TRUST (Track Recovery Urge Support and Tools)

St. John’s National Academy of Health Sciences (SJNAHS) is a self-financing private medical Institution. St. John’s Medical College, Bengaluru established in 1963 by the CBCI with the aim of training healthcare personnel committed to serving the poor in the margins. 

I am MD Psychiatry resident in St. John's Medical College and Hospital, Bangalore who developed this project called TRUST mobile health application in coordination with department of Psychiatry and Department of Gastroenterology to help patients diagnosed with alcohol dependence syndrome. 

The harmful use of alcohol poses a significant global health challenge, contributing to millions of deaths and disabilities annually. According to the World Health Organization (WHO), alcohol consumption leads to approximately 3 million deaths each year worldwide and accounts for 5.1% of the global burden of disease. This burden disproportionately affects disadvantaged and vulnerable populations, exacerbating health inequalities. In India, specifically, where there are 16 crore alcohol users, 5.7 crore are problem users, and 2.9 crores are dependent users, the impact of alcohol-related harm is particularly pronounced.

The scale of the problem is immense, with alcohol being the leading risk factor for premature mortality and disability among individuals aged 15 to 49 years, responsible for 10% of all deaths in this age group. The consequences of harmful alcohol use extend beyond individual health outcomes, affecting families, communities, and societies at large.

Factors contributing to the problem include social and cultural norms surrounding alcohol consumption, limited access to effective interventions and support services, stigma associated with seeking help for alcohol use disorder (AUD), and inadequate awareness about the risks of alcohol misuse.

Our solution, the TRUST (Tracking Recovery, Urge Support, and Tools) application, addresses these challenges by providing personalized digital support to individuals with AUD. By offering features such as personalized recovery plans, real-time tracking of progress, stress management tools, and access to educational resources, TRUST empowers individuals to overcome AUD and maintain sobriety. This targeted intervention aims to reduce the burden of alcohol-related harm by improving access to evidence-based support and fostering a supportive environment for recovery.

TRUST (Tracking Recovery, Urge Support, and Tools) is an innovative smartphone application designed to support individuals with alcohol use disorder (AUD) on their journey towards sobriety. 

How it works: TRUST provides personalized digital support to users through a range of features tailored to their needs. Users can create personalized recovery plans, set goals, and track their progress in real-time. The application offers tools for managing stress and cravings, access to educational resources, and daily reflection prompts to support ongoing recovery efforts. Additionally, TRUST includes features such as emergency assistance contacts and personalized reminders to help users stay on track with their sobriety goals.

Technology: TRUST leverages smartphone technology to deliver its features, making it accessible to users with smartphones or tablets. The application utilizes data encryption and secure user authentication to prioritize user privacy and security. By harnessing the power of mobile technology, TRUST provides a convenient and user-friendly platform for individuals seeking support for AUD. 

Solution Beneficiaries: TRUST serves individuals diagnosed with alcohol use disorder (AUD), specifically targeting those who are currently underserved or face barriers to accessing traditional forms of support for their condition.

Target Population: The target population includes individuals struggling with AUD, particularly those who may lack access to specialized treatment services, face stigma surrounding their condition, or have difficulty accessing support due to geographical or socioeconomic factors. This includes individuals in both urban and rural areas who may have limited access to healthcare resources.

Impact on Their Lives: TRUST aims to significantly impact the lives of its users by providing accessible, personalized, and evidence-based support for their recovery journey. By empowering individuals with AUD to actively manage their condition through the application's features, TRUST can:

1. Improve Access: TRUST addresses the issue of limited access to specialized treatment services by providing a convenient and easily accessible digital platform for individuals seeking support for AUD. This ensures that users can access resources and tools regardless of their geographical location or socioeconomic status.

2. Reduce Stigma: The anonymity and privacy afforded by the TRUST application can help reduce the stigma associated with seeking help for AUD. By offering a discreet and non-judgmental support system, TRUST encourages individuals to seek assistance and engage in their recovery process without fear of discrimination or social repercussions.

3. Enhance Support: TRUST provides a comprehensive suite of features designed to support individuals at every stage of their recovery journey. From personalized recovery plans and goal setting to stress management tools and access to educational resources, TRUST equips users with the tools and support they need to navigate the challenges of AUD and maintain sobriety.

4. Track recovery, teaching skills to manage craving, Monitor absteince and health parameters and also to seek help in emergency. 

