Community-level mental health screening and referral using task-sharing with student volunteers in Kerala, India: a scalable model for low and middle income countries

The service design team, representing a microcosm of the population, developed culturally appropriate mental health campaigns. The act-reflect-act framework within the Service Design Model integrated need-based services to bring together multiple healthcare stakeholders and ecosystem tiers, facilitated by public private partnership (PPP) to improve coverage and address barriers to accessing public mental health services. The stability of the referral model was ensured through long term initiatives, including establishment of mental health clinics and senior daycare centres.