A Four-Component Framework Toward Patient-Centered, Integrated Mental Healthcare in Kenya.

Journal: Frontiers in public health

Volume: 9

Issue: 

Year of Publication: 2022

Affiliated Institutions:  Department of Psychiatry, University of Nairobi, Nairobi, Kenya. Shamiri Institute, Nairobi, Kenya. Kenyatta National Hospital, Nairobi, Kenya. Research Center for Psychiatry and Behavioral Sciences, Department of Psychiatry, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. Health Service Coordination, Ministry of Health, Nairobi, Kenya. Universal Health Coverage, Ministry of Health, Nairobi, Kenya. Adolescent Health Program, Ministry of Health, Nairobi, Kenya. Preventive and Promotive Health, Nairobi Metropolitan Services, Nairobi, Kenya. United Nations Children's Fund (UNICEF), ESARO, Nairobi, Kenya. Adolescents and Key Populations, Nairobi Metropolitan Services, Nairobi, Kenya. Mental Health and Substance Use Department, Ministry of Health, Nairobi, Kenya. Department of Global Health and Population, Harvard TC Chan School of Public Health, Harvard University, Cambridge, MA, United States.

Abstract summary 

How can we fast-track the global agenda of integrated mental healthcare in low- and middle-income countries (LMICs) such as Kenya? This is a question that has become increasingly important for individuals with lived experiences, policymakers, mental health advocates and health care providers at the local and international levels. This narrative synthesis and perspective piece encompasses an overview of mental health care competencies, best practices and capacity building needed to fast track patient responsive services. In that vein we also review key policy developments like UHC to make a case for fast-tracking our four-step framework. While there is an increasingly global impetus for integrated mental healthcare, there is a lack of clarity around what patient-responsive mental healthcare services should look like and how to measure and improve provider readiness appropriately. Here, our collaborative team of local and international experts proposes a simple four-step approach to integrating responsive mental healthcare in Kenya. Our recommended framework prioritizes a clear understanding and demonstration of multidimensional skills by the provider. The four steps are (1) , (2) , (3) , and (4) . Our proposed framework can provide pointers to embracing patient-centered and provider empowerment focused quality of care improvements. Though elements of our proposed framework are well-known, it has not been sufficiently intertwined and therefore not been integrated. We think in the current times our integrated framework offers an opportunity to "building back better" mental health for all.

Authors & Co-authors:  Kumar Osborn Mugo Akbarialiabad Warfa Mbuthia Wambugu Ngunu Gohar Mwaniga Njuguna Saxena

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Glassman A, Giedion U, Smith PC. What's in, What's Out: Designing Benefits for Universal Health Coverage. Washington, DC: Brookings Institution Press; (2017).
Authors :  12
Identifiers
Doi : 756861
SSN : 2296-2565
Study Population
Male,Female
Mesh Terms
Delivery of Health Care
Other Terms
Kenya;integrated care;mental health;patient-centered care;primary health care;universal health care
Study Design
Study Approach
Country of Study
Kenya
Publication Country
Switzerland