Making Mental Health a Priority in Belize

Killion, Cheryl; Cayetano, Claudina

doi:10.1016/j.apnu.2008.05.005

Cited by 13 publications

(4 citation statements)

References 12 publications

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“…Belize is a lower‐middle income country, located in Central America with a population of 270,000 inhabitants 20,22. The health system is comprised of 37 primary health centres, 3 polyclinics, 2 outpatient mental health services, 4 psychi‐atric beds in a general hospital ward, and 8 general public hospitals 20.…”

Section: Mental Health Policies and Key Experiencesmentioning

confidence: 99%

Lessons learned in developing community mental health care in Latin American and Caribbean countries

et al. 2012

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Section: Mental Health Policies and Key Experiencesmentioning

confidence: 99%

Lessons learned in developing community mental health care in Latin American and Caribbean countries

et al. 2012

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“…For instance, children with mental health difficulties often suffer abuse, are excluded from education, and experience harsh physical punishment such as physical restraint or being locked in the house (Ehiemua, ). However, there is also encouraging evidence that, through psychoeducational interventions, stigmatising beliefs can change (Killion & Cayetano, ). The contribution of these findings to the existing literature is that these views were shared by four stakeholders groups, representing both users and providers and, crucially, that these stakeholders integrated these challenges in the development of future culturally appropriate interventions.…”

Section: Discussionmentioning

confidence: 99%

Exploring the challenges of meeting child mental health needs through community engagement in Kenya

Getanda

Vostanis

O’Reilly

2017

Child Adoles Ment Health

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Background: Despite growing evidence on the extent of child mental health problems in low-middle-income countries, the gap between need and provision remains high. Previous research in high income countries has demonstrated that evidence-based interventions can be scaled-up through community consultation, particularly by engaging key stakeholders. Aims: This study aimed to explore community stakeholders' views on children's mental health needs and culturally acceptable interventions in Kenya, to ascertain how to integrate global service standards with culturally-specific expectations. Methods: Focus groups were conducted with community stakeholders (seven young people 14-17 years, seven parents, nine teachers and 11 other professionals). These participants were recruited from an urban community of internally displaced and disadvantaged families in Nakuru. Results: Results indicated that Kenya faced similar challenges in meeting mental health needs as in other countries, including economic constraints, limited knowledge, stigma and systemic issues, but that these were manifested in culturally specific ways that were linked to societal and professional's attitudes and local context. Conclusions: Stakeholders' views are important in informing the planning, delivery and evaluation of interventions. However, for such interventions to be sustained, a clear therapeutic framework, evidence-base and sociocultural adaptation are likely to be important factors. Key Practitioner Message• Stakeholders' views are important in informing the planning, delivery and evaluation of interventions. • Interventions and services can be scaled up through community consultation, particularly by engaging key community stakeholders.• Evidence-based interventions should reflect the local context, maximise available resources and be culturally acceptable.

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“…In their opinion, incorporating clinical mental health specialists in the General Hospitals in Scotland improved treatment thanks to the skills and knowledge of the mental health nurses working in collaboration with the multidisciplinary staff. In Belize, too, the role of the clinical specialist in the hospital and the community has been expanded and has contributed to the accessibility of mental health services in the community and to the promotion of health (Killion & Gayetano, 2009). Indeed, in most countries where psychiatric nurse specialists operate, they are authorized to prescribe medication, perform tests, and write protocols.…”

Section: Nurses' Role In Psychiatrymentioning

confidence: 96%

Postgraduate Education in Psychiatric Nursing in Israel: Closing the Gap

Haron

Gun-Usishkin

Shor

et al. 2014

Issues in Mental Health Nursing

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Deinstitutionalization policies are being gradually implemented in Israel. Most recently, an insurance reform has been approved, in which mental health services will be included in the HMO's service package. As most Israeli mental health nurses are currently employed in institutional settings, the Ministry of Health's Nursing Division seeks to estimate their scope of employment in preparation for the anticipated changes. The aim of this study is to describe present-day professional practice characteristics of qualified psychiatric nurses and identify practice areas for which advanced training may be required. The research design is cross-sectional on a national level, including all state psychiatric hospitalization services. A countrywide sample of nurses with post-basic training in state psychiatric hospitals identified areas of practice in which further training may be required: psychotherapy intervention (60% of respondents); consultation for the elderly (60%); care prescriptions (64%); community drug treatment management (69%); and referral to professionals and community resources (56%). Nurses reported gaps in continued care and community rehabilitation activities. These findings have training implications in an era of increased focus on chronic mental illness in the community.

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Making Mental Health a Priority in Belize

Cited by 13 publications

References 12 publications

Lessons learned in developing community mental health care in Latin American and Caribbean countries

Lessons learned in developing community mental health care in Latin American and Caribbean countries

Exploring the challenges of meeting child mental health needs through community engagement in Kenya

Postgraduate Education in Psychiatric Nursing in Israel: Closing the Gap

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