Emergencies and disasters as opportunities to improve mental health systems

Kohan, Irina; Pérez–Sales, Pau; Cisneros, María Huamaní; Chirinos, Rolando; Pérez-Langa, Rubén; Holguin, Miryam Rivera; Cid, Blanca; Silva, Arturo

doi:10.1097/wtf.0b013e32834dfcae

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…Eighth, partnerships with domestic actors were numerous but often restricted only to external actors in the public and third sectors. For instance, Doctors of the World collaborated with the local government to provide and ‘build back better’ mental health services after the 2007 earthquake in Peru,67 and the Organisation of American States with the University of São Paulo to build research capacity on drugs in Latin America 68. This reflects historical tensions in the field between biomedical and social explanations of and responses to mental disorders 69.…”

Section: Discussionmentioning

confidence: 99%

Sustainable development for global mental health: a typology and systematic evidence mapping of external actors in low-income and middle-income countries

Iemmi

2019

BMJ Glob Health

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IntroductionMental disorders account for a substantial burden of disease and costs in low-income and middle-income countries (LMICs), but attract few resources. With LMIC governments often under economic pressure, an understanding of the external funding landscape is urgently needed. This study develops a new typology of external actors in global health adapted for the sustainable development goals (SDGs) era and uses it to systematically map available evidence on external actors in global mental health.MethodsThe new typology was developed in line with conceptualisation in the literature and the SDGs to include 11 types of external actors for health in LMICs. Five databases (EconLit, Embase, Global Health, MEDLINE, PsycINFO) were searched for manuscripts published in peer-reviewed journals in English, French, Italian, Portuguese or Spanish between 1 January 2000 and 31 July 2018 and reporting information on external actors for mental disorders in LMICs. Records were screened by abstract, then full-text against inclusion criteria. Data were extracted and synthesised using narrative analysis.Results79 studies were included in the final review. Five were quantitative studies analysing the resource flow of development assistance for mental health globally over the last two decades. The remainder were qualitative studies providing a description of external actors: the majority of them were published in the last decade, focused on Africa, and on public sector (bilateral and multilateral governmental organisations) and third sector organisations (non-governmental organisations). Evidence was particularly scarce for for-profit organisations and individual households.ConclusionThis study reveals opportunities for unlocking additional funding for global mental health in the SDG-era from an ecosystem of external actors, and highlights the need to coordinate efforts and to use sustainable, ethical approaches to disbursements. Further research is needed to understand all external actors and the allocation of their contributions in different settings.

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Section: Discussionmentioning

confidence: 99%

Sustainable development for global mental health: a typology and systematic evidence mapping of external actors in low-income and middle-income countries

Iemmi

2019

BMJ Glob Health

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“…This is especially the case for fragile states with a weak care infrastructure. 25 Several authors have described the challenges and opportunities related to the integration of mental health into primary healthcare in post-conflict settings, 6 , 26 , 27 yet content descriptions of the care packages or implementation data are scarce. The results of the pilot testing of the MHCP developed in Nepal provide preliminary support for its applicability and adequacy.…”

Section: Discussionmentioning

confidence: 99%

Development and pilot testing of a mental healthcare plan in Nepal

Jordans¹,

et al. 2016

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BackgroundMental health service delivery models that are grounded in the local context are needed to address the substantial treatment gap in low- and middle-income countries.AimsTo present the development, and content, of a mental healthcare plan (MHCP) in Nepal and assess initial feasibility.MethodA mixed methods formative study was conducted. Routine monitoring and evaluation data, including client flow and reports of satisfaction, were obtained from patients (n = 135) during the pilot-testing phase in two health facilities.ResultsThe resulting MHCP consists of 12 packages, divided over community, health facility and organisation platforms. Service implementation data support the real-life applicability of the MHCP, with reasonable treatment uptake. Key barriers were identified and addressed, namely dissatisfaction with privacy, perceived burden among health workers and high drop-out rates.ConclusionsThe MHCP follows a collaborative care model encompassing community and primary healthcare interventions.

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“…According to Rodríguez (2009), the community approach has been shown to be the more appropriate than the other approaches because it integrates the participation of a wide-range of stakeholders in disasters. Community psychology offers a collaborative model for working with a disaster-affected population (Kohan et al, 2011;Ventevogel, Pérez-Sales, Fernández, & Baingana, 2011;WHO, 2013).…”

Section: Psychological Intervention Models In Postdisaster Contextsmentioning

confidence: 99%