scholarly journals An overview of the mental health system in Gaza: an assessment using the World Health Organization’s Assessment Instrument for Mental Health Systems (WHO-AIMS)

2015 ◽  
Vol 9 (1) ◽  
Author(s):  
Dyaa Saymah ◽  
Lynda Tait ◽  
Maria Michail
Keyword(s):  
Mental Health ◽  
Health System ◽  
Health Systems ◽  
Mental Health System ◽  
Assessment Instrument ◽  
World Health ◽  
Mental Health Systems ◽  
The World

Mental health system and services in Albania

2006 ◽  
Vol 15 (3) ◽  
pp. 194-201 ◽  
Author(s):  
Dévora Keste ◽  
Ledia Lazer ◽  
Neli Demi ◽  
Santino Severoni ◽  
Antonio Lora ◽  
...  
Keyword(s):  
Mental Health ◽  
Health System ◽  
Mental Health System ◽  
Mental Health Policy ◽  
Health Information System ◽  
Assessment Instrument ◽  
World Health ◽  
Mental Health Systems ◽  
Middle Income ◽  
Essential Information

SUMMARYAims — To describe the mental health system in Albania. Methods — Data were gathered in 2003 and in 2004 using a new WHO instrument, World Health Organization Assessment Instrument for Mental health Systems (WHO-AIMS), designed for collecting essential information on the mental health system of low and middle income countries. It consists of 6 domains, 28 facets and 156 items. Results — The information collected through WHO AIMS covered the key aspects of mental health system in Albania: the mental health policy and the legislative framework, the network of mental health services and the characteristics of the users, the role of the primary health care, the human resources, the public education and the links with other governmental sectors, monitoring and research. Conclusions — The data collection through WHO AIMS represented a needed step for a better in-depth knowledge of the system and for implementing actions to strengthen the system. Examples of planned actions were the improvement of the mental health component in primary care, a clear shift of resources from mental hospitals to community facilities, an increase of the outpatient care and an expansion of the mental health information system.Declaration of Interest: none.

scholarly journals How Healthy Is State Mental Health System in Madhya Pradesh, India? An Assessment of Today to Plan for a Better Tomorrow

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Arun M. Kokane ◽  
Abhijit P. Pakhare ◽  
Gopalkrishna Gururaj ◽  
Mathew Varghese ◽  
Vivek Benegal ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Systems ◽  
Mental Healthcare ◽  
State Mental Health ◽  
The State ◽  
Madhya Pradesh ◽  
Assessment Instrument ◽  
World Health ◽  
Mental Health Systems ◽  
State Mental

Background. Mental illness affects over one-third of the Indian population, and only a little is known about the exact situation of health systems in Madhya Pradesh, India. Therefore, the present research work provides an assessment of state mental health systems in Madhya Pradesh. Methods. The present cross-sectional study was conducted as a part of National Mental Health Survey 2015-16 in 48 districts of Madhya Pradesh, to provide an overview of the status of mental health systems. Secondary data was also retrieved from the state office so as to present the situational analysis in a more comprehensive and inferential way. The proforma for the study was developed based on the experience gained from studies conducted earlier with World Health Organization’s Assessment Instrument for Mental Health Systems (WHO-AIMS) and with WHO’s Mental Health Atlas as the base for thematic analysis. Results. Out of 51 districts, 13.7% of the districts of the state have been covered under District Mental Health Program (DMHP) in 2015-16. Around 11.8% of district/general hospitals were involved in providing mental health services. The availability of psychiatrist was 0.05 per Lakh population. Around 0.2% of the total health budget was allocated by the state for the last financial year for mental health. The overall average score of Madhya Pradesh in the assessment of qualitative indicators was 31 out of 100 in the year 2015-16. Conclusion. There is huge scope and an urgent need to increase mental healthcare facilities (with upgradation of existing one) along the availability of mental healthcare staff.

scholarly journals Situational Analysis of Mental Health System in The West Region of Cameroon Using The World Health Organization’s Assessment Instrument for Mental Health Systems (WHO-AIMS)

2021 ◽  
Author(s):  
Toguem guy michael ◽  
Manassi KUMAR ◽  
David NDETEI ◽  
Francois Erero NJENGOUE ◽  
Frederick OWITI
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Assessment Instrument ◽  
World Health ◽  
Mental Health Systems ◽  
The West ◽  
West Region ◽  
The World ◽  
Mental Health Facilities

