Protocol

Iran’s Comprehensive Mental and Social Health Services (SERAJ Program): A Pilot Protocol

Abstract

Objective: The Iranian Mental Health Survey (IranMHS) indicated that almost 1 in 4 people had one or more psychiatric disorders (23.6%); however, two-thirds of patients did not benefit from health interventions, many provided services were inadequate and imposed a high burden on Iranian families. Therefore, the development of a national program on providing comprehensive social and mental health services, entitled “SERAJ”, became necessary. The present study aims to develop and outline the protocol for the pilot implementation of SERAJ.
Method: This study is an action research with the collaborative mode. To compile the protocol, a broad review of the literature, interviews with experts and stakeholders, and focused group discussions were conducted.
Results: The pilot implementation should be divided into 4 phases: (1) preparing documentation and work team, (2) preparing the prerequisites for providing pilot services, (3) providing pilot services, and (4) implementation and evaluation.
Conclusion: SERAJ considered both preventive and treatment measures for mental and social health disorders and their risk factors. Moreover, the entire population can have access to primary and secondary services. Therefore, SERAJ is more comprehensive than the current situation in the country's mental health services. We suggest piloting and evaluating SERAJ in three districts of Iran.

1. Organization Health Organization. Mental health in the Eastern Mediterranean Region: Reaching the unreached. 2006.
2. Vigo D, Thornicroft G, Atun R. Estimating the true global burden of mental illness. Lancet Psychiatry. 2016;3(2):171-8.
3. Sharifi V, Amin-Esmaeili M, Hajebi A, Motevalian A, Radgoodarzi R, Hefazi M, et al. Twelve-month prevalence and correlates of psychiatric disorders in Iran: the Iranian Mental Health Survey, 2011. Arch Iran Med. 2015;18(2):76-84.
4. Forouzanfar MH, Sepanlou SG, Shahraz S, Dicker D, Naghavi P, Pourmalek F, et al. Evaluating causes of death and morbidity in Iran, global burden of diseases, injuries, and risk factors study 2010. Arch Iran Med. 2014;17(5):304-20.
5. Rahimi-Movaghar A, Amin-Esmaeili M, Sharifi V, Hajebi A, Radgoodarzi R, Hefazi M, et al. Iranian mental health survey: design and field proced. Iran J Psychiatry. 2014;9(2):96-109.
6. Hajebi A, Damari B, Vosoogh Moghaddam A, Nasehi A, Nikfarjam A, Bolhari J. What to do to promote mental health of the society. Iran J Public Health. 2013;42(Supple1):105-12.
7. Damari B, Alikhani S, Riazi-Isfahani S, Hajebi A. Transition of Mental Health to a More Responsible Service in Iran. Iran J Psychiatry. 2017;12(1):36-41.
8. Montazeri A, Riazi-Isfahani S, Damari B. How to integrate social care services into primary health care? An experience from Iran. Med J Islam Repub Iran. 2016;30:408.
9. Newton P, Burgess D. Exploring Types of Educational Action Research: Implications for Research Validity. Int J Qual Methods. 2008;7(4):18-30.
10. Purtle J, Lê-Scherban F, Shattuck P, Proctor EK, Brownson RC. An audience research study to disseminate evidence about comprehensive state mental health parity legislation to US State policymakers: protocol. Implement Sci. 2017;12(1):81.
11. Heck E, Jaworska N, DeSomma E, Dhoopar AS, MacMaster FP, Dewey D, et al. A survey of mental health services at post-secondary institutions in Alberta. Can J Psychiatry. 2014;59(5):250-8.
12. Rickwood DJ, Mazzer KR, Telford NR. Social influences on seeking help from mental health services, in-person and online, during adolescence and young adulthood. BMC Psychiatry. 2015;15:40.
13. Khenti A, Thomas FC, Mohamoud S, Diaz P, Vaccarino O, Dunbar K, et al. Mental health and addictions capacity building for community health centres in Ontario. Can Fam Physician. 2017;63(10):e416-e24.
14. Reavley NJ, Jorm AF. Mental health reform: increased resources but limited gains. Med J Aust. 2014;201(7):375-6.
15. Jacka FN, Reavley NJ, Jorm AF, Toumbourou JW, Lewis AJ, Berk M. Prevention of common mental disorders: what can we learn from those who have gone before and where do we go next? Aust N Z J Psychiatry. 2013;47(10):920-9.
16. Hickie IB, Groom GL, McGorry PD, Davenport TA, Luscombe GM. Australian mental health reform: time for real outcomes. Med J Aust. 2005;182(8):401-6.
17. Liu J, Ma H, He YL, Xie B, Xu YF, Tang HY, et al. Mental health system in China: history, recent service reform and future challenges. World Psychiatry. 2011;10(3):210-6.
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IssueVol 16 No 1 (2021) QRcode
SectionProtocol
Published2020-12-05
DOI https://doi.org/10.18502/ijps.v16i1.5387
Keywords
Community Action Mental Health Protocol Pilot Implementation

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1.
Damari B, Sharifi V, Asgardoon MH, Hajebi A. Iran’s Comprehensive Mental and Social Health Services (SERAJ Program): A Pilot Protocol. Iran J Psychiatry. 16(1):116-123.