Ashagram (“village of hope”) is a non-governmental organization operating out of Barwani, originally established to provide rehabilitation services for leprosy in Madhya Pradesh. In 1998 Ashagram expanded its services to include community-based rehabilitation (CBR) for mental disorders. Ashagram’s CBR model features:
A center for the outpatient and inpatient treatment of people with mental disorders, epilepsy and intellectual disabilities is staffed by a minimal number of specialists.
Home-based service delivery
A team of specialist staff and CHWs provide medications, psychoeducation, adherence management, rehabilitation and active support to improve social inclusion and access to work for people with severe mental disorders.
Training and continued supervision of CHWs
Lay, non-specialist CHWs learn to identify, engage with and provide psychosocial services to persons with severe and common mental disorders as well as epilepsy in the community.
Transactional self-help groups
Groups are established at villages in the catchment area to address the problems of lack of access to credit and to facilitate social inclusion.
Anti-stigma and discrimination efforts
Information is shared with the local government and community to address social problems like stigma and discrimination and lack of access to work faced by people with severe mental disorders and epilepsy.