Pathways to care for psychosis in Malawi

被引：2

作者：

Kokota, Demoubly ^{[1
]}

Stewart, Robert C. ^{[1
]}

Bandawe, Chiwoza ^{[2
]}

Chorwe-Sungani, Genesis ^{[3
]}

Liwimbi, Olive ^{[4
]}

Mwale, Charles Masulani ^{[5
]}

Kulisewa, Kazione ^{[6
]}

Udedi, Michael ^{[7
]}

Gondwe, Saulos ^{[5
]}

Sefasi, Anthony ^{[3
]}

Banda, Richard ^{[8
]}

Mkandawire, Thandiwe ^{[9
]}

Lawrie, Stephen M. ^{[1
]}

机构：

[1] Univ Edinburgh, Div Psychiat, Edinburgh, Midlothian, Scotland

[2] Kamuzu Univ Hlth Sci, Dept Psychiat & Mental Hlth, Clin Psychol, Blantyre, Malawi

[3] Kamuzu Univ Hlth Sci, Dept Psychiat & Mental Hlth, Mental Hlth Nursing, Blantyre, Malawi

[4] Zomba Mental Hosp, Zomba, Malawi

[5] St John God Hosp Serv, Lilongwe, Malawi

[6] Kamuzu Univ Hlth Sci, Dept Psychiat & Mental Hlth, Blantyre, Malawi

[7] Minist Hlth, NCDs & Mental Hlth Unit, Lilongwe, Malawi

[8] St John God Hosp Serv, Mzuzu, Malawi

[9] Mental Hlth Users & Carers Assoc, Blantyre, Malawi

来源：

BJPSYCH INTERNATIONAL | 2023年 / 20卷 / 04期

基金：

英国医学研究理事会;

关键词：

Psychotic disorders/schizophrenia; community mental health teams; transcultural psychiatry; traditional healers; mental health services; MENTAL-HEALTH-CARE; TRADITIONAL HEALERS;

D O I：

10.1192/bji.2023.18

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

People with psychosis in Malawi have very limited access to timely assessment and evidence-based care, leading to a long duration of untreated psychosis and persistent disability. Most people with psychosis in the country consult traditional or religious healers. Stigmatising attitudes are common and services have limited capacity, particularly in rural areas. This paper, focusing on pathways to care for psychosis in Malawi, is based on the Wellcome Trust Psychosis Flagship Report on the Landscape of Mental Health Services for Psychosis in Malawi. Its purpose is to inform Psychosis Recovery Orientation in Malawi by Improving Services and Engagement (PROMISE), a longitudinal study that aims to build on existing services to develop sustainable psychosis detection systems and management pathways to promote recovery.

引用

页码：84 / 89

页数：6

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