Sunirose Ishnassery Pathrose

Children living in residential childcare institutions often face emotional, behavioral challenges, and low self-esteem due to early trauma and attachment issues. Art therapy, a creative and non-verbal engagement technique, is a promising approach that remains unexplored. This study aims to test the feasibility of a structured art therapy intervention to address emotional and behavioral issues and enhance self-esteem of children in residential childcare institutions. A small sample experimental design was used to assess the effectiveness of a 10-week structured art therapy intervention for children aged 10-16 in residential childcare institutions in Kerala, India. Post-intervention, outcomes revealed significant improvements in emotional problems (t = 8.008, p < .001), conduct disorders (t = 8.41, p < .001), hyperactivity (t = 7.139, p < .001), and augmented prosocial behavior (t= -8.527, p < .001). Self-esteem also improved across general (t=-12.085, p < .001), social (t =-3.117, p = 0.004), home-parent (t=-3.194, p = 0.003), and academic domains (t=-9.95, p < 0.001) in contrast with comparison group. Art therapy facilitates the articulation of internal conflicts and serves as a non-verbal, non-threatening method with children promoting positive coping strategies. This study recommends randomized controlled trials in larger populations before implementing it in all childcare institutions.

While Kerala’s transition from an agrarian to a service-oriented economy is widely acknowledged, discussions are most often confined to material domains, overlooking overall life satisfaction, which is critical to pursue any profession. This state-wide community-based cross-sectional survey was conducted to gather data from farmers residing in three geographical zones of Kerala, India, North, South and Central, to understand their life satisfaction and how it correlates to their access to resources and social support. From each zone, we randomly chose two districts, and from each district, two panchayats. From each panchayat, we chose one ward to identify a total of 580 eligible farmers. Structured interviews were conducted using door-knock surveys to elicit information from the respondents using a set of standardized questionnaires. The results suggest that the respondents had a mean age of 54.5, with 19.8% being over 65, indicating demographic ageing in the farming sector. Only 46% chose farming as their full-time occupation. Farmers with higher levels of education who owned large plots of land experienced life satisfaction. Interpersonal relationships and social support were significant determinants of life satisfaction, as these factors were pivotal in their access to formal and informal services. With social support being pivotal in life satisfaction, it is imperative to change the social mindset towards farming. Additionally, the government should promote advanced technologies and high-yielding agricultural practises to transform the economic landscape of Kerala in favour of agriculture, which is imperative for the food security of the state.

The current study presents the findings from a cross-sectional survey on social factors associated with the well-being of persons with disabilities (PWDs) in Kerala, India. We conducted a community-based survey across three geographical zones, North, Central, and South of Kerala state, between April and September 2021. We randomly selected two districts from each zone using a stratified sample method, followed by one local self-government from each of these six districts. Community health professionals identified individuals with disabilities, and researchers collected information on their social networks, service accessibility, well-being, and mental health. Overall, 244 (54.2%) participants had a physical disability, while 107 (23.78%) had an intellectual disability. The mean well-being score was 12.9 (S.D = 4.9, range = 5–20). Overall, 216 (48%) had poor social networks, 247 (55%) had issues regarding service accessibility, and 147 (33%) had depressive symptoms. Among the PWDs with issues with service access, 55% had limited social networks. A regression analysis revealed that social networks (b = 2.30, p = 0.000) and service accessibility (b = −2.09, p = 0.000) were associated with well-being. Social networks are more important than financial assistance because they facilitate better access to psycho-socioeconomic resources, a prerequisite for well-being.

Background: The lockdown associated with the COVID-19 pandemic is likely to impact people’s mental health, especially those from economically disadvantaged and vulnerable sections of society. Mental health can be affected by many factors, including fear of disease transmission, from response measures against the pandemic like social distancing, movement restriction, fear of being in quarantine, loneliness, depression due to isolation, fear of losing work and livelihood and avoiding health care due to fear of being infected. Telephonic befriending intervention by non-specialists will be used to provide social and emotional support to the youth from the Deen Dayal Upadhyaya Grameen Kaushalya Yojana (DDUGKY), an initiative of the Government of India. This study aims to promote mental wellbeing and reduce depressive symptoms by assisting participants to mobilise social support from family, friends and significant others by using the telephonic befriending intervention. Methods: In this article, we report the design and protocol of a multi-centre cluster randomised controlled trial. In total, 1440 participants aged 18–35 years who have recently completed their course out of the DDU-GKY initiative will be recruited in the study from 12 project-implementing agencies (PIAs) across six geographical zones of India. Participants from 6 of these agencies will be assigned to the telephonic befriending intervention arm, and the other six agency participants will be assigned to the general enquiry phone call arm (control). The primary outcomes of this study are mental wellbeing, depressive symptoms and perceived social support. Baseline assessments and follow-up assessments will be carried out 1 month following the intervention using WHO-5, PHQ and MSPSS-12 questionnaires. The befriending intervention will be provided by DDU-GKY staff, whom a virtual training programme will train. Discussion: This trial will help assess whether participants who are offered emotional, social and practical support through befriending will experience lesser symptoms of depression and better mental health compared to participants who do not receive this intervention through mobilised social support from friends, family and others. Trial registration: Clinical Trial Registry India (ICMR-NIMS) CTRICTRI/2020/07/026834. Registered on 27 July 2020.