Title |
Integrating mental health into chronic care in South Africa: The development of a district mental healthcare plan
|
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Published in |
British Journal of Psychiatry, January 2018
|
DOI | 10.1192/bjp.bp.114.153726 |
Pubmed ID | |
Authors |
Inge Petersen, Lara Fairall, Arvin Bhana, Tasneem Kathree, One Selohilwe, Carrie Brooke-Sumner, Gill Faris, Erica Breuer, Nomvula Sibanyoni, Crick Lund, Vikram Patel |
Abstract |
BackgroundIn South Africa, the escalating prevalence of chronic illness and its high comorbidity with mental disorders bring to the fore the need for integrating mental health into chronic care at district level.AimsTo develop a district mental healthcare plan (MHCP) in South Africa that integrates mental healthcare for depression, alcohol use disorders and schizophrenia into chronic care.MethodMixed methods using a situation analysis, qualitative key informant interviews, theory of change workshops and piloting of the plan in one health facility informed the development of the MHCP.ResultsCollaborative care packages for the three conditions were developed to enable integration at the organisational, facility and community levels, supported by a human resource mix and implementation tools. Potential barriers to the feasibility of implementation at scale were identified.ConclusionsThe plan leverages resources and systems availed by the emerging chronic care service delivery platform for the integration of mental health. This strengthens the potential for future scale up. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
South Africa | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 313 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 61 | 19% |
Researcher | 35 | 11% |
Student > Ph. D. Student | 29 | 9% |
Student > Bachelor | 27 | 9% |
Student > Postgraduate | 23 | 7% |
Other | 47 | 15% |
Unknown | 91 | 29% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 54 | 17% |
Nursing and Health Professions | 42 | 13% |
Psychology | 42 | 13% |
Social Sciences | 39 | 12% |
Computer Science | 7 | 2% |
Other | 33 | 11% |
Unknown | 96 | 31% |