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2 results

  • Chapter 1 - Background

  • Gloria HY Wong, The University of Hong Kong, Bosco HM Ma, Hong Kong Alzheimer's Disease Association, Maggie NY Lee, Hong Kong Alzheimer's Disease Association, David LK Dai, Hong Kong Alzheimer's Disease Association
  • Book:
    Casebook of Dementia
    Published online:
    23 May 2024
    Print publication:
    30 May 2024, pp 1-21
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  • Summary

    Alzheimer’s Disease International highlighted in 2016 the role of primary care in dementia. With overly specialised healthcare systems and stretched specialist workforce, dementia is currently under-diagnosed and under-managed. While various service models have been trialled in different parts of the world, several barriers remain; among them are a lack of a gatekeeping role for primary care in highly stretched healthcare systems and a perception that primary care is of a lower quality. In this chapter, we briefly review and outline the possible roles of primary care, including the gatekeeping role, based on the concepts and practices of task-shifting and task-sharing in dementia care. Examples of primary care models in dementia are given, followed by a basic overview of the work-up, diagnosis, and management related to simple, uncomplicated Alzheimer’s disease in line with gatekeeping and task-shifting/sharing. With this background, we then move on to the rationales and evidence of integrated health and social care services, with an example of community primary care-based integrated health and social care services, from which the cases provided in this book were drawn.

  • Investing in mental health in Somalia: harnessing community mental health services through task shifting

  • Mohamed Ibrahim, Mamunur Rahman Malik, Zeynab Noor
  • Journal:
    Global Mental Health / Volume 9 / 2022
    Published online by Cambridge University Press:
    22 February 2022, pp. 94-98
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  • Background

    The increase of mental health issues globally has been well documented and now reflected in the United Nations' Sustainable Development Goals as a matter of global health significance. At the same time, studies show the mental health situations in conflict and post-conflict settings much higher than the rest of the world, lack the financial, health services and human resource capacity to address the challenges.

    Methods

    The study used a descriptive literature review and collected data from public domain, mostly mental health data from WHO's Global Health Observatory. Since there is no primary database for Somalia's public health research, the bibliographic databases used for mental health in this study included Medline, PubMed, CINAHL, PsycINFO, and Google Scholar.

    Results

    The review of the mental health literature shows one of the biggest casualties of the civil war was loss of essential human resources in healthcare as most either fled the country or were part of the victims of the war.

    Conclusion

    In an attempt to address the human resource gap, there are calls to task-shift so that available human resource can be utilized efficiently and effectively. This policy paper discusses the case of Somalia, the impact of decade-long civil conflict on mental health and health services, the significant gap in mental health service delivery and how to strategically and evidently task-shift in closing the mental health gap in service delivery.