District mental healthcare plans for five low- and middle-income countries: commonalities, variations and evidence gaps

被引：32

作者：

Hanlon, Charlotte ^{[1
,2
]}

Fekadu, Abebaw ^{[1
]}

Jordans, Mark ^{[2
,3
]}

Kigozi, Fred ^{[4
]}

Petersen, Inge ^{[5
]}

Shidhaye, Rahul ^{[6
,7
]}

Honikman, Simone ^{[8
]}

Lund, Crick ^{[9
,10
]}

Prince, Martin ^{[2
]}

Raja, Shoba ^{[11
]}

Thornicroft, Graham ^{[12
]}

Tomlinson, Mark ^{[13
,14
]}

Patel, Vikram ^{[15
,16
]}

机构：

[1] Univ Addis Ababa, Dept Psychiat, Sch Med, Coll Hlth Sci, Addis Ababa, Ethiopia

[2] Kings Coll London, Inst Psychiat Psychol & Neurosci, Hlth Serv & Populat Res Dept, Ctr Global Mental Hlth, London WC2R 2LS, England

[3] HealthNet TPO, Dept Res & Dev, Amsterdam, Netherlands

[4] Makerere Univ, Butabika Natl Referral & Teaching Mental Hosp, Kampala, Uganda

[5] Univ KwaZulu Natal, Howard Coll, Sch Appl Human Sci, Durban, South Africa

[6] Publ Hlth Fdn India, New Delhi, India

[7] Maastricht Univ, CAPHRI Sch Publ Hlth & Primary Care, NL-6200 MD Maastricht, Netherlands

[8] Univ Cape Town, Dept Psychiat & Mental Hlth, Alan J Flisher Ctr Publ Mental Hlth, Perinatal Mental Hlth Project, ZA-7925 Cape Town, South Africa

[9] Univ Cape Town, Dept Psychiat & Mental Hlth, Alan J Flisher Ctr Publ Mental Hlth, ZA-7925 Cape Town, South Africa

[10] Kings Coll London, Inst Psychiat Psychol & Neurosci, Ctr Global Mental Hlth, London WC2R 2LS, England

[11] BasicNeeds, Bangalore, Karnataka, India

[12] Kings Coll London, Inst Psychiat Psychol & Neurosci, Hlth Serv & Populat Res Dept, London WC2R 2LS, England

[13] Univ Stellenbosch, Dept Psychol, Ctr Publ Mental Hlth, Cape Town, South Africa

[14] Univ Cape Town, Dept Psychiat & Mental Hlth, ZA-7925 Cape Town, South Africa

[15] Publ Hlth Fdn India, Bhopal, Madhya Pradesh, India

[16] London Sch Hyg & Trop Med, Ctr Global Mental Hlth, London WC1, England

来源：

BRITISH JOURNAL OF PSYCHIATRY | 2016年 / 208卷

关键词：

INTERVENTIONS; CHALLENGES;

D O I：

10.1192/bjp.bp.114.153767

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background Little is known about the service and system interventions required for successful integration of mental healthcare into primary care across diverse low- and middle-income countries (LMIC). Aims To examine the commonalities, variations and evidence gaps in district-level mental healthcare plans (MHCPs) developed in Ethiopia, India, Nepal, Uganda and South Africa for the PRogramme for Improving Mental health carE (PRIME). Method A comparative analysis of MHCP components and human resource requirements. Results A core set of MHCP goals was seen across all countries. The MHCPs components to achieve those goals varied, with most similarity in countries within the same resource bracket (low income v. middle income). Human resources for advanced psychosocial interventions were only available in the existing health service in the best-resourced PRIME country. Conclusions Application of a standardised methodological approach to MHCP across five LMIC allowed identification of core and site-specific interventions needed for implementation.

引用

页码：S47 / S54

页数：8

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