Summary: Cross Cultural Global Mental Health
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1 Introduction
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1.1 College
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Why is it important to look at global mental health?
Life-time prevalence high
80% of individuals with mental health problems live in LMIC
High total burden of disease -
Where did mental health develop?
institutions in islamic world (8th century) -
Of what did treatment consist in 8th century?
physical and psychosocial treatments -
When did psychiatric institutions establish in europe+
12 - 15 century -
How did mental health care spread around the world?
During colonialism -> mental asylums across africa and asia
-> still dominant (LMIC) -
Why was there a shift in the 50-60s from institutional care to community based mental health care? (5)
belief in efficacy
institutionalization was bad (abusive conditions, negative effects)
costs
discovery of antipsychotics
appreciation of human rights -
When did research in LMIC grow?
2000: epidemiological studies
2005: RCTs -
What is the circle of adapting and testing complex interventions? (Craig) (4)
development
feasibility and piloting
evaluation
implementation -
What is mixed method research?
combi of qualitative and quantitative -
What are characteristics of qualitative research? (7)
exploratory research
fieldwork
observations, interviews
snow-ball or purposive sampling
no uniform procedures
audo-recording and transcript
identifying themes
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