Inverting the deficit model in global mental health: An examination of strengths and assets of community mental health care in Ghana, India, Occupied Palestinian territories, and South Africa

PLOS Global Public Health, Journal Year: 2024, Volume and Issue: 4(3), P. e0002575 - e0002575

Published: March 4, 2024

Global mental health [GMH] scholarship and practice has typically focused on the unmet needs barriers to in communities, developing biomedical psychosocial interventions for integration into formal care platforms response. In this article, we analyse four diverse settings disrupt emphasises system weaknesses, treatment gaps which can perpetuate harmful hierarchies colonial medical assumptions, or a ‘deficit model’. We draw experiential knowledge of community practitioners researchers working Ghana, India, Occupied Palestinian Territory South Africa describe key assets existing ‘informal’ systems how these are shaped by socio-political contexts. These qualitative case studies emerged from an online mutual learning process convened between 39 academic community-based collaborators 24 countries who interrogated tenets inform social paradigm global health. Bringing together expertise gained professional research, our sub-group explored role Community Mental Health Systems GMH through comparative country describing features beyond system. found that determinants economic structures all exert significant influence local systems. identified across sites included: family care, support non-profit organisations religious faith-based organisations. Strengthening may promote reciprocal relationships informal sectors, providing resources training communities while collaborate design delivery rooted localised expertise. This paper highlights value unique each context, within as

Language: Английский

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Improving outcomes for people who are homeless and have severe mental illness in Ethiopia, Ghana and Kenya: overview of the HOPE programme

Epidemiology and Psychiatric Sciences, Journal Year: 2025, Volume and Issue: 34

Published: Jan. 1, 2025

Abstract Aim HOPE (National Institute for Health and Care Research Global Group on Homelessness Mental in Africa) aims to develop evaluate interventions that address the unmet needs of people who are homeless have severe mental illness (SMI) living three African countries ways rights-based, contextually grounded, scalable sustainable. Methods We will work capital city (Addis Ababa) Ethiopia, a regional (Tamale) Ghana, (Nairobi) rural county (Makueni) Kenya understand different approaches intervention needed across varied settings. be guided by MRC/NIHR framework complex implementation frameworks emphasise co-production. Formative include synthesis global evidence (systematic review, including grey literature, Delphi consensus exercise) homelessness SMI. map contexts; conduct focused ethnography lived experiences SMI; carry out cross-sectional survey (n = 750 Ghana/Ethiopia; n 350 Kenya) estimate prevalence SMI identify prioritised needs; in-depth interviews focus group discussions with key stakeholders experiences, challenges opportunities intervention. This local feed into Theory Change (ToC) workshops establish agreement about valued primary outcomes, pathways impact inform selection interventions. Intervention packages co-produced, piloted optimised feasibility acceptability using participatory action research. use rights-based community-based care ensure sustainability. Realist employed analyse how contextual variation affects mechanisms outcomes methods subsequent evaluation larger scale implementation. Extensive capacity-strengthening activities equipping early career researchers peer researchers. People experience policymakers an integral part research team. Community engagement is supported working closely multisectoral Advisory Groups. Conclusions support respond preferences experiencing diverse settings Africa. creating new partnership researchers, policymakers, community members enable African-led solutions. Key outputs relevant practice policy guidance supports achievement inclusive development.

Language: Английский

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“Here, I am More than Just Symptoms Combined”: Mental Health Services from the Perspective of Community Rehabilitation Groups

Journal of Patient Experience, Journal Year: 2024, Volume and Issue: 11

Published: Jan. 1, 2024

In response to the rise in mental disorders, psychosocial and community approaches have been proposed, complementing traditional clinical services. The present research aimed understand perception of individuals attending community-based strategies regarding health services as part approach disorders Colombia. Two workshops were conducted with 30 (depression, anxiety bipolar disorder), who members strategies. A thematic analysis was conducted. theme resulting from shows Community within healthcare system, which consisted categories such Group Amplifying Actions for Health Groups Complementary Other Forms Care. It is emphasized that system should establish bridges actively engage their strengthening processes enhance outcomes pharmacological interventions even psychotherapeutic interventions. Bidirectional learning proposed between settings system. can make an important contribution complex