Overall, TRUST aims to empower individuals with AUD to take control of their health and well-being, leading to improved quality of life, reduced risk of relapse, and enhanced overall recovery outcomes. By addressing the specific needs of underserved populations and leveraging digital technology to overcome barriers to access, TRUST has the potential to make a meaningful and lasting impact on the lives of individuals struggling with AUD.

Team Positioning: Our team consists of Psychiatrists, Psychologists, Gastroenterologist, Trained Nurses and Computer Software Engineer, uniquely positioned to deliver the TRUST solution due to our deep understanding of the challenges faced by individuals with alcohol use disorder (AUD) and our commitment to addressing these challenges through innovative, community-driven approaches.

Community Proximity: Our team includes individuals with personal and professional experiences related to AUD, ensuring that our solution is informed by real-world insights and perspectives. As individuals who have either experienced AUD first hand or have close connections to those who have, we understand the complexities and nuances of the condition, as well as the barriers to accessing support and treatment.

Representativeness: The Team Lead and our team members reflect the diversity of the communities we aim to serve, ensuring that our solution is inclusive and culturally sensitive. We prioritize diversity and inclusion in our team composition, recognizing the importance of representing the diverse needs and experiences of individuals with AUD.

Community Engagement: The design and implementation of the TRUST solution are guided by meaningful engagement with communities affected by AUD. We actively seek input, ideas, and feedback from individuals with lived experience, as well as healthcare professionals, caregivers, and other stakeholders involved in AUD care. By involving community members in the development process, we ensure that TRUST addresses their needs and priorities effectively.

Co-Creation: TRUST is not just a product developed for the target population; it is a solution co-created with the patients feedback. We collaborate closely with individuals affected by AUD throughout the design, testing, and refinement phases, incorporating their insights and preferences into the solution. This collaborative approach ensures that TRUST is user-centered, culturally relevant, and responsive to the unique needs of its intended beneficiaries. Regular feedbacks were taken from other psychiatrists and psychologists through department presentations. 

Overall, our team's proximity to the communities we serve, our commitment to diversity and inclusion, and our collaborative approach to solution development position us as the right people to design and deliver the TRUST solution to individuals with AUD. By leveraging our collective expertise, experiences, and community insights, we are confident in our ability to make a meaningful and lasting impact on the lives of those affected by AUD.

We selected the Pilot stage of the project to validate the effectiveness and feasibility of the TRUST application in a real-world setting. So far, we have developed and tested the TRUST application, designed to assist individuals with alcohol use disorder (AUD) in monitoring and preventing relapse. The application includes features such as personalized recovery plans, daily tracking, stress management tools, and access to psychoeducational content.

Currently, we are conducting a randomized clinical trial study involving 40 patients diagnosed with AUD after approval from institutional ethics committee. These patients are being recruited from the Gastroenterology ward of our hospital. The study involves training patients to use the TRUST application as part of their inpatient treatment program. We are providing them with guidance on utilizing the application's functionalities and setting up personalized recovery plans.

After the initial intervention, patients are encouraged to use the TRUST application regularly. We are conducting follow-up assessments at one month and three months post-intervention to evaluate the impact of the application on patient outcomes, including relapse rates, mental well-being, and engagement in treatment.

Through this pilot study, we aim to gather data on the usability, acceptance, and effectiveness of the TRUST application in supporting individuals with AUD. These insights will inform further iterations and improvements to the application as we progress towards broader implementation.

We are applying to Solve because we believe it provides a unique opportunity for us to overcome specific barriers and accelerate the impact of our solution. As a team working on addressing the challenge of alcohol use disorder (AUD) through the TRUST application, we face several barriers that we hope Solve can help us overcome.

Firstly, we require additional funding beyond our current resources to further develop and scale our solution. Solve's financial support and access to additional funding opportunities in the form of grants and investments, would significantly bolster our efforts in refining the TRUST application and reaching a larger number of individuals affected by AUD.

Secondly, we recognize the importance of technical and capacity-building support to enhance the effectiveness and sustainability of our solution. Solve's tailored capacity workshops, leadership coaching, and access to in-kind and pro bono resources such as software licenses and legal services would be invaluable in strengthening our team's capabilities and refining the TRUST application's features and functionalities.

Furthermore, Solve's network of impact-minded leaders across industries and sectors presents an opportunity for us to connect with potential partners, collaborators, and mentors who can provide valuable insights, guidance, and support. By joining Solve's powerful network, we aim to leverage these connections to amplify the reach and impact of the TRUST application.

