参考文献:1.WHO. Mental health: strengthening our response. 2014. Accessed online on the 1st of February 2015 at: www.who.int/mediacentre/factsheets/fs220/en/. 2.WHO. Health topics, Mental disorders. 2014. Accessed online on the 1st of February 2015 at: http://www.who.int/topics/mental_disorders/en/ . 3.WHO. Mental health atlas 2011. 2011. Accessed online on the 1st of February 2015 at: http://apps.who.int/iris/bitstream/10665/44697/1/9799241564359_eng.pdf . 4.WHO. Mental health action plan 2013-2020. 2013. Accessed online on the 1st of February 2015 at: http://apps.who.int/iris/bitstream/10665/89966/1/9789241506021_eng.pdf . 5.Saraceno B, van Ommeren M, Batniji R, Cohen A, Gureje O, Mahoney J, et al. Barriers to improvement of mental health services in low-income and middle-income countries. Lancet. 2007;370(9593):1164–74.CrossRef PubMed 6.Eaton J, McCay L, Semrau M, Chatterjee S, Baingana F, Araya R, et al. Scale up of services for mental health in low-income and middle-income countries. Lancet. 2011;378(9802):1592–603. doi:10.1016/S0140-6736(11)60891-X . Epub 2011 Oct 16.CrossRef PubMed 7.Jack-Ide IO, Uys L. Barriers to mental health services utilization in the Niger Delta region of Nigeria: service users’ perspectives. Pan Afr Med J. 2013;14:159. doi:10.11604/pamj.2013.14.159.1970 .PubMedCentral CrossRef PubMed 8.Bruwer B, Sorsdahl K, Harrison J, Stein DJ, Williams D, Seedat S. Barriers to mental health care and predictors of treatment dropout in the South African Stress and Health Study. Psychiatr Serv (Washington, DC). 2011;62(7):774–81. doi:10.1176/appi.ps.62.7.774 .CrossRef 9.Awenva AD, Read UM, Ofori-Attah AL, Doku VCK, Akpalu B, Osei AO, et al. From mental health policy development in Ghana to implementation: what are the barriers? Afr J Psychiatry. 2010;13(3):184–91. 10.Abdelgadir E. Exploring barriers to utilization of mental health services at the policy and facility level in Khartoum Sudan. thesis (master's)-university of washington 2012. 2012. Accessed online on the 1st of February 2015 at: http://dlib.lib.washington.edu/dspace/handle/1773/20682 . 11.Henshaw EJ, Freedman-doan CR, Michigan E. Conceptualizing Mental Health Care Utilization Using the Health Belief Model. Clin Psychol Sci Pract. 2009;16(4):420–39. 12.Ambikile JS, Outwater A. Challenges of caring for children with mental disorders: Experiences and views of caregivers attending the outpatient clinic at Muhimbili National Hospital, Dar es Salaam - Tanzania. Child Adolesc Psychiatry Ment Health. 2012;6(1):16.PubMedCentral CrossRef PubMed 13.Sintayehu M, Mulat H, Yohannis Z, Adera T, Fekade M. Prevalence of mental distress and associated factors among caregivers of patients with severe mental illness in the outpatient unit of Amanuel Hospital, Addis Ababa, Ethiopia, 2013: Cross-sectional study. J Mol Psychiatry. 2015;3:9.PubMedCentral CrossRef PubMed 14.Steele A, Maruyama N, Galynker I. Psychiatric symptoms in caregivers of patients with bipolar disorder: a review. J Affect Disord. 2010;121(1-2):10–21.CrossRef PubMed 15.Olawale KO, Mosaku KS, Fatoye O, Mapayi BM, Oginni OA. Caregiver burden in families of patients with depression attending Obafemi Awolowo University teaching hospitals complex Ile-Ife Nigeria. Gen Hosp Psychiatry. 2014;36(6):743–7.CrossRef PubMed 16.Doctor Eltigani Elmahi (2014) (Accessed online on the 1st of February 2015 at: http://meduofk.net/professor-eltigani-elmahi/ ). 17.Pfeiffer PN, Glass J, Austin K, Valenstein M, McCarthy JF, Zivin K. Impact of distance and facility of initial diagnosis on depression treatment. Health Serv Res. 2011;46(3):768–86.PubMedCentral CrossRef PubMed 18.Schierenbeck I, Johansson P, Andersson L, Van Rooyen D. Barriers to accessing and receiving mental health care in Eastern Cape, South Africa. Health Human Rights. 2013;15(2):110–23.PubMed 19.Teferra S, Shibre T. Perceived causes of severe mental disturbance and preferred interventions by the Borana semi-nomadic population in southern Ethiopia: a qualitative study. BMC Psychiatry. 