Mental health beyond the clinic: Investigating the influence of social context on mental health and health behaviours in India

Lead Research Organisation: King's College London
Department Name: Health Service and Population Research

Abstract

Mental illness - which includes common problems such as depression, and rarer conditions such as schizophrenia and other psychotic disorders - can have a devastating impact on people's lives, preventing people from fulfilling their potential and in some cases leading to premature death. In recent years there has been increasing recognition that mental health is an integral part of health, leading to high-profile calls to increase access to mental health services worldwide. However, since mental health conditions are strongly influenced by people's social environments, medical treatment is not the only way to improve mental health. It is important to understand how people's mental health relates to the context of their lives, in order to recognise why many people choose not to use mental health services, and to make sure that any help provided to people with mental health problems addresses their needs.

My PhD research investigated how people affected by depression in rural India understood and responded to their symptoms within this context, to better understand why so few people sought biomedical treatment for these problems. I used a range of different methods, which allowed me to combine multiple perspectives to build an in-depth understanding of the issue, including measures of individual behaviour from large-scale surveys, in-depth interviews to understand the lived experience of depression in this setting, and geographic methods to investigate the influence of the local area on behaviour. This research showed that in the context of poverty and other social problems, depression was seen as a natural response to people's circumstances, and therefore many believed it could not be solved through medical treatment without improving the conditions of people's lives.

During the period of this fellowship, I will publish my results in academic journals and present them at international conferences. I will also present my findings to decision-makers who set international mental health policy and those responsible for planning public services in India.

Going forward, I want to use the skills I've developed to study how psychotic disorders such as schizophrenia relate to people's social environments in India, and eventually extend this research to other low- and middle-income countries. Psychotic disorders are severe conditions in which people experience symptoms such as hallucinations (seeing or hearing things that are not there) and delusions (persistent false beliefs). Building on the approach taken in my PhD, I plan to use a combination of methods, including geographic approaches, to study these conditions in community settings rather than focussing on just those who reach clinical services, in collaboration with a large-scale research programme called INTREPID II. During the fellowship, I will develop my research ideas into a longer term research proposal aimed at analysing how people's social environment contributes to their risk of psychosis, and how they respond to these symptoms.

This fellowship will help me to shift from PhD student to professional researcher, by providing opportunities to: (a) publish my research in academic journals; (b) communicate my findings to those who can use them to inform policy and service planning; (c) complete training courses to develop my skills further; (d) build collaborations with relevant experts and discuss my plans with people affected by psychosis, to make sure that my future research reflects their needs; (f) work with my mentor - Professor Craig Morgan, who leads the INTREPID II programme - to develop a detailed and realistic plan for the next stage of my research; and (g) develop funding applications to put this plan into practice.

Publications

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Morgan C (2020) Risk Factors for Psychosis

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Roberts T (2022) Reconceptualising the treatment gap for common mental disorders: a fork in the road for global mental health? in The British journal of psychiatry : the journal of mental science

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Rose-Clarke K (2020) Rethinking research on the social determinants of global mental health. in The lancet. Psychiatry

 
Description This award was for a "bridging" fellowship, to allow me to disseminate my PhD findings to both academic and non-academic audiences, and gain the skills and networks necessary to take the next step in developing my research career. I believe that I was successful in these goals, as I have engaged with a wide variety of stakeholders both within and outside the world of research, built my research profile, acquired new skills, and developed a detailed research proposal for future work, with input from people with lived experience of severe mental illness from the setting where I propose to carry out this research.

I had planned to publish four papers from my PhD thesis in peer-reviewed journals, which I have done, including in prestigious journals such as Social Science and Medicine and the British Journal of Psychiatry (which generated some lively debate). I also had the opportunity to contribute to several additional articles linked to my research, including some that are potentially very high-impact, such as a Lancet Psychiatry position paper on the mental health impact of COVID-19 and responses in low-income and middle-income countries.

I also planned to present work from my PhD project at at least 2 international conferences and at relevant policy events for key stakeholders such as the WHO. I met this goal by presenting my findings at the WPA 2019 World Congress of Psychiatry and the WASP World Congress of Social Psychiatry 2019. I also attended the WHO Mental Health Forum, where I had the opportunity to discuss my research with policymakers and practitioners from around the world. One key aspect of my plans that was disrupted by COVID-19 was in-person dissemination of my findings to key stakeholders in India, since my travel plans were cancelled due to the pandemic, and it was not possible to shift these online given the understandable focus of policymakers and health planners on the current pandemic. However, I was fortunate to be invited to participate in multiple international events to disseminate my findings, including the Road to Global Mental Health conference at King's College London and the Generation Mental Health conference, as well as setting up an open webinar in collaboration with the Centre for Society & Mental Health and participating in the Academy of Medical Sciences policy workshop on social determinants of global mental health, through which I reached a wide range of audiences (including stakeholders from India).

I set out to undertake further training in multi-level modelling at KCL, which I completed in January 2020 and will be an essential statistical skills for my future research.

I also planned to develop a research proposal and apply for a post-doctoral fellowship to implement this proposal. After submitting an outline application to the highly competitive Sir Henry Wellcome Postdoctoral Fellowship scheme, I was invited to submit a full application. I was subsequently shortlisted and invited for interview. Unfortunately, despite highly enthusiastic reviewer comments (all 5 reviewers gave it the maximum score), I was not one of the fellows ultimately selected at the final stage. However, I also submitted an application to the British Academy postdoctoral fellowship scheme, and was eventually successful in my application for a 3 year fellowship.

