Survey of non-conventional mental health care facilities in Côte d'Ivoire: first stage.

Autor: Koua AM; Department of Psychiatry, Université Alassane Ouattara, Bouaké, Côte d'Ivoire. koua_asseman01@yahoo.fr., Djo Bi Djo F; Department of Psychiatry, Université Alassane Ouattara, Bouaké, Côte d'Ivoire., Kouadio RN; Department of Social Anthropology, Université Jean Lorougnon Guédé, Daloa, Côte d'Ivoire., Coulibaly Z; Department of Sociology, Université Peleforo Gon Coulibaly, Korhogo, Côte d'Ivoire., Sreu E; Department of Geography, Université Alassane Ouattara, Bouaké, Côte d'Ivoire., Konandri ED; Department of Geography, Université Alassane Ouattara, Bouaké, Côte d'Ivoire., Koua ANJV; Department of Social Anthropology, Université Alassane Ouattara, Bouaké, Côte d'Ivoire., Huppertz S; Mindful Change Foundation, Darmstadt, Germany., Heetderks G; Mindful Change Foundation, Darmstadt, Germany., Huppertz M; Mindful Change Foundation, Darmstadt, Germany.
Jazyk: angličtina
Zdroj: International journal of mental health systems [Int J Ment Health Syst] 2021 Nov 24; Vol. 15 (1), pp. 83. Date of Electronic Publication: 2021 Nov 24.
DOI: 10.1186/s13033-021-00506-7
Abstrakt: Background: Mental illnesses and disabilities as well as epileptic diseases remain an important public health issue. In Côte d'Ivoire, the provision of psychiatric care and specialised psychosocial facilities is almost non-existent. This study is based on the hypothesis that the care of people suffering from mental illness and epilepsy in Côte d'Ivoire is mainly in the hands of non-conventional mental health care facilities, including so-called 'Prayer Camps'. These work according to traditional and spiritual principles and are mostly not registered or controlled by the Ivorian authorities.
Methods: This study is the first stage of a multi-stage study. For the first stage, a quantitative method with an exploratory and descriptive aim was chosen. 541 non-conventional mental health care facilities in Côte d'Ivoire were mapped, typologised according to their spiritual orientation and treatment methods, and examined according to some charactersitics. Semi-structured interviews with 435 facility leaders were conducted.
Results: The article provides a typology of four types of non-conventional mental health care facilities in Côte d'Ivoire including Christian Prayer Camps, Traditional Healing Centres, Phytotherapy Centres, and Roqya Centres. It explores their administrative embedding, the qualification of the facility leaders as well as their willingness, in principle, to cooperate with conventional mental health care centres. A considerable number of non-conventional expressed a desire or acceptance of cooperation with psychiatric organisations.
Conclusions: The next stage of this multi-stage study will be to assess the clinical and legal situation of the patients in these centres. The aim is to interview the patients in order to analyse their perceptions and to capture the concerns of relatives and staff in the centres as well as the human rights situation in a mixed-method study. The long-term objective is to establish future cooperation between conventional psychiatric care providers and suitable non-conventional mental health care facilities and to implement a community mental health care policy in Côte d'Ivoire.
(© 2021. The Author(s).)
Databáze: MEDLINE
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