Over three days, the participants considered the roles of psychiatrists in developing countries, the size and scope of psychiatric institutions, problems of stigma and outdated legislation, alternative forms of care, the use of auxiliary health workers and postgraduate training. They attended the opening of an exhibition of paintings of mental patients organised by the Uganda National Association for Mental Health (NAMH) and took advantage of the opportunity to socialise and exchange ideas-an opportunity that was highly welcome for those psychiatrists who worked single-handedly in their own countries. 1 The discussions made it clear that there was no one vision for the future of mental health care in Africa. While some participants argued that existing mental hospitals, inherited from colonial rule, needed to form the basis of a 'modern' mental health care system on the grounds of economic and administrative efficiency, others were more cautious, highlighting cases of 'social catastrophe' or stigmatisation following admission. A few went so far as to demand the closure of mental hospitals altogether, CHAPTER 1 Introduction