African Journal of Psychiatry最新文献_第8页

Mental health promotion and the prevention of mental disorders in South Africa. 在南非促进精神健康和预防精神障碍。

African Journal of Psychiatry Pub Date : 2012-11-01 DOI: 10.4314/ajpsy.v15i6.50

I Petersen, A Bhana, L Swartz

引用次数: 30

Mental health services in South Africa: taking stock. 南非的精神卫生服务:盘点。

African Journal of Psychiatry Pub Date : 2012-11-01 DOI: 10.4314/ajpsy.v15i6.48

C Lund, I Petersen, S Kleintjes, A Bhana

{"title":"Mental health services in South Africa: taking stock.","authors":"C Lund, I Petersen, S Kleintjes, A Bhana","doi":"10.4314/ajpsy.v15i6.48","DOIUrl":"https://doi.org/10.4314/ajpsy.v15i6.48","url":null,"abstract":"There is new policy commitment to mental health in South Africa, demonstrated in the national mental health summit of April 2012. This provides an opportunity to take stock of our mental health services. At primary care level key challenges include- training and supervision of staff in the detection and management of common mental disorders, and the development of community-based psychosocial rehabilitation programmes for people with severe mental illness (in collaboration with existing non-governmental organizations). At secondary level, resources need to be invested in 72-hour observation facilities at designated district and regional hospitals, in keeping with the Mental Health Care Act. At tertiary level, greater continuity of care with primary and secondary levels is required to prevent \"revolving door\" patterns of care. There are major challenges and also opportunities related to the high level of comorbidity between mental illness and a range of other public health priorities, notably HIV/AIDS, cardiovascular disease and diabetes. The agenda for mental health services research needs to shift to a focus on evaluating interventions. With current policy commitment, the time to act and invest in evidence-based mental health services is now.","PeriodicalId":55549,"journal":{"name":"African Journal of Psychiatry","volume":"15 6","pages":"402-5"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4314/ajpsy.v15i6.48","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31054166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 79

Developing the philosophy of recovery in South African mental health services. 发展南非精神卫生服务的康复理念。

African Journal of Psychiatry Pub Date : 2012-11-01 DOI: 10.4314/ajpsy.v15i6.51

J S Parker

引用次数: 11

The Mental Health Care Act No 17 - South Africa. Trials and triumphs: 2002-2012. 《第17号精神保健法案》————南非。考验与胜利:2002年至2012年。

African Journal of Psychiatry Pub Date : 2012-11-01 DOI: 10.4314/ajpsy.v15i6.49

S Ramlall

{"title":"The Mental Health Care Act No 17 - South Africa. Trials and triumphs: 2002-2012.","authors":"S Ramlall","doi":"10.4314/ajpsy.v15i6.49","DOIUrl":"https://doi.org/10.4314/ajpsy.v15i6.49","url":null,"abstract":"The Mental Health Care Act 17 of 2002 (MHCA) was promulgated in 2004. It has been hailed as one of the most progressive pieces of mental health legislation. A true measure of its merit is the degree to which it has transformed mental health services and in particular improved the quality of care. This paper will describe the impact of the Act on mental health care service delivery in the country. Literature pertaining to the MHCA published from 2006-2012, a report compiled by the South African Society of Psychiatrists and the results of a national survey conducted among Heads of Departments of Psychiatry, Mental Health Review Boards and Provincial Directors of Mental Health was reviewed. The MHCA has been successful in shifting the emphasis of care from psychiatric institutions to general hospitals. However, the integration of services has been hampered by infrastructure constraints and shortages of mental health personnel. It has been less successful in integrating mental health care into primary health services where the focus remains largely on the pharmacological maintenance treatment of the chronically mentally ill. Little attention has been given to the health promotion, disease prevention and rehabilitation aspects of care. Mental health review boards contend with limited resources, administrative challenges and limited political support. Isolated pockets of success characterised the implementation of the MHCA across the country. Greater investment of resources is needed to ensure the comprehensive implementation of the Act.","PeriodicalId":55549,"journal":{"name":"African Journal of Psychiatry","volume":"15 6","pages":"407-10"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4314/ajpsy.v15i6.49","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31054167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18

Integrating mental health into general health care: lessons from HIV. 将精神卫生纳入一般卫生保健:来自艾滋病毒的教训。

African Journal of Psychiatry Pub Date : 2012-11-01 DOI: 10.4314/ajpsy.v15i6.52

J A Joska, K R Sorsdahl

引用次数: 19

Schizophrenia - it's not split personalities! 精神分裂症——不是人格分裂!

African Journal of Psychiatry Pub Date : 2012-11-01

L Selwood

引用次数: 0

Suicide prevention: a proposed national strategy for South Africa. 自杀预防:南非一项拟议的国家战略。

African Journal of Psychiatry Pub Date : 2012-11-01 DOI: 10.4314/ajpsy.v15i6.56

L Schlebusch

{"title":"Suicide prevention: a proposed national strategy for South Africa.","authors":"L Schlebusch","doi":"10.4314/ajpsy.v15i6.56","DOIUrl":"https://doi.org/10.4314/ajpsy.v15i6.56","url":null,"abstract":"Suicidal behaviour is an important public health problem globally and in Africa. A brief overview of the nature and severity of the problem is provided, but the primary aim of this paper is to identify priorities and prevention strategies for reducing suicidal behaviour in South Africa by discussing a framework for a proposed national prevention programme. South African suicide rates range from 11.5 per 100 000 to as high as 25 per 100 000 of the population, depending on sampling procedures and research methods. About 11% of all non-natural deaths are suicide related. On average 9.5% of non-natural deaths in young people are due to suicide. It is a complex phenomenon and risk factors are, therefore, multifactorial and multidimensional. Some of the most important ones are identified and several priorities and prevention possibilities for reducing suicidal behaviour are recommended. The outline and structure for such a national suicide prevention programme is underpinned by research undertaken locally and internationally. It requires a comprehensive multi-sectoral approach that involves both health care and non-health care sectors and action at various levels utilising a framework based on a set of guiding principles and a range of strategies with specific objectives as a national priority within an interdisciplinary context.","PeriodicalId":55549,"journal":{"name":"African Journal of Psychiatry","volume":"15 6","pages":"436-40"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4314/ajpsy.v15i6.56","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31057286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 54

IACAPAP Paris 2012 - through the eyes of an African recipient of the Donald J Cohen Fellowship. IACAPAP巴黎2012 -通过唐纳德·J·科恩奖学金的非洲收件人的眼睛。

African Journal of Psychiatry Pub Date : 2012-11-01

Anusha Lachman

引用次数: 0

A milestone for mental health in South Africa. 这是南非精神卫生的里程碑。

African Journal of Psychiatry Pub Date : 2012-11-01 DOI: 10.4314/ajpsy.v15i6.46

G Ramokgopa

引用次数: 3

Board of international affairs, Pan-African division, quarterly newsletter, African international division, royal college of psychiatrists. 国际事务委员会，泛非分部，季度通讯，非洲国际分部，皇家精神科医学院。

African Journal of Psychiatry Pub Date : 2012-11-01

引用次数: 0