COMMUNITY MENTAL HEALTH IN PESHAWAR, THE NEED TO REFORM

Shahid Khan Afridi, Harry Minas, Naseem Khan Afridi, Shireen Fatima, Prem Chopra

Abstract


Community mental health is a neglected field in many developing countries including Pakistan.
Common mental disorders are high in prevalence, particularly in women. Community mental health
services are lacking in Peshawar, which faces a number of challenges owing to sociopolitical
instability. The aim of this literature review is to evaluate and interpret current research relevant to
community mental health reform, including a review of the evidence regarding community mental
health service. A selected review of published literature was undertaken using the PubMed, PsychINFO
and Cochrane Database of Systematic Reviews databases. The intervention studies included in this
review demonstrate that community based mental health services closely aligned with primary care
services have the potential to facilitate improvements in access to care and also improvements in mental
health outcomes. It concludes that lack of proper mental health policy and non-integration of mental
health in primary health care adversely affects the outcome of mental health progress in community.

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