A situational analysis of child and adolescent mental health services in Ghana Uganda South Africa and Zambia

dc.contributor.authorKleintjies, Sharon Rose
dc.contributor.authorLund, Christopher
dc.contributor.authorFlisher, A J
dc.contributor.authorMHaPP Research Programme Consortium
dc.date.accessioned2017-06-13T06:50:19Z
dc.date.available2017-06-13T06:50:19Z
dc.date.issued2010
dc.date.updated2016-01-08T11:10:28Z
dc.description.abstractObjective: Approximately one in five children and adolescents (CA) suffer from mental disorders. This paper reports on the findings of a situational analysis of CA mental health policy and services in Ghana, Uganda, South Africa and Zambia. The findings are part of a 5 year study, the Mental Health and Poverty Project, which aims to provide new knowledge regarding multi-sectoral approaches to breaking the cycle of poverty and mental ill-health in Africa. Method: The World Health Organization’s Assessment Instrument for Mental Health Systems (WHO-AIMS) Version 2.2 was used to collect quantitative information on mental health resources. Mental health policies and legislation were analysed using the WHO Policy and Plan, and Legislation Checklists. Qualitative data were collected through focus groups and interviews. Results: Child and adolescent mental health (CAMH) - related legislation, policies, services, programmes and human resources are scarce. Stigma and low priority given to mental health contribute to low investment in CAMH. Lack of attention to the impoverishing impact of mental disorders on CA and their families contribute to the burden. Conclusion: Scaling up child and adolescent mental health services (CAMHS) needs to include anti-stigma initiatives, and a greater investment in CAMH. Clear policy directions, priorities and targets should be set in country-level CAMH policies and plans. CAMHS should be intersectoral and include consideration of the poverty- mental health link. The roles of available mental health specialists should be expanded to include training and support of practitioners in all sectors. Interventions at community level are needed to engage youth, parents and local organizations to promote CAMH.
dc.identifier.apacitationKleintjies, S. R., Lund, C., Flisher, A. J., & (2010). A situational analysis of child and adolescent mental health services in Ghana Uganda South Africa and Zambia. <i>African Journal of Psychiatry</i>, http://hdl.handle.net/11427/24569en_ZA
dc.identifier.chicagocitationKleintjies, Sharon Rose, Christopher Lund, A J Flisher, and "A situational analysis of child and adolescent mental health services in Ghana Uganda South Africa and Zambia." <i>African Journal of Psychiatry</i> (2010) http://hdl.handle.net/11427/24569en_ZA
dc.identifier.citationKleintjes, S., Lund, C., & Flisher, A. J. (2010). A situational analysis of child and adolescent mental health services in Ghana, Uganda, South Africa and Zambia. African Journal of Psychiatry, 13(2).
dc.identifier.ris TY - Journal Article AU - Kleintjies, Sharon Rose AU - Lund, Christopher AU - Flisher, A J AU - MHaPP Research Programme Consortium AB - Objective: Approximately one in five children and adolescents (CA) suffer from mental disorders. This paper reports on the findings of a situational analysis of CA mental health policy and services in Ghana, Uganda, South Africa and Zambia. The findings are part of a 5 year study, the Mental Health and Poverty Project, which aims to provide new knowledge regarding multi-sectoral approaches to breaking the cycle of poverty and mental ill-health in Africa. Method: The World Health Organization’s Assessment Instrument for Mental Health Systems (WHO-AIMS) Version 2.2 was used to collect quantitative information on mental health resources. Mental health policies and legislation were analysed using the WHO Policy and Plan, and Legislation Checklists. Qualitative data were collected through focus groups and interviews. Results: Child and adolescent mental health (CAMH) - related legislation, policies, services, programmes and human resources are scarce. Stigma and low priority given to mental health contribute to low investment in CAMH. Lack of attention to the impoverishing impact of mental disorders on CA and their families contribute to the burden. Conclusion: Scaling up child and adolescent mental health services (CAMHS) needs to include anti-stigma initiatives, and a greater investment in CAMH. Clear policy directions, priorities and targets should be set in country-level CAMH policies and plans. CAMHS should be intersectoral and include consideration of the poverty- mental health link. The roles of available mental health specialists should be expanded to include training and support of practitioners in all sectors. Interventions at community level are needed to engage youth, parents and local organizations to promote CAMH. 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 - A situational analysis of child and adolescent mental health services in Ghana Uganda South Africa and Zambia TI - A situational analysis of child and adolescent mental health services in Ghana Uganda South Africa and Zambia UR - http://hdl.handle.net/11427/24569 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/24569
dc.identifier.vancouvercitationKleintjies SR, Lund C, Flisher AJ, . A situational analysis of child and adolescent mental health services in Ghana Uganda South Africa and Zambia. African Journal of Psychiatry. 2010; http://hdl.handle.net/11427/24569.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.urihttps://www.omicsonline.com/open-access/african-journal-of-psychiatry.php
dc.subject.otherMental health
dc.subject.otherPolicy
dc.subject.otherLegislation
dc.subject.otherChildren and adolescents
dc.titleA situational analysis of child and adolescent mental health services in Ghana Uganda South Africa and Zambia
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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