Cargando…

Developing mental health services during and in the aftermath of the Ebola virus disease outbreak in armed conflict settings: a scoping review

BACKGROUND: Mental health is mostly affected by numerous socioeconomic factors that need to be addressed through comprehensive strategies. The aftermath of armed conflict and natural disasters such as Ebola disease virus (EVD) outbreaks is frequently associated with poor access to mental healthcare....

Descripción completa

Detalles Bibliográficos
Autores principales: Vivalya, Bives Mutume Nzanzu, Vagheni, Martial Mumbere, Kitoko, Germain Manzekele Bin, Vutegha, Jeremie Muhindo, Kalume, Augustin Kensale, Piripiri, Astride Lina, Masika, Yvonne Duagani, Mbeva, Jean-Bosco Kahindo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9281256/
https://www.ncbi.nlm.nih.gov/pubmed/35836283
http://dx.doi.org/10.1186/s12992-022-00862-0
_version_ 1784746839231168512
author Vivalya, Bives Mutume Nzanzu
Vagheni, Martial Mumbere
Kitoko, Germain Manzekele Bin
Vutegha, Jeremie Muhindo
Kalume, Augustin Kensale
Piripiri, Astride Lina
Masika, Yvonne Duagani
Mbeva, Jean-Bosco Kahindo
author_facet Vivalya, Bives Mutume Nzanzu
Vagheni, Martial Mumbere
Kitoko, Germain Manzekele Bin
Vutegha, Jeremie Muhindo
Kalume, Augustin Kensale
Piripiri, Astride Lina
Masika, Yvonne Duagani
Mbeva, Jean-Bosco Kahindo
author_sort Vivalya, Bives Mutume Nzanzu
collection PubMed
description BACKGROUND: Mental health is mostly affected by numerous socioeconomic factors that need to be addressed through comprehensive strategies. The aftermath of armed conflict and natural disasters such as Ebola disease virus (EVD) outbreaks is frequently associated with poor access to mental healthcare. To design the basis of improving mental health services via the integration of mental health into primary health care in the Democratic Republic of Congo (DRC), we conducted a scoping review of available literature regarding mental illness in armed conflict and EVD outbreak settings. METHODS: This scoping review of studies conducted in armed conflict and EVD outbreak of DRC settings synthesize the findings and suggestions related to improve the provision of mental health services. We sued the extension of Preferred Reporting Items for Systematic Reviews and Meta-Analyses to scoping studies. A mapping of evidence related to mental disorders in the eastern part of DRC from studies identified through searches of electronic databases (MEDLINE, Scopus, Psych Info, Google Scholar, and CINAHL). Screening and extraction of data were conducted by two reviewers independently. RESULTS: This review identified seven papers and described the findings in a narrative approach. It reveals that the burden of mental illness is consistent, although mental healthcare is not integrated into primary health care. Access to mental healthcare requires the involvement of affected communities in their problem-solving process. This review highlights the basis of the implementation of a comprehensive mental health care, through the application of mental health Gap Action Program (mhGAP) at community level. Lastly, it calls for further implementation research perspectives on the integration of mental healthcare into the health system of areas affecting by civil instability and natural disasters. CONCLUSION: This paper acknowledges poor implementation of community mental health services into primary health care in regions affected by armed conflict and natural disasters. All relevant stakeholders involved in the provision of mental health services should need to rethink to implementation of mhGAP into the emergency response against outbreaks and natural disasters.
format Online
Article
Text
id pubmed-9281256
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-92812562022-07-14 Developing mental health services during and in the aftermath of the Ebola virus disease outbreak in armed conflict settings: a scoping review Vivalya, Bives Mutume Nzanzu Vagheni, Martial Mumbere Kitoko, Germain Manzekele Bin Vutegha, Jeremie Muhindo Kalume, Augustin Kensale Piripiri, Astride Lina Masika, Yvonne Duagani Mbeva, Jean-Bosco Kahindo Global Health Research BACKGROUND: Mental health is mostly affected by numerous socioeconomic factors that need to be addressed through comprehensive strategies. The aftermath of armed conflict and natural disasters such as Ebola disease virus (EVD) outbreaks is frequently associated with poor access to mental healthcare. To design the basis of improving mental health services via the integration of mental health into primary health care in the Democratic