Enhancing Quality Supervision for the Delivery of Mental Health Care Through Nonspecialist Clinicians in Resource-Limited Settings

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Stephanie Collier ◽  
Rachel Meyen ◽  
Stephanie L. Smith ◽  
Cidna Valentin ◽  
Fr. Eddy Eustache
2020 ◽  
Author(s):  
Tanjir Rashid Soron ◽  
Lamia Shams

UNSTRUCTURED People living in poverty are in greater risk of developing mental health issues due to its association with various stressors such as decreased productivity, loss of employment, reduced social support, stigma etc. Low socioeconomic status can hinder one’s access to mental health care and can lead him to devastating consequences. Even though Bangladesh has made a significant progress in eradicating poverty, the recent pandemic of COVID-19 has overburdened its resource limited healthcare settings. However, during lockdown a large number of people are experiencing a deterioration in their socioeconomic condition and this can negatively impact their mental health. Like many other developing countries, Bangladesh do not have equitable distribution of mental healthcare facilities in urban and rural areas. Distance to mental health care canter along with social stigma discourage people to get professional help. The psychological sufferings of the people can be mitigated by ensuring remote consultation through telepsychiatry services where the patients can maintain anonymity and escape the social stigma. Moreover, with the recent progress in using mobile phone and related technologies, telepsychiatry services will not only help the patients to reduce their access to service gap in an affordable way but also the mental health professionals will be able to help more patients. Telepsychiatry interventions can contribute to early diagnosis of mental health issues in population and this can reduce the chances of suicide and other morbidities. In resource limited settings, mental healthcare services aided with technology can overcome the barriers to access to care. In an addition to that, the mental well-being of individuals will enable them to lead an economically productive life with active contribution at workplaces.


Author(s):  
David M. Ndetei ◽  
Christine W. Musyimi ◽  
Erick S. Nandoya ◽  
Lydia Matoke ◽  
Victoria N. Mutiso

Traditional healers have a unique role to play, especially in resource-limited settings. Although more than half of the community members in Africa consult healers, the majority of them have no formal training and thus identify and treat mental illness through experience or apprenticeship. The duration of training can take from several weeks to years, depending on the ability of the apprentice or the individual’s motivation to learn. An informal certification or being given the mandate to treat patients is certified by the trainer who is mostly a fellow healer or an older relative. This chapter discusses the roles, knowledge, attitude, and practice of traditional healers in mental health care, as well as unwarranted practices that have been regulated through the Traditional Health Practitioners’ Bill and Act. Recommendations for future plans to encourage their participation in mental health care are also outlined at the end of the chapter.


1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.


2020 ◽  
Author(s):  
Nosheen Akhtar ◽  
Cheryl Forchuk ◽  
Katherine McKay ◽  
Sandra Fisman ◽  
Abraham Rudnick

2012 ◽  
Vol 28 (4) ◽  
pp. 255-261 ◽  
Author(s):  
Sabine Loos ◽  
Reinhold Kilian ◽  
Thomas Becker ◽  
Birgit Janssen ◽  
Harald Freyberger ◽  
...  

Objective: There are presently no instruments available in German language to assess the therapeutic relationship in psychiatric care. This study validates the German version of the Scale to Assess the Therapeutic Relationship in Community Mental Health Care (D-STAR). Method: 460 persons with severe mental illness and 154 clinicians who had participated in a multicenter RCT testing a discharge planning intervention completed the D-STAR. Psychometric properties were established via item analysis, analyses of missing values, internal consistency, and confirmatory factor analysis. Furthermore, convergent validity was scrutinized via calculating correlations of the D-STAR scales with two measures of treatment satisfaction. Results: As in the original English version, fit indices of a 3-factor model of the therapeutic relationship were only moderate. However, the feasibility and internal consistency of the D-STAR was good, and correlations with other measures suggested reasonable convergent validity. Conclusions: The psychometric properties of the D-STAR are acceptable. Its use can be recommended in German-speaking countries to assess the therapeutic relationship in both routine care and research.


2005 ◽  
Vol 60 (6) ◽  
pp. 615-627 ◽  
Author(s):  
Larke Huang ◽  
Beth Stroul ◽  
Robert Friedman ◽  
Patricia Mrazek ◽  
Barbara Friesen ◽  
...  

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