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Transforming access to care for serious mental disorders in slums (the TRANSFORM Project) : rationale, design and protocol
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(2022) Transforming access to care for serious mental disorders in slums (the TRANSFORM Project) : rationale, design and protocol. BJPsych Open, 8 (6). e185. doi:10.1192/bjo.2022.584 ISSN 2056-4724.
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Official URL: https://doi.org/10.1192/bjo.2022.584
Abstract
This paper introduces the TRANSFORM project, which aims to improve access to mental health services for people with serious and enduring mental disorders (SMDs – psychotic disorders and severe mood disorders, often with co-occurring substance misuse) living in urban slums in Dhaka (Bangladesh) and Ibadan (Nigeria). People living in slum communities have high rates of SMDs, limited access to mental health services and conditions of chronic hardship. Help is commonly sought from faith-based and traditional healers, but people with SMDs require medical treatment, support and follow-up. This multicentre, international mental health mixed-methods research project will (a) conduct community-based ethnographic assessment using participatory methods to explore community understandings of SMDs and help-seeking; (b) explore the role of traditional and faith-based healing for SMDs, from the perspectives of people with SMDs, caregivers, community members, healers, community health workers (CHWs) and health professionals; (c) co-design, with CHWs and healers, training packages for screening, early detection and referral to mental health services; and (d) implement and evaluate the training packages for clinical and cost-effectiveness in improving access to treatment for those with SMDs. TRANSFORM will develop and test a sustainable intervention that can be integrated into existing clinical care and inform priorities for healthcare providers and policy makers.
Item Type: | Journal Article | ||||||
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Subjects: | H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RC Internal medicine |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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SWORD Depositor: | Library Publications Router | ||||||
Library of Congress Subject Headings (LCSH): | Mental illness , Dangerously mentally ill -- Care -- Bangladesh -- Dhaka, Dangerously mentally ill -- Care -- Nigeria-- Ibadan, Mentally ill -- Economic conditions, Mental illness -- Alternative treatment | ||||||
Journal or Publication Title: | BJPsych Open | ||||||
Publisher: | Royal College of Psychiatrists | ||||||
ISSN: | 2056-4724 | ||||||
Official Date: | November 2022 | ||||||
Dates: |
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Volume: | 8 | ||||||
Number: | 6 | ||||||
Article Number: | e185 | ||||||
DOI: | 10.1192/bjo.2022.584 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||
Date of first compliant deposit: | 18 November 2022 | ||||||
Date of first compliant Open Access: | 21 November 2022 | ||||||
RIOXX Funder/Project Grant: |
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