Finally, I aimed to establish collaborative relationships with methodological experts and leading research organisations in India, and use these links to consult with key stakeholders to ensure that my proposal for future research was aligned with and informed by local needs. I have substantially expanded my research networks during the course of this award, which will support my future work, including with methodological experts such as Professor Ezra Susser at Columbia University, who provided input into my post-doctoral fellowship applications. I had to adapt my research proposal to focus on Trinidad rather than India, due to issues of data availability. I therefore also used this period to strengthen my links with the University of the West Indies (St Augustine campus) in Trinidad, who will be a key partner for the proposed research, in particular Professor Gerard Hutchinson who was also a named mentor on my grant applications. I consulted with representatives of various mental health service user organisations and campaigning groups in Trinidad and Tobago about my proposed research, including MindWise and Persons With Mental Illness (PWMI) and adapted my proposal in light of these discussions.

In general, therefore, although some of the travel plans that I had for later in the fellowship period were cancelled due to COVID-19, I believe that I was able to meet the aims of the award and to replace the cancelled activities with other initiatives that have helped me to disseminate my research findings, build my research profile, establish new networks, and lay the foundations for the next stage of my career, as I had intended.
Exploitation Route Since this award was for a "bridging" fellowship, which was intended to allow me to consolidate my PhD work and pave the way for a future academic career, the outcomes of the funding are primarily beneficial for my professional development. However, the research proposal that I developed will lead on to work with service users and other stakeholders who are aiming to improve the lives of people with severe mental illness in Trinidad, and the impact and dissemination activities that I have conducted will influence future work on public mental health by other researchers and by practitioners and policymakers.
Sectors Communities and Social Services/Policy,Healthcare

 
Description Although it is hard to separate out the effect of my work from other influences, I believe that my findings have influenced the work of some non-academic actors through the engagement and dissemination activities undertaken as part of this fellowship. For example, after speaking about my work at the Generation Mental Health conference, I was approached by the founder of FineMind (a community-based mental health NGO working in Uganda) to discuss how they might incorporate some of the insights from my research into their programming. The discussions that we had are now being used to update their programme development and evaluation plans. The work undertaken in this fellowship also laid the groundwork for collaborative projects that I have since established, such as the Together to Transform project (funded by a King's Together grant, of which I am Co-PI), which brings together academics from across disciplines with grassroots mental health practitioners working in community settings in both the global north and south. This project aims to foster dialogue on a social paradigm for mental health in diverse contexts, and will lead to collaborative proposals for service reform and public mental health policy.
First Year Of Impact 2021
Sector Communities and Social Services/Policy,Healthcare
Impact Types Policy & public services

 
Description Enabling Involvement Fund
Amount £240 (GBP)
Organisation King's College London 
Sector Academic/University
Country United Kingdom
Start 05/2020 
End 08/2020
 
Description King's Together Fund
Amount £19,702 (GBP)
Organisation King's College London 
Sector Academic/University
Country United Kingdom
Start 12/2021 
End 07/2022
 
Description Postdoctoral Fellowship
Amount £333,612 (GBP)
Funding ID PF21\210001 
Organisation The British Academy 
Sector Academic/University
Country United Kingdom
Start 11/2021 
End 11/2024
 
Description Lancet Commission on suicide 
Organisation University of Bristol
Country United Kingdom 
Sector Academic/University 
PI Contribution I was invited to contribute to a Lancet Commission on suicide, which is likely to have a major impact on research, policy and practice when published. More specifically, I contributed to the section on suicide in low- and middle-income countries, led by Dr. Duleeka Knipe at the University of Bristol.
Collaborator Contribution I am working with researchers from around the world to develop a comprehensive report and set of recommendations to reduce suicides around the world.
Impact The Commission should be finished later this year. It involves epidemiologists, psychiatrists, sociologists, public health professionals, and NGO representatives from around the world.
Start Year 2020
 
Description Lancet Psychiatry Commission on psychoses in global context 
Organisation Addis Ababa University
Country Ethiopia 
Sector Academic/University 
PI Contribution I am working with Professor Craig Morgan to coordinate a Lancet Psychiatry Commission on psychoses from a global perspective. I have worked with Prof. Morgan to create an outline for the Commission, liaised with partners from around the world (both leading academics and experts by experience), and organised and minuted four meetings of the group. I am a member of the editorial board and will be involved in writing up the report.
Collaborator Contribution We are working with both academics and people with lived experience from all continents to put the Commission together. There are 5 work packages which are working on reviewing a specific topic area, which are being coordinated by the editorial board.
Impact The Commission should be published in early 2022. The collaboration involves psychiatrists, psychologists, economists, epidemiologists, human rights experts and people with lived experience of severe mental illness.
Start Year 2020
 
Description Lancet Psychiatry Commission on psychoses in global context 
Organisation Centre For Mental Health Law And Policy
Country India 
Sector Academic/University 
PI Contribution I am working with Professor Craig Morgan to coordinate a Lancet Psychiatry Commission on psychoses from a global perspective. I have worked with Prof. Morgan to create an outline for the Commission, liaised with partners from around the world (both leading academics and experts by experience), and organised and minuted four meetings of the group. I am a member of the editorial board and will be involved in writing up the report.
Collaborator Contribution We are working with both academics and people with lived experience from all continents to put the Commission together. There are 5 work packages which are working on reviewing a specific topic area, which are being coordinated by the editorial board.
Impact The Commission should be published in early 2022. The collaboration involves psychiatrists, psychologists, economists, epidemiologists, human rights experts and people with lived experience of severe mental illness.
Start Year 2020
 
