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Integrating mental health into chronic care in South Africa: The development of a district mental healthcare plan

Published online by Cambridge University Press:  02 January 2018

Inge Petersen ,
Lara Fairall ,
Arvin Bhana ,
Tasneem Kathree ,
One Selohilwe ,
Carrie Brooke-Sumner ,
Gill Faris ,
Erica Breuer ,
Nomvula Sibanyoni  and
Crick Lund
...Show all authors
Inge Petersen*
Affiliation:
School of Applied Human Sciences, University of KwaZulu-Natal, Durban, South Africa
Lara Fairall
Affiliation:
Knowledge Translation Unit, University of Cape Town, Cape Town, South Africa
Arvin Bhana
Affiliation:
School of Applied Human Sciences, University of KwaZulu-Natal, Durban, South Africa
Tasneem Kathree
Affiliation:
School of Applied Human Sciences, University of KwaZulu-Natal, Durban, South Africa
One Selohilwe
Affiliation:
School of Applied Human Sciences, University of KwaZulu-Natal, Durban, South Africa
Carrie Brooke-Sumner
Affiliation:
School of Applied Human Sciences, University of KwaZulu-Natal, Durban, South Africa
Gill Faris
Affiliation:
Knowledge Translation Unit, University of Cape Town, Cape Town, South Africa
Erica Breuer
Affiliation:
Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa
Nomvula Sibanyoni
Affiliation:
National Department of Health, Pretoria, South Africa
Crick Lund
Affiliation:
Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK
Vikram Patel
Affiliation:
Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK and Centre for Mental Health, the Public Health Foundation of India, India
*
Inge Petersen, School of Applied Human Sciences, School of Applied Human Sciences, Howard College, University of KwaZulu-Natal, Durban, 4000, South Africa. Email: peterseni@ukzn.ac.za
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Abstract

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Background

In South Africa, the escalating prevalence of chronic illness and its high comorbidity with mental disorders bring to the fore the need for integrating mental health into chronic care at district level.

Aims

To develop a district mental healthcare plan (MHCP) in South Africa that integrates mental healthcare for depression, alcohol use disorders and schizophrenia into chronic care.

Method

Mixed methods using a situation analysis, qualitative key informant interviews, theory of change workshops and piloting of the plan in one health facility informed the development of the MHCP.

Results

Collaborative care packages for the three conditions were developed to enable integration at the organisational, facility and community levels, supported by a human resource mix and implementation tools. Potential barriers to the feasibility of implementation at scale were identified.

Conclusions

The plan leverages resources and systems availed by the emerging chronic care service delivery platform for the integration of mental health. This strengthens the potential for future scale up.

Type
Papers
Information
The British Journal of Psychiatry , Volume 208 , Issue s56: Mental health plans in five low- and middle-income countries: PRogramme for Improving Mental health carE (PRIME) , January 2016 , pp. s29 - s39
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.
Copyright
Copyright © Royal College of Psychiatrists, 2016

Footnotes

This study is an output of the PRogramme for Improving Mental health carE (PRIME). The material has been funded by UK aid from the UK government. However, the views expressed do not necessarily reflect the UK government's official policies.

Declaration of interest

None.

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