The predictors of treatment pathways to mental health services among consumers in Ghana

Nartey, Anna Korley; Badu, Eric; Agyei‐Baffour, Peter; Gyamfi, Naomi; Opoku, Maxwell Peprah; O’Brien, Anthony; Mitchell, Rebecca

doi:10.1111/ppc.12350

Cited by 12 publications

(15 citation statements)

References 41 publications

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“…This notwithstanding, mental health services are faced with several challenges, which include limited funding sources, high unmet service needs, poor management of mental health cadres, low priority, irregular supply of drugs, limited services for marginalized groups, and poor state of psychiatric facilities [45]. Also, consumers of mental health services face individual-level barriers, such as negative attitudes, limited knowledge on services, high treatment cost as well as transportation and distance to mental health facility [45,48,56].…”

Section: Study Settingmentioning

confidence: 99%

“…In Ghana, there are several weaknesses in the mental health systems, due to the competing development priority. Consequently, mental health services have historically received limited attention from the government, particularly in areas such as funding, policies, infrastructure support and human resources development [45][46][47][48]. Mental health systems, occasionally, receive support from external sources, which is relatively not sustainable and inadequate to meet the increasing needs of services.…”

Section: Challenges In Achieving Personal Recovery For Consumersmentioning

confidence: 99%

“…For example, in Ghana, no empirical study has been conducted to explore the consumers' and MHPs' expectation towards recovery, particularly in a community-based residential setting. Empirical studies on mental health services in Ghana are largely limited to governance and policy, systems strengthening [45][46][47], treatment pathways [48][49][50] and burden of family caregiving [51][52][53]. Therefore, this paper aims to contribute to this gap by answering the following questions 1) what are MHPs' and consumers' perspectives concerning the recovery services, and 2) what are the expectation of consumers and MHPs towards the recovery journey.…”

Section: Introductionmentioning

confidence: 99%

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Recovery services and expectation of consumers and mental health professionals in community-based residential facilities of Ghana

et al. 2020

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Background: In the past decades, considerable global attention has been drawn to recovery services that seek to promote the personal recovery journey of consumers with mental illness. However, in most settings, including Ghana, limited empirical studies have attempted to explore, from the perspectives of Mental Health Professionals (MHPs) and consumers, the effectiveness of recovery services and expectation towards the recovery. This study, therefore, explored consumers' and MHPs perspectives concerning recovery services and expectations towards recovery in two community-based residential facilities in Ghana. Methods: A qualitative method, involving in-depth interviews and observations, were used to collect data from 24 participants (5 MHPs and 19 consumers). Thematic analysis was used to analyze the data. Results: The study identified three global themes and nine organizing themes. The global themes were recovery services offered to consumers, expectation regarding personal recovery and challenges in achieving recovery. The study found that recovery services were expected to improve the internal and external recovery processes of consumers. The internal recovery process was independent living whilst the external recovery process were management of illness, economic empowerment and social inclusion. Several systemic and consumer-related factors influenced consumers' and MHPs expectation concerning the recovery journey. Conclusion: The study concludes that the government should prioritize the use of recovery services through policies, financial incentives, infrastructure support, and adequate training of MHPs.

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Section: Study Settingmentioning

confidence: 99%

Section: Challenges In Achieving Personal Recovery For Consumersmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Recovery services and expectation of consumers and mental health professionals in community-based residential facilities of Ghana

et al. 2020

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“…In addition, the PRogramme for Improving Mental health carE (PRIME) project, which looks at the feasibility of task-sharing mental health care in LMICs to further improve the care of these patients [36], as well as partnership networks in low resource settings via nonprofit organizations to improve the care of patients with mental illness [64]. However, there is still room for considerable improvement among LMICs [24,41,63,65].…”

Section: Generalmentioning

confidence: 99%

Pharmacotherapeutic interventions for bipolar disorder type II: addressing multiple symptoms and approaches with a particular emphasis on strategies in lower and middle-income countries

Godman

Grobler

Van-De-Lisle

et al. 2019

Expert Opinion on Pharmacotherapy

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Introduction: Appropriately managing mental disorders is a growing priority across countries in view of the impact on morbidity and mortality. This includes patients with bipolar disorders (BD). Management of BD is a concern as this is a complex disease with often misdiagnosis, which is a major issue in lower and middleincome countries (LMICs) with typically a limited number of trained personnel and resources. This needs to be addressed. Areas covered: Medicines are the cornerstone of managing patients with Bipolar II across countries including LMICs. The choice of medicines, especially antipsychotics, is important in LMICs with high rates of diabetes and HIV. However, care is currently compromised in LMICs by issues such as the stigma, cultural beliefs, a limited number of trained professionals and high patient co-payments. Expert opinion: Encouragingly, some LMICs have introduced guidelines for patients with BD; however, this is very variable. Strategies for the future include addressing the lack of national guidelines for patients with BD, improving resources for mental disorders including personnel, improving medicine availability and patients' rights, and monitoring prescribing against agreed guidelines. A number of strategies have been identified to improve the treatment of patients with Bipolar II in LMICs, and will be followed up.

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“…To date, mental health research in Ghana has focused on issues such as health system weakness, enablers and barriers to accessing services [13,14], the burden of family caregiving [15][16][17] and treatment pathways [18,19]. Despite this increasing evidence, none of these studies have attempted to measure the quality of mental health services from a consumer perspective.…”

Section: Introductionmentioning

confidence: 99%

Mediation and moderation effects of health system structure and process on the quality of mental health services in Ghana – structural equation modelling.

Badu¹,

O’Brien²,

Mitchell³

et al. 2020

PLoS ONE

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Introduction Incorporating consumers' perspectives into the quality of mental health service measurement is a growing priority among mental health professionals' and policymakers. Despite this, there is limited empirical evidence related to consumer perspectives of quality of mental health services. This study, therefore, aims to measure the mediation and moderation effects of health system structure and process on mental health quality in Ghana. Methods A random sample of 510 consumers were recruited to complete the Verona Satisfaction Scale (54-items), together with the WHO Disability Assessment Instrument (36 items) using the Redcap application. Confirmatory factor analysis (CFA) and Structural Equation Modelling were used to test the hypothesised theory using STATA 15. Results The CFA showed that the hypothesised model had a good fit to the data. The findings confirmed the hypothesis that the process constructs mediate the relationship between the health system structure and the outcome of mental health services. Specifically, the health system structure had a positive and significant causal relationship with the mediator-process (β = 0.60; p<0.01) and outcome (β = 0.47; p<0.01). Additionally, the mediator-process had a positive causal relationship with the outcome of the mental health services (β = 0.32; p<0.01). Insurance status (β = 0.07; p>0.05) and type of services (β = 0.025; p>0.05) had a positive moderating effect on the relationship between health system structure and outcome but were not significant.

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The predictors of treatment pathways to mental health services among consumers in Ghana

Cited by 12 publications

References 41 publications

Recovery services and expectation of consumers and mental health professionals in community-based residential facilities of Ghana

Recovery services and expectation of consumers and mental health professionals in community-based residential facilities of Ghana

Pharmacotherapeutic interventions for bipolar disorder type II: addressing multiple symptoms and approaches with a particular emphasis on strategies in lower and middle-income countries

Mediation and moderation effects of health system structure and process on the quality of mental health services in Ghana – structural equation modelling.

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