Overall, we see Solve as a catalyst for overcoming the financial, technical, and network-related barriers that currently hinder our progress in addressing the challenge of AUD. We are eager to collaborate with Solve and its partners to accelerate the implementation of our solution and make a meaningful difference in the lives of individuals struggling with alcohol addiction.

My research project "TRUST" (Track Recovery Urge Support and Tools) mobile health application stands out as a pioneering solution in the realm of digital health, particularly in addressing the challenges associated with alcohol use disorder (AUD). 

TRUST stands as a ground breaking digital health solution, meticulously crafted by psychiatrists and mental health care workers, one of its kind innovative solution studied after randomized controlled trial in a clinical setting after approval from Institutional ethics committee and Fogarty International, National Institute of Health. The trial is also registered under Clinical Trials Registry – India (CTRI). 

Its uniqueness lies in its development, which involved rigorous testing through a randomized research-controlled trial under Institutional ethical guidelines. Specifically designed for individuals diagnosed with alcohol use disorder (AUD), TRUST harnesses the power of innovative smartphone technology to extend its reach to rural areas of India, making it accessible even on low-cost devices.

TRUST leverages the power of smartphone technology to provide personalized support and assistance in monitoring and preventing relapse among individuals with AUD. Its interactive features, including personalized recovery plans, daily tracking, and stress management tools, represent a ground breaking approach to promoting sobriety and enhancing clinical effectiveness. By focusing on this demographic group, TRUST can deliver highly relevant and impactful interventions to support their journey to sobriety.

TRUST offers a comprehensive suite of features designed to support users at every stage of their recovery process. From personalized recovery plans and goal setting to stress management tools and educational resources, the application equips individuals with the tools and knowledge needed to navigate the complexities of AUD and prevent relapse effectively.

The involvement of healthcare professionals, particularly doctors, in training patients on how to effectively use the application underscores the commitment to ensuring its successful implementation and integration into clinical practice. This personalized training approach enhances user engagement and adherence while fostering a collaborative relationship between patients and healthcare providers.

TRUST also facilitates ongoing monitoring and intervention through its interactive features and progress reports. Users can track their progress, receive personalized reminders, and access emergency assistance as needed, ensuring continuous support and guidance throughout their recovery journey. 

The application prioritizes user data security and privacy, implementing robust measures such as data encryption and secure authentication to safeguard sensitive information. By adhering to relevant privacy regulations and obtaining user consent, TRUST maintains the trust and confidence of its users while upholding ethical standards.

TRUST offers psychoeducational videos based on the WHO FRAMES model, providing valuable insights and skills to help users cope with cravings, triggers, and relapse situations. By combining evidence-based content with interactive features, the application empowers individuals to make informed decisions and build resilience in their recovery journey.

Aligned with the Sustainable Development Goals (SDGs) outlined by the World Health Organization, TRUST makes significant contributions to mental health promotion, substance abuse prevention and treatment, and universal health coverage. Its commitment to user privacy, healthcare professional involvement, and evidence-based content makes it a worthy nominee for recognition and acknowledgment within the digital health community.

TRUST (Tracking Recovery, Urge Support and Tools) application, aims to address the significant challenges faced by individuals with alcohol use disorder (AUD) by providing accessible, personalized, and evidence-based support through innovative smartphone technology. Here's how we expect our solution to have a meaningful impact on the problem:

1. Immediate Outputs: The TRUST application will offer a comprehensive suite of features designed to support individuals with AUD in their recovery journey. These features include personalized recovery plans, daily tracking, stress management tools, psychoeducational content, and access to emergency assistance. Users will have continuous access to these resources, allowing them to actively engage in their recovery process and address challenges as they arise.

2. Short-Term Outcomes: By providing personalized support and evidence-based interventions, we expect the TRUST application to yield immediate improvements in user outcomes. These may include reduced alcohol consumption, decreased cravings, improved stress management, enhanced coping skills, and increased adherence to treatment plans. Users will also benefit from increased self-awareness, motivation, and empowerment as they take control of their recovery journey.

3. Medium-Term Outcomes: Over time, we anticipate that the consistent use of the TRUST application will lead to broader improvements in user health and well-being. These may include decreased risk of relapse, improved mental health outcomes, enhanced quality of life, strengthened social support networks, and increased engagement in productive activities. Users may also experience improvements in relationships, work performance, and overall functioning as they continue to progress in their recovery.

