M I Singh Sethi, Rakesh C Kumar, Narayana Manjunatha, Channaveerachari Naveen Kumar, Suresh Bada Math
{"title":"Mental health apps in India: regulatory landscape and future directions.","authors":"M I Singh Sethi, Rakesh C Kumar, Narayana Manjunatha, Channaveerachari Naveen Kumar, Suresh Bada Math","doi":"10.1192/bji.2024.20","DOIUrl":"https://doi.org/10.1192/bji.2024.20","url":null,"abstract":"<p><p>Mental health apps (MHAs) are increasingly popular in India due to rising mental health awareness and app accessibility. Despite their benefits, like mood tracking, sleep tools and virtual therapy, MHAs lack regulatory oversight. India's framework, including the Central Drugs Standard Control Organization (CDSCO) and Medical Device Rules 2017, does not cover standalone health apps, raising concerns about data privacy and accuracy. Establishing a centralised regulatory body with guidelines for MHAs is essential for user safety and efficacy. This paper examines the current regulatory landscape, compares international approaches and proposes a tiered regulatory framework to foster responsible innovation while safeguarding user interests in digital mental health services.</p>","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"22 1","pages":"2-5"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stepping into 2025: highlights of the February issue.","authors":"Hussien Elkholy","doi":"10.1192/bji.2024.41","DOIUrl":"https://doi.org/10.1192/bji.2024.41","url":null,"abstract":"","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"22 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The paradox of hikikomori through a transcultural lens.","authors":"Yoko Nagai, Amy Kartar, Magdalena Pfaff, Hussien Elkholy","doi":"10.1192/bji.2024.38","DOIUrl":"https://doi.org/10.1192/bji.2024.38","url":null,"abstract":"<p><p>This article appraises cultural understanding and controversies regarding hikikomori (prolonged social withdrawal), with reference to research over the past 20 years. Initially viewed as a uniquely Japanese phenomenon, hikikomori is now recognised globally, prompting a re-evaluation of its cultural, psychological and socioeconomic demographics. A revision in lifestyle after the COVID-19 pandemic and ongoing technological advancements - particularly the rise of social media, gaming and the internet - have paradoxically both exacerbated isolation and provided new forms of social interaction for young adults who confine themselves at home. This phenomenon underlines the complex interplay between putative individual psychopathology, neurodiversity and broader societal shifts across the globe.</p>","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"22 1","pages":"22-24"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yansen Alberth Reba, M Zaenul Muttaqin, Yovian Yustiko Prasetya
{"title":"Towards democratised psychiatry: building metacommunities for inclusive and equitable global mental health.","authors":"Yansen Alberth Reba, M Zaenul Muttaqin, Yovian Yustiko Prasetya","doi":"10.1192/bji.2024.30","DOIUrl":"https://doi.org/10.1192/bji.2024.30","url":null,"abstract":"<p><p>Through their study, George Ikkos & Nick Bouras reveal that the responsibilities of the psychiatric community are increasingly complex, especially amid the onslaught of globalisation and the confines of neoliberalism. 'Metacommunity' in this context refers not only to the history of psychiatrists but their role in strengthening and influencing mental health policies. A number of challenges continue to emerge in the public sphere, highlighting the need for psychiatry to adapt to society's evolving demands for inclusivity, equity and ethical governance. These challenges emphasise the importance of shaping the future of psychiatry that is responsive to the complexities of mental health care and aligned with democratic principles that prioritise transparency and social accountability. We have added several aspects that could complement psychiatrists' future theory and practice, including a more collaborative and evidence-based approach to dealing with increasingly complex mental health issues.</p>","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"22 1","pages":"8-10"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mindfulness-based relapse prevention for drug addiction in Nepal: impact and implications of an initial 2-day training of trainers.","authors":"Arun Jha, Bharat Goit, Robin Jha, Prerna Jha, Prabhat Kiran Pradhan, Achyut Acharya","doi":"10.1192/bji.2024.37","DOIUrl":"https://doi.org/10.1192/bji.2024.37","url":null,"abstract":"<p><p>Drug addiction is rife in Nepal, with a high relapse rate following treatment. Apart from basic psychosocial support, there are no evidence-based aftercare services for individuals in recovery. Recently, mindfulness-based interventions have shown promising results in preventing relapse. We discuss the context, challenges and opportunities of organising a 2-day intensive face-to-face mindfulness-based training for Nepalese mental health professionals to facilitate 8-week mindfulness-based relapse prevention (MBRP). Altogether, 24 participants completed the feedback questionnaire. Most were rehabilitation staff, along with a few psychologists and psychiatrists. Feedback suggested a high degree of satisfaction and provided comments to improve the programme. It has prompted us to design online MBRP training and set up a feasibility study for an MBRP programme in Nepal. If successful, this may help a huge number of individuals in recovery.