predominantly females (54.1%). Over a third (38.8%) belonged to the lower socio-economic strata, and 2.5% had significant vulnerabilities. Although no syndromal diagnoses were made, anxiety and depression were the most common presentations. The counsellors provided 3,758 individual sessions and facilitated support for students who reported academic difficulties or interpersonal issues. Severe mental illness was detected in 54 students, and referrals for specialist mental health input were initiated in 68. Conclusion: Describing the framework, sharing the technical material, and providing an overview of its functioning from a resource-constrained setting in India may encourage higher education institutions in low- and middle-income countries to consider similar projects. [ABSTRACT FROM AUTHOR]

Crowd Management is always a challenging task when people gather in large numbers. Crowd disasters in India, including recurring incidents at religious venues, demands a crowd management system developed on the characteristics of the place, event, and participants. Assessment of carrying capacity is the prime process to design crowd management protocols and regulations. Carrying capacity assessment of religious gathering venues in India is often an overlooked process. The present study assessed the crowd carrying capacity of Sabarimala pilgrimage, Kerala, India. Physical carrying capacity assessment methods used for tourism venues have been applied and contextualised for crowd carrying capacity assessment. Characteristics of the venue, pilgrimage and pilgrims were studied to map the active crowd area and space utilisation zones. The physical carrying capacity was estimated based on the comfortable crowd density and threshold crowd density assessments. The study identified two factors influencing pilgrim movement within the venue viz. service level at the holy step and capacity of the darshan facility. Service level at the holy step is the prime factor that regulates the flow of the pilgrim within the venue including the pilgrim movement for deity darshan and hence the comfortable capacity of the holy step was distinguished as the effective carrying capacity of the venue. Physical carrying capacity at the comfortable crowd density has to be maintained throughout the event to avoid the triggering of crowd crushes. The crowd carrying capacity assessment (CCCA) method applied in this study is a simple process. Considering the crowd density and crowd regulation factors, the CCCA method can be applied to design crowd management protocols of other religious pilgrimage destinations in India. [ABSTRACT FROM AUTHOR]