Abstract
Psychiatric conditions are a leading cause of disability across the globe. Majority of persons experiencing disability due to mental illness live in rural areas of low- and middle-income countries. The fact that a plethora of efficacious rehabilitation interventions are available to help these persons makes little difference in their lives, given the fact that the delivery of these interventions is nearly non-existent in most countries. There have been major changes in the conceptualization of disability and rehabilitation in the recent decades. Disability is viewed as a product of interaction of a person’s impairment with his/her environment. Hence, rehabilitation, as a concept, has moved away from a purely medical model. Person-centered, rights-based comprehensive rehabilitation, addressing health, education, livelihood, social, and empowerment needs of the patients, has become the standard of care. There is serious dearth of literature demonstrating successful and sustainable models of rehabilitation meeting these standards. World Health Organization’s Community-Based Rehabilitation (WHO-CBR) provides a roadmap to develop locally applicable, comprehensive rehabilitation for persons with disability (PwD) due to any health condition. It consists of a bottom-up approach, in which all stakeholders in the community take part in managing all aspects of rehabilitation of PwD. While a few case studies show promise, there is need for systematic studies of feasibility and effectiveness of WHO-CBR.
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Thirthalli, J., Sivakumar, T., Basavarajappa, C. (2019). Rehabilitation for Persons with Severe Mental Illness in Lower- and Middle-Income Countries. In: Chaturvedi, S. (eds) Mental Health and Illness in Rural World. Mental Health and Illness Worldwide. Springer, Singapore. https://doi.org/10.1007/978-981-10-0751-4_19-1
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DOI: https://doi.org/10.1007/978-981-10-0751-4_19-1
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