Journal ArticleDOI
Public sector mental health systems in South Africa: inter-provincial comparisons and policy implications
TLDR
There remains widespread inequality between provinces in the resources available formental health care; a striking absence of reliable, routinely collected data that can be used to plan services and redress current inequalities; the continued dominance of mental hospitals as a mode of service provision; and evidence of substantial unmet need for mental health care.Abstract:
Background
There is growing recognition that mental health is an important public health issue in South Africa. Yet mental health services remain chronically under-resourced. The aim of this study was to document levels of current public sector mental health service provision in South Africa and compare services across provinces, in relation to current national policy and legislation.read more
Citations
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Journal ArticleDOI
An overview of Uganda's mental health care system: results from an assessment using the world health organization's assessment instrument for mental health systems (WHO-AIMS).
TL;DR: A profile of the current mental health policy, legislation and services in Uganda was provided to provide an urgent need for more research on the current burden of mental disorders and the functioning of mental health programs and services.
Journal ArticleDOI
Mental health service delivery in South Africa from 2000 to 2010: One step forward, one step back
Inge Petersen,Crick Lund +1 more
TL;DR: There has been some progress in the decentralisation of mental health service provision, but substantial gaps in service delivery remain and intervention research is needed to provide evidence of the organisational and human resource mix requirements and cost-effectiveness of a culturally appropriate, task shifting and stepped care approach for severe and common mental disorders at primary healthcare level.
Journal ArticleDOI
A task shifting approach to primary mental health care for adults in South Africa: human resource requirements and costs for rural settings
TL;DR: The adoption of the concept of task shifting can substantially reduce the expected number of health care providers otherwise needed to close mental health service gaps at primary health care level in South Africa at minimal cost and may serve as a model for other middle-income countries.
Journal ArticleDOI
Stepped Care for Maternal Mental Health: A Case Study of the Perinatal Mental Health Project in South Africa
TL;DR: A case study of the Perinatal Mental Health Project is provided, which delivered mental health care to pregnant women in a collaborative, step-wise manner, making use of existing resources in primary care.
Journal ArticleDOI
Optimizing mental health services in low-income and middle-income countries.
TL;DR: Opting mental health services in LMICs requires legislation, policies and plans that are enabling of the above strategies and actions, and best practices for strengthening mental health literacy and collaborative arrangements with community caregivers and other sectors can assist this process.
References
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BookDOI
Global burden of disease and risk factors
TL;DR: Global Burden of Disease and Risk Factors examines the comparative importance of diseases, injuries, and risk factors; it incorporates a range of new data sources to develop consistent estimates of incidence, prevalence, severity and duration, and mortality for 136 major diseases and injuries.
Journal ArticleDOI
Resources for mental health: scarcity, inequity, and inefficiency
TL;DR: Scarcity of available resources, inequities in their distribution, and inefficiencies in their use pose the three main obstacles to better mental health, especially in low-income and middle-income countries.
Journal ArticleDOI
Poverty and common mental disorders in developing countries
Vikram Patel,Arthur Kleinman +1 more
TL;DR: A review of English-language journals published since 1990 and three global mental health reports identified 11 community studies on the association between poverty and common mental disorders in six low- and middle-income countries that showed an association between indicators of poverty and the risk of mental disorders.
Journal ArticleDOI
Treatment and prevention of mental disorders in low-income and middle-income countries
Vikram Patel,Ricardo Araya,Sudipto Chatterjee,Dan Chisholm,Alex S. Cohen,Mary De Silva,Clemens M. H. Hosman,Hugh McGuire,Graciela Rojas,Mark van Ommeren +9 more
TL;DR: It is recommended that policymakers should act on the available evidence to scale up effective and cost-effective treatments and preventive interventions for mental disorders and community-based rehabilitation models provide a low-cost, integrative framework for care of children and adults with chronic mental disabilities.
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