From: Pathways to mental health care in Nepal: a 14-center nationwide study
Clinical variables | First carer | Second carer | Third carer | Fourth carer |
---|---|---|---|---|
Most referrals made by | Family members (49.7%) | Patients (35.6%) | Family members (41.9%) | Family members (41.4%) |
Time gap for help seeking between the carers (weeks) | NA | 17.13 ± 63.36 (Median: 2) | 14.09 ± 21.59 (Median: 4) | 21.53 ± 48.02 (Median: 2) |
Journey time from home to the carer (min) | 94.99 ± 274.58 (Median: 30) | 104.88 ± 220.9 (Median: 30) | 144.89 ± 279.92 (Median: 30) | 53.5 ± 81.40 (Median: 14.5) |
Most common carer | FH (28.2%) Psychiatrist (26%) HD (17%) GP (12%) | Psychiatrist (58.1%) FH (15.6%) GP (9.0%) | Psychiatrist (64.9%) HD (18.9%) | Psychiatrist (38.9%) HD (22.2%) |
Most common presentation | Depression (14.9%) Anxiety (13.9%) Psychosis (12.5%) | Depression (15.9%) Psychosis (14.7%) Anxiety (12.0%) | Psychosis (18.9%) | Neurosis (22.2%) |
Treatment offered | Antidepressants (22.1%) Prayers/spiritual support (14.9%) Treating physical illness (11.2%) | Antidepressants (35.3%) Neuroleptic drugs (21.0%) Treatment of physical illness (7.5%) | Treatment of physical illness (16.6%) | Counseling (16.6%) |