The Schizophrenia Research Foundation (SCARF), based in Chennai, has gained international acclaim for its pioneering mental health interventions for youth. UNICEF has highlighted two of its programs—the Prevention and Early Intervention for Psychosis (PEPP) and the Resource Centre for Youth Mental Health Services (rYMs)—in its recent document, Mental Health of Children and Young People.
Global Recognition for Local Innovation
UNICEF’s document compares SCARF’s PEPP initiative with a similar program in Canada, noting that both have been operational for several years. Remarkably, it points out that fewer young individuals experiencing first-episode psychosis in Chennai dropped out of treatment compared to those in Montreal.
R. Thara, vice-chairman of SCARF, emphasized the importance of early intervention. “The First Episode Psychosis Clinic aims to catch the condition early and intervene before it becomes chronic,” she explained. SCARF was the first institution in India to establish such a clinic, which has also served as a model for centers in India and Guyana. The clinic, she noted, was the result of a decade-long collaboration with Canadian counterparts.
“The first six months after the onset of psychosis are critical. Establishing a strong therapeutic relationship between a young person and a professional case manager—whether a psychologist or counselor—makes a significant difference. Even if they discontinue medication, maintaining this relationship is key to their progress,” she added.
Creating Safe Spaces for Youth
The rYMs program, developed by Dr. Shiva Prakash Srinivasan, head of Clinical Services and Training at SCARF’s Department of Youth Mental Health, aims to engage young people by creating safe spaces to discuss mental health.
“The program facilitates conversations about mental health among youth by providing a welcoming environment. Trained volunteers address their questions and redirect those in need to services such as childline or domestic violence support,” Dr. Shiva Prakash explained.
Expanding Mental Health Awareness
The rYMs initiative also targets childcare institutions, integrating mental health education with life skills training, such as building empathy and improving communication. This dual focus not only aims to destigmatize mental health issues but also equips young people with essential interpersonal tools.
“Our vision is to reach colleges and community centers, creating a shift in the conversation. The focus should be on identifying the support young people need to thrive, not just on the mental health issues they face,” Dr. Shiva Prakash added.
A Broader Impact
SCARF’s recognition by UNICEF underscores the global relevance of its work. By combining early intervention, sustained therapeutic relationships, and community engagement, SCARF continues to set benchmarks in youth mental health care, making significant strides in destigmatizing mental health across India and beyond.
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