From policy to praxis : rethinking comprehensive integrated primary mental health care

Doctoral Thesis

2001

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University of Cape Town

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In this dissertation I have provided an academic interrogation of the gap between policy principles for comprehensive integrated primary mental health care in South Africa, and the implementation theoreof. I argue, theoreically, that the current add-on approach, which emphasizes care for patients with serious mental illness, will not achieve the vision for comprehensive integrated primary mental health care in South Africa. I suggest that this trajectory is a product of the reformist approach to the implementation of primary health care, and suggest that what is needed is a shift towards a comprehensive discourse of care at the primary level. My research aimed at developing an understanding of how such a shift could be achieved.
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Bibliography: p. 222-256.

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