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Table 1 Transitions in The Banyan’s strategy

From: Responsive mental health systems to address the poverty, homelessness and mental illness nexus: The Banyan experience from India

Dimensions of Strategy Lifecycle 1
1993–1996
Lifecycle 2
1996–2003
Lifecycle 3
2004–2012
Lifecycle 4
2012–present
Focus (planning and action) Humanistic response to homeless women with mental illness: crisis intervention, shelter, reintegration, after-care Institutional development: strengthening capacity, content and quality of responses Mental health services in the community and stakeholder expansion, research and advocacy Development of reconstructive approaches in community and institutional care with a focus on well-being: identity/personal growth/self-determination/meaning in life
Building capacities among human resources to integrate theory and field practice
Reasons for focus (observation and reflection) Lack of adequate responses to address deprivation and violence faced by homeless women with mental illness Scale of issue in quantity as well as complexity; Infrastructure development with strengthening of systems of care for efficiency perceived as solution Lack of access to care and continuity in care hypothesised to stem from presence vs absence deficits in community mental health
Model formulation and dissemination of protocols as a means of scaling up
Micro and complex issues: non-linearity in the relationship between poverty, mental health, access to care and outcomes
Need for development focus to mental health services integration
Ethos/Core values scaling as opposed to standard operating protocols given dynamic nature of issue
Description of constituency Homeless women with mental illness Homeless women with mental illness and their families and communities Persons with mental illness and their families living in poverty and homelessness in urban and rural areas Persons, families and communities with psychosocial concerns living in poverty and homelessness in low resource settings
Human resources in development and mental health sector
Description of stakeholder system Hospitals, media, general public, philanthropists, social clubs Other civil society organisations, hospitals, media, corporates, general public, government Government, Other civil society organisations, hospitals, media, corporates, general public Academic community, international institutions, local governments, federated and unfederated community institutions, Governments, Other civil society organisations, Hospitals, Media, Corporates, General Public