Description Lancet Psychiatry Commission on psychoses in global context 
Organisation London School of Hygiene and Tropical Medicine (LSHTM)
Country United Kingdom 
Sector Academic/University 
PI Contribution I am working with Professor Craig Morgan to coordinate a Lancet Psychiatry Commission on psychoses from a global perspective. I have worked with Prof. Morgan to create an outline for the Commission, liaised with partners from around the world (both leading academics and experts by experience), and organised and minuted four meetings of the group. I am a member of the editorial board and will be involved in writing up the report.
Collaborator Contribution We are working with both academics and people with lived experience from all continents to put the Commission together. There are 5 work packages which are working on reviewing a specific topic area, which are being coordinated by the editorial board.
Impact The Commission should be published in early 2022. The collaboration involves psychiatrists, psychologists, economists, epidemiologists, human rights experts and people with lived experience of severe mental illness.
Start Year 2020
 
Description Lancet Psychiatry Commission on psychoses in global context 
Organisation McGill University
Country Canada 
Sector Academic/University 
PI Contribution I am working with Professor Craig Morgan to coordinate a Lancet Psychiatry Commission on psychoses from a global perspective. I have worked with Prof. Morgan to create an outline for the Commission, liaised with partners from around the world (both leading academics and experts by experience), and organised and minuted four meetings of the group. I am a member of the editorial board and will be involved in writing up the report.
Collaborator Contribution We are working with both academics and people with lived experience from all continents to put the Commission together. There are 5 work packages which are working on reviewing a specific topic area, which are being coordinated by the editorial board.
Impact The Commission should be published in early 2022. The collaboration involves psychiatrists, psychologists, economists, epidemiologists, human rights experts and people with lived experience of severe mental illness.
Start Year 2020
 
Description Lancet Psychiatry Commission on psychoses in global context 
Organisation Schizophrenia Research Foundation
Country India 
Sector Charity/Non Profit 
PI Contribution I am working with Professor Craig Morgan to coordinate a Lancet Psychiatry Commission on psychoses from a global perspective. I have worked with Prof. Morgan to create an outline for the Commission, liaised with partners from around the world (both leading academics and experts by experience), and organised and minuted four meetings of the group. I am a member of the editorial board and will be involved in writing up the report.
Collaborator Contribution We are working with both academics and people with lived experience from all continents to put the Commission together. There are 5 work packages which are working on reviewing a specific topic area, which are being coordinated by the editorial board.
Impact The Commission should be published in early 2022. The collaboration involves psychiatrists, psychologists, economists, epidemiologists, human rights experts and people with lived experience of severe mental illness.
Start Year 2020
 
Description Lancet Psychiatry Commission on psychoses in global context 
Organisation University of Hong Kong
Country Hong Kong 
Sector Academic/University 
PI Contribution I am working with Professor Craig Morgan to coordinate a Lancet Psychiatry Commission on psychoses from a global perspective. I have worked with Prof. Morgan to create an outline for the Commission, liaised with partners from around the world (both leading academics and experts by experience), and organised and minuted four meetings of the group. I am a member of the editorial board and will be involved in writing up the report.
Collaborator Contribution We are working with both academics and people with lived experience from all continents to put the Commission together. There are 5 work packages which are working on reviewing a specific topic area, which are being coordinated by the editorial board.
Impact The Commission should be published in early 2022. The collaboration involves psychiatrists, psychologists, economists, epidemiologists, human rights experts and people with lived experience of severe mental illness.
Start Year 2020
 
Description Lancet Psychiatry Commission on psychoses in global context 
Organisation University of Ibadan
Country Nigeria 
Sector Academic/University 
PI Contribution I am working with Professor Craig Morgan to coordinate a Lancet Psychiatry Commission on psychoses from a global perspective. I have worked with Prof. Morgan to create an outline for the Commission, liaised with partners from around the world (both leading academics and experts by experience), and organised and minuted four meetings of the group. I am a member of the editorial board and will be involved in writing up the report.
Collaborator Contribution We are working with both academics and people with lived experience from all continents to put the Commission together. There are 5 work packages which are working on reviewing a specific topic area, which are being coordinated by the editorial board.
Impact The Commission should be published in early 2022. The collaboration involves psychiatrists, psychologists, economists, epidemiologists, human rights experts and people with lived experience of severe mental illness.
Start Year 2020
 
Description Lancet Psychiatry Commission on psychoses in global context 
Organisation University of South Florida
Country United States 
Sector Academic/University 
PI Contribution I am working with Professor Craig Morgan to coordinate a Lancet Psychiatry Commission on psychoses from a global perspective. I have worked with Prof. Morgan to create an outline for the Commission, liaised with partners from around the world (both leading academics and experts by experience), and organised and minuted four meetings of the group. I am a member of the editorial board and will be involved in writing up the report.
Collaborator Contribution We are working with both academics and people with lived experience from all continents to put the Commission together. There are 5 work packages which are working on reviewing a specific topic area, which are being coordinated by the editorial board.
Impact The Commission should be published in early 2022. The collaboration involves psychiatrists, psychologists, economists, epidemiologists, human rights experts and people with lived experience of severe mental illness.
Start Year 2020
 
