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Table 1 Specific interventional strategies for SMART Mental Health Project

From: SMART Mental Health Project: process evaluation to understand the barriers and facilitators for implementation of multifaceted intervention in rural India

Key objectives Development of a multifaceted programme that includes an anti-stigma campaign and the systematic medical appraisal, referral and treatment (SMART) mental health intervention
Evaluation of the intervention to provide evidence of feasibility, acceptability and effectiveness of the programme
Strategies Training/Educating health professionals (primary healthcare physicians, healthcare professionals (ASHAs) and project staff) with updates in screening, diagnosis and treatment of population for depression, suicidal risk and emotional problems using EDSS tool
Educating the community members about mental health and adherence to treatment
Offering free screening /counselling services to the community in interventional areas
Interventional activities based on target groups General population Educating about mental health, non-pharmacological treatments of mental illness and the benefits of treatment
Sharing brochures and posters on mental health using door-to-door campaign
Video shows of a person talking about his own mental illness and a film actor talking about CMD; staging live performances of a drama on mental disorders
Primary health care Physicians and health care professionals (ASHAs) Organizing training workshops on the updates in screening, diagnosis and treatment of population for depression. suicidal risk and emotional problems using EDSS tool
Training/educational manuals for physicians, and healthcare professionals
Knowledge on key symptoms, such as psychotic features, and comorbid conditions, such as drug and alcohol use
Screen positives and family members Educating about mental health, non-pharmacological treatments of mental illness and the benefits of treatment
Educating patients relatives’ for screening mental illness and raising their sensitization in favor of the patients’ treatment using door to door campaign
Organizing health camps for providing free counselling services
Referral to the next level of care to access the trained mental health professionals