The programme is designed to support local stakeholders with an interest in mental health to build their capacity to really influence the policy agenda in their countries. Indian colleagues have had a Local Policy Forum in the Kollam district for nearly a year, but have expressed the wish to build on the work of the local forum and join the PaPA initiative.

Ray arrived in Kerala on December 28th two days after the tsunami hit the coast of Kollam district. Loss of life was lower than in other parts of the region, but many thousands have been left homeless. MHID will be discussing with colleagues in the Kerala Partnership how assistance can be provided to support people affected by the tsunami.

The forum in India has had great success in offering a modest micro credit scheme to support mental health users and their families into employment. One colleague has started his own business making incense sticks to sell in his community and beyond; another has started a small vegetable stall. The group also approved the purchase of some cows to allow members to earn a living from the sale of milk and other dairy products. The members have raised their own funds to support the start up of the micro credit scheme, which is easily sustainable as members repay loans from income generated.

Colleagues in India have many ideas to build campaigning activity, including a public education programme relating to psychiatric medication and a campaign to ensure that people living with mental health needs are treated with respect. MHID directors Ray Rowden and Paul Cutler will return to India in April as part of the preparation for the launch of the PaPA programme.