Republic of Congo (DRC), we conducted a scoping review of available literature regarding mental illness in armed conflict and EVD outbreak settings. METHODS: This scoping review of studies conducted in armed conflict and EVD outbreak of DRC settings synthesize the findings and suggestions related to improve the provision of mental health services. We sued the extension of Preferred Reporting Items for Systematic Reviews and Meta-Analyses to scoping studies. A mapping of evidence related to mental disorders in the eastern part of DRC from studies identified through searches of electronic databases (MEDLINE, Scopus, Psych Info, Google Scholar, and CINAHL). Screening and extraction of data were conducted by two reviewers independently. RESULTS: This review identified seven papers and described the findings in a narrative approach. It reveals that the burden of mental illness is consistent, although mental healthcare is not integrated into primary health care. Access to mental healthcare requires the involvement of affected communities in their problem-solving process. This review highlights the basis of the implementation of a comprehensive mental health care, through the application of mental health Gap Action Program (mhGAP) at community level. Lastly, it calls for further implementation research perspectives on the integration of mental healthcare into the health system of areas affecting by civil instability and natural disasters. CONCLUSION: This paper acknowledges poor implementation of community mental health services into primary health care in regions affected by armed conflict and natural disasters. All relevant stakeholders involved in the provision of mental health services should need to rethink to implementation of mhGAP into the emergency response against outbreaks and natural disasters. BioMed Central 2022-07-14 /pmc/articles/PMC9281256/ /pubmed/35836283 http://dx.doi.org/10.1186/s12992-022-00862-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Vivalya, Bives Mutume Nzanzu
Vagheni, Martial Mumbere
Kitoko, Germain Manzekele Bin
Vutegha, Jeremie Muhindo
Kalume, Augustin Kensale
Piripiri, Astride Lina
Masika, Yvonne Duagani
Mbeva, Jean-Bosco Kahindo
Developing mental health services during and in the aftermath of the Ebola virus disease outbreak in armed conflict settings: a scoping review
title Developing mental health services during and in the aftermath of the Ebola virus disease outbreak in armed conflict settings: a scoping review
title_full Developing mental health services during and in the aftermath of the Ebola virus disease outbreak in armed conflict settings: a scoping review
title_fullStr Developing mental health services during and in the aftermath of the Ebola virus disease outbreak in armed conflict settings: a scoping review
title_full_unstemmed Developing mental health services during and in the aftermath of the Ebola virus disease outbreak in armed conflict settings: a scoping review
title_short Developing mental health services during and in the aftermath of the Ebola virus disease outbreak in armed conflict settings: a scoping review
title_sort developing mental health services during and in the aftermath of the ebola virus disease outbreak in armed conflict settings: a scoping review
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9281256/
https://www.ncbi.nlm.nih.gov/pubmed/35836283
http://dx.doi.org/10.1186/s12992-022-00862-0
work_keys_str_mv AT vivalyabivesmutumenzanzu developingmentalhealthservicesduringandintheaftermathoftheebolavirusdiseaseoutbreakinarmedconflictsettingsascopingreview
AT vaghenimartialmumbere developingmentalhealthservicesduringandintheaftermathoftheebolavirusdiseaseoutbreakinarmedconflictsettingsascopingreview
AT kitokogermainmanzekelebin developingmentalhealthservicesduringandintheaftermathoftheebolavirusdiseaseoutbreakinarmedconflictsettingsascopingreview
AT vuteghajeremiemuhindo developingmentalhealthservicesduringandintheaftermathoftheebolavirusdiseaseoutbreakinarmedconflictsettingsascopingreview
AT kalumeaugustinkensale developingmentalhealthservicesduringandintheaftermathoftheebolavirusdiseaseoutbreakinarmedconflictsettingsascopingreview
AT piripiriastridelina developingmentalhealthservicesduringandintheaftermathoftheebolavirusdiseaseoutbreakinarmedconflictsettingsascopingreview
AT masikayvonneduagani developingmentalhealthservicesduringandintheaftermathoftheebolavirusdiseaseoutbreakinarmedconflictsettingsascopingreview
AT mbevajeanboscokahindo developingmentalhealthservicesduringandintheaftermathoftheebolavirusdiseaseoutbreakinarmedconflictsettingsascopingreview