Belonging home: capabilities, belonging and mental health recovery in low resourced settings.

Belonging home: capabilities, belonging and mental health recovery in low resourced settings.
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DOI:
10.1093/heapro/daaa006
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发表时间:
2021-03-12
影响因子:
2.7
通讯作者:
Verity F
Verity F
中科院分区:
医学3区
文献类型:
--
作者:
Cappo D;Mutamba B;Verity F

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在低收入国家发展心理健康的“平衡模式”存在重大障碍。其中包括有效应对严重心理健康问题的证据基础存在差距,以及从医院到家庭的过渡中起作用的措施,以及初级和社区护理的公共投资较低。这些限制因素促成了非政府组织YouBelong Uganda(YBU)的成立,该组织致力于促进在乌干达实施以社区为基础的精神保健模式。本文概述了YBU开发的干预协议,这是一个组合模式的平行参与与国家精神病院在乌干达的坎帕拉,运动的“准备出院”的病人回到他们的家庭和社区,社区发展。YBU方案在理论上以能力方法为基础,并实际应用“能力”概念。这是一项执行试验,希望它能成为在乌干达发展一种有效模式的积极步骤,这种模式可能适用于其他国家。最后,我们讨论的价值,从社会工作,社会学,哲学,公共卫生和精神病学加入到一个社区心理健康的“归属框架”的想法。
There are significant barriers to the development of a ‘balanced model’ of mental health in low-income countries. These include gaps in the evidence base on effective responses to severe mental health issues and what works in the transition from hospital to home, and a low public investment in primary and community care. These limitations were the drivers for the formation of the non-government organization, YouBelong Uganda (YBU), which works to contribute to the implementation of a community-based model of mental health care in Uganda. This paper overviews an intervention protocol developed by YBU, which is a combined model of parallel engagement with the national mental hospital in Kampala, Uganda, movement of ‘ready for discharge’ patients back to their families and communities, and community development. The YBU programme is theoretically underpinned by a capabilities approach together with practical application of a concept of ‘belonging’. It is an experiment in implementation with hopes that it may be a positive step towards the development of an effective model in Uganda, which may be applicable in other countries. Finally, we discuss the value in joining ideas from social work, sociology, philosophy, public health and psychiatry into a community mental health ‘belonging framework’.
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