Integrating Mental Health and HIV Services in Zimbabwean Communities: A Nurse and Community-led Approach to Reach the Most Vulnerable

Duffy, Malia; Sharer, Melissa; Cornman, Helen; Pearson, Jennifer; Pitorak, H; Fullem, Andrew

doi:10.1016/j.jana.2015.09.003

Cited by 36 publications

(55 citation statements)

References 18 publications

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“…Recent reviews have identified the need for integrating mental health services into HIV care in high-burden settings [29], especially for adolescents [7]. Integrated models, which might consist of multidisciplinary teams coordinating care in a "one-stop shop", or service providers managing two-way referrals between HIV and mental health care, have been found to be both feasible and acceptable in high-burden, low-resource settings [30,31].…”

Section: Invest In High-quality Research To Test the Effectiveness mentioning

confidence: 99%

Preventing mental health conditions in adolescents living with HIV: an urgent need for evidence

et al. 2020

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Introduction As adolescents transition from childhood to adulthood, they experience major physical, social and psychological changes, and are at heightened risk for developing mental health conditions and engaging in health‐related risk behaviours. For adolescents living with HIV (ALHIV), these risks may be even more pronounced. Research shows that this population may face additional mental health challenges related to the biological impact of the disease and its treatment, the psychosocial burdens of living with HIV and HIV‐related social and environmental stressors. Discussion Psychosocial interventions delivered to adolescents can promote positive mental health, prevent mental health problems and strengthen young people’s capacity to navigate challenges and protect themselves from risk. It is likely that these interventions can also benefit at‐risk populations, such as ALHIV, yet there is little research on this. There is an urgent need for more research evaluating the effects of interventions designed to improve the mental health of ALHIV. We highlight four priorities moving forward. These include: generating more evidence about preventive mental health interventions for ALHIV; including mental health outcomes in research on psychosocial interventions for ALHIV; conducting intervention research that is sensitive to differences among ALHIV populations and involving adolescents in intervention design and testing. Conclusions More robust research on promotive and preventive mental health interventions is needed for ALHIV. Programmes should be informed by adolescent priorities and preferences and responsive to the specific needs of these groups.

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Section: Invest In High-quality Research To Test the Effectiveness mentioning

confidence: 99%

Preventing mental health conditions in adolescents living with HIV: an urgent need for evidence

et al. 2020

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“…Among these factors, HIV is regarded as one of major factors contributing to an increase in mental disorders. According to Duffy et al [5], people living with HIV are more than twice as likely to experience a mental health disorder.…”

Section: Introductionmentioning

confidence: 99%

Mental Health Problems Experienced by HIV Positive Adolescents; A Case of Choma District, Zambia

Lyambai¹,

Mwape²

2018

OJPsych

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Several scholars have reported high mental health problems among adolescents with Human Immunodeficiency Virus (HIV) globally. However, little is known about the mental health of this peculiar group of young people in Choma district. This study aimed to determine the mental health problems experienced by HIV positive adolescents in Choma District. Using the Strengths and Difficulties Questionnaire (SDQ), data were obtained from 103 HIV positive adolescents receiving treatment at Choma General Hospital plus a corresponding number of parents/care givers. Information about mental health services was obtained qualitatively from 10 nurses working in the mental health unit and the Antiretroviral (ART) clinic. The results showed that more than three quarters of the adolescents had mental health problems. Of this number, 57.3 percent had multiple mental health problems: predominantly emotional and peer problems. The study also found a statistically significant relationship between level of stigma and presence of mental health problems (X 2 = 1.123, P = 0.003). In conclusion, the study demonstrated that multiple mental health problems particularly emotional and peer problems are prevalent among adolescents with HIV/AIDS yet are most often undiagnosed. In addition, adolescents with high levels of internalized stigma are more likely to have multiple mental health problems. The findings suggest the need to integrate psychiatric services into routine care of HIV infected adolescents, routine screening for mental health problems and provision of continued professional development among nurses managing these patients.

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“…Although all these factors are in conformity with what other studies have found, contextualization is very important in order to address them. Poor or low accessibility of care for patients with mental health problems may have been cited by various researchers, [7,[36][37][38][39][40][41][42][43] however, the contexts within which these constraints occur are unique to communities and should not be looked at in isolation. In this study, low financial resources, difficult geographical terrain, and family indifferences towards mental illness compounded and contextualized the challenge of low accessibility of mental healthcare services in rural Mbarara district.…”

Section: Discussionmentioning

confidence: 99%

Health system constraints in integrating mental health services into primary healthcare in rural Uganda: perspectives of primary care providers

Wakida

Okello

Rukundo

et al. 2019

Int J Ment Health Syst

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Background: The World Health Organization issued recommendations to guide the process of integrating mental health services into primary healthcare. However, there has been general as well as context specific shortcomings in the implementation of these recommendations. In Uganda, mental health services are intended to be decentralized and integrated into general healthcare, but, the services are still underutilized especially in rural areas. Purpose: The purpose of this study was to explore the health systems constraints to the integration of mental health services into PHC in Uganda from the perspective of primary health care providers (PHCPs). Methods: This was a cross sectional qualitative study guided by the Supporting the Use of Research Evidence (SURE) framework. We used a semi-structured interview guide to gain insight into the health systems constraints faced by PHCPs in integrating mental health services into PHC. Results: Key health systems constraints to integrating mental health services into PHC identified included inadequate practical experience during training, patient flow processes, facilities, human resources, gender related factors and challenges with accessibility of care. Conclusion: There is need to strengthen the training of healthcare providers as well as improving the health care system that supports health workers. This would include periodic mental healthcare in-service training for PHCPs; the provision of adequate processes for outreach, and receiving, referring and transferring patients with mental health problems; empowering PHCPs at all levels to manage and treat mental health problems and adequately provide the necessary medical supplies; and increase the distribution of health workers across the health facilities to address the issue of high workload and compromised quality of care provided.

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Integrating Mental Health and HIV Services in Zimbabwean Communities: A Nurse and Community-led Approach to Reach the Most Vulnerable

Cited by 36 publications

References 18 publications

Preventing mental health conditions in adolescents living with HIV: an urgent need for evidence

Preventing mental health conditions in adolescents living with HIV: an urgent need for evidence

Mental Health Problems Experienced by HIV Positive Adolescents; A Case of Choma District, Zambia

Health system constraints in integrating mental health services into primary healthcare in rural Uganda: perspectives of primary care providers

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