Description Lancet Psychiatry Commission on psychoses in global context 
Organisation University of the West Indies at St. Augustine
Country Trinidad and Tobago 
Sector Academic/University 
PI Contribution I am working with Professor Craig Morgan to coordinate a Lancet Psychiatry Commission on psychoses from a global perspective. I have worked with Prof. Morgan to create an outline for the Commission, liaised with partners from around the world (both leading academics and experts by experience), and organised and minuted four meetings of the group. I am a member of the editorial board and will be involved in writing up the report.
Collaborator Contribution We are working with both academics and people with lived experience from all continents to put the Commission together. There are 5 work packages which are working on reviewing a specific topic area, which are being coordinated by the editorial board.
Impact The Commission should be published in early 2022. The collaboration involves psychiatrists, psychologists, economists, epidemiologists, human rights experts and people with lived experience of severe mental illness.
Start Year 2020
 
Description Mentorship - post-doctoral fellowship proposal 
Organisation Columbia University
Country United States 
Sector Academic/University 
PI Contribution I worked with Professor Ezra Susser to develop a research proposal, which formed the basis of my post-doctoral fellowship applications.
Collaborator Contribution Prof Susser advised on the methods for the proposal, particularly the use of eco-epidemiological approaches, and agreed to act as a mentor in the event that I am successful in securing funding.
Impact Post-doctoral fellowship applications (invited to proceed to full application stage for Sir Henry Wellcome postdoctoral fellowship and shortlisted for interview, also invited to proceed to final stage for British Academy postdoctoral fellowship).
Start Year 2019
 
Description Mentorship - post-doctoral fellowship proposal 
Organisation University of Neuchatel
Country Switzerland 
Sector Academic/University 
PI Contribution I worked with Professor Ola Soderstrom to develop a research proposal (which formed the basis of my post-doctoral fellowship applications).
Collaborator Contribution Prof. Soderstrom advised on the geographic qualitative methods to be used in the proposal, and agreed to act as a mentor if I am successful in securing funding.
Impact Post-doctoral fellowship applications (invited to proceed to full application stage for Sir Henry Wellcome postdoctoral fellowship and shortlisted for interview, also invited to proceed to final stage for British Academy postdoctoral fellowship).
Start Year 2019
 
Description Mentorship - post-doctoral fellowship proposal 
Organisation University of the West Indies at St. Augustine
Country Trinidad and Tobago 
Sector Academic/University 
PI Contribution I worked with Professor Gerard Hutchinson to develop a research proposal (which formed the basis of my post-doctoral fellowship applications) to be nested within INTREPID II in Trinidad.
Collaborator Contribution Prof. Hutchinson provided input on the research proposal that I developed, and agreed to act as a mentor for this research if I am successful in securing funding.
Impact Post-doctoral fellowship applications (invited to proceed to full application stage for Sir Henry Wellcome postdoctoral fellowship and shortlisted for interview, also invited to proceed to final stage for British Academy postdoctoral fellowship).
Start Year 2019
 
Description SCOPE (Studying the Contexts of recent Onset Psychoses in Ethiopia to develop interventions to improve outcomes) 
Organisation Addis Ababa University
Country Ethiopia 
Sector Academic/University 
PI Contribution I helped to write the proposal for this new 5 year research programme, and am a co-investigator on the programme (due to commence later in 2021).
Collaborator Contribution The research will be carried out in Ethiopia in collaboration with researchers at Addis Ababa University.
Impact The programme has yet to start.
Start Year 2021
 
Description Schizophrenia International Research Society (SIRS) research harmonisation group 
Organisation University of Groningen
Country Netherlands 
Sector Academic/University 
PI Contribution I am one of several early career researchers who is working as part of this group (led by Wim Veling at the University of Groningen and Craig Morgan at the IoPPN, King's College London) on the harmonisation of methods and measures for psychosis research. I am also a member of the steering committee and have been involved in planning the work and organising meetings. I am also a member of the work package that is focussed on global representation and on country-specific legal and ethical issues around data-sharing.
Collaborator Contribution The partnership involves senior and junior researchers with expertise in psychosis from around the world, as well as people with lived experience of psychosis. Everyone has contributed to discussions about the goals and methods of the group, and is a member of one of four working groups that is taking forward a different aspect of this work.
Impact The research harmonisation group is still in its early stages. The first outputs are expected this year.
Start Year 2020
 
Description Together to Transform 
Organisation Birzeit University
Country Palestine, State of 
Sector Academic/University 
PI Contribution I am the joint PI of a mutual learning platform that unites academics from across disciplines with mental health practitioners and activists from around the world, to advance a social paradigm for mental health. This platform will develop a common language for interdisciplinary research and action on the social dimensions of mental health in partnership with our community partners.
Collaborator Contribution Our partners are sharing their time and expertise in regular online interdisciplinary workshops to explore various themes related to the social context of mental health. Each group within the project has defined their own outputs that they are currently working towards, and is forming new relationships between academics and grassroots practitioners in the process that will support future collaborative work.
Impact This interdisciplinary collaboration includes three broad groups; (1) academics who align with a social epidemiological approach to studying mental health and/or quantitative approaches to global mental health, (2) academics from the social sciences (i.e. anthropology, sociology), (3) grassroots mental health practitioners working in low-income settings or with marginalised communities. The collaboration began in December 2021 so it is still in its early stages; outputs are expected by July 2022.
Start Year 2021
 
