Designing integrated care models for mental health and tuberculosis in Pune, India

A formative qualitative study of patient, caregiver and provider perspectives

Bibliographic Data

ID7148937
AuthorsManvi Poddar (0009-0004-4840-2065, Johns Hopkins University), Madhuri Thorat Nalavade (Johns Hopkins Center for Communication Programs), Nishi Suryavanshi (0000-0001-8917-0302, Johns Hopkins Center for Communication Programs), Jonathan E Golub (0000-0003-2398-3145, Johns Hopkins University), Jeffrey Ba (0000-0002-5192-628X, Johns Hopkins University), Christopher G Kemp (0000-0003-1231-1546, Johns Hopkins University), TB Aftermath Study Team
Year2026
Volume13
Pagese7-e7
Publication date2026-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCambridge Prisms Global Mental Health (JOURNAL)
Journal identifiersISSN: 2054-4251 • E-ISSN: 2054-4251
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/gmh.2025.10123
PMID41608308
OpenAlexW7118012818
LanguageEN
Citations received1
References cited40

People with tuberculosis (TB) and TB survivors are at increased risk for mental health (MH) conditions. Better management of conditions like depression can improve adherence to TB treatment, and integrating MH care into TB treatment may reduce the MH treatment gap and improve outcomes. This qualitative study explored design characteristics for integrated MH-TB care in Pune, India. Data collection involved in-depth interviews (n = 25) with TB survivors with lived experience of MH conditions, their family members, and TB and MH providers. Data collection and analysis were guided by the Consolidated Framework for Implementation Research, and journey maps illustrated patient experiences. Participants shared suggestions for integrated care models, advantages and barriers to integration, intervention delivery agents, and local perceptions of MH conditions. Barriers included limited awareness about MH and perspectives about MH treatment, which were limited to consuming medication. Suggestions for integrated interventions included raising awareness about MH conditions and existing MH services among TB providers, regular MH screening and counseling for people with TB, and engaging TB survivors to share their experiences with patients in group settings. These insights highlight the importance of working with people with lived experience and understanding patient journeys to inform intervention implementation and sustainability

Formative assessment · Integrated care · Intervention (counseling) · Mental health · Psychological intervention · Qualitative research · Tuberculosis · Diagnosis and treatment of tuberculosis · Infectious Diseases and Tuberculosis · Tuberculosis Research and Epidemiology

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Open DOIOpen Access