Our work / Clinical care

Care begins where people already are.

Culturally responsive mental-health practice strengthened through clinicians, general healthcare and the relationships people already trust.

Participants attending a community mental-health learning session in Kashmir
Clinical knowledge shared in a setting close to community life.

The central idea

Clinical knowledge becomes most useful when it can travel beyond specialist settings.

SAWAB’s clinical work connects psychiatric knowledge with the realities of everyday care. It supports identification and management of common mental disorders through the clinicians and systems already present in communities.

The approach is integrated rather than isolated: mental health sits alongside general healthcare, neurorehabilitation, family wellbeing and longer-term recovery.

How the work moves

A clinical practice built around reach, context and continuity.

01

Recognise

Strengthen the ability of non-specialist clinicians to identify common mental-health needs.

02

Integrate

Connect mental-health care with general healthcare and rehabilitation rather than treating it as a separate world.

03

Continue

Hold care as a relationship that develops through follow-up, learning and trust.

Selected evidence

Go deeper into the work.

A focused selection of original reports, studies and programme records connected to this field.

01Report / 2016

MSF / University of Kashmir / IMHANS

Muntazar: Kashmir Mental Health Survey Report 2015

A valley-wide survey of depression, anxiety, post-traumatic stress, daily functioning and access to mental-health services.
Open source
02Study / 2019

The Canadian Journal of Psychiatry

A lay health-worker model for youth mental health — Part I

How a community mental-health model was adapted and implemented with trained lay health workers in Kashmir.
Open source
03Study / 2019

The Canadian Journal of Psychiatry

A lay health-worker model for youth mental health — Part II

The companion results paper examining the effectiveness of the adapted community model.
Open source
04Study

Community Mental Health Journal / PubMed Central

Dua Ti Dawa Ti

An inquiry into psychological distress, local help-seeking and community mental-health service needs in Kashmir.
Open source

Wider field context

Care seen from the field.

Two independent MSF field accounts provide additional context for the evolution of community mental-health support in Kashmir.

01Feature

Médecins Sans Frontières

Bringing mental-health care to Kashmir

Context on community counselling, awareness and the long work of bringing care closer to people.
Open source
02Feature

Médecins Sans Frontières

Bringing mental-health support to Kashmir

A field account of mental-health support and the need for accessible services across Kashmir.
Open source

In the public record

The work, as it was reported.

These reports offer a contemporaneous view of the needs, ideas and collaborations behind the work.

Explore the full press archive

Mental hospital shrinks as patients multiply

An early record of rising patient numbers, crowded wards and the need for trained staff, public awareness and humane mental-health care.

ClinicalImpactHistory

Awareness, not ignorance, is the key

A long-form conversation with Dr. Mushtaq Ahmad Margoob on stigma, trauma, public education and the conditions shaping mental health in Kashmir.

ClinicalCommunityPublic education

Scars of war

A field report from Srinagar's psychiatric hospital on conflict-related distress, the rising need for care and the people working inside a stretched system.

ClinicalImpactTrauma
Digital featureDE

Psychiatric problems on the rise in Kashmir

Reporting on increasing mental-health needs in Kashmir and the pressure placed on specialist care and community support systems.

ClinicalImpactAccess
Read feature
A Kashmiri home, school and community room connected by a continuous thread

Places of care

Beyond formal psychiatric settings.

Homes, general healthcare settings and rehabilitation environments can all become part of a considered route to support.

See how care moves through community

Continue through the connected domains.

Next: Research