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首页> 外文期刊>The British journal of psychiatry : >Integrating mental health into chronic care in South Africa: the development of a district mental healthcare plan
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Integrating mental health into chronic care in South Africa: the development of a district mental healthcare plan

机译：将精神卫生纳入南非的慢性病中：制定地区精神卫生计划

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Background In South Africa, the escalating prevalence of chronic illness and its high comorbidity with mental disorders bring to the fore the need for integrating mental health into chronic care at district level. Aims To develop a district mental healthcare plan (MHCP) in South Africa that integrates mental healthcare for depression, alcohol use disorders and schizophrenia into chronic care. Method Mixed methods using a situation analysis, qualitative key informant interviews, theory of change workshops and piloting of the plan in one health facility informed the development of the MHCP. Results Collaborative care packages for the three conditions were developed to enable integration at the organisational, facility and community levels, supported by a human resource mix and implementation tools. Potential barriers to the feasibility of implementation at scale were identified. Conclusions The plan leverages resources and systems availed by the emerging chronic care service delivery platform for the integration of mental health. This strengthens the potential for future scale up.
机译：背景技术在南非，慢性病的患病率不断上升及其与精神障碍的高度合并症，因此迫切需要将精神卫生纳入地区一级的慢性病治疗。目的在南非制定一项地区精神保健计划（MHCP），将抑郁症，酒精滥用和精神分裂症的精神保健纳入慢性病治疗。方法采用一种情况分析，定性的关键线人访谈，变革理论研讨会以及在一个医疗机构中进行计划试点的混合方法，为MHCP的发展提供了依据。结果在人力资源组合和实施工具的支持下，针对这三种情况开发了协作式护理包，以实现在组织，设施和社区各级的整合。确定了大规模实施可行性的潜在障碍。结论该计划利用了新兴的慢性护理服务提供平台提供的资源和系统来整合精神健康。这增强了将来扩大规模的潜力。

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