Scaling up community-based services and improving quality of care in the state psychiatric hospitals: the way forward for Ghana

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dc.contributor.authorAkpalu, B
dc.contributor.authorLund, C
dc.contributor.authorDoku, V
dc.contributor.authorOfori-Atta, A
dc.contributor.authorOsei, A
dc.contributor.authorAe-Ngibise, K
dc.contributor.authorAwenva, D
dc.contributor.authorCooper, Sara Daniella
dc.contributor.authorFlisher, J A
dc.contributor.authorMHAPP Research Programme Consortium
dc.date.accessioned2017-06-27T07:18:21Z
dc.date.available2017-06-27T07:18:21Z
dc.date.issued2010
dc.date.updated2016-01-11T13:06:39Z
dc.description.abstractObjective: This paper aims to explore the options available for developing community-based care and improving the quality of care in psychiatric hospitals in Ghana. Method: Semi-structured interviews (SSIs) and focus group discussions (FGDs) were conducted with a cross-section of stakeholders including health professionals, researchers, policy makers, politicians, users and carers. The SSIs and FGDs were recorded digitally and transcribed verbatim. Apriori and emergent themes were coded and analysed with NVivo version 7.0, using a framework analysis. Results: Psychiatric hospitals in Ghana have a mean bed occupancy rate of 155%. Most respondents were of the view that the state psychiatric hospitals were very congested, substantially compromising quality of care. They also noted that the community psychiatric system was lacking human and material resources. Suggestions for addressing these difficulties included committing adequate resources to community psychiatric services, using psychiatric hospitals only as referral facilities, relapse prevention programmes, strengthening psychosocial services, adopting more precise diagnoses and the development of a policy on long-stay patients. Conclusion: There is an urgent need to build a credible system of community-based care and improve the quality of care in psychiatric hospitals in Ghana.
dc.identifier.apacitationAkpalu, B., Lund, C., Doku, V., Ofori-Atta, A., Osei, A., Ae-Ngibise, K., ... (2010). Scaling up community-based services and improving quality of care in the state psychiatric hospitals: the way forward for Ghana. <i>African Journal of Psychiatry</i>, http://hdl.handle.net/11427/24641en_ZA
dc.identifier.chicagocitationAkpalu, B, C Lund, V Doku, A Ofori-Atta, A Osei, K Ae-Ngibise, D Awenva, Sara Daniella Cooper, J A Flisher, and "Scaling up community-based services and improving quality of care in the state psychiatric hospitals: the way forward for Ghana." <i>African Journal of Psychiatry</i> (2010) http://hdl.handle.net/11427/24641en_ZA
dc.identifier.citationAkpalu, B., Doku, V., Lund, C., Ofori-Atta, A., Osei, A., Ae-Ngibise, K., ... & Flisher, A. J. (2010). Scaling up community-based services and improving quality of care in the state psychiatric hospitals: the way forward for Ghana: original article. African Journal of Psychiatry, 13(2), 109-115.
dc.identifier.ris TY - Journal Article AU - Akpalu, B AU - Lund, C AU - Doku, V AU - Ofori-Atta, A AU - Osei, A AU - Ae-Ngibise, K AU - Awenva, D AU - Cooper, Sara Daniella AU - Flisher, J A AU - MHAPP Research Programme Consortium AB - Objective: This paper aims to explore the options available for developing community-based care and improving the quality of care in psychiatric hospitals in Ghana. Method: Semi-structured interviews (SSIs) and focus group discussions (FGDs) were conducted with a cross-section of stakeholders including health professionals, researchers, policy makers, politicians, users and carers. The SSIs and FGDs were recorded digitally and transcribed verbatim. Apriori and emergent themes were coded and analysed with NVivo version 7.0, using a framework analysis. Results: Psychiatric hospitals in Ghana have a mean bed occupancy rate of 155%. Most respondents were of the view that the state psychiatric hospitals were very congested, substantially compromising quality of care. They also noted that the community psychiatric system was lacking human and material resources. Suggestions for addressing these difficulties included committing adequate resources to community psychiatric services, using psychiatric hospitals only as referral facilities, relapse prevention programmes, strengthening psychosocial services, adopting more precise diagnoses and the development of a policy on long-stay patients. Conclusion: There is an urgent need to build a credible system of community-based care and improve the quality of care in psychiatric hospitals in Ghana. DA - 2010 DB - OpenUCT DP - University of Cape Town J1 - African Journal of Psychiatry LK - https://open.uct.ac.za PB - University of Cape Town PY - 2010 T1 - Scaling up community-based services and improving quality of care in the state psychiatric hospitals: the way forward for Ghana TI - Scaling up community-based services and improving quality of care in the state psychiatric hospitals: the way forward for Ghana UR - http://hdl.handle.net/11427/24641 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/24641
dc.identifier.vancouvercitationAkpalu B, Lund C, Doku V, Ofori-Atta A, Osei A, Ae-Ngibise K, et al. Scaling up community-based services and improving quality of care in the state psychiatric hospitals: the way forward for Ghana. African Journal of Psychiatry. 2010; http://hdl.handle.net/11427/24641.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Psychiatry and Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceAfrican Journal of Psychiatry
dc.source.urihttp://www.sajp.org.za/index.php/sajp
dc.titleScaling up community-based services and improving quality of care in the state psychiatric hospitals: the way forward for Ghana
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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