Publicação
Scaling up mental health services for internally displaced and vulnerable host populations in the Central African Republic
| Resumo: | ABSTRACT: The Central African Republic has been experiencing socio-political conflicts for decades, and political change has mainly come about through violence, leaving millions in immediate need of refuge and humanitarian assistance. Violence and displacement expose vulnerable groups and the community at large to a number of threats and stressors. In disaster situations, WHO estimates an increase in severe mental disorders from a projected baseline of 2–3% to an estimated 3–4% and an increase in mild or moderate mental disorders from a projected baseline of 10% to an estimated 15–20%. This programme aims to integrate mental health care in nonspecialized health settings. The Mental Health Gap Action Programme (mhGAP) initiative incorporates evidence-based guidelines on managing mental, neurological and substance use (MNS) disorders in primary care settings by nonspecialist health-care workers. The mhGAP Humanitarian Intervention Guide (mhGAP-HIG), introduced in 2015, is a valuable manual that can be used as a resource in training nonspecialists in providing primary mental health care. Based on the “Mental Health Gap Action Programme Monitoring and Evaluation Toolkit”, as of June 2017: - 48 nonspecialist health-care providers, including nine medical doctors, 28 certified nurses and 11 other health-care providers have been trained; - 24 health-care facilities are using mhGAP-HIG to assess and manage persons with MNS disorders (4 hospitals, 20 health centres); and - 380 people with MNS disorders have been seen in those facilities (184 for acute stress, 55 for post-traumatic stress disorder, 20 for depression, 21 for psychosis, 25 for epilepsy and 75 for harmful use of alcohol and drugs). |
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| Autores principais: | Vandendyck, Martin Jules Chantal |
| Assunto: | Mental Health Services Humanitarian emergencies Primary health care World Health Organization Central African Republic Serviços de Saúde Mental Emergências humanitárias Cuidados de saúde primários Organização Mundial de Saúde República Centro-Africana |
| Ano: | 2017 |
| País: | Portugal |
| Tipo de documento: | dissertação de mestrado |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade Nova de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório Institucional da UNL |
| Resumo: | ABSTRACT: The Central African Republic has been experiencing socio-political conflicts for decades, and political change has mainly come about through violence, leaving millions in immediate need of refuge and humanitarian assistance. Violence and displacement expose vulnerable groups and the community at large to a number of threats and stressors. In disaster situations, WHO estimates an increase in severe mental disorders from a projected baseline of 2–3% to an estimated 3–4% and an increase in mild or moderate mental disorders from a projected baseline of 10% to an estimated 15–20%. This programme aims to integrate mental health care in nonspecialized health settings. The Mental Health Gap Action Programme (mhGAP) initiative incorporates evidence-based guidelines on managing mental, neurological and substance use (MNS) disorders in primary care settings by nonspecialist health-care workers. The mhGAP Humanitarian Intervention Guide (mhGAP-HIG), introduced in 2015, is a valuable manual that can be used as a resource in training nonspecialists in providing primary mental health care. Based on the “Mental Health Gap Action Programme Monitoring and Evaluation Toolkit”, as of June 2017: - 48 nonspecialist health-care providers, including nine medical doctors, 28 certified nurses and 11 other health-care providers have been trained; - 24 health-care facilities are using mhGAP-HIG to assess and manage persons with MNS disorders (4 hospitals, 20 health centres); and - 380 people with MNS disorders have been seen in those facilities (184 for acute stress, 55 for post-traumatic stress disorder, 20 for depression, 21 for psychosis, 25 for epilepsy and 75 for harmful use of alcohol and drugs). |
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