Step-Wise Development of Primary Care and Community-Based Mental Health Care in a Low-Resource Setting

2021 ◽  
pp. 841-860
Author(s):  
E. Kwobah ◽  
Julius Barasa ◽  
Florence Jaguga ◽  
Matthew Turissini
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Community Based ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting

scholarly journals Developing a mental health care plan in a low resource setting: the theory of change approach

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Maji Hailemariam ◽  
Abebaw Fekadu ◽  
Medhin Selamu ◽  
Atalay Alem ◽  
Girmay Medhin ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Theory Of Change ◽  
Care Plan ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Health Care Plan

Community-based mental health care and narrative exposure therapy

2021 ◽  
pp. 305-310
Author(s):  
Kevin Pottie ◽  
Azaad Kassam ◽  
Douglas Gruner
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Exposure Therapy ◽  
Global Mental Health ◽  
Community Based ◽  
Narrative Exposure Therapy ◽  
Trauma Informed Care ◽  
Primary Care Practitioners

Global mental health explores cultural differences and country-specific conditions, it deals with the epidemiology of mental disorders in different countries, their treatment options, mental health education, the structure of mental health care systems, and human rights issues. Specifically, this chapter focuses on community-based mental health approaches to trauma-related illness in refugees and related comorbidities. We develop an argument for shared mental health care, enhanced psychoeducation and other training for primary care practitioners working with refugees. We discuss cultural safety, trauma-informed care approaches, and narrative exposure therapy. We provide examples of these approaches and therapies, and explore how a narrative approach may provide an opportunity to involve students and primary care practitioners in more nuanced communication and care of refugees and other migrants.

scholarly journals Understanding Supporting and Hindering Factors in Community-Based Psychotherapy for Refugees: A Realist-Informed Systematic Review

2020 ◽  
Vol 17 (13) ◽  
pp. 4618 ◽  
Author(s):  
Douglas Gruner ◽  
Olivia Magwood ◽  
Lissa Bair ◽  
Liezl Duff ◽  
Shiva Adel ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Global Mental Health ◽  
Community Based ◽  
Cultural Constructs ◽  
Related Stigma ◽  
Health Related ◽  
And Gender

Culture, tradition, structural violence, and mental health-related stigma play a major role in global mental health for refugees. Our aim was to understand what factors determine the success or failure of community-based psychotherapy for trauma-affected refugees and discuss implications for primary health care programs. Using a systematic realist-informed approach, we searched five databases from 2000 to 2018. Two reviewers independently selected RCTs for inclusion, and we contacted authors to obtain therapy training manuals. Fifteen articles and 11 training manuals met our inclusion criteria. Factors that improved symptoms of depression, anxiety, and PTSD included providing culturally adapted care in a migrant-sensitive setting, giving a role to other clinical staff (task-shifting), and intervention intensity. Precarious asylum status, constraining program monitoring requirements, and diverse socio-cultural and gender needs within a setting may reduce the effectiveness of the program. Primary care programs may enable community based mental health care and may reduce mental health-related stigma for refugees and other migrants. More research is needed on the cultural constructs of distress, programs delivered in primary care, and the role of cultural and language interpretation services in mental health care.

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