Planning for district mental health services in South Africa: a situational analysis of a rural district site

Health Policy and Planning
Inge PetersenMental Health and Poverty Research Programme Consortium

Abstract

The shift in emphasis to universal primary health care in post-apartheid South Africa has been accompanied by a process of decentralization of mental health services to district level, as set out in the new Mental Health Care Act, no. 17, of 2002 and the 1997 White Paper on the Transformation of the Health System. This study sought to assess progress in South Africa with respect to deinstitutionalization and the integration of mental health into primary health care, with a view to understanding the resource implications of these processes at district level. A situational analysis in one district site, typical of rural areas in South Africa, was conducted, based on qualitative interviews with key stakeholders and the World Health Organization's Assessment Instrument for Mental Health Systems (WHO-AIMS). The findings suggest that the decentralization process remains largely limited to emergency management of psychiatric patients and ongoing psychopharmacological care of patients with stabilized chronic conditions. We suggest that, in a similar vein to other low- to middle-income countries, deinstitutionalization and comprehensive integrated mental health care in South Africa is hampered by a lack of resources for mental health ca...Continue Reading

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Citations

Mar 8, 2013·Maternal and Child Health Journal·Meera K ChhaganLeslie L Davidson
Jun 10, 2009·Social Psychiatry and Psychiatric Epidemiology·Crick LundUNKNOWN MHaPP Research Programme Consortium
Feb 18, 2011·Health Policy and Planning·Inge PetersenUNKNOWN Mental Health and Poverty Research Programme Consortium
May 7, 2011·Current Opinion in Psychiatry·Inge PetersenDan J Stein
Apr 19, 2011·International Journal of Mental Health Systems·Inge PetersenUNKNOWN MhaPP Research Programme Consortium
Feb 18, 2012·Harvard Review of Psychiatry·Graham ThornicroftCrick Lund
Apr 24, 2010·Health Promotion International·Inge PetersenAlan J Flisher
Oct 27, 2010·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Charlotte HanlonAtalay Alem
Jun 22, 2013·Tropical Medicine & International Health : TM & IH·Basile KeugoungBart Criel
Mar 26, 2015·International Journal of Mental Health Systems·Debra Leigh Marais, Inge Petersen
Aug 4, 2018·The International Journal of Health Planning and Management·André Janse van RensburgPiet Bracke
Jan 13, 2018·Global Health Action·Richard Vergunst
Apr 11, 2019·The Cochrane Database of Systematic Reviews·Jessica DubyZulfiqar A Bhutta
Jun 13, 2017·International Journal of Mental Health Systems·Nawaraj UpadhayaIvan H Komproe
Jan 22, 2020·BMC Health Services Research·Victoria N MutisoDavid M Ndetei
Jun 20, 2020·Journal of Child and Adolescent Mental Health·Gbotemi BukolaInge Petersen
Jul 29, 2017·BMC Health Services Research·Wilfred S GwaikoloJanice L Cooper
Oct 31, 2019·Global Mental Health·T van HeyningenS Honikman
Jun 2, 2020·Community Mental Health Journal·Nadia Baker, Kalai Naidu
Sep 9, 2020·African Journal of Primary Health Care & Family Medicine·James R BarnacleIan Couper
May 14, 2019·International Journal of Mental Health Systems·Aish LovettHelen E Jack

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