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The core competencies for mental, neurological, and substance use disorder care in sub-Saharan Africa

The 2010 Global Burden of Disease Study points to a changing landscape in which non-communicable diseases, such as mental, neurological, and substance use (MNS) disorders, account for an increasing proportion of premature mortality and disability globally. Despite evidence of the need for care, a re...

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Autores principales: Collins, Pamela Y., Musisi, Seggane, Frehywot, Seble, Patel, Vikram
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Co-Action Publishing 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4363204/
https://www.ncbi.nlm.nih.gov/pubmed/25783229
http://dx.doi.org/10.3402/gha.v8.26682
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author Collins, Pamela Y.
Musisi, Seggane
Frehywot, Seble
Patel, Vikram
author_facet Collins, Pamela Y.
Musisi, Seggane
Frehywot, Seble
Patel, Vikram
author_sort Collins, Pamela Y.
collection PubMed
description The 2010 Global Burden of Disease Study points to a changing landscape in which non-communicable diseases, such as mental, neurological, and substance use (MNS) disorders, account for an increasing proportion of premature mortality and disability globally. Despite evidence of the need for care, a remarkable deficit of providers for MNS disorder service delivery persists in sub-Saharan Africa. This critical workforce can be developed from a range of non-specialist and specialist health workers who have access to evidence-based interventions, whose roles, and the associated tasks, are articulated and clearly delineated, and who are equipped to master and maintain the competencies associated with providing MNS disorder care. In 2012, the Neuroscience Forum of the Institute of Medicine convened a meeting of key stakeholders in Kampala, Uganda, to discuss a set of candidate core competencies for the delivery of mental health and neurological care, focusing specifically on depression, psychosis, epilepsy, and alcohol use disorders. This article discusses the candidate core competencies for non-specialist health workers and the complexities of implementing core competencies in low- and middle-income country settings. Sub-Saharan Africa, however, has the potential to implement novel training initiatives through university networks and through structured processes that engage ministries of health. Finally, we outline challenges associated with implementing competencies in order to sustain a workforce capable of delivering quality services for people with MNS disorders.
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spelling pubmed-43632042015-03-27 The core competencies for mental, neurological, and substance use disorder care in sub-Saharan Africa Collins, Pamela Y. Musisi, Seggane Frehywot, Seble Patel, Vikram Glob Health Action Short Communications The 2010 Global Burden of Disease Study points to a changing landscape in which non-communicable diseases, such as mental, neurological, and substance use (MNS) disorders, account for an increasing proportion of premature mortality and disability globally. Despite evidence of the need for care, a remarkable deficit of providers for MNS disorder service delivery persists in sub-Saharan Africa. This critical workforce can be developed from a range of non-specialist and specialist health workers who have access to evidence-based interventions, whose roles, and the associated tasks, are articulated and clearly delineated, and who are equipped to master and maintain the competencies associated with providing MNS disorder care. In 2012, the Neuroscience Forum of the Institute of Medicine convened a meeting of key stakeholders in Kampala, Uganda, to discuss a set of candidate core competencies for the delivery of mental health and neurological care, focusing specifically on depression, psychosis, epilepsy, and alcohol use disorders. This article discusses the candidate core competencies for non-specialist health workers and the complexities of implementing core competencies in low- and middle-income country settings. Sub-Saharan Africa, however, has the potential to implement novel training initiatives through university networks and through structured processes that engage ministries of health. Finally, we outline challenges associated with implementing competencies in order to sustain a workforce capable of delivering quality services for people with MNS disorders. Co-Action Publishing 2015-03-16 /pmc/articles/PMC4363204/ /pubmed/25783229 http://dx.doi.org/10.3402/gha.v8.26682 Text en © 2015 Pamela Y. Collins et al. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.
spellingShingle Short Communications
Collins, Pamela Y.
Musisi, Seggane
Frehywot, Seble
Patel, Vikram
The core competencies for mental, neurological, and substance use disorder care in sub-Saharan Africa
title The core competencies for mental, neurological, and substance use disorder care in sub-Saharan Africa
title_full The core competencies for mental, neurological, and substance use disorder care in sub-Saharan Africa
title_fullStr The core competencies for mental, neurological, and substance use disorder care in sub-Saharan Africa
title_full_unstemmed The core competencies for mental, neurological, and substance use disorder care in sub-Saharan Africa
title_short The core competencies for mental, neurological, and substance use disorder care in sub-Saharan Africa
title_sort core competencies for mental, neurological, and substance use disorder care in sub-saharan africa
topic Short Communications
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4363204/
https://www.ncbi.nlm.nih.gov/pubmed/25783229
http://dx.doi.org/10.3402/gha.v8.26682
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