Three models of community mental health services In low-income countries
Three models of community mental health services In low-income countries
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DOI：
10.1186/1752-4458-5-3
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发表时间：
2011-01-25
影响因子：
3.6
通讯作者：
Patel, Vikram
中科院分区：
文献类型：
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作者：
Cohen, Alex;Eaton, Julian;Patel, Vikram
目标：为了比较和对比低收入环境中社区精神卫生服务的三种模式。数据来源/研究设置：在尼日利亚、菲律宾和印度的精神卫生项目现场访问之前、期间和之后收集的主要和次要数据。研究设计：定性案例研究方法。数据收集：数据是通过对方案进行实地访问期间的访谈和观察以及对文件证据的审查收集的。一组叙述性主题和项目指标被用来比较和对比低收入国家的三个社区精神卫生项目。这使我们能够确定服务交付模式的多样性，共同的挑战以及每个计划的优势和劣势。更明确的评估将需要建立数据收集方法和信息系统，提供有关的临床和社会成果的客户端，以及他们使用的service.Conclusions的数据：在低收入国家的社区精神卫生计划面临着一些挑战。使用为此目的开发的案例研究方法，可以比较方案，并开始评估各种服务提供模式的有效性。
Objective: To compare and contrast three models of community mental health services in low-income settings.Data Sources/Study Setting: Primary and secondary data collected before, during, and after site visits to mental health programs in Nigeria, the Philippines, and India.Study Design: Qualitative case study methodology.Data Collection: Data were collected through interviews and observations during site visits to the programs, as well as from reviews of documentary evidence.Principal Findings: A set of narrative topics and program indicators were used to compare and contrast three community mental health programs in low-income countries. This allowed us to identify a diversity of service delivery models, common challenges, and the strengths and weaknesses of each program. More definitive evaluations will require the establishment of data collection methods and information systems that provide data about the clinical and social outcomes of clients, as well as their use of services.Conclusions: Community mental health programs in low-income countries face a number of challenges. Using a case study methodology developed for this purpose, it is possible to compare programs and begin to assess the effectiveness of diverse service delivery models.