Task-shifting in Community Mental Health in Kerala: Tensions and Ruptures

Kottai, Sudarshan R. and Ranganathan, Shubha (2020) Task-shifting in Community Mental Health in Kerala: Tensions and Ruptures. Medical Anthropology: Cross Cultural Studies in Health and Illness. ISSN 0145-9740 (In Press)

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Abstract

Based on an ethnography of community mental health programs run by two NGOs in Kerala which have associated themselves with preexisting, locally grown, community-based palliative clinics, this article explores how professional NGOs bring a new culture to volunteer-based programs. Professionalizing volunteers through task-shifting results in the transformation of their philosophy of community care, which constrains and narrows understandings of mental health care. The state, in alliance with psychiatric NGOs, front-stages development through aggressive task-shifting which we argue is a socio-politico-moral process, disrupting the shared consciousness between volunteers and their own communities with fatal consequences for their most vulnerable citizens.

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IITH Creators:	IITH Creators ORCiD Ranganathan, Shubha http://orcid.org/0000-0002-6954-2727
Item Type:	Article
Uncontrolled Keywords:	Biopolitics, community, mental health, globalization, Kerala, medicalizationtask-shifting, Indexed in Scopus
Subjects:	Arts > Liberal arts
Divisions:	Department of Liberal Arts
Depositing User:	Team Library
Date Deposited:	16 Mar 2020 05:42
Last Modified:	16 Mar 2020 05:42
URI:	http://raiithold.iith.ac.in/id/eprint/7528
Publisher URL:	http://doi.org/10.1080/01459740.2020.1722122
Related URLs:	Google Scholar

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