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- W2111221443 abstract "There is an enormous gap between demand for services for mental health disorders and available resources such as staff, finances, materials, and infrastructures for care delivery in Malawi. Studies have shown effectiveness of home treatment compared to institutional care for people with mental health problems in terms of outcomes and cost-effectiveness and subsequent compliance to medication1,2. Regular visits to provide psychiatric care at home and concerted efforts by health and social workers have been associated with reduced hospitalisation for people with mental health problemsiii.In Malawi, mental health care services are largely institutionalized. Services are partially provided in all District Hospitals. There are three specialized mental health institutions, Zomba Mental Hospital (332 beds) in the southern region, Bwaila Psychiatric Unit (30 bed short stay unit) in the central region and St John of God Community Services (39 bed unit) in the northern region of Malawi. St John of God is the only referral hospital in the northern region covering a population of about one million people. The hospital receives clients referred from Christian Health Association of Malawi (CHAM) Hospitals and five Government District Hospitals in the region.As in many other countries, the available mental health facilities in Malawi are not enough to meet the needs of many patients requiring admission for psychiatric illness In developed countries, home based care has been an effective alternative to hospital admission, therefore reducing the number of psychiatric beds required. Domiciliary mental health care is one example of such a service that is being promoted in Geriatric, Psychiatric and even general medicine ii .Domiciliary mental health care is defined as care and support of clients with acute mental illness and challenging behaviour outside hospital, as far as possible, for purposes of restoring and maintaining health while maintaining clients in their usual place of residenceiv. This approach empowers family members to be primary caregivers to clients while increasing their understanding of the illness and consequently decreasing their tension and stressv.This paper highlights successes and lessons learnt in the domiciliary mental health care approach that St. John of God Community Services has been implementing in the Northern city of Mzuzu since 2005. (Figure 1)Figure 1Showing a Clinical officer and nurse in one of the homes when the program just started in 2005" @default.
- W2111221443 created "2016-06-24" @default.
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- W2111221443 date "2011-09-01" @default.
- W2111221443 modified "2023-10-01" @default.
- W2111221443 title "Domiciliary mental health care program in community settings: is it is feasible in Malawi?" @default.
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