ABSTRACT
We examined the scope of collaborative care for persons with mental illness as implemented by traditional healers, faith healers, and biomedical care providers. We conducted semistructured focus group discussions in Ghana, Kenya, and Nigeria with traditional healers, faith healers, biomedical care providers, patients, and their caregivers. Transcribed data were thematically analyzed. A barrier to collaboration was distrust, influenced by factionalism, charlatanism, perceptions of superiority, limited roles, and responsibilities. Pathways to better collaboration were education, formal policy recognition and regulation, and acceptance of mutual responsibility. This study provides a novel cross-national insight into the perspectives of collaboration from four stakeholder groups. Collaboration was viewed as a means to reach their own goals, rooted in a deep sense of distrust and superiority. In the absence of openness, understanding, and respect for each other, efficient collaboration remains remote. The strongest foundation for mutual collaboration is a shared sense of responsibility for patient well-being.
Subject(s)
Complementary Therapies/methods , Cooperative Behavior , Mental Disorders/therapy , Patient Acceptance of Health Care/ethnology , Primary Health Care/methods , Africa, Eastern , Caregivers/psychology , Cultural Competency , Ghana , Health Education , Humans , Medicine, African Traditional/methods , Medicine, African Traditional/psychology , Mental Disorders/ethnology , Perception , Single-Blind Method , TrustABSTRACT
Children and adolescents in the U.S. and worldwide are commonly exposed to traumatic events, yet practitioners treating these young people to reduce subsequent psychological harm may not be aware of-or use-interventions based on the best available evidence. This systematic review evaluated interventions commonly used to reduce psychological harm among children and adolescents exposed to traumatic events. Guide to Community Preventive Services (Community Guide) criteria were used to assess study design and execution. Meta-analyses were conducted, stratifying by traumatic exposures. Evaluated interventions were conducted in high-income economies, published up to March 2007. Subjects in studies were Subject(s)
Program Evaluation
, Stress Disorders, Post-Traumatic/prevention & control
, Stress, Psychological/etiology
, Stress, Psychological/therapy
, Wounds and Injuries/complications
, Adolescent
, Age Factors
, Art Therapy
, Behavior Therapy
, Child
, Cognitive Behavioral Therapy
, Female
, Humans
, Male
, Play Therapy
, Program Development
, Stress Disorders, Post-Traumatic/drug therapy
, Stress Disorders, Post-Traumatic/psychology
, Stress Disorders, Post-Traumatic/therapy
, Stress, Psychological/prevention & control
, Wounds and Injuries/psychology