Planning for district mental health services in South Africa: a situational analysis of a rural district site
Inge Petersen,Arvin Bhana,Arvin Bhana,Victoria Campbell-Hall,Sithembile Mjadu,Crick Lund,Sharon Kleintjies,Victoria Hosegood,Alan J. Flisher,Alan J. Flisher +9 more
TLDR
It is suggested that, in a similar vein to other low- to middle-income countries, deinstitutionalization and comprehensive integrated mental health care in South Africa is hampered by a lack of resources for mentally health care within the primary health care resource package, as well as the inefficient use of existing mental health resources.Abstract:
The shift in emphasis to universal primary health care in post-apartheid South Africa has been accompanied by a process of decentralization of mental health services to district level, as set out in the new Mental Health Care Act, no. 17, of 2002 and the 1997 White Paper on the Transformation of the Health System. This study sought to assess progress in South Africa with respect to deinstitutionalization and the integration of mental health into primary health care, with a view to understanding the resource implications of these processes at district level. A situational analysis in one district site, typical of rural areas in South Africa, was conducted, based on qualitative interviews with key stakeholders and the World Health Organization's Assessment Instrument for Mental Health Systems (WHO-AIMS). The findings suggest that the decentralization process remains largely limited to emergency management of psychiatric patients and ongoing psychopharmacological care of patients with stabilized chronic conditions. We suggest that, in a similar vein to other low- to middle-income countries, deinstitutionalization and comprehensive integrated mental health care in South Africa is hampered by a lack of resources for mental health care within the primary health care resource package, as well as the inefficient use of existing mental health resources.read more
Citations
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Journal ArticleDOI
Practitioners’ experience of the integration of mental health into primary health care in the West Rand District, South Africa
TL;DR: The identified challenges may contribute to inconsistent care and difficulties such as unidentified symptoms, defaulting treatment and the revolving-door phenomenon.
Journal ArticleDOI
Psychosocial rehabilitation and chronic mental illness: international trends and South African issues:
TL;DR: Research findings relating to psychosocial rehabilitation interventions and models are reviewed, and the implementation of psychossocial rehabilitation policies and practices in the South African healthcare context is considered.
Journal ArticleDOI
A Social Constructivist Perspective on the Potential Relevance of Selected DSM‐5 Disorders for South African Children and Youth
TL;DR: In South Africa, the DSM-5 category changes as mentioned in this paper demonstrate that these psychiatric labels are impracticable and irrelevant in a post-colonial developing country, where mental health care is delivered in the context of scarce services and unequal access.
Journal ArticleDOI
Mixed-methods evaluation of mental healthcare integration into tuberculosis and maternal-child healthcare services of four South African districts.
Kathryn L. Lovero,Samantha L. Lammie,André van Zyl,Sharon N. Paul,Phuti Ngwepe,Jennifer J. Mootz,Catherine Carlson,Annika C. Sweetland,Rachel C. Shelton,Milton L. Wainberg,Andrew Medina-Marino +10 more
TL;DR: Though some progress has been made toward integration of mental health services into primary care settings, there is a substantial lack of training and clarity of roles for nurses and MHPs and increased efforts must be directed toward improving district-level administrative coordination, mental health awareness, and financial and material resources.
Dissertation
Mental health care providers talk about suicide prevention among people with substance use disorders in South Africa
TL;DR: This study sought to investigate mental health care providers' experiences of preventing suicide in PWSUDs in South Africa (SA); their perceptions of the factors impacting on suicide prevention in this context; and their contextand population-specific suggestions for preventing suicides in P WSUDs.
References
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