Abstract

Abstract:

Introduction: Neuropsychiatric conditions are potentially treatable conditions, that can be debilitating with serious sequelae which could result in significant brain damage and subsequent disability. WHO recognizes neurological disorders as “one of the greatest threats to public health” (WHO, 2008). Neuropsychiatric disorders have a significant impact on global health with significant YLD’s and disability.  For many conditions appropriate therapies exist, but outcome is often poor because of failure to receive appropriate treatment due to multiple factors. Objective: The symposium aims to explore social determinants of health through different conditions namely - suicide, brain infections, dementia, headache, POCSO and substance usage. The study looks from the perspective of the persons, their families and other stakeholders looking at the structural and intermediary factors of SDOH. In each of the cohort we have been able to bring out results which has helped or will help in conceptualising care using Social Determinants of Health. The interventions of the same can be used at the primary, secondary and tertiary levels.  Methodology:  On different conditions, cohort-based methodologies were adopted thereby having a representation of quantitative, qualitative, and mixed methods study. Hence for conditions on suicide, POCSO, headache utilised qualitative methodology, substance usage used quantitative methodology and brain infections and dementia used mixed methodology. Results: The results have helped in creating models, checklist, guidelines using SDOH conceptualisation. For suicide we were able to propose a model of care; POCSO and headache a theoretical construct on how to conceptualise SDOH for care using stakeholders, for substance usage in a residential cohort essentially the level-based intervention required while for brain infections a checklist (persons and caregivers) and guidelines for care for systematic health changes. Conclusion: Neuropsychiatric conditions are one of the most important yet least understood conditions. The burden of the condition is still not completely well documented. In the growing context of these conditions and the associated Delay causing Disability and Damage, it becomes imperative, to focus on the social, cultural, economic, environmental factors which shall thereby help in understanding of the method of better managing the condition and ensuring better quality of life helping in sensitivity and positivity towards health through a multi-disciplinary approach.