The Palgrave Handbook Of Mental Health Practice In Sub Saharan Africa

The focus of this handbook is to highlight the key issues in addressing the challenges and opportunities to promote mental health is Sub-Saharan Africa. A unique feature of this work is the privileging of African voices in expressing the strengths, vulnerabilities, and unique approaches which have been found within the Sub-Saharan context. The handbook is broken into three sections. The first introduces the handbook and the general issues and concepts discussed. The second describes diverse community outreach and mental health interventions applied by the contributors in diverse Sub-Saharan Africa countries and contexts and addressing a range of mental health topics. The third focuses on systemic issues that affect mental health service delivery, with recommendations provided. Opportunities for creating new models for sharing practices and disseminating knowledge generated by Sub-Saharan African practitioners for their culture and contexts are discussed.

This handbook incisively explores challenges and opportunities that exist in efforts aimed at addressing inequities in mental health provision across the globe. Drawing on various disciplines across the humanities, psychology, and social sciences it charts the emergence of Global Mental Health as a field of study. It critically reflects on efforts and interventions being made to globalize mental health policies, and discusses key themes relevant for understanding and supporting the mental health needs of people living in diverse socio-economical and cultural environments. Over three rich sections, the handbook critically engages with Global Mental Health discourses. To help guide future efforts to support mental health and wellbeing in different parts of the world, the third section of the handbook consists of case studies of innovative mental health policy and practice, which are presented from a variety of different perspectives. This seminal handbook will appeal to a transnational community of post-graduate students, academics and practitioners, from global health to transcultural psychiatry and medical anthropology. It will be also of interest to researchers and clinical practitioners, policy makers and non-governmental organisations involved in cross-cultural mental health work.

In many African countries, mental health issues, including the burden of serious mental illness and trauma, have not been adequately addressed. These essays shed light on the treatment of common and chronic mental disorders, including mental illness and treatment in the current climate of economic and political instability, access to health care, access to medicines, and the impact of HIV-AIDS and other chronic illness on mental health. While problems are rampant and carry real and devastating consequences, this volume promotes an understanding of the African mental health landscape in service of reform.

Seventy percent of the global burden of mental disorders is located in low and middle income countries (LMIC),including sub-Saharan Africa (SSA). However, in Africa,only 0.62% of the national health budget is allocated to mental health compared to a global median of 2.8% and 5% in Europe. The government is the source of funding in 62%of patients with severe mental disorder in the World Health Organisation (WHO), Africa Region, the lowest of all the WHO regions, and lower compared to a global median of 79%. This is compounded by poor resources, with mental health outpatient facilities in WHO Africa Region being less that 10% of the global median. To address these problems, the WHO launched its Mental Health Action Gap Programme (mhGAP) in 2008, to scale-up mental health services in low and middle income countries (LMIC). The book is directed to all policy makers in sub-Saharan Africa to aid decision making about the urgent need for sustainable and relevant mental health care strategies, and the important areas that need priority. The book should be helpful to local and international researchers in formulating research questions relevant to the African continent and it will be of interest to medical practitioners and students in the region as adjunct to standard text books.

This handbook constitutes a specialist single compendium that analyses African political economy in its theoretical, historical and policy dimensions. It emphasizes the uniqueness of African political economy within a global capitalist system that is ever changing and complex. Chapters in the book discuss how domestic and international political economic forces have shaped and continue to shape development outcomes on the continent. Contributors also provoke new thinking on theories and policies to better position the continent’s economy to be a critical global force. The uniqueness of the handbook lies in linking theory and praxis with the past, future, and various dimensions of the political economy of Africa.

This handbook compiles methods for gathering, organizing and disseminating data to inform policy and manage health systems worldwide. Contributing authors describe national and international structures for generating data and explain the relevance of ethics, policy, epidemiology, health economics, demography, statistics, geography and qualitative methods to describing population health. The reader, whether a student of global health, public health practitioner, programme manager, data analyst or policymaker, will appreciate the methods, context and importance of collecting and using global health data.

An authoritative, state-of-the-art collection that brings together key experts to provide an overview of the field. This new paperback edition includes 3 new chapters on human resources and health, end-of-life care and complementary and alternative medicine as well as thorough updates to the introduction and conclusion.

This book highlights the emerging research and policy development efforts to address child and adolescent behavioral health in Sub-Saharan Africa, where mental health policy is at an early stage and in need of context-specific attention to its successes and shortcomings. A diverse range of researchers, with expertise on relevant policy in both the region as a whole and country-specific contexts, including Ghana, Kenya, Nigeria, Rwanda, South Africa, and Uganda, outline theoretically informed, culturally appropriate, evidence-based, and youth- and family-focused service models. The first work of its kind with an exclusive focus on the understudied region of Sub-Saharan Africa, this text: Provides an overview of the current state of child and adolescent behavioral health in the region Evaluates empirical work on risk and protective factors influencing behavioral outcomes Highlights emerging intervention research and dialogue on what works to improve child and adolescent behavioral health Offers insight and strategies on how to advance child and adolescent behavioral health in policy, research, and practice Child Behavioral Health in Sub-Saharan Africa: Towards Evidence Generation and Policy Development is a unique reference that offers guidance for current and future policy-makers, researchers, practitioners, and students as they seek to invest and engage in the healthy development of a future generation.

The influence of culture on mental illness has been the subject of considerable academic investigation and debate in recent years. This debate has provoked concerns about the validity and reliability of older methodologies which emphasised either universal characteristics of disorders which were heavily biased towards Euro-American systems, or the culturally relativist approach which saw psychological disorders as products largely of their own culture. The "new" cross-cultural psychiatry proposed that the integration of ethnographic and epidemiological techniques be required to enable a culture sensitive psychiatric model to emerge. This monograph describes a series of research studies conducted in primary care in Harare, Zimbabwe, focusing on the most frequent of all psychological disorders, Common Mental Disorders (CMD). The four consecutive studies are unique in several respects, most notably, the involvement of both biomedical and traditional health care providers at all stages, the development of an indigenous measure of CMD for use in epidemiological investigations, the examination of the relationship between local and biomedical models of psychological disorder and the sociodemographic and economic risk factors for CMD. The experiences and findings of these studies provide new directions in our understanding of the contribution of culture to the presentation, assessment, classification and risk factors for CMD in primary care in an urban African setting. The methodology used also sets out a model for epidemiological research in other areas of mental health in different cultural settings.