Setting priorities for mental health care in Nepal: a formative study

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dc.contributor.authorJordans, Marken_ZA
dc.contributor.authorLuitel, Nagendraen_ZA
dc.contributor.authorTomlinson, Marken_ZA
dc.contributor.authorKomproe, Ivanen_ZA
dc.date.accessioned2015-10-28T06:53:50Z
dc.date.available2015-10-28T06:53:50Z
dc.date.issued2013en_ZA
dc.description.abstractBACKGROUND:There is an urgent need to address the massive treatment gap for mental health problems, especially in low income settings. Packages of care integrated in routine primary health care are posited as a strategy to scale-up mental health care, yet more needs to be known about the most feasible and effective way to go about this. METHODS: The study follows a combined methods design that includes engaging an expert panel in a priority setting exercise, running workshops to develop a Theory of Change and conducting in-depth qualitative interviews and focus group discussions with key stakeholders. The results of each research step were taken forward to inform the subsequent one. RESULTS: There was strong endorsement for a system of care that encompasses both the perspectives of health facility and the community. Issues related to increasing access and demand, guaranteeing a sustainable supply of psychotropic medicine, adequate human resourcing, and ensuring positive family involvement came up as priority areas of attention. CONCLUSION: The study underlines many of the known barriers in developing mental health services. At the same time it provides a distinct pathway and concrete recommendations for overcoming these challenges in Nepal.en_ZA
dc.identifier.apacitationJordans, M., Luitel, N., Tomlinson, M., & Komproe, I. (2013). Setting priorities for mental health care in Nepal: a formative study. <i>BMC Psychiatry</i>, http://hdl.handle.net/11427/14437en_ZA
dc.identifier.chicagocitationJordans, Mark, Nagendra Luitel, Mark Tomlinson, and Ivan Komproe "Setting priorities for mental health care in Nepal: a formative study." <i>BMC Psychiatry</i> (2013) http://hdl.handle.net/11427/14437en_ZA
dc.identifier.citationJordans, M. J., Luitel, N. P., Tomlinson, M., & Komproe, I. H. (2013). Setting priorities for mental health care in Nepal: a formative study. BMC psychiatry, 13(1), 332.en_ZA
dc.identifier.ris TY - Journal Article AU - Jordans, Mark AU - Luitel, Nagendra AU - Tomlinson, Mark AU - Komproe, Ivan AB - BACKGROUND:There is an urgent need to address the massive treatment gap for mental health problems, especially in low income settings. Packages of care integrated in routine primary health care are posited as a strategy to scale-up mental health care, yet more needs to be known about the most feasible and effective way to go about this. METHODS: The study follows a combined methods design that includes engaging an expert panel in a priority setting exercise, running workshops to develop a Theory of Change and conducting in-depth qualitative interviews and focus group discussions with key stakeholders. The results of each research step were taken forward to inform the subsequent one. RESULTS: There was strong endorsement for a system of care that encompasses both the perspectives of health facility and the community. Issues related to increasing access and demand, guaranteeing a sustainable supply of psychotropic medicine, adequate human resourcing, and ensuring positive family involvement came up as priority areas of attention. CONCLUSION: The study underlines many of the known barriers in developing mental health services. At the same time it provides a distinct pathway and concrete recommendations for overcoming these challenges in Nepal. DA - 2013 DB - OpenUCT DO - 10.1186/1471-244X-13-332 DP - University of Cape Town J1 - BMC Psychiatry LK - https://open.uct.ac.za PB - University of Cape Town PY - 2013 T1 - Setting priorities for mental health care in Nepal: a formative study TI - Setting priorities for mental health care in Nepal: a formative study UR - http://hdl.handle.net/11427/14437 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/14437
dc.identifier.urihttp://dx.doi.org/10.1186/1471-244X-13-332
dc.identifier.vancouvercitationJordans M, Luitel N, Tomlinson M, Komproe I. Setting priorities for mental health care in Nepal: a formative study. BMC Psychiatry. 2013; http://hdl.handle.net/11427/14437.en_ZA
dc.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentCentre for Public Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an open access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2013 Jordans et al.; licensee BioMed Central Ltden_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourceBMC Psychiatryen_ZA
dc.source.urihttp://www.biomedcentral.com/bmcpsychiatry/en_ZA
dc.subject.otherNepalen_ZA
dc.subject.otherMental health care packagesen_ZA
dc.subject.otherFormative researchen_ZA
dc.subject.otherDevelopmenten_ZA
dc.titleSetting priorities for mental health care in Nepal: a formative studyen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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