A5062179324- Mental Health Treatment and Access
- Family Caregiving in Mental Illness
- Child and Adolescent Psychosocial and Emotional Development
- Health Policy Implementation Science
- Mental Health and Patient Involvement
- Global Maternal and Child Health
- Community Health and Development
- Maternal Mental Health During Pregnancy and Postpartum
- Adolescent Sexual and Reproductive Health
- HIV/AIDS Research and Interventions
- Primary Care and Health Outcomes
- Poverty, Education, and Child Welfare
- Child and Adolescent Health
- Health disparities and outcomes
- Health, psychology, and well-being
- Chronic Disease Management Strategies
- HIV/AIDS Impact and Responses
- Schizophrenia research and treatment
- Healthcare Systems and Reforms
- Homelessness and Social Issues
- Child Abuse and Trauma
- Resilience and Mental Health
- Health Systems, Economic Evaluations, Quality of Life
- Education Systems and Policy
- Family Support in Illness
University College London
2012-2025
University of KwaZulu-Natal
2015-2024
Odense University Hospital
2021-2024
King's College London
2020-2024
Region of Southern Denmark
2024
Curtin University
2024
University of Nottingham
2023
South African Medical Research Council
2021-2023
The London College
2023
University of Southern Denmark
2021
Crick Lund and colleagues describe their plans for the PRogramme Improving Mental health carE (PRIME), which aims to generate evidence on implementing scaling up integrated packages of care priority mental disorders in primary maternal contexts Ethiopia, India, Nepal, South Africa, Uganda.
Three-quarters of the global mental health burden exists in low- and middle-income countries (LMICs), yet lack services resource-poor settings is striking. Task-sharing (also, task-shifting), where care provided by non-specialists, has been proposed to improve access LMICs. This multi-site qualitative study investigates acceptability feasibility task-sharing LMICs examining perceptions primary service providers (physicians, nurses, community workers), members, users one district each five...
Background Little is known about how to tailor implementation of mental health services in low- and middle-income countries (LMICs) the diverse settings encountered within between countries. In this paper we compare baseline context, challenges opportunities districts five LMICs (Ethiopia, India, Nepal, South Africa Uganda) participating PRogramme for Improving Mental carE (PRIME). The purpose was inform development a comprehensive district plan integrate into primary care. Methods A...
Poor governance has been identified as a barrier to effective integration of mental health care in low- and middle-income countries. Governance includes providing the necessary policy legislative framework promote protect population, well system design quality assurance ensure optimal implementation. The aim this study was identify key challenges, needs potential strategies that could facilitate adequate into primary settings Key informant qualitative interviews were held with 141...
An increasing number of adolescents born with HIV in South Africa are on antiretroviral treatment and have to confront complex issues related coping a chronic, stigmatizing transmittable illness. Very few evidence-based mental health promotion programs for this population exist Africa. This study builds previous collaboratively designed developmentally timed family-based intervention early (CHAMP). The uses community-based participatory approach as part formative research evaluate pilot...
Abstract Introduction. While the roll-out of antiretroviral therapy in South Africa should lead to a reduction mother child transmission, mortality and orphaning, it will also be accompanied by large number children entering adolescence adulthood with chronic infectious disease. Adolescence is particularly vulnerable period for HIV-infected people relation mental health problems engagement high-risk behaviours, including non-compliance medical treatment. The goal this qualitative study was...
The majority of the black African population in South Africa utilize both traditional and public sector Western systems healing for mental health care. There is a need to develop models collaboration that promote workable relationship between two systems. aim this study was explore perceptions service users providers current interactions care ways which could be improved provision community services. Qualitative individual focus group interviews were conducted with key one typical rural...
People with chronic health conditions are known to have a higher prevalence of depressive disorder. The Patient Health Questionnaire (PHQ-9) is widely-used screening tool for depression which has not yet been validated use on care patients in South Africa.A sample 676 attending two primary facilities North West Province, Africa were administered the PHQ-9 by field workers and diagnostic interview (the Structured Clinical Interview DSM-IV) (SCID) clinical psychologists. PHQ-2 evaluated...
The integration of maternal mental health into primary care has been advocated to reduce the treatment gap in low- and middle-income countries (LMICs). This study reports findings a cross-country situation analysis on services available five LMICs, inform development integrated care. was conducted districts Ethiopia, India, Nepal, South Africa Uganda, as part Programme for Improving Mental Health Care (PRIME). secondary data prevalence impact priority disorders (perinatal depression, alcohol...
The purpose of the research programme introduced in this article is to provide new knowledge regarding comprehensive multisectoral approaches breaking negative cycle poverty and mental ill-health. undertakes an analysis existing health policies four African countries (Ghana, South Africa, Uganda, Zambia), will carry out evaluate interventions assist development implementation those countries, over a five-year period. which being conducted represent variety scenarios policy implementation.
Background In South Africa, the escalating prevalence of chronic illness and its high comorbidity with mental disorders bring to fore need for integrating health into care at district level. Aims To develop a healthcare plan (MHCP) in Africa that integrates depression, alcohol use schizophrenia care. Method Mixed methods using situation analysis, qualitative key informant interviews, theory change workshops piloting one facility informed development MHCP. Results Collaborative packages three...
BACKGROUND A recent situational analysis suggests that post-apartheid South Africa has made some gains with respect to the decentralization and integration of mental health into primary care. However, service gaps within between provinces remain, rural areas particularly underserved. Aim This study aims calculate cost a hypothetical human resource mix required populate framework for district adult services. embraces concept task shifting, where dedicated low workers at community clinic...
Stigma and discrimination against people with mental illness remain barriers to help seeking full recovery for in need of health services. Yet there is scarce research investigating the experiences psychiatric stigma on service users low- middle-income countries (LMICs). The aim this study was therefore explore by order inform interventions reduce such one LMIC, namely South Africa. Participants comprised a total 77 adults aged above 18 years, made up providers including professional nurses...
While South Africa has a new policy framework supporting the integration of mental health care into primary care, this is not sufficient to ensure transformation system towards integrated care. Health systems strengthening needed, incorporating, inter alia, capacity building and resource inputs, as well good governance for ensuring that relevant imperatives are implemented.To identify systemic factors within institutional contexts likely facilitate or impede implementation in...
Research on homeless youth has shown that this population is at high risk for various mental health problems. Previous studies conducted among young adults in Ghana have focused primarily economic, social and cultural causes of homelessness, their engagement risky sexual behaviours the prevalence STI including HIV/AIDS. We are therefore not fully informed psychological symptoms associated factors. The aim study was to determine association between functioning a sample Ghana. A...