What barriers could impede access to mental health services for children and adolescents in Africa? A scoping review.

Journal: BMC health services research

Volume: 23

Issue: 1

Year of Publication: 2023

Affiliated Institutions:  Department of Psychology, American University of Beirut, P.O.Box -, Riad El-Solh/Beirut, , Lebanon. ss@aub.edu.lb. Département de gestion des ressources humaines, Université du Québec à Trois-Rivières, , boulevard des Forges, Trois-Rivières, QC, GZ M, Canada. Department of Psychology, American University of Beirut, P.O.Box -, Riad El-Solh/Beirut, , Lebanon. Department of Psychology, CUNY John Jay College of Criminal Justice, W th Street, New York, NY, , USA.

Abstract summary 

Few studies have examined the mental health needs of African children and teenagers. Based on this gap, this scoping review aims to identify barriers to mental health services, treatments and services sought, and where mental health services are received.To pursue the stated objectives, we searched the following databases a) PsycINFO, b) CINAHL, c) Medline, and d) Web of Science. The search yielded 15,956 records in total.Studies included in this review were conducted in six African countries: Ethiopia, Mali, Egypt, South Africa, Nigeria, and Tunisia. The majority of the studies were conducted in South Africa (33.32%), followed by Ethiopia (25%), and Egypt (16.67%). In terms of treatments and services sought, both professional and traditional/alternative treatments were reported. The most frequently noted services were psychiatric treatments (25%), screening and diagnostic assessment (16.67%), as well as psychiatric and psychological consultations (16.67%). The most frequently reported treatment centers were psychiatric hospitals. As for treatment barriers, the three most frequently encountered barriers were: a preference for traditional/alternative and complementary treatments (33.33%), followed by stigma (25%), and a lack of knowledge/unfamiliarity with the mental health condition (25%).The results of this study are alarming due to the significant barriers to accessing mental health services coupled with the use of potentially harmful interventions to treat those mental health conditions. We hope this scoping review will help shed light on this important issue and help tomorrow's generation reach its full potential.

Authors & Co-authors:  Saade Sabine S Lamarche Annick Parent AP Khalaf Tatiana T Makke Sara S Legg Alexander A

Study Outcome 

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Statistics
Citations :  World Health Organization . Autism spectrum disorders & other developmental disorders from raising awareness to building capacity. Geneva: World Health Organization; 2013.
Authors :  5
Identifiers
Doi : 348
SSN : 1472-6963
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Adolescents;Africa;Barriers;Children;Knowledge;Mental health;Stigma
Study Design
Study Approach
Country of Study
Mali
Publication Country
England