The Socio-demographic Characteristics and Patterns of Help-Seeking among Patients with Schizophrenia in South-east Nigeria

Odinka, Paul Chigozie; Oche, M; Ndukuba, Appolos Chidi; Muomah, Rosemary C.; Osika, M U; Bakare, Muideen O.; Agomoh, Ahamefule O; Uwakwe, Richard

doi:10.1353/hpu.2014.0055

Cited by 28 publications

(42 citation statements)

References 23 publications

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“…Mindful of overgeneralizations, which might ignore the uniqueness of mental health services in Africa, we note that our findings on first contact or THP/DUP relationship are consistent with previous South African (Mkize et al, 2004; Temmingh et al, 2008) and African-studies (Abiodun, 1995; Gureje et al, 1995; Gureje et al, 2006; Odinka et al, 2014; Patel et al, 1997). However, caution against causal inference or interpretation of the benefit/risk of specific types of first contact service provider (i.e.…”

Section: Discussionsupporting

confidence: 91%

Duration of Untreated Psychosis and the Pathway to Care in KwaZulu-Natal, South Africa

Tomita

Burns

King

et al. 2015

Journal of Nervous &Amp; Mental Disease

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Considerable controversy surrounds the role of traditional health practitioners (THP) as first contact service providers and their influence on the duration of untreated psychosis (DUP) in sub-Saharan Africa. This study examined first-contact patterns and pathways to psychiatric care among individuals with severe mental illness in South Africa. A cross-sectional study was conducted at a referral-based tertiary psychiatric government hospital in KwaZulu-Natal Province. Information on pathways to care was collected using the World Health Organization’s Encounter Form. General hospital was the most common first point of contact after mental disorder symptom onset and the strongest link to subsequent psychiatric treatment. Family members were the most common initiators in seeking care. First contact with THP was associated with longer DUP and higher number of provider contacts in the pathway based on adjusted regression analyses. Strengthening connections between psychiatric and general hospitals, and provision of culturally-competent family-based psychoeducation to reduce DUP are warranted.

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Section: Discussionsupporting

confidence: 91%

Duration of Untreated Psychosis and the Pathway to Care in KwaZulu-Natal, South Africa

Tomita

Burns

King

et al. 2015

Journal of Nervous &Amp; Mental Disease

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“…Young people have been found to delay seeking for professional help in Uganda, Liberia and Nepal with Uganda identifying community related barriers among others that relate to beliefs and myths of associated with mental disorders [11]. This is similar with what was found in South Eastern Nigeria, where patients living with mental disorders sought traditional healers first, [12]. In addition, a recent study in Kenyan primary school going children has identified them to experience stigmatizing attitudes towards mental illness, which has been a barrier to professional help seeking [13] This may be partly due to negative opinions about mental illness; however no studies have been identified between help seeking and attitudes towards mental illness in this region, This study aims to determine the relationship between attitudes towards mental illness and attitudes towards professional psychological help seeking for a mental illness among college students in Kenya.…”

Section: Justifications and Significance Of The Studysupporting

confidence: 52%

Correlations Between Opinions About Mental Illness and Attitudes Towards Psychological Help Seeking for a Mental Illness Among College Students in Kenya

Jemalel¹

2017

PBS

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Primary school teacher trainees in Kenya have been identified to have both negative opinions about mental illness and attitudes towards professional psychological help seeking for a mental health problem. This study aims at determining the relationship between opinions about mental illness and attitudes towards professional psychological help seeking for mental illness among college students in Kenya. This study used a self-administered demographic questionnaire, opinions about mental illness and attitudes towards professional psychological help seeking to collect data, among 2777 primary teacher trainees in Kenya. SPSS version 19 was used to analyses data. It was found that there is a positive correlation that was significant at p=0.000 between opinions about mental illness and attitudes towards professional psychological help seeking in this population; this is in line with other studies globally. This study recommended an intervention through psychoeducation of mental illness to improve both opinions about mental illness leading to attitudes towards professional psychological help for a mental illness.

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“…Of the 14 studies identified in the review, two were conducted in Ethiopia [20, 21], eight in Nigeria [22–29], three in South Africa [30–32] and one in Zimbabwe [33]. They consisted of the following populations: 11 had adult patients, one had adult caregivers of persons with mental disorders [30], one with both children and adults [20], and one with children and adolescents [27].…”

Section: Resultsmentioning

confidence: 99%

“…Specifically, four studies examined the association between consulting traditional or religious healers as first provider and experiencing relative delays in accessing mental health services. All were conducted in populations with first-episodes of mental disorders, mainly first-episode psychosis [20, 26, 29, 32], and reported longer delays in accessing mental health services where traditional or religious healers were the initial care providers.…”

Section: Discussionmentioning

confidence: 99%

“…On the contrary, approaching traditional and religious healers is commonplace and usually devoid of stigma within African communities. As can be seen in many studies in this review, even when the majority of participants live in urban settings near to large psychiatric hospitals, (and this geographical access is presumably not a barrier), a considerable proportion choose traditional and religious healers as their first care provider [24–26, 29]. …”

Section: Discussionmentioning

confidence: 99%

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Traditional and religious healers in the pathway to care for people with mental disorders in Africa: a systematic review and meta-analysis

Burns

Tomita

2014

Soc Psychiatry Psychiatr Epidemiol

140

127

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Purpose-In resource-limited contexts in low-and middle-income countries (LMICs), a considerable proportion of individuals seeking care for mental disorders consult traditional and religious healers in their pathway to mental health care. Reports from Africa suggest that early involvement of healers may result in delays in the care pathway; a potential barrier to early identification and intervention.Methods-A systematic review was conducted to evaluate the proportion of patients attending formal health services after making first contact for treatment of mental disorders with traditional or religious healers or other informal and formal care providers within published research in Africa. Electronic databases were searched for the period from January 1990 to February 2014. Quality assessment of included studies was conducted the SAQOR tool.Results-Fourteen papers were identified with data on category of first care provider. Utilizing random effects modelling with inverse variance method, the pooled proportion of participants making first contact for treatment of mental disorders with two broadly categorised providers (informal and formal) was 48.1 % (95 % CI 36.4-60.0 %) and 49.2 % (95 % CI 38.0-60.4 %), respectively. The pooled proportion of participants making first contact with specific providers was: traditional healers (17.0 %, 95 % CI 10.9-24.1 %); religious healers (26.2 %, 95 % CI 18.1-35.1 %); general health services (24.3 %, 95 % CI 16.9-32.5 %); and mental health services (13.0 %, 95 % CI 5.1-23.5 %). Substantial regional variation in patterns of first provider choice was evident.

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The Socio-demographic Characteristics and Patterns of Help-Seeking among Patients with Schizophrenia in South-east Nigeria

Cited by 28 publications

References 23 publications

Duration of Untreated Psychosis and the Pathway to Care in KwaZulu-Natal, South Africa

Duration of Untreated Psychosis and the Pathway to Care in KwaZulu-Natal, South Africa

Correlations Between Opinions About Mental Illness and Attitudes Towards Psychological Help Seeking for a Mental Illness Among College Students in Kenya

Traditional and religious healers in the pathway to care for people with mental disorders in Africa: a systematic review and meta-analysis

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