Intersectoral and multisectoral approaches to enable recovery for people with severe mental illness in low- and middle-income countries: A scoping review

Rensburg, André Janse van; Brooke-Sumner, Carrie

doi:10.1017/gmh.2023.10

Cited by 7 publications

(5 citation statements)

References 87 publications

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“…Caregivers need support for their own mental health concerns and for their role as primary sources of support. Intersectoral collaboration between health, social development and nongovernmental sectors 3 , 56 , 57 is needed to support implementation of these interventions and ensure adequate provision of community mental health services.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 experience of people with severe mental health conditions and families in South Africa

Brooke-Sumner,

Rapiya,

Myers

et al. 2024

South African Journal of Psychiatry

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Background: People with severe mental health conditions, such as schizophrenia, and their family caregivers are underserved in low- and middle-income countries where structured psychosocial support in the community is often lacking. This can present challenges to recovery and for coping with additional strains, such as a pandemic.Aim: This study explored the experiences and coping strategies of people with lived experience of a severe mental health condition, and family caregivers, in South Africa during the initial stages of the coronavirus disease 2019 (COVID-19) pandemic.Setting: This qualitative study was conducted in the Nelson Mandela Bay District, Eastern Cape, South Africa, in the most restrictive period of the COVID-19 lockdown.Methods: Telephonic qualitative interviews were conducted with people with lived experience (n = 14) and caregivers (n = 15). Audio recordings were transcribed and translated to English from isiXhosa. Thematic analysis was conducted with NVivo 12.Results: Participants described negative impacts including increased material hardship, intensified social isolation and heightened anxiety, particularly among caregivers who had multiple caregiving responsibilities. Coping strategies included finding ways to not only get support from others but also give support, engaging in productive activities and taking care of physical health. The main limitation was inclusion only of people with access to a telephone.Conclusion: Support needs for people with severe mental health conditions and their families should include opportunities for social interaction and sharing coping strategies as well as bolstering financial security.Contribution: These findings indicate that current support for this vulnerable group is inadequate, and resource allocation for implementation of additional community-based, recovery-focused services for families must be prioritised.

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Section: Discussionmentioning

confidence: 99%

COVID-19 experience of people with severe mental health conditions and families in South Africa

Brooke-Sumner,

Rapiya,

Myers

et al. 2024

South African Journal of Psychiatry

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“…However, the complexity of the needs of people with mental health disorders requires a range of health care services offered by actors from a variety of disciplines and sectors in integrated services and coordinated systems of care to support their recovery, promote their well-being and optimize their social (re)integration. As van Rensburg and Brooke-Sumner [43] point out, given the complex care needs of people with mental health problems, no single professional category can claim to promote the full recovery of these patients. To enable recovery, a comprehensive (or biopsychosocial) multidisciplinary, inter-and multisectoral approach is more than recommended.…”

Section: Discussionmentioning

confidence: 99%

Understanding the mix of services for mental health care in urban DR Congo: A qualitative descriptive study

Mayoyo

Criel

Sow

et al. 2023

Preprint

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Background: Mental health workers (MHWs) may be exposed to conflicts of competencies in performing tasks related to mental health care provision. This may be linked to a lack of understanding of their tasks as caregivers and providers. Furthermore, in most low-income settings, it is unclear how the available services are organized and coordinated to provide mental health care. To understand the above, this study aimed to identify the current mix of services for mental health care in urban Democratic Republic of the Congo (DRC). Methods: A qualitative descriptive study was carried out in the city of Lubumbashi from February to April 2021. We conducted 7 focus group discussions (FGDs) with 74 key informants (family members, primary care physicians, etc.) and 13 in-depth interviews (IDIs) with key informants (traditional healers, psychiatrists, etc.). We performed a qualitative content analysis, guided by an analytical framework, that led to the development of a comprehensive inventory of MHWs from the household level to specialized facilities, exploring their tasks in care delivery, identifying existing services, and defining their current organization. Results: Analysis of transcripts from the FGDs and IDIs showed that traditional healers and family caregivers are the main providers in Lubumbashi. The exploration of the tasks performed by MHWs revealed that lifestyle, traditional therapies, psychotherapy and medication are the main types of care offered/advised to patients. Active informal caregivers do not currently provide care corresponding to their competencies. The rare mental health specialists available do not presently recognize the tasks of primary care providers and informal caregivers in care delivery, and their contribution is considered marginal. We identified five types of services: informal services, traditional therapy services, social services, primary care services, and psychiatric facilities. Analyses pointed out an inversion of the ideal mix of these services. Conclusions: Our findings show a suboptimal mix of services for mental health and point to a clear lack of collaboration between MHWs. There is an urgent need to clearly define the tasks of MHWs, build the capacity of nonspecialists, shift mental health-related tasks to them and raise awareness about collaborative care approaches.

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“…Integrating traditional healing practices within mental health programs has been recognized as valuable in bridging the gap between biomedical and traditional perspectives [ 40 ]. Inter-sectoral collaboration is crucial to delivering psychosocial rehabilitation for individuals diagnosed with severe mental illnesses that result in substantial functional impairment [ 41 ]. Promote collaboration between the healthcare sector and other relevant sectors, such as social services and community organizations, to provide comprehensive psychosocial rehabilitation for individuals with severe mental illnesses.…”

Section: Discussionmentioning

confidence: 99%

Exploring Mental Health Awareness: A Study on Knowledge and Perceptions of Mental Health Disorders among Residents of Matsafeni Village, Mbombela, Mpumalanga Province

Mboweni,

Mphasha,

Skaal

2023

Healthcare

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The global rise in mental health disorders has significant social, economic, and physical impacts. Despite advancements in support, cultural beliefs attributing mental illnesses to spiritual causes persist, fostering discrimination and stigmatization. The study aims to explore the understanding and perceptions of mental health in Matsafeni Village, acknowledging the complexity of mental health issues. A qualitative method and a descriptive exploratory design were employed, enabling the researcher to describe, examine, and explore the knowledge and perceptions regarding mental health. Data collection was conducted through unstructured, open-ended interviews, with 15 participants selected through convenience sampling. The data were analyzed through thematic analysis. Measures of rigor were ensured through credibility, transferability, confirmability, and dependability. Participants demonstrated knowledge of mental health disorders, recognizing disruptions in thought patterns and diverse symptoms. They highlighted key signs and behaviors, emphasizing the need for spotting indicators such as untidiness. Perceptions of the causes of mental illness varied, including witchcraft and genetics. Participants unanimously advocated for seeking help from traditional healers, medical facilities, and therapies. Community members shared their views of mental health, covering their understanding, recognition of signs, personal interactions, and observations of behaviors in individuals with mental health conditions. Reported symptoms align with existing research, emphasizing the complexity of managing safety concerns in severe mental illnesses. The study highlights the need for community education to reduce stigma, considering cultural factors in mental health perceptions. Recommendations include early interventions, enhanced mental health services, and collaboration between western and traditional approaches for a holistic and culturally sensitive approach to mental health.

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Intersectoral and multisectoral approaches to enable recovery for people with severe mental illness in low- and middle-income countries: A scoping review

Cited by 7 publications

References 87 publications

COVID-19 experience of people with severe mental health conditions and families in South Africa

COVID-19 experience of people with severe mental health conditions and families in South Africa

Understanding the mix of services for mental health care in urban DR Congo: A qualitative descriptive study

Exploring Mental Health Awareness: A Study on Knowledge and Perceptions of Mental Health Disorders among Residents of Matsafeni Village, Mbombela, Mpumalanga Province

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