‘Manasadhara’: a Day-Care Rehabilitation Programme for Persons with Mental Disorders in South India Manasadhara, day-care rehabilitation for persons with mental disorders.
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day care center., mental disorder, community-based rehabilitation, Psychiatric rehabilitation.
Abstract
Introduction: Health and Family Welfare Services (H&FWS) of Karnataka, a southern state in India having about 65 million population is funding the “Manasadhara Programme”, under which community-based psychiatric rehabilitation services (PRS) are offered through day-care centres, since 2014. Little research is carried out in this regard, despite significant money spent by the Exchequer. Objectives: To understand the PRS delivery-related challenges and beneficial effects from the experiential accounts of staff.
Methodology: Authors reviewed various government documents concerning the funding and the number of service users available to the public. The authors also relied on their personal experience of supervising the PRS delivery at one such day-care centre for 18 months in collaboration with the HDK
Results: H&FWS spends Indian Rupees (INR) 16,14,000 (USA $ 19,834) per annum per centre. Implementing this programme across the State costs INR 48,420,000 (USA $ 595,022) per annum. Data suggest that INR 73.1 (USA $ nine million) was spent between 2014-20. A range of beneficial effects to persons with mental disorders availing day-care services, and to their family caregivers are observed by the authors, and discussed in this article.
Conclusion: Manasadhara programme appears to offer structured engagement and rehabilitation services for people who were able to access this. More research is needed to conclude this observation.
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