4. Long-Term Outcomes: Ultimately, our goal is to facilitate sustainable recovery and long-term well-being for individuals with AUD. By providing ongoing support, education, and resources, we aim to empower users to maintain sobriety, prevent relapse, and achieve their full potential. We expect that the positive impacts of the TRUST application will extend beyond individual users to their families, communities, and society as a whole, leading to reduced healthcare costs, decreased social stigma, and improved overall public health.

In summary, our theory of change revolves around the belief that by leveraging technology to deliver personalized, evidence-based support, the TRUST application can significantly improve outcomes for individuals with AUD. By addressing immediate needs, fostering short-term improvements, and facilitating long-term recovery and well-being, we aim to create lasting positive change for our target population and beyond.

Our impact goals for the TRUST application are centred around facilitating sustainable recovery and well-being for individuals with alcohol use disorder (AUD) while also reducing the societal burden associated with AUD. Here are our impact goals and how we are measuring our progress towards them:

1. Increase Access to Quality Care: Our primary impact goal is to increase access to quality care for individuals with AUD, particularly those in underserved and low socioeconomic communities. To measure progress towards this goal, we track the number of downloads and active users of the TRUST application, with a focus on reaching target demographics in both urban and rural areas.

2. Reduce Relapse Rates: We aim to reduce relapse rates among users of the TRUST application by providing personalized support, evidence-based interventions, and continuous monitoring. To measure progress towards this goal, we track self-reported relapse incidents through in-app surveys, and online and offline interviews. 

3. Assessment and Monitoring of craving for substance using standardized scales like The Penn Alcohol Craving Scale (PACS) which is a 5-item questionnaire that measures an individual’s craving to drink alcohol in the past week. The PACS includes questions about the frequency, intensity, and duration of craving, the ability to resist drinking, and an overall rating of craving for alcohol for the previous week.

4. Assessment and Monitoring of severity of alcohol withdrawal symptoms using CIWA-Ar Scale, also known as the Clinical Institute Withdrawal Assessment for Alcohol–Revised. It consists of a 10-item scale that evaluates various symptoms such as nausea, tremors, and anxiety.

5. Regular monitoring and measure the level of dependence using The Severity of Alcohol Dependence Questionnaire (SADQ or SAD-Q) which is a 20 item clinical screening tool divided into five sections: Physical withdrawal symptoms, Affective withdrawal symptoms, Craving and relief drinking Typical daily consumption and Reinstatement of dependence after a period of abstinence. Some local clinical guidelines use the SADQ to predict the levels of medication needed during alcohol detoxification.

6. Enhance Quality of Life: We aim to enhance the overall quality of life for individuals with AUD by promoting sobriety, increasing social support, and improving functional outcomes such as employment and relationships. To measure progress towards this goal, we track changes in self-reported quality of life indicators, including measures of physical health, emotional well-being, social functioning, and overall life satisfaction.

7. Reduce Healthcare Costs: We seek to reduce healthcare costs associated with AUD by preventing relapse, decreasing hospitalizations, and improving overall health outcomes. To measure progress towards this goal, we analyse healthcare utilization data, including hospital admissions, emergency room visits, and outpatient services, among TRUST users compared to control groups receiving standard care.

By focusing on these impact goals and implementing robust measurement strategies, we aim to demonstrate the transformative impact of the TRUST application on the lives of individuals with AUD and the broader community. Through continuous monitoring and evaluation, we ensure that our solution remains effective, responsive to user needs, and aligned with our mission of improving health and well-being for all. 

The TRUST application is a user-friendly progressive web application (PWA) which is a type of application software delivered through the web, built using common web technologies including HTML, CSS, JavaScript, and Web Assembly. It is intended to work on any platform with a standards-compliant browser, including desktop and mobile devices.

Some key features and benefits of PWAs include: 

a. Responsiveness: PWAs are designed to adapt to different screen sizes and devices, providing a seamless user experience across various platforms.

b. Offline capabilities: PWAs can work offline or on low-quality internet connections, thanks to service workers that cache data for later use.

c. Installability: PWAs can be installed on users’ devices, just like native apps, allowing them to add a shortcut to the home screen and access the app through an icon.

d. Push notifications: PWAs can send push notifications to users, keeping them engaged and informed about updates or new content.

e. Discoverability: PWAs can be easily shared and accessed using URLs, and they are indexed by search engines, making them more accessible to a broader audience.

2. One of the key features of the TRUST application is the ability help patients with there personalized difficulties and reasons for relapse by teaching them skills to deal with the triggers for drinking alcohol. 

