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  1. Facilitating community mental health care in South Africa : the role of community health workers in the referral system.

    Article - En anglais

    Objective

    To develop, implement and evaluate a referral system to facilitate access to and co-ordination of care in a restructured mental health system designed to provide comprehensive, integrated and community-based mental health care.

    Setting

    The study was conducted in the semi-rural area of KwaDedangendlale, KwaZulu-Natal.

    Subjects

    Participants in this study comprised both formal and'informal'service providers within the existing mental system of the KwaDedangendlale area.

    Design

    In order to develop the system an analysis of the existing mental health system was conducted using a variety of methods, including focus group interviews, individual interviews and file audits.

    Participants were involved in the development of a restructured mental health system which identified community health workers as being well placed to perform the triad function of case identification, referral and co-ordination of community-based care of the mentally ill.

    A file audit of referral books developed for community health workers was used to evaluate the efficacy of the referral system that was implemented to facilitate this triad function.

    Outcome measures

    The number of referrals made by community health workers and back-referrals from health professionals as well as how adequately the referral forms were filled out were used as outcome measures. (...)

    Mots-clés Pascal : Santé mentale, Soin, République Sud Africaine, Afrique, Rôle professionnel, Orientation, Agent santé, Homme, Système santé

    Mots-clés Pascal anglais : Mental health, Care, South Africa, Africa, Occupational role, Orientation, Health worker, Human, Health system

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0055065

    Code Inist : 002B30A03B. Création : 14/05/1998.