2012;12:79. doi:10.1186/1471-244X-12-79 .PubMedCentral CrossRef PubMed 20.Topper K, van Rooyen K, Grobler C, van Rooyen D, Andersson LM. Posttraumatic Stress Disorder and Barriers to Care in Eastern Cape Province, South Africa. J Trauma Stress. 2015;28(4):375–9.CrossRef PubMed 21.Andersson LM, Schierenbeck I, Strumpher J, Krantz G, Topper K, Backman G, et al. Help-seeking behaviour, barriers to care and experiences of care among persons with depression in Eastern Cape, South Africa. J Affect Disord. 2013;151(2):439–48.CrossRef PubMed 22.Brenman NF, Luitel NP, Mall S, Jordans MJ. Demand and access to mental health services: a qualitative formative study in Nepal. BMC Int Health Hum Rights. 2014;14:22.PubMedCentral CrossRef PubMed 23.WHO. A repot of the assessment of mental health system in Sudan using the WHO assessment instrument for mental health system, (WHO-AIMS). 2009. Accessed online on the 1st of February 2015 at: www.who.int/mental_health/who_aims_report_sudan.pdf . 24.Thornicroft G. Most people with mental illness are not treated. Lancet. 2007;370(9590):807–8.CrossRef PubMed 25.Knapp M, Funk M, Curran C, Prince M, Grigg M, Mcdaid D. Economic barriers to better mental health practice and policy. Health Policy Plan. 2006;21(3):157–70.CrossRef PubMed 26.Patel V, Chowdhary N, Rahman A, Verdeli H. Improving access to psychological treatments: lessons from developing countries. Behav Res Ther. 2011;49(9):523–8.PubMedCentral CrossRef PubMed 27.Crotty MM, Henderson J, Fuller JD. Helping and hindering: perceptions of enablers and barriers to collaboration within a rural South Australian mental health network. Aust J Rural Health. 2012;20(4):213–8.CrossRef PubMed 28.Agyapong VIO, Osei A, Farren CK, McAuliffe E. Ease of referral, perception and concerns of stakeholders about quality of care. International Journal for Quality in Health Care 2015, 1–7 doi:10.1093/intqhc/mzv058 29.Agyapong VIO, Osei A, Farren CK, McAuliffe E. Factors influencing the career choice and retention of community mental health workers in Ghana. Hum Resour Health. 2015;13:56. doi:10.1186/s12960-015-0050-2 .PubMedCentral CrossRef PubMed 30.Agyapong VIO, Osei A, Farren CK, McAuliffe E. Task shifting–Ghana’s Community Mental Health Workers’ experiences and perceptions of their role and scope of practice. Global Health Action. 2015;8:28955. http://dx.doi.org/10.3402/gha.v8.28955 .CrossRef PubMed 31.Patel V, Weiss HA, Chowdhary N, Naik S, Pednekar S, Chatterjee S, et al. Lay health worker led intervention for depressive and anxiety disorders in India: impact on clinical and disability outcomes over 12 months. Br J Psychiatry. 2011;199:459–66.PubMedCentral CrossRef PubMed 32.Pereira B, Andrew G, Pednekar S, Kirkwood BR, Patel V. The integration of the treatment for common mental disorders in primary care: experiences of health care providers in the MANAS trial in Goa, India. Int J Ment Health Syst. 2011;5:26.PubMedCentral CrossRef PubMed 33.Patel V. The future of psychiatry in low- and middle-income countries. Psychol Med. 2009;39:1759–62.CrossRef PubMed
作者单位:Sara H. Ali (1) (2) Vincent I. O. Agyapong (2) (3) (4)
1. Department of Psychiatry, St Patrick’s University Hospital, Dublin, Ireland 2. Centre for Global Health, University of Dublin, Trinity College, Dublin, Ireland 3. Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada 4. Department of Behavioural Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
刊物主题:Public Health; Health Administration; Health Informatics; Nursing Management/Nursing Research;
出版者:BioMed Central
ISSN:1472-6963
文摘
Background In order to scale up mental health care nationally, barriers to health services utilisation need to be identified and addressed. Aim: The aim of this study was to identify barriers to mental health services utilization in Sudan from the perspectives of carer’s of mentally ill patients and psychiatrists and to make recommendations to address the identified barriers.