Abstract Background The burden of mental illnesses is increasing in Cameroon and there is no available published work on the mechanisms put in place to address this issue. The government recognizes this burden and tries to feel the gap. In line to this, this study aimed at describing the mental health services available in West Cameroon to provide an evidence based support to this process. Method We used the world health organization assessment instrument for mental health systems (WHO-AIMS) version 2.2 to collect, analyze, and report, data on mental health services offered in 2020 in the west region of Cameroon. We extracted our data from the registers of the different mental health facilities of the region and we interviewed staffs in these facilities and at the ministry of public health. Results The region is divided into 20 health districts, of which 06 offered mental health services. As a whole, Cameroon had a mental health policy, mental health plan, but no mental health legislation and emergency plan. There was no specific budget for mental health in the country. In the west region of Cameroon, there was no psychiatrist. Mental health services were offered by nurses, psychologists, general practitioner and neurologists; representing 1.87 human resources in mental health facilities per 100,000 population, of which 1.4 were nurses. 1 in 1.4 of these nurses worked in the main city. There was no formal link of mental health services with other sectors and no publication in the previous 5 years about mental health in the region referenced on PubMed. Conclusion In 2020, access too mental health services in the west region of Cameroon was unequitable, and was not supported by scientific evidence.

scholarly journals Mental Health System Reform in Contexts of Humanitarian Emergencies: Toward a Theory of “Practice-Based Evidence”

2019 ◽  
Vol 43 (4) ◽  
pp. 636-662 ◽  
Author(s):  
Hanna Kienzler
Keyword(s):  
Mental Health ◽  
Health System ◽  
Health Systems ◽  
Mental Health System ◽  
Building Blocks ◽  
System Reform ◽  
Mental Health Systems ◽  
Health System Reform ◽  
Humanitarian Emergencies ◽  
Theory Of Practice

AbstractHumanitarian emergencies such as armed conflicts are increasingly perceived as opportunities to improve mental health systems in fragile states. Research has been conducted into what building blocks are required to reform mental health systems in states emerging from wars and into the barriers to reform. What is less well known is what work and activities are actually performed when mental health systems in war-affected resource-poor countries are reformed. Questions that remain unanswered are: What is it that international humanitarian aid workers and local experts do on the ground? What are the actual activities they perform in order to enable and sustain system reform? This article begins to answer these questions through ethnographic case studies of mental health system reform in Kosovo and Palestine. Based on the findings, a theory of “practice-based evidence” is developed. Practice-based evidence assumes that knowledge is derived from practice, rather than the other way around where practice is believed to be informed by systematic evidence. It is argued that a focus on practice rather than evidence can improving system reform processes as well as the provision of mental health care in a way that is sensitive to local contexts, structural realities, culture, and history.

Mental health services: the African gap

2014 ◽  
Vol 13 (3) ◽  
pp. 132-141 ◽  
Author(s):  
Claire Wilson ◽  
Mohammad Taghi Yasamy ◽  
Jodi Morris ◽  
Atieh Novin ◽  
Khalid Saeed ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Systems ◽  
World Health ◽  
Treatment Gap ◽  
Mental Health Systems ◽  
African Countries ◽  
Content Type ◽  
The World

Purpose – Neuropsychiatric disorders account for a substantial proportion of disease burden and disability in Africa. Despite this, mental health systems are under-resourced in Africa, as in most parts of the world, creating a “treatment gap” and denying the African population the right to mental health achieved through access to mental health services. The paper aims to discuss these issues. Design/methodology/approach – The mental health systems of African countries were compared with figures for all low- and middle-income countries (LAMICS) using data from the World Health Organization Assessment Instrument for Mental Health Systems. Comparable global figures were also available for some indicators from the WHO's World Mental Health Atlas 2011. Findings – Selected indicators of mental health systems are presented for 14 African countries and shows that they are lower as compared to figures for all other LAMICS and also global figures. The treatment gap for mental disorders is much higher in Africa than comparable global figures. For example, the treatment gap for mood disorders has been estimated from 95 to 100 per cent for some African countries. Originality/value – There is an imbalance between need and service provision in the area of mental health across the world but particularly in Africa. Despite this, there are a greater number of outpatient than inpatient services in Africa which provides an opportunity for development of community-based services. There are also many encouraging examples of effective approaches to reducing the burden of neuropsychiatic disease in Africa.

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