*10 Feb 2011*

*CHENNAI*: Psychiatric care is hard to come by in rural areas, especially in
districts like Pudukottai, which lacks a proper district mental health
programme. To address this, on Wednesday, Chennai-based Schizophrenia
Research Foundation (SCARF) launched a mobile tele-psychiatry unit that will
tour villages in the district and monitor people's mental health.

The mobile unit was inaugurated by governor Surjit Singh Barnala at Raj
Bhavan. The free service will be available in four taluks of Pudukottai
district Avudaiyarkoil, Thirumayam, Gandarvakottai and Alangudi in the first
phase, and is supported by the Tata Educational Trust, Mumbai. "To my
knowledge, this is the first time that mobile tele-psychiatry is being done
in India and possibly in Asia," said SCARF director Thara Srinivasan. "For
over a billion people, there are only about 4,000 psychiatrists in India,
70% of whom are in urban areas, leaving the most people without access to
mental health care services," she said.

A number of eye-care organisations such as Sankara Nethralaya and Aravind
Eye Hospitals have been providing mobile tele-medicine services. "I felt
this was a model that could work for psychiatry as well. Though face-to-face
interaction is always better for psychiatric treatment, in the absence of
any kind of service, video-conferencing is the best option," Dr Srinivasan
said.

Health workers and employees of local NGOs will refer patients to the bus,
which will visit each spot once in two weeks. Doctors in SCARF's centre in
Annanagar will interview the patients and their families and prescribe
medication. "The bus also has a pharmacy and health workers will dispense
free medicines," she said.

The bus, customised and fitted out by Ashok Leyland, has a large TV screen
at one end, which will also be used to screen films to create awareness
about mental health. "Consultation will be done in the morning and awareness
programmes in the evening," said Dr Srinivasan.

Psychiatric tele-medicine was first done by SCARF after the 2004 tsunami
when a number of survivors in Cuddalore and Nagapattinam districts suffered
post-traumatic stress disorder.

Dr R Sathianathan, director of the Institute of Mental Health, Chennai, says
such services are necessary in rural areas where psychiatric services are
unavailable or inaccessible. "We only have about 345 psychiatrists in Tamil
Nadu and most of them are in urban areas," he said. "Tele-medicine can help
treat acute depression, post-traumatic stress disorder and other issues, but
more chronic conditions such as schizophremia and bipolar disorder may need
more sustained treatment."

http://timesofindia.indiatimes.com/city/chennai/Pudukottai-gets-mobile-tele-psychiatry/articleshow/7464027.cms

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