Emma King, Emma France, Cari Malcolm, Simita Kumar, Smita Dick, Richard G Kyle, Philip Wilson, Lorna Aucott, Stephen Turner, Pat Hoddinott
Identifying and prioritising future interventions with stakeholders to improve paediatric urgent care pathways in Scotland, UK: a mixed-methods study
BMJ open
data treatment gap health care utilization mental disorders punjab present study reports using data collected national mental health survey multisite multistage stratified random cluster sampling study conducted four districts namely faridkot moga patiala ludhiana urban metro areas data collected october 2015 march 2016 mini international neuropsychiatric interview 600 adapted fagerstrom nicotine dependence scale used diagnose mental behavioral disorders tobacco use disorder respectively pathways interview schedule world health organization applied persons disorder assess treatment gap health care utilization exploratory focused group discussions fgds conducted understand community perceptions regarding mental behavioral disorders treatment gap mental behavioral disorders 7959 higher common mental disorders severe mental disorders higher alcohol tobacco use disorders compared opioid use disorders median treatment lag 6 months seven patients 79 taking treatment psychiatrist average distance traveled patient treatment 3761 455 km many attitudinal structural barriers leading high treatment gaps identified fgds community stigma poor knowledge mental health deficiency psychiatrists distance hospital vertical well horizontal multisectoral integration required reduce treatment gap improve healthcare utilization increasing mental health literacy providing highquality mental health services primaryhealthcare level human resources development need hour