COMMUNITY MENTAL HEALTH IN PESHAWAR, THE NEED TO REFORM
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.
References
Investing in Mental health. 2003 World Health Organization:
Geneva Available at: http://www.who.int/mental_health/en/
investing_in_mnh_final.pdf
Barrett J.E., Barrett JA, Oxman TE, Gerber PD. The prevalence
of psychiatric disorders in a primary care practice. Arch of Gen
Psychiatry 1988;45:1100-6.
Lopez A, Mathers C, Ezzati M, Jamison D, Murray C. Global
burden of disease and risk factors. Washington: Oxford
University Press and the World Bank; 2006.
Atlas: Mental Health Resources in the World 2001. Geneva:
World Health Organization; 2001. Available at URL:
http://www.who.int/mental_health/media/en/244.pdf.
Scott J, Dickey B. Global burden of depression: the intersection
of culture and medicine. Br J Psychiatry 2003;183: 92-4.
Patel V. Mental health in low- and middle-income countries. Br
Med Bull 2007;81-82:81-96.
Gadit AAM, Mugford G. Prevalence of depression among
households in three capital cities of Pakistan: Need to revise the
mental health policy. PLoS One 2007;2:e209.
Mirza, I, Jenkins R. Risk factors, prevalence, and treatment of
anxiety and depressive disorders in Pakistan: systematic review.
BMJ 2004;328:794.
Niaz, U. Women's mental health in Pakistan. World Psychiatry
;3:60-2.
Rahman, A, Lovel H, Bunn J, Iqbal Z, Harrington R. Mothers'
mental health and infant growth: a case-control study from
Rawalpindi. Pakistan. Child Care Health Dev 2004;30:21-7.
Saxena S, Thornicroft G, Knapp M, Whiteford H. Resources for
mental health: scarcity, inequity and inefficiency. Lancet
;370:878-89.
Farooq S, F Minhas F. Community Psychiatry in developing
countries-a misnomer. Psychiatric Bull 2001;25:226-7.
Jenkins R, Friedli R, McCulloch A. Developing a National
Mental Health Policy Hove: London: Psychology Press; 2002.
Kessler RC, Ustun BT. The WHO World Mental Health
Surveys: Global Perspectives on the Epidemiology of Mental
Disorders. Geneva: Cambridge University Press; 2008. p.265-78.
Lancet Global Mental Health Group. Scale up services for mental
disorders: call for action. Lancet 2007;370:1241-52.
Patel V, Araya R, Chatterjee S. Treatment and prevention of
mental disorders in low-income and middle-income countries.
Lancet 2007;370:991-1005.
Saraceno B, 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
;370:1164-74.
Mubbashar MH, Saeed K. Developing models of balanced
mental health care: the case of Pakistan. World Psychiatry
;1:100-101.
Naqvi HA. Mental health care and mental health legislation in
Pakistan: No mercy for losers. PLoS Medicine 2005;2:e397.
Mirza, I, Mujtaba M, Chaudary H, Jenkins R. Primary mental
health care in rural Punjab, Pakistan: Providers and user
perspectives of the effectiveness of treatments. J Social Sci Med
;63:593-7.
Saeed K, Gater R, Mubbashar M. Mental Health: the missing
link in Primary care? Health for All by the Year 2000 revisited.
East Mediterr Health J 2001;7:397-402.
James S, Chisholm D, Murthy RS, Kumar KK, Sekar K, Saeed
K, et al. Demand for, Access to and Use of Community Mental
Health Care: Lessons from a Demonstration Project in India and
Pakistan International J Social Psychiatry 2002;48:163-76.
Ali BS, Rahbar MH, Shifa N, Gul A, Sanober M, Alyia I. The
effectiveness of counselling on anxiety and depression by
minimally trained counsellors: A randomized controlled trial. Am
J Psychother 2003;57:324-36.
Ali BS. Validation of an indigenous screening questionnaire for
anxiety and depression in an urban squatter settlement of
Karachi. J Coll Physicians Surg Pak 1998;8:207-10.
Ali BS, Amanullah S. A comparative review of two screening
instruments: the Aga Khan University anxiety and depression
scale and the self reporting questionnaire. J Pak Med Assoc
;48:79-82.
Rahman A, Mubbashar M, Garter R, Goldberg D. Randomized
trial of impact of school mental health programme in rural
Rawalpindi, Pakistan. Lancet 1998;352:1022-5.
Minas H. International observatory on mental health systems:
structure and operation. Int J Ment Health Syst 2009;3:8.
Rahman A, Mubbashar M, Harrington R. Annotation:
Developing child mental health services in developing countries.
J Child Psychol Psychiatry 2000;41:539-46.
de Jong K, van de Kam S, Ford N, Lokuge K, Fromm S, van
Galen R, et al. Conflict in the Indian Kashmir Valley II:
psychosocial impact. Confl Health 2008;2:11.
Patel V, Farooq S, Thara R. What is the best approach to treating
schizophrenia in developing countries? PLoS Med 2007;4:e159.
Haider N, Khan MM, Depression in primary care: difficulties and
paradoxes. J Pak Med Assoc 2005;55:393-8.
Karim S, Saeed K, Rana MH, Mubbashar MH, Jenkins R.
Pakistan mental health country profile. Int Rev Psychiatry
;16:83-92.
Jorm AF. Mental health literacy: public knowledge and beliefs
about mental disorders. Bri J Psychiatry 2000;177:396-401.
Rehman U, Farooq S. Cannabis abuse in patients with
schizophrenia: pattern and effects on symptomatology. J Coll
Physicians Surg Pak 2007;17:158-66.
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