Description Together to Transform 
Organisation Centre For Mental Health Law And Policy
Country India 
Sector Academic/University 
PI Contribution I am the joint PI of a mutual learning platform that unites academics from across disciplines with mental health practitioners and activists from around the world, to advance a social paradigm for mental health. This platform will develop a common language for interdisciplinary research and action on the social dimensions of mental health in partnership with our community partners.
Collaborator Contribution Our partners are sharing their time and expertise in regular online interdisciplinary workshops to explore various themes related to the social context of mental health. Each group within the project has defined their own outputs that they are currently working towards, and is forming new relationships between academics and grassroots practitioners in the process that will support future collaborative work.
Impact This interdisciplinary collaboration includes three broad groups; (1) academics who align with a social epidemiological approach to studying mental health and/or quantitative approaches to global mental health, (2) academics from the social sciences (i.e. anthropology, sociology), (3) grassroots mental health practitioners working in low-income settings or with marginalised communities. The collaboration began in December 2021 so it is still in its early stages; outputs are expected by July 2022.
Start Year 2021
 
Description Together to Transform 
Organisation Ember
Country United Kingdom 
Sector Charity/Non Profit 
PI Contribution I am the joint PI of a mutual learning platform that unites academics from across disciplines with mental health practitioners and activists from around the world, to advance a social paradigm for mental health. This platform will develop a common language for interdisciplinary research and action on the social dimensions of mental health in partnership with our community partners.
Collaborator Contribution Our partners are sharing their time and expertise in regular online interdisciplinary workshops to explore various themes related to the social context of mental health. Each group within the project has defined their own outputs that they are currently working towards, and is forming new relationships between academics and grassroots practitioners in the process that will support future collaborative work.
Impact This interdisciplinary collaboration includes three broad groups; (1) academics who align with a social epidemiological approach to studying mental health and/or quantitative approaches to global mental health, (2) academics from the social sciences (i.e. anthropology, sociology), (3) grassroots mental health practitioners working in low-income settings or with marginalised communities. The collaboration began in December 2021 so it is still in its early stages; outputs are expected by July 2022.
Start Year 2021
 
Description Together to Transform 
Organisation Kintampo Health Research Centre
Country Ghana 
Sector Hospitals 
PI Contribution I am the joint PI of a mutual learning platform that unites academics from across disciplines with mental health practitioners and activists from around the world, to advance a social paradigm for mental health. This platform will develop a common language for interdisciplinary research and action on the social dimensions of mental health in partnership with our community partners.
Collaborator Contribution Our partners are sharing their time and expertise in regular online interdisciplinary workshops to explore various themes related to the social context of mental health. Each group within the project has defined their own outputs that they are currently working towards, and is forming new relationships between academics and grassroots practitioners in the process that will support future collaborative work.
Impact This interdisciplinary collaboration includes three broad groups; (1) academics who align with a social epidemiological approach to studying mental health and/or quantitative approaches to global mental health, (2) academics from the social sciences (i.e. anthropology, sociology), (3) grassroots mental health practitioners working in low-income settings or with marginalised communities. The collaboration began in December 2021 so it is still in its early stages; outputs are expected by July 2022.
Start Year 2021
 
Description Together to Transform 
Organisation London School of Economics and Political Science (University of London)
Country United Kingdom 
Sector Academic/University 
PI Contribution I am the joint PI of a mutual learning platform that unites academics from across disciplines with mental health practitioners and activists from around the world, to advance a social paradigm for mental health. This platform will develop a common language for interdisciplinary research and action on the social dimensions of mental health in partnership with our community partners.
Collaborator Contribution Our partners are sharing their time and expertise in regular online interdisciplinary workshops to explore various themes related to the social context of mental health. Each group within the project has defined their own outputs that they are currently working towards, and is forming new relationships between academics and grassroots practitioners in the process that will support future collaborative work.
Impact This interdisciplinary collaboration includes three broad groups; (1) academics who align with a social epidemiological approach to studying mental health and/or quantitative approaches to global mental health, (2) academics from the social sciences (i.e. anthropology, sociology), (3) grassroots mental health practitioners working in low-income settings or with marginalised communities. The collaboration began in December 2021 so it is still in its early stages; outputs are expected by July 2022.
Start Year 2021
 
Description Together to Transform 
Organisation McGill University
Country Canada 
Sector Academic/University 
PI Contribution I am the joint PI of a mutual learning platform that unites academics from across disciplines with mental health practitioners and activists from around the world, to advance a social paradigm for mental health. This platform will develop a common language for interdisciplinary research and action on the social dimensions of mental health in partnership with our community partners.
Collaborator Contribution Our partners are sharing their time and expertise in regular online interdisciplinary workshops to explore various themes related to the social context of mental health. Each group within the project has defined their own outputs that they are currently working towards, and is forming new relationships between academics and grassroots practitioners in the process that will support future collaborative work.
Impact This interdisciplinary collaboration includes three broad groups; (1) academics who align with a social epidemiological approach to studying mental health and/or quantitative approaches to global mental health, (2) academics from the social sciences (i.e. anthropology, sociology), (3) grassroots mental health practitioners working in low-income settings or with marginalised communities. The collaboration began in December 2021 so it is still in its early stages; outputs are expected by July 2022.
Start Year 2021
 
Description Together to Transform 
Organisation Medical Research Council of South Africa (MRC)
Country South Africa 
Sector Public 
PI Contribution I am the joint PI of a mutual learning platform that unites academics from across disciplines with mental health practitioners and activists from around the world, to advance a social paradigm for mental health. This platform will develop a common language for interdisciplinary research and action on the social dimensions of mental health in partnership with our community partners.
Collaborator Contribution Our partners are sharing their time and expertise in regular online interdisciplinary workshops to explore various themes related to the social context of mental health. Each group within the project has defined their own outputs that they are currently working towards, and is forming new relationships between academics and grassroots practitioners in the process that will support future collaborative work.
Impact This interdisciplinary collaboration includes three broad groups; (1) academics who align with a social epidemiological approach to studying mental health and/or quantitative approaches to global mental health, (2) academics from the social sciences (i.e. anthropology, sociology), (3) grassroots mental health practitioners working in low-income settings or with marginalised communities. The collaboration began in December 2021 so it is still in its early stages; outputs are expected by July 2022.
Start Year 2021
 