Language: Английский

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Integration of psychological interventions in multi-sectoral humanitarian programmes: a systematic review

BMC Health Services Research, Journal Year: 2024, Volume and Issue: 24(1)

Published: Dec. 2, 2024

Abstract Background Every year, millions of people are affected by humanitarian crises. With a growing population affected, the need for coordination and integration services aiming to improve effectiveness mental health psychosocial support also grows. In this study, we examine how psychological interventions in settings globally have been implemented through into programming outside formal healthcare delivery multisectoral integration. Methods A comprehensive search six databases reference checking was undertaken 2022. We included studies focusing on implementation strategies outcomes multi-sectoral, integrated interventions, with no year limits. extracted data using software Covidence, used manage screening reviewing processes. All were critically appraised quality rigor mixed-methods appraisal tool. Results Eight total. found that targeted conflict displaced disaster recovering populations. The demonstrated moderate success reducing distress enhancing preparedness. key investigated prioritised include acceptability, feasibility, relevance. reported processes involved task shifting primarily, an emphasis different formats adaptation, partnership creation capacity development maximise interventions. Conclusion Overall, there is little research being done rigorously document experiences integrating non-health This could be indication that, while may more common practice, or area formally. There urgent further multi-sectoral should aim understand social, cultural, environmental contexts ways, degrees, affect what acceptable feasible deliver these ultimately influence impact

Language: Английский

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Exploring Mental Health Awareness: A Study on Knowledge and Perceptions of Mental Health Disorders among Residents of Matsafeni Village, Mbombela, Mpumalanga Province

Healthcare, Journal Year: 2023, Volume and Issue: 12(1), P. 85 - 85

Published: Dec. 29, 2023

The global rise in mental health disorders has significant social, economic, and physical impacts. Despite advancements support, cultural beliefs attributing illnesses to spiritual causes persist, fostering discrimination stigmatization. study aims explore the understanding perceptions of Matsafeni Village, acknowledging complexity issues. A qualitative method a descriptive exploratory design were employed, enabling researcher describe, examine, knowledge regarding health. Data collection was conducted through unstructured, open-ended interviews, with 15 participants selected convenience sampling. data analyzed thematic analysis. Measures rigor ensured credibility, transferability, confirmability, dependability. Participants demonstrated disorders, recognizing disruptions thought patterns diverse symptoms. They highlighted key signs behaviors, emphasizing need for spotting indicators such as untidiness. Perceptions illness varied, including witchcraft genetics. unanimously advocated seeking help from traditional healers, medical facilities, therapies. Community members shared their views health, covering understanding, recognition signs, personal interactions, observations behaviors individuals conditions. Reported symptoms align existing research, managing safety concerns severe illnesses. highlights community education reduce stigma, considering factors perceptions. Recommendations include early interventions, enhanced services, collaboration between western approaches holistic culturally sensitive approach

Language: Английский

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COVID-19 experience of people with severe mental health conditions and families in South Africa

South African Journal of Psychiatry, Journal Year: 2024, Volume and Issue: 30

Published: April 9, 2024

People with severe mental health conditions, such as schizophrenia, and their family caregivers are underserved in low- middle-income countries where structured psychosocial support the community is often lacking. This can present challenges to recovery for coping additional strains, a pandemic.

