我们都在朝着一个目标努力。我们希望人们变得健康”:这是对加纳社区心理健康工作者和治疗师之间成功合作的视觉探索。

IF 2.5 3区 医学 Q1 ANTHROPOLOGY Transcultural Psychiatry Pub Date : 2024-02-01 Epub Date: 2023-10-06 DOI:10.1177/13634615231197998
Lily Kpobi, Ursula M Read, Roberta K Selormey, Erminia Colucci
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引用次数: 0

摘要

近年来,由于被指控侵犯人权,非洲和其他地方中低收入国家的传统和信仰治疗师的做法受到了严格审查。为了缓解这些问题,有人呼吁在治疗师和正规卫生服务机构之间开展合作,以优化资源匮乏的情况下可用的心理健康干预措施。由于各种原因,在不同国家以可持续的方式建立这种伙伴关系的尝试并不总是成功的。在这篇文章中,我们介绍了Together for Mental Health视觉研究项目的研究结果,以展示加纳治疗师和卫生工作者合作取得很大成功的例子,并讨论了建立这些合作伙伴关系的障碍和促进因素。本文报道的数据是使用视觉民族志收集的,并拍摄了对博诺东部地区八名社区心理健康工作者、六名传统和信仰治疗师以及两名当地慈善家的个人采访。研究结果表明,成功的合作是通过相互尊重的人际关系、卫生系统的支持和获得社区资源来建立的。尽管这些促进了合作,但必须克服资源限制、不信任和道德困境,以建立更强有力的伙伴关系。这些发现强调了专门的机构和后勤支持的重要性,以确保不同的卫生系统在多元化环境中成功整合。
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'We are all working toward one goal. We want people to become well': A visual exploration of what promotes successful collaboration between community mental health workers and healers in Ghana.

The practices of traditional and faith-based healers in low- and middle-income countries in Africa and elsewhere have come under intense scrutiny in recent years owing to allegations of human rights abuses. To mitigate these, there have been calls to develop collaborations between healers and formal health services to optimise available mental health interventions in poorly resourced contexts. For various reasons, attempts to establish such partnerships in a sustainable manner in different countries have not always been successful. In this article, we present findings from the Together for Mental Health visual research project to showcase examples of healer-health worker collaborations in Ghana that have been largely successful and discuss the barriers and facilitators to establishing these partnerships. Data reported in this article were collected using visual ethnography and filmed individual interviews with eight community mental health workers, six traditional and faith-based healers and two local philanthropists in the Bono East Region. The findings suggest that successful collaborations were built through mutually respectful interpersonal relationships, support from the health system and access to community resources. Although these facilitated collaboration, resource constraints, distrust and ethical dilemmas had to be overcome to build stronger partnerships. These findings highlight the importance of dedicated institutional and logistic support for ensuring the successful integration of the different health systems in pluralistic settings.

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来源期刊
CiteScore
5.10
自引率
12.00%
发文量
93
期刊介绍: Transcultural Psychiatry is a fully peer reviewed international journal that publishes original research and review articles on cultural psychiatry and mental health. Cultural psychiatry is concerned with the social and cultural determinants of psychopathology and psychosocial treatments of the range of mental and behavioural problems in individuals, families and human groups. In addition to the clinical research methods of psychiatry, it draws from the disciplines of psychiatric epidemiology, medical anthropology and cross-cultural psychology.
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