Description Together to Transform 
Organisation Save the Children
Country United States 
Sector Charity/Non Profit 
PI Contribution I am the joint PI of a mutual learning platform that unites academics from across disciplines with mental health practitioners and activists from around the world, to advance a social paradigm for mental health. This platform will develop a common language for interdisciplinary research and action on the social dimensions of mental health in partnership with our community partners.
Collaborator Contribution Our partners are sharing their time and expertise in regular online interdisciplinary workshops to explore various themes related to the social context of mental health. Each group within the project has defined their own outputs that they are currently working towards, and is forming new relationships between academics and grassroots practitioners in the process that will support future collaborative work.
Impact This interdisciplinary collaboration includes three broad groups; (1) academics who align with a social epidemiological approach to studying mental health and/or quantitative approaches to global mental health, (2) academics from the social sciences (i.e. anthropology, sociology), (3) grassroots mental health practitioners working in low-income settings or with marginalised communities. The collaboration began in December 2021 so it is still in its early stages; outputs are expected by July 2022.
Start Year 2021
 
Description Together to Transform 
Organisation UNICEF
Country United States 
Sector Public 
PI Contribution I am the joint PI of a mutual learning platform that unites academics from across disciplines with mental health practitioners and activists from around the world, to advance a social paradigm for mental health. This platform will develop a common language for interdisciplinary research and action on the social dimensions of mental health in partnership with our community partners.
Collaborator Contribution Our partners are sharing their time and expertise in regular online interdisciplinary workshops to explore various themes related to the social context of mental health. Each group within the project has defined their own outputs that they are currently working towards, and is forming new relationships between academics and grassroots practitioners in the process that will support future collaborative work.
Impact This interdisciplinary collaboration includes three broad groups; (1) academics who align with a social epidemiological approach to studying mental health and/or quantitative approaches to global mental health, (2) academics from the social sciences (i.e. anthropology, sociology), (3) grassroots mental health practitioners working in low-income settings or with marginalised communities. The collaboration began in December 2021 so it is still in its early stages; outputs are expected by July 2022.
Start Year 2021
 
Description Together to Transform 
Organisation University College London
Department Institute For Global Health
Country United Kingdom 
Sector Academic/University 
PI Contribution I am the joint PI of a mutual learning platform that unites academics from across disciplines with mental health practitioners and activists from around the world, to advance a social paradigm for mental health. This platform will develop a common language for interdisciplinary research and action on the social dimensions of mental health in partnership with our community partners.
Collaborator Contribution Our partners are sharing their time and expertise in regular online interdisciplinary workshops to explore various themes related to the social context of mental health. Each group within the project has defined their own outputs that they are currently working towards, and is forming new relationships between academics and grassroots practitioners in the process that will support future collaborative work.
Impact This interdisciplinary collaboration includes three broad groups; (1) academics who align with a social epidemiological approach to studying mental health and/or quantitative approaches to global mental health, (2) academics from the social sciences (i.e. anthropology, sociology), (3) grassroots mental health practitioners working in low-income settings or with marginalised communities. The collaboration began in December 2021 so it is still in its early stages; outputs are expected by July 2022.
Start Year 2021
 
Description Together to Transform 
Organisation University of Canterbury NZ
Country New Zealand 
Sector Academic/University 
PI Contribution I am the joint PI of a mutual learning platform that unites academics from across disciplines with mental health practitioners and activists from around the world, to advance a social paradigm for mental health. This platform will develop a common language for interdisciplinary research and action on the social dimensions of mental health in partnership with our community partners.
Collaborator Contribution Our partners are sharing their time and expertise in regular online interdisciplinary workshops to explore various themes related to the social context of mental health. Each group within the project has defined their own outputs that they are currently working towards, and is forming new relationships between academics and grassroots practitioners in the process that will support future collaborative work.
Impact This interdisciplinary collaboration includes three broad groups; (1) academics who align with a social epidemiological approach to studying mental health and/or quantitative approaches to global mental health, (2) academics from the social sciences (i.e. anthropology, sociology), (3) grassroots mental health practitioners working in low-income settings or with marginalised communities. The collaboration began in December 2021 so it is still in its early stages; outputs are expected by July 2022.
Start Year 2021
 
Description Together to Transform 
Organisation University of Cape Town
Department Centre for Public Mental Health
Country South Africa 
Sector Academic/University 
PI Contribution I am the joint PI of a mutual learning platform that unites academics from across disciplines with mental health practitioners and activists from around the world, to advance a social paradigm for mental health. This platform will develop a common language for interdisciplinary research and action on the social dimensions of mental health in partnership with our community partners.
Collaborator Contribution Our partners are sharing their time and expertise in regular online interdisciplinary workshops to explore various themes related to the social context of mental health. Each group within the project has defined their own outputs that they are currently working towards, and is forming new relationships between academics and grassroots practitioners in the process that will support future collaborative work.
Impact This interdisciplinary collaboration includes three broad groups; (1) academics who align with a social epidemiological approach to studying mental health and/or quantitative approaches to global mental health, (2) academics from the social sciences (i.e. anthropology, sociology), (3) grassroots mental health practitioners working in low-income settings or with marginalised communities. The collaboration began in December 2021 so it is still in its early stages; outputs are expected by July 2022.
Start Year 2021
 