Language: Английский

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Managing barriers to resource allocation for the rehabilitation services in Pakistan: a review article

Anaesthesia Pain & Intensive Care, Journal Year: 2024, Volume and Issue: 28(4), P. 776 - 782

Published: Aug. 11, 2024

The rehabilitation services including physical therapy, occupational speech and language therapy is an essential part of the healthcare system, which required to enhance patients' quality life. These need a streamlined support from funding sources that significantly impact efficacy. accessibility, affordability, are influenced by finance its utilization, involves revenue generation reimbursement processes budgetary supervision allocation resources. Effective resource made possible sound financial management, minimizes undue usage maximizes use existing resources in underfunded systems like Pakistan, where there greater for funds rehabilitation. Despite their value budget, frequently receive smaller portion budget. There focus on several sources, such as commercial insurance plans, public sector grants, out-of-pocket costs patients families, functions foreign aid charitable donations. ways can be increasing coverage services, investment encouraging increased cooperation between private parties. Ultimately, system rehabilitative improved future prevention disability evidence-based health policies maximize available high-quality healthcare. This review offers thorough analysis describes current state financing Pakistan. In addition, it also provides considerable evaluation barriers suggested solutions managing finances running viable system. Keywords: Budgets; Funds; Funding Resources; Finance; Healthcare System; Hospitals; Patients; Rehabilitation Citation: Waheed A, Shah S, Mahmood T. Managing Pakistan: article. Anaesth. pain intensive care 2024;28(4):776−782; DOI: 10.35975/apic.v28i4.2528 Received: July 08, 2024; Reviewed: 12, Accepted: 26, 2024

Language: Английский

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Developing peer-led recovery groups (PRIZE) for people with psychosis and their caregivers in a low resource South African setting

SSM - Mental Health, Journal Year: 2024, Volume and Issue: 6, P. 100370 - 100370

Published: Nov. 17, 2024

Language: Английский

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A community center to mobilize public policies and human rights in mental health: “the door is always open”

Journal of Public Mental Health, Journal Year: 2024, Volume and Issue: 23(3), P. 205 - 216

Published: July 27, 2024

Purpose This study aims to describe the perceptions of some participants from a community mental health center in Department Chocó, Colombia. Design/methodology/approach A case with qualitative approach was carried out 2023. Focus groups were conducted leaders and members center. The data analyzed using thematic analysis. Findings Two categories emerged: characterize Community Mental Health Center Chocó Reaffirm human rights. In first category, is described as place recovery that mobilizes social services works increase agency capacity. second rights assumed part services, not only eliminate coercive practices but also support autonomy. Research limitations/implications limitations this are analysis strategies perspective global politics, without delving into structure actions themselves, which necessarily based on recommendations. Practical implications Despite design development public policies their implementation still poses several challenges. by regions follow evidence-based participation routes officially recognized good and, therefore, independently supported be sustained. Originality/value manages implement deliver service despite being able financed current national regulations. indicates, apart need, capacity build solutions beyond

Language: Английский

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Leveraging the social networks of informal healthcare providers for universal health coverage: insights from the Indian Sundarbans

Health Policy and Planning, Journal Year: 2024, Volume and Issue: 39(Supplement_2), P. i105 - i120

Published: Nov. 1, 2024

India's healthcare landscape is characterized by a multitude of public and private providers, yet its health systems remain weak in many areas. Informal providers (IHPs) bridge this gap, particularly rural India, are deeply embedded within local communities. While their importance widely recognized, there knowledge gap regarding the specifics social networks with actors systems. The aim study was to map IHPs elucidate type nature relationships, order explore opportunities for intersectoral collaboration achieve universal coverage (UHC). We have adopted network analysis (SNA) approach using qualitative ego-network methodology evaluate types strengths ties Indian Sundarbans. A total 34 participated study. Qualitative data were analysed NVivo10 Kumu.io used visualize networks. Results show that had 1362 diverse actors, spanning government, sector community. majority strong, various motivating factors underpinning relationships. Most these active continued over decade. robust presence Sundarbans attributable numerous, strong often mutually beneficial ties. findings suggest need reconsider engagement formal Rather than isolation, nuanced required based on capitalizing other UHC impoverished underserved regions globally.

Language: Английский

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