3. The TRUST application allows users to track their progress on a daily basis, including factors such as sobriety days, mood, cravings, triggers, and coping strategies. This data is collected and analyzed to provide insights into patterns of behavior, progress over time, and areas for improvement.

4. To assist users in managing stress and cravings, the TRUST application offers a variety of tools and techniques, including guided breathing exercises, mindfulness practices, distraction activities, and interactive games. These tools are designed to help users cope with triggers and temptations in a healthy and constructive manner.

5. Psychoeducational Content: The TRUST application provides access to a wealth of psychoeducational content, including articles, videos, and podcasts, based on the WHO FRAMES model. This content covers topics such as craving management, relapse prevention, coping skills, and strategies for maintaining sobriety, empowering users with knowledge and skills to support their recovery journey.

6. In case of emergencies or urgent need for support, the TRUST application includes features such as emergency contact information for designated support networks. Users can quickly access help or reach out to trusted individuals for assistance when needed.

7. Data Security and Privacy Measures: We prioritize the security and privacy of user data within the TRUST application, implementing measures such as data encryption, secure user authentication, and compliance with relevant data protection regulations. This ensures that users can trust the platform with their sensitive information and feel confident in their privacy and confidentiality.

Overall, the TRUST application harnesses the power of modern smartphone technology to deliver personalized, evidence-based support and interventions for individuals with AUD, empowering them to take control of their recovery journey and improve their overall health and well-being.

Total 5 people (Full time staff) : 

1. Principal Investigator: Dr Alvin Joseph (Psychiatry Resident) 

2. Guide: Dr Johnson Pradeep (Head of Department, Psychiatry) 

3. Co-Guide: Dr Harshad (Professor,  Department of Gastroenterology)

4. Junior Research Fellow: Miss Neena Biju (Clinical Psychologist) 

5. Application developer: Mr Prajwal (Computer Engineer) 

Our team has been actively working on the TRUST (Tracking Recovery, Urge Support and Tools) solution for one year, during which time we have been conducting a clinical trial, app development, content development, brief intervention, institutional ethical clearance and to evaluate effectiveness and impact of mobile health application on individuals with alcohol use disorder (AUD). Currently the initial phase of trial is going on patients after their consent. 

In our St John's Medical college and hospital and research team, we are committed to fostering a diverse, equitable, and inclusive environment for all team members. We recognize that diversity in backgrounds, perspectives, and experiences enriches our team and strengthens our ability to innovate and solve complex challenges. Here's how we ensure diversity, minimize barriers to opportunity, and promote inclusivity within our team:

1.  Although due to lack of financial support our team is small but our leadership and solutions reflects a diverse range of backgrounds, experiences, and identities. We actively seek out individuals from underrepresented groups to fill leadership positions and ensure that diverse voices are represented at decision-making levels within the organization through proper interview and giving chance to the people who believe in making a difference in the society. 

2. Recruitment and Hiring Practices: We prioritize diversity in our recruitment and hiring processes by actively seeking out candidates from diverse backgrounds and ensuring that job postings reach a wide range of communities using medical college and hospital website. We also implement blind screening processes to mitigate unconscious biases and ensure that candidates are evaluated based on their skills, qualifications, and potential contributions to our team.

3. Training and Development: We invest in training and development opportunities for all team members under experts to enhance their cultural competence, unconscious bias awareness, and skills in fostering inclusivity. This includes workshops, seminars, and ongoing learning opportunities focused on diversity, equity, and inclusion topics.

4. Supportive and Inclusive Culture: We cultivate a supportive and inclusive culture where all team members feel valued, respected, and empowered to contribute their ideas and perspectives. We actively encourage open communication, feedback, and collaboration among team members, and we prioritize psychological safety to ensure that everyone feels comfortable expressing themselves.

5. Equitable Policies and Practices: We follow the standard St. Johns Medical college and Hospital policies and practise fair conduct of decision making and clinical practises. 

We are committed to ongoing evaluation and improvement of our diversity, equity, and inclusion efforts. We regularly solicit feedback from team members, conduct surveys and assessments, and benchmark our practices against industry standards to identify areas for growth and refinement. By fostering a welcoming and inclusive environment, we believe we can harness the full potential of our team and drive meaningful impact in our work.

