Change search
ReferencesLink to record
Permanent link

Direct link
Under the banyan tree: exclusion and inclusion of people with mental disorders in rural North India
Landour Community Hospital, Landour, Uttarakhand.
Landour Community Hospital, Landour, Uttarakhand.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Landour Community Hospital, Landour, Uttarakhand.ORCID iD: 0000-0001-7234-3510
Landour Community Hospital, Landour, Uttarakhand.
Show others and affiliations
2015 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 15, 446Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Social exclusion is both cause and consequence of mental disorders. People with mental disorders (PWMD) are among the most socially excluded in all societies yet little is known about their experiences in North India. This qualitative study aims to describe experiences of exclusion and inclusion of PWMD in two rural communities in Uttar Pradesh, India.

METHODS: In-depth interviews with 20 PWMD and eight caregivers were carried out in May 2013. Interviews probed experiences of help-seeking, stigma, discrimination, exclusion, participation, agency and inclusion in their households and communities. Qualitative content analysis was used to generate codes, categories and finally 12 key themes.

RESULTS: A continuum of exclusion was the dominant experience for participants, ranging from nuanced distancing, negative judgements and social isolation, and self-stigma to overt acts of exclusion such as ridicule, disinheritance and physical violence. Mixed in with this however, some participants described a sense of belonging, opportunity for participation and support from both family and community members.

CONCLUSIONS: These findings underline the urgent need for initiatives that increase mental health literacy, access to services and social inclusion of PWMD in North India, and highlight the possibilities of using human rights frameworks in situations of physical and economic violence. The findings also highlight the urgent need to reduce stigma and take actions in policy and at all levels in society to increase inclusion of people with mental distress and disorders.

Place, publisher, year, edition, pages
BioMed Central, 2015. Vol. 15, 446
Keyword [en]
India, Exclusion, Stigma, Inclusion, Mental illness, Qualitative
National Category
Public Health, Global Health, Social Medicine and Epidemiology
URN: urn:nbn:se:umu:diva-110323DOI: 10.1186/s12889-015-1778-2ISI: 000353941600001PubMedID: 25928375OAI: diva2:862175
Available from: 2015-10-20 Created: 2015-10-20 Last updated: 2016-02-18Bibliographically approved

Open Access in DiVA

fulltext(482 kB)118 downloads
File information
File name FULLTEXT01.pdfFile size 482 kBChecksum SHA-512
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Mathias, KaarenSan Sebastian, MiguelGoicolea, Isabel
By organisation
Epidemiology and Global Health
In the same journal
BMC Public Health
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar
Total: 118 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 81 hits
ReferencesLink to record
Permanent link

Direct link