Cited by 170Health Policy Implementation ScienceMental Health Treatment and AccessPsychiatric care and mental health services

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

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Petersen, Inge, Fairall, Lara, Bhana, Arvin, Kathree, Tasneem, Selohilwe, One, Brooke-Sumner, Carrie, Faris, Gill, Breuer, Erica +3 more·2016·British Journal of Psychiatry

Abstract

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.

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  1. [24]Brooke-Sumner C Petersen I Lund C Perceptions of disability and recovery among mental health services users and their caregivers in the North West Province, South Africa: lessons for development of a psychosocial rehabilitation programme. Afr J Disability 2014; 3: 1– 10.

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Authors
Petersen, I., Fairall, L., Bhana, A., Kathree, T., Selohilwe, O., Brooke-Sumner, C., Faris, G., Breuer, E., Sibanyoni, N., Lund, C., & Patel, V.
Affiliations
University of Cape Town (ZA)
Corresponding author
Petersen, Inge
Venue
British Journal of Psychiatry
Published
2016-01
Volume
208
Issue
s56
Pages
s29-s39
ISSN
  • 0007-1250 (ISSN-L)
  • 1472-1465
OpenAlex
W2196257553
Cited by
170
References
41
Citations by year
2026: 10 · 2025: 12 · 2024: 31 · 2023: 33 · 2022: 14 · 2021: 13 · 2020: 11 · 2019: 18 · 2018: 8 · 2017: 10 · 2016: 4 · 2015: 6
FWCI
17.06
Type
journal article
Language
en
Open access
Locations
  • The British Journal of Psychiatry (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
Funders
  • Wellcome Trust (100714, 091834)
  • Government of the United Kingdom
  • Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
  • Inyuvesi Yakwazulu-Natali
  • University of Cape Town
  • National Institute of Mental Health (R01MH100470)
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords
mental health integration, chronic care, depression, alcoholism, schizophrenia, collaborative care, theory of change, health planning, implementation barriers, South Africa
MeSH terms
Mental Disorders, Community Mental Health Services, Health Workforce, Humans, Long-Term Care, Patient Care Planning, South Africa, Program Evaluation, Delivery of Health Care, Integrated, Qualitative Research

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