Description Together to Transform 
Organisation University of Edinburgh
Country United Kingdom 
Sector Academic/University 
PI Contribution I am the joint PI of a mutual learning platform that unites academics from across disciplines with mental health practitioners and activists from around the world, to advance a social paradigm for mental health. This platform will develop a common language for interdisciplinary research and action on the social dimensions of mental health in partnership with our community partners.
Collaborator Contribution Our partners are sharing their time and expertise in regular online interdisciplinary workshops to explore various themes related to the social context of mental health. Each group within the project has defined their own outputs that they are currently working towards, and is forming new relationships between academics and grassroots practitioners in the process that will support future collaborative work.
Impact This interdisciplinary collaboration includes three broad groups; (1) academics who align with a social epidemiological approach to studying mental health and/or quantitative approaches to global mental health, (2) academics from the social sciences (i.e. anthropology, sociology), (3) grassroots mental health practitioners working in low-income settings or with marginalised communities. The collaboration began in December 2021 so it is still in its early stages; outputs are expected by July 2022.
Start Year 2021
 
Description Together to Transform 
Organisation University of Ghana
Country Ghana 
Sector Academic/University 
PI Contribution I am the joint PI of a mutual learning platform that unites academics from across disciplines with mental health practitioners and activists from around the world, to advance a social paradigm for mental health. This platform will develop a common language for interdisciplinary research and action on the social dimensions of mental health in partnership with our community partners.
Collaborator Contribution Our partners are sharing their time and expertise in regular online interdisciplinary workshops to explore various themes related to the social context of mental health. Each group within the project has defined their own outputs that they are currently working towards, and is forming new relationships between academics and grassroots practitioners in the process that will support future collaborative work.
Impact This interdisciplinary collaboration includes three broad groups; (1) academics who align with a social epidemiological approach to studying mental health and/or quantitative approaches to global mental health, (2) academics from the social sciences (i.e. anthropology, sociology), (3) grassroots mental health practitioners working in low-income settings or with marginalised communities. The collaboration began in December 2021 so it is still in its early stages; outputs are expected by July 2022.
Start Year 2021
 
Description Together to Transform 
Organisation University of KwaZulu-Natal
Country South Africa 
Sector Academic/University 
PI Contribution I am the joint PI of a mutual learning platform that unites academics from across disciplines with mental health practitioners and activists from around the world, to advance a social paradigm for mental health. This platform will develop a common language for interdisciplinary research and action on the social dimensions of mental health in partnership with our community partners.
Collaborator Contribution Our partners are sharing their time and expertise in regular online interdisciplinary workshops to explore various themes related to the social context of mental health. Each group within the project has defined their own outputs that they are currently working towards, and is forming new relationships between academics and grassroots practitioners in the process that will support future collaborative work.
Impact This interdisciplinary collaboration includes three broad groups; (1) academics who align with a social epidemiological approach to studying mental health and/or quantitative approaches to global mental health, (2) academics from the social sciences (i.e. anthropology, sociology), (3) grassroots mental health practitioners working in low-income settings or with marginalised communities. The collaboration began in December 2021 so it is still in its early stages; outputs are expected by July 2022.
Start Year 2021
 
Description Together to Transform 
Organisation University of Stellenbosch
Country South Africa 
Sector Academic/University 
PI Contribution I am the joint PI of a mutual learning platform that unites academics from across disciplines with mental health practitioners and activists from around the world, to advance a social paradigm for mental health. This platform will develop a common language for interdisciplinary research and action on the social dimensions of mental health in partnership with our community partners.
Collaborator Contribution Our partners are sharing their time and expertise in regular online interdisciplinary workshops to explore various themes related to the social context of mental health. Each group within the project has defined their own outputs that they are currently working towards, and is forming new relationships between academics and grassroots practitioners in the process that will support future collaborative work.
Impact This interdisciplinary collaboration includes three broad groups; (1) academics who align with a social epidemiological approach to studying mental health and/or quantitative approaches to global mental health, (2) academics from the social sciences (i.e. anthropology, sociology), (3) grassroots mental health practitioners working in low-income settings or with marginalised communities. The collaboration began in December 2021 so it is still in its early stages; outputs are expected by July 2022.
Start Year 2021
 
Description Together to Transform 
Organisation University of Warwick
Country United Kingdom 
Sector Academic/University 
PI Contribution I am the joint PI of a mutual learning platform that unites academics from across disciplines with mental health practitioners and activists from around the world, to advance a social paradigm for mental health. This platform will develop a common language for interdisciplinary research and action on the social dimensions of mental health in partnership with our community partners.
Collaborator Contribution Our partners are sharing their time and expertise in regular online interdisciplinary workshops to explore various themes related to the social context of mental health. Each group within the project has defined their own outputs that they are currently working towards, and is forming new relationships between academics and grassroots practitioners in the process that will support future collaborative work.
Impact This interdisciplinary collaboration includes three broad groups; (1) academics who align with a social epidemiological approach to studying mental health and/or quantitative approaches to global mental health, (2) academics from the social sciences (i.e. anthropology, sociology), (3) grassroots mental health practitioners working in low-income settings or with marginalised communities. The collaboration began in December 2021 so it is still in its early stages; outputs are expected by July 2022.
Start Year 2021
 
