Poor quality of mental health services and human rights violations in inpatient and outpatient facilities are a feature of mental health services in India. Many persons with mental disorders are exposed to inhuman and degrading treatment, restraint, seclusion and physical, sexual, and emotional abuse and neglect.
Until now, there has been no systematic approach to addressing this issue. Quality improvement, though an important aspect of improving access to mental health services, has received scant attention from mental health professionals and other stake holders. This project addresses the problem of poor quality of services and rights violations in the State of Gujarat, India, by introducing and scaling up an innovative QualityRights intervention in mental health facilities. This innovative intervention has been piloted in many countries in the past 3 years. Based on lessons learned in these small-scale ‘proof of concept’ studies, the intervention is now ready to be scaled up in mental health services in the state of Gujarat.
The project is the first of its kind to be implemented at such a large scale in India. The project will attempt to about significant improvements in the quality of mental health services including improved skills, attitudes and practices of health staff and lay persons in relation to treatment and recovery, and human rights leading to reduced stigma, improved accessibility and acceptability of care, and ultimately to reduced disability and improve functioning for people with mental disorders.