Research Component - Partnerships for Mental Health Development in Sub-Saharan Africa

研究部分——撒哈拉以南非洲心理健康发展伙伴关系

• 批准号: 8876795
• 负责人: Oyewusi Gureje
• 金额: --
• 依托单位: COLLEGE OF MEDICINE, UNIVERSITY OF IBADAN
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-01 至 2017-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8876795
• 关键词: Accounting; Affect; Africa South of the Sahara; Agitation; Alternative Medicine; Caregivers; Caring; Client; Collaborations; Communities; Consult; Country; Data; Development; Disease; Educational process of instructing; Etiology; Evaluation; Faith Healing; Fostering; Guidelines; Healed; Health; Health Personnel; Health Resources; Health Services; Healthcare; Human Rights; Human Rights Abuses; Income; Intervention; Knowledge; Lead; Low income; Manuals; Medicine; Mental Health; Mental Health Services; Mental disorders; Methods; Nature; Outcome; Pathway interactions; Patients; Persons; Premature Mortality; Prevalence; Primary Health Care; Provider; Psychotic Disorders; Public Health; Randomized Controlled Trials; Referral and Consultation; Research; Research Project Grants; Rural; Schizophrenia; Services; Source; Suicide; Testing; Training; United States Public Health Service; Work; World Health Organization; burden of illness; care seeking; design; disability-adjusted life years; experience; healing; health care delivery; improved; programs; satisfaction; scale up; social stigma; traditional care; years lived with disability

This research project describes a body of work that seeks to provide new information about tackling one of the most burdensome disorders affecting mankind everywhere: psychosis (including schizophrenia and related disorders). Schizophrenia and other psychoses are among the leading causes of the global burden of disease in low-, middle-, and high-income countries alike. In 2006, an estimated 25 million people were affected by schizophrenia in low- and middle-income countries (LMIC). According to estimates, schizophrenia accounted for 1.1% of all Disability Adjusted Life Years and 2.8% Years Lived with Disability. Persons suffering from schizophrenia are more likely to experience premature mortality, by way of suicide, stigma, violations of their human rights, and poor overall health care. Only a few of those affected by psychosis receive biomedical care in Sub-Saharan Africa (SSA). On the other hand, traditional health providers (THPs) constitute a ready source of care for diverse mental health problems, especially psychotic disorders. Indeed, the pathways to biomedical care for persons with mental disorders in many of these countries shown that a significant proportion of them have consulted traditional healers on their way to orthodox care. Consequently, several SSA countries have made attempts to integrate traditional healers into the formal public health sector. Also, the World Health Organization has long canvassed for formal collaboration between THPs and public health service. One recurring concern about a formal integration is the common observation that THPs sometimes use harmful practices and their intervention approaches often lead to abuses of the human rights of their clients. Practices such as beating to drive away demons and shackling to deal with perceived agitation or restlessness are often used. In view of the strong relationship between what goes on at the healers' facility and the work of primary care providers in regard to the treatment of mental health problems in the community, a programme to facilitate collaborative shared care between the two may be important to efforts to improve mental health service delivery at primary care level through task-shifting. The proposed hub will 1) conduct an assessment of current traditional and faith healing practices as they relate to the treatment of psychosis; 2) develop a manualised collaborative shared care package to improve the evaluation of mental health problems by CAPs, reduce the use of harmful intervention approaches and of

这项研究项目描述了一系列工作，旨在提供有关解决以下问题之一的新信息 影响世界各地人类的最沉重的疾病：精神病(包括精神分裂症和 相关障碍)。精神分裂症和其他精神病是造成全球经济负担的主要原因之一 疾病在低收入、中等收入和高收入国家都是如此。2006年，估计有2500万人 在低收入和中等收入国家(LMIC)受精神分裂症影响。据估计， 精神分裂症占所有残疾调整寿命年的1.1%，2.8%与精神分裂症一起生活 残疾。患有精神分裂症的人更有可能经历过早死亡，通过 自杀、耻辱、侵犯他们的人权，以及糟糕的整体卫生保健。只有少数受影响的人 在撒哈拉以南非洲(SSA)，精神病患者接受生物医疗护理。另一方面，传统健康 提供者(THP)是各种精神健康问题，特别是精神病患者的现成护理来源 精神错乱。事实上，在许多情况下，为精神障碍患者提供生物医学护理的途径 各国显示，其中相当大一部分人在前往美国的途中咨询过传统治疗师。 正统的关怀。因此，几个SSA国家已尝试将传统治疗师整合到 正规的公共卫生部门。此外，世界卫生组织长期以来一直在争取正式的 THPS与公共卫生服务之间的合作。关于正式集成的一个反复出现的问题是 普遍观察到，THPS有时使用有害做法，其干预方法往往导致 侵犯其委托人的人权。打鬼驱魔、戴上枷锁等习俗 经常用来处理感觉到的焦躁或不安。鉴于什么之间的密切关系 在治疗师设施和初级保健提供者在治疗精神疾病方面的工作中进行 社区的健康问题，一项促进两者合作共同护理的计划可能 重要的是努力通过任务转移改善初级保健一级的精神卫生服务提供情况。 拟议的中心将1)对当前的传统和信仰治愈做法进行评估，因为它们 与精神病的治疗有关；2)开发手工化协作共享护理包，以改善 通过CAPS评估精神健康问题，减少有害干预方法的使用