Description Together to Transform 
Organisation University of York
Country United Kingdom 
Sector Academic/University 
PI Contribution I am the joint PI of a mutual learning platform that unites academics from across disciplines with mental health practitioners and activists from around the world, to advance a social paradigm for mental health. This platform will develop a common language for interdisciplinary research and action on the social dimensions of mental health in partnership with our community partners.
Collaborator Contribution Our partners are sharing their time and expertise in regular online interdisciplinary workshops to explore various themes related to the social context of mental health. Each group within the project has defined their own outputs that they are currently working towards, and is forming new relationships between academics and grassroots practitioners in the process that will support future collaborative work.
Impact This interdisciplinary collaboration includes three broad groups; (1) academics who align with a social epidemiological approach to studying mental health and/or quantitative approaches to global mental health, (2) academics from the social sciences (i.e. anthropology, sociology), (3) grassroots mental health practitioners working in low-income settings or with marginalised communities. The collaboration began in December 2021 so it is still in its early stages; outputs are expected by July 2022.
Start Year 2021
 
Description "Lunch & Learn" talk for United for Global Mental Health (an international advocacy organisation) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Third sector organisations
Results and Impact Staff members from United for Global Mental Health attended a presentation and discussion about my research, which was intended to influence their advocacy activities to take a broader view of mental health (i.e. considering social context rather than solely scaling up individual-level treatment). There was some lively discussion, and although it is difficult to identify the impact of a particular talk on the organisation's activities, some of their initiatives since then have been more in line with the perspective advocated in the talk (e.g. they have hosted webinars on the links between mental health and poverty, which are widely attended by mental health practitioners and activists around the world).
Year(s) Of Engagement Activity 2019
 
Description Consultation on NGO work 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Third sector organisations
Results and Impact I was asked to advise on the work of FineMind, an NGO working to improve mental health in Uganda, based on my research. I discussed the implications of my work with Pavel Reppo, the founder of the organisation, and how they might incorporate these insights into their programme development.
Year(s) Of Engagement Activity 2020
URL https://www.afinemind.org/
 
Description Discussions with service users, NGO representatives and activists in Trinidad 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Patients, carers and/or patient groups
Results and Impact I held (virtual) individual discussions with mental health activists, service users and representatives of NGOs in Trinidad, to discuss research priorities to inform my post-doctoral fellowship proposal, as well as the practicalities of involving people with experience of psychosis in the research activities proposed. Several of the people I held these discussions with agreed in principle to join an advisory board for this research if my grant applications are successful.
Year(s) Of Engagement Activity 2020
 
Description Panel discussion 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Patients, carers and/or patient groups
Results and Impact I moderated and spoke at a panel discussion at a virtual event organised by the Centre for Society & Mental Health entitled "Social Change, Inequality and Mental Health: Shifting the Narrative". Our session is called "Mental Health in Context: A Renewed Agenda for Global Mental Health". The event was free to attend, online, and open to all, and included many non-academic partners as well as substantial service user involvement, so a substantial proportion of attendees were people with lived experience of mental illness, third sector organisations, and professionals working in mental health, as well as students and researchers.
Year(s) Of Engagement Activity 2021
URL https://www.youtube.com/watch?v=Hozjc565IL0
 
Description Panellist at "Global Mental Health: Today & Tomorrow" conference 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact I was a speaker on the Community-Based Mental Health Solutions panel at this virtual conference, aimed at students and young professionals (including many with lived experience of mental ill health). I discussed the implications of my research for the work of participants and their future careers, which led to some constructive follow-up discussions (e.g. advising on the work of FineMind in Uganda: www.afinemind.org). I also offered mentorship to student attendees.
Year(s) Of Engagement Activity 2020
URL https://www.generationmentalhealth.org/programs/today-tomorrow-conference
 
Description Panellist at "Road to Global Mental Health" conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact I was a panellist on roundtable discussion about the "past, present & future" of global mental health, attended by students, academics, third sector organisations and service users. I drew on my research to set out how I think the field should evolve.
Year(s) Of Engagement Activity 2019
URL https://www.kcl.ac.uk/events/the-road-to-global-mental-health
 
Description Policy workshop at the Academy of Medical Sciences 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Third sector organisations
Results and Impact The Academy of Medical Sciences, in collaboration with the InterAcademy Partnership for Health, convened a policy workshop about addressing the social determinants of global mental health in the SDG era, focused primarily on low- and middle-income countries (LMICs). I participated in the workshop and facilitated one of the five working groups (on "neighbourhoods"). A meeting report was produced and disseminated to UK and global stakeholders, outlining key messages from the workshop for researchers, policymakers, research funders and civil society organisations.
Year(s) Of Engagement Activity 2019
URL https://acmedsci.ac.uk/policy/policy-projects/social-determinants-of-global-mental-health
 
Description Seminar 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact I organised an online seminar in collaboration with the Centre for Society & Mental Health and the Centre for Global Mental Health at King's College London, which was free to attend and publicised through the distribution of lists of both Centres (which includes academics, third sector organisations, service users, practitioners and members of the general public with an interest in mental health). We had 225 people register to attend, of whom 98 attended live on the day (from at least 9 countries), and the recording of the session was shared with all those who registered as well as through Twitter and has been watched 353 times. This has led to plans for future participatory research to further explore the themes discussed.
Year(s) Of Engagement Activity 2020
URL https://www.youtube.com/watch?v=bF0TyoGwgck
 
Description Seminar at Columbia University 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact I gave a seminar for the psychiatric epidemiology training programme faculty fellows at the Mailman School of Public Health at Columbia University about my research.
Year(s) Of Engagement Activity 2020