</p>","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"22 1","pages":"19-21"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Equitable access to sustainable healthcare services for children with autism.","authors":"Meshal A Sultan","doi":"10.1192/bji.2024.33","DOIUrl":"https://doi.org/10.1192/bji.2024.33","url":null,"abstract":"<p><p>This perspective article addresses the critical issue of equitable access to sustainable healthcare services for children with autism spectrum disorder (ASD). Despite the increasing prevalence of ASD globally, significant disparities persist in accessing appropriate healthcare services. The lack of comprehensive data on autism prevalence and incidence in many regions further exacerbates this challenge, hindering the development of targeted interventions and equitable resource allocation. This paper sheds light on barriers to equitable access, including geographical disparities, cultural stigma, communication barriers and inadequate training of healthcare providers. Strategies for achieving sustainable solutions are proposed, including the expansion of telehealth services, financial assistance programmes, competency training, community-based support programmes and investment in high-quality research. By addressing these challenges and implementing evidence-based interventions, we can work towards ensuring that all children with autism have access to the healthcare services they need for optimal development and well-being.</p>","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"22 1","pages":"11-14"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mona Daoud, Wafa Abdelghaffar, Philip Sharad, Ramdas Ransing, Mariana Pinto da Costa
{"title":"The World Psychiatry Exchange Program: insights from Tunisians in India.","authors":"Mona Daoud, Wafa Abdelghaffar, Philip Sharad, Ramdas Ransing, Mariana Pinto da Costa","doi":"10.1192/bji.2024.21","DOIUrl":"https://doi.org/10.1192/bji.2024.21","url":null,"abstract":"<p><p>The World Psychiatry Exchange Program offers opportunities overseas for early career psychiatrists (ECPs), fostering immersion in clinical and cultural contexts. In this article, we present the experiences of two Tunisian ECPs in India. Activities included observing interviews, and attending courses and webinars. Challenges and opportunities in perinatal psychiatry and in child psychiatry were observed, emphasising cross-cultural nuances. Language barriers were overcome through translation. Notably, collaboration and proximity between departments countered mental illness stigma among medical professionals. This exchange underscores the importance of cultural awareness, collaboration and contextual adaptation in psychiatry. Lessons from this cross-cultural experience offer insights for enhanced care and research in diverse settings. This exchange also allowed for a rich scientific and cultural experience and brought to light many commonalities between India and Tunisia.</p>","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"21 4","pages":"90-92"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yasser Saeed Khan, Sruthi Mathew, May Jasem AlMeraisi, Majid Alabdulla
{"title":"Group dialectical behaviour therapy for adolescents with emotional dysregulation and maladaptive coping: pilot implementation in Qatar.","authors":"Yasser Saeed Khan, Sruthi Mathew, May Jasem AlMeraisi, Majid Alabdulla","doi":"10.1192/bji.2024.18","DOIUrl":"https://doi.org/10.1192/bji.2024.18","url":null,"abstract":"<p><p>This paper presents a pioneering pilot implementation of group dialectical behaviour therapy (DBT) for adolescents with maladaptive coping in Qatar's child and adolescent mental health services. The project highlights the positive effect on patient satisfaction and the potential for early intervention with adolescents displaying emotional dysregulation. This pioneering initiative was consistent with local cultural values, stressing the importance of interconnectedness in mental health interventions. The impact of the initiative stresses its significance in diverse cultural contexts, urging further adoption regionally for improved mental health outcomes, particularly among adolescents displaying features of an emerging emotionally unstable personality disorder.</p>","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"21 4","pages":"83-87"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}