As a health research intervention study focused on providing free-of-cost services to patients, our business model revolves around delivering value to our target population while aligning with sustainable development goals. In St. John's Medical College and Hospital the vision is for 

"A world where quality healthcare is accessible and affordable even to the poorest" and the mission is "Education and empowerment of healthcare personnel committed to serve, especially the underserved, with integrity and compassion, in the spirit of Christ" and our business model complies with the same principle's. 

Here's how our business model operates:

1. Key Customers and Beneficiaries: Our primary beneficiaries are patients suffering from the health condition targeted by our intervention study. We aim to provide them with access to high-quality healthcare services and interventions that are otherwise unavailable or unaffordable to them. Additionally, our research study benefits from the participation of patients, as their involvement contributes valuable data and insights to advance medical knowledge and treatment options.

2. Products or Services: We offer a range of free-of-cost healthcare services and interventions tailored to the needs of our target population. These may include medical consultations, diagnostic tests, treatment procedures, medications, behavioral interventions, and support services. Our interventions are evidence-based and designed to improve patient outcomes, enhance quality of life, and address specific health challenges identified in our research study.

3. Service Delivery: Our services are delivered through various channels, including healthcare facilities, community clinics, mobile health units, telemedicine platforms, and outreach programs. We employ a multidisciplinary team of healthcare professionals, researchers, and community health workers to provide comprehensive care and support to patients. We also leverage technology and digital platforms to enhance access and reach remote or underserved populations.

4. Value Proposition: Patients want and need access to high-quality healthcare services that address their health concerns, improve their well-being, and enhance their quality of life. By offering free-of-cost services, we remove financial barriers to healthcare access and ensure that patients receive the care they need without facing economic hardship. Additionally, our research interventions offer patients the opportunity to contribute to medical advancements and benefit from innovative treatments and approaches.

5. Alignment with Sustainable Development Goals: Our business model aligns with various sustainable development goals, including goals related to good health and well-being (SDG 3), poverty alleviation (SDG 1), reduced inequalities (SDG 10), and partnerships for the goals (SDG 17). By providing free healthcare services to underserved populations, we contribute to improving health outcomes, reducing health disparities, and promoting social equity and inclusion.

In summary, our business model focuses on delivering value to patients through free-of-cost healthcare services while advancing medical research and contributing to sustainable development goals. By prioritizing the needs of our target population and leveraging partnerships and collaborations, we aim to create lasting impact and positive change in healthcare delivery and outcomes.

Our plan for achieving financial sustainability revolves around a diversified approach to funding that encompasses multiple revenue streams. Here's how we intend to fund our work and evidence of our success so far:

1. Grants and Donations: We actively pursue grants and donations from philanthropic organizations, government agencies, and corporate partners that are aligned with our mission and objectives. These funds support our research interventions, operational costs, and service delivery efforts. Examples of successful grant funding include grants from major health foundations, government health departments, and corporate social responsibility initiatives.

2. Service Contracts: We seek contracts with governments, healthcare organizations, and other stakeholders to provide specialized healthcare services, research consultancy, and training programs. These contracts generate revenue while allowing us to leverage our expertise and resources to address specific health challenges and contribute to health system strengthening initiatives.

3. Product Sales: We may explore opportunities to generate revenue through the sale of products or services related to our research findings or innovations. This could include licensing intellectual property, developing commercialized healthcare solutions, or offering training programs and educational materials to healthcare professionals.

4. Social Impact Investment: We may attract social impact investment from impact investors, venture philanthropy funds, or other socially responsible investors interested in supporting innovative healthcare solutions with the potential for scalable impact. These investments provide capital for scaling our interventions and expanding our reach to new populations.

5. Earned Revenue: We aim to develop sustainable revenue-generating activities within our organization, such as fee-for-service models, patient memberships, or value-added services, that complement our mission and contribute to financial sustainability while ensuring affordability and accessibility for our target population.

Evidence of our success in funding our work includes: I have received Advanced In- Country Research Award, under Psychiatry Research Infrastructure for Intervention and Implementation In India ( A Fogarty International Centre - NIH funded project) to do the research project. The study is also being presented at University of Pittsburgh, Symposium 'India Comes to the Veterans Administration: The impact of Global Mental Health on Veteran's Care'. 

The study is also supported by St. John's research Institute, Bangalore for hiring and paying the salary for Junior Research Fellow. The department of Psychiatry and Department of Gastroenterology have given permission to use the resources without any charges to conduct the study with a common goal of helping the patients and innovate health care. 

Overall, our financial sustainability plan emphasizes diversification, innovation, and strategic partnerships to ensure the long-term viability and impact of our healthcare research intervention study.