| Autor: |
Singh SP; Warwick Medical School, University of Warwick, Coventry, UK; and Coventry and Warwickshire NHS Partnership Trust, Coventry, UK., Jilka S; Warwick Medical School, University of Warwick, Coventry, UK., Abdulmalik J; Centre for Child & Adolescent Mental Health & Department of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria., Bouliotis G; Warwick Medical School, University of Warwick, Coventry, UK., Chadda R; Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, Delhi, India., Egbokhare O; Department of Communication and Language Arts, University of Ibadan, Ibadan, Nigeria., Huque R; Department of Economics, University of Dhaka, Dhaka, Bangladesh., Hundt GL; Warwick Medical School, University of Warwick, Coventry, UK., Iyer S; Douglas Mental Health University Institute, Verdun, Quebec, Canada., Jegede O; Institute of African Studies, University of Ibadan, Ibadan, Nigeria., Khera N; The Creative Gypsy, New Delhi, India., Lilford R; Institute of Applied Health Research, University of Birmingham, Birmingham, UK., Madan J; Warwick Medical School, University of Warwick, Coventry, UK., Omigbodun A; Department of Obstetrics and Gynaecology, College of Medicine, University of Ibadan, Ibadan, Nigeria., Omigbodun O; Centre for Child & Adolescent Mental Health & Department of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria., Raja T; Warwick Medical School, University of Warwick, Coventry, UK., Read UM; Warwick Medical School, University of Warwick, Coventry, UK., Siddiqi BA; Department of Political Science and Sociology, North South University, Dhaka, Bangladesh., Sood M; Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, Delhi, India., Soron TR; Telepsychiatry Research and Innovation Network Ltd, Dhaka, Bangladesh., Ahmed HU; Adolescent and family Psychiatry Department National Institute of Mental Health, Dhaka, Bangladesh; on behalf of the TRANSFORM consortium. |
| Abstrakt: |
This paper introduces the TRANSFORM project, which aims to improve access to mental health services for people with serious and enduring mental disorders (SMDs - psychotic disorders and severe mood disorders, often with co-occurring substance misuse) living in urban slums in Dhaka (Bangladesh) and Ibadan (Nigeria). People living in slum communities have high rates of SMDs, limited access to mental health services and conditions of chronic hardship. Help is commonly sought from faith-based and traditional healers, but people with SMDs require medical treatment, support and follow-up. This multicentre, international mental health mixed-methods research project will (a) conduct community-based ethnographic assessment using participatory methods to explore community understandings of SMDs and help-seeking; (b) explore the role of traditional and faith-based healing for SMDs, from the perspectives of people with SMDs, caregivers, community members, healers, community health workers (CHWs) and health professionals; (c) co-design, with CHWs and healers, training packages for screening, early detection and referral to mental health services; and (d) implement and evaluate the training packages for clinical and cost-effectiveness in improving access to treatment for those with SMDs. TRANSFORM will develop and test a sustainable intervention that can be integrated into existing clinical care and inform priorities for healthcare providers and policy makers. |
