The Ghana Project in Psychiatry: A Systematic Description of the Mental Health Services

• 作者: Emmanuel Asampong Mdala Ibrahim Michael Atakora
• 来源期刊: 精神病学期刊(英文)
• 学科: 医学
• 关键词: Mental Health Service RESOURCES ORGANIZATION DECENTRALIZATION DIFFERENTIATION
• 年，卷（期）: 2020,（4）
• 页码范围: 141-170
• 页数: 30页
• 分类号: R74

摘要

<strong>Introduction: </strong>Mental health is a neglected field within the health care system in Ghana. Studies and public education focusing on mental health remain low, leading to poor knowledge and awareness of mental health among the population. <strong>Objective:</strong> The overall aim of this study was to provide a systematic description of mental health services in Ghana. <strong>Methods:</strong> A snowball technique was used to select a total of 42 mental health professionals from six hospitals for interviews. A structured questionnaire was used for data collection. <strong>Results:</strong> Major findings of this study include inadequate human and material resources;poor knowledge of mental health among the population;weak coordination between general practitioners and mental health professionals;inadequate mental health services in schools and prisons. Additionally, 54.8% of respondents reported limited mental health educational materials, and most schools (54.8%) lacking trained resident mental health professionals. The main interventions for service delivery are taking over activities of daily living by nurses, problem assessment, and psychological interventions which achieved the same results (69%). A tendency to consult faith-based healers and prayer camps;a lack of mental health research capacity, specifically research focusing on policies;and weakness in the organization and decentralization of mental health services in Ghana are among the common challenges to seeking care. <strong>Conclusion: </strong>Public mental health education on available resources and services is important. Capacity research focusing on dissemination and implementation of mental health policies can serve as the basis for addressing mental health challenges and improving service delivery in Ghana.