Organization of Mental Health Services in Developing Countries
İÇİNDEKİLERCONTENTS INTRODUCTION ........................... EXTENT, NATURE, AND CONSEQUENCES OF MENTAL HEALTH PROBLEMS IN DEVELOPING COUNTRIES ............ PRESENT RESPONSES TO THESE PROBLEMS ............ Attitudes to mental disorder ..................... Traditional treatment ........................ Role of general health and welfare services ............... Availability of mental health resources .................. Legal and administrative provisions .................. Economic factors .......................... APPROACHES TO THE DEVELOPMENT OF MENTAL HEALTH SERVICES Determination of objectives and priorities ................ Development of strategies to achieve priority objectives .......... Services in rural areas ....................... Mental health care at the level of the health centre .......... Services in urban areas ....................... Psychiatric units and outpatient facilities in the general hospitals Adaptation of existing mental health services ............. Cooperation with general health services ............... Mental health planning in the ministry concerned with health ..... Availability and cost of drugs .................... Mental health legislation ...................... Contribution of nonmedical agencies ................ Development of pilot projects in community mental health care ..... MANPOWER: ROLE AND TRAINING ................ Primary health workers ....................... General physicians, medical assistants, and nurses ........... Psychiatric nurses ......................... Psychiatrists ........................... Psychologists ........................... Role of mental health workers in research ............... Education of the public ........................ MONITORING, EVALUATION, AND READJUSTMENT OF PROGRAMMES ........................... Information collection and analysis ................... Operational research ......................... REGIONAL AND INTERNATIONAL ACTIVITIES FOR DEVELOPMENT OF MENTAL HEALTH PROGRAMMES ............... SUMMARY AND RECOMMENDATIONS ............... CONCLUSION ............................ ANNEX 1 .............................. |