A Four-Component Framework Toward Patient-Centered, Integrated Mental Healthcare in Kenya
Background: How can we fast-track the global agenda of integrated mental healthcare in low- and middle-income countries (LMICs) such as Kenya? This is a question that has become increasingly important for individuals with lived experiences, policymakers, mental health advocates and health care provi...
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Frontiers Media S.A.
2021
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oai:doaj.org-article:596281cf20214deab0fb4f090d56bcbc2021-12-01T21:45:12ZA Four-Component Framework Toward Patient-Centered, Integrated Mental Healthcare in Kenya2296-256510.3389/fpubh.2021.756861https://doaj.org/article/596281cf20214deab0fb4f090d56bcbc2021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.756861/fullhttps://doaj.org/toc/2296-2565Background: How can we fast-track the global agenda of integrated mental healthcare in low- and middle-income countries (LMICs) such as Kenya? This is a question that has become increasingly important for individuals with lived experiences, policymakers, mental health advocates and health care providers at the local and international levels.Discussion: This narrative synthesis and perspective piece encompasses an overview of mental health care competencies, best practices and capacity building needed to fast track patient responsive services. In that vein we also review key policy developments like UHC to make a case for fast-tracking our four-step framework.Results: While there is an increasingly global impetus for integrated mental healthcare, there is a lack of clarity around what patient-responsive mental healthcare services should look like and how to measure and improve provider readiness appropriately. Here, our collaborative team of local and international experts proposes a simple four-step approach to integrating responsive mental healthcare in Kenya. Our recommended framework prioritizes a clear understanding and demonstration of multidimensional skills by the provider. The four steps are (1) provider sensitization, (2) continuous supervision, (3) continuous professional training, and (4) leadership empowerment.Conclusion: Our proposed framework can provide pointers to embracing patient-centered and provider empowerment focused quality of care improvements. Though elements of our proposed framework are well-known, it has not been sufficiently intertwined and therefore not been integrated. We think in the current times our integrated framework offers an opportunity to “building back better” mental health for all.Manasi KumarManasi KumarThomas L. OsbornThomas L. OsbornCyrus MugoHossein AkbarialiabadHossein AkbarialiabadOsman WarfaWangui Muthigani MbuthiaChristine WambuguCarol NgunuFatima GoharShillah MwanigaSimon NjugunaShekhar SaxenaFrontiers Media S.A.articlemental healthpatient-centered careintegrated careKenyauniversal health careprimary health carePublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
mental health patient-centered care integrated care Kenya universal health care primary health care Public aspects of medicine RA1-1270 |
| spellingShingle |
mental health patient-centered care integrated care Kenya universal health care primary health care Public aspects of medicine RA1-1270 Manasi Kumar Manasi Kumar Thomas L. Osborn Thomas L. Osborn Cyrus Mugo Hossein Akbarialiabad Hossein Akbarialiabad Osman Warfa Wangui Muthigani Mbuthia Christine Wambugu Carol Ngunu Fatima Gohar Shillah Mwaniga Simon Njuguna Shekhar Saxena A Four-Component Framework Toward Patient-Centered, Integrated Mental Healthcare in Kenya |
| description |
Background: How can we fast-track the global agenda of integrated mental healthcare in low- and middle-income countries (LMICs) such as Kenya? This is a question that has become increasingly important for individuals with lived experiences, policymakers, mental health advocates and health care providers at the local and international levels.Discussion: This narrative synthesis and perspective piece encompasses an overview of mental health care competencies, best practices and capacity building needed to fast track patient responsive services. In that vein we also review key policy developments like UHC to make a case for fast-tracking our four-step framework.Results: While there is an increasingly global impetus for integrated mental healthcare, there is a lack of clarity around what patient-responsive mental healthcare services should look like and how to measure and improve provider readiness appropriately. Here, our collaborative team of local and international experts proposes a simple four-step approach to integrating responsive mental healthcare in Kenya. Our recommended framework prioritizes a clear understanding and demonstration of multidimensional skills by the provider. The four steps are (1) provider sensitization, (2) continuous supervision, (3) continuous professional training, and (4) leadership empowerment.Conclusion: Our proposed framework can provide pointers to embracing patient-centered and provider empowerment focused quality of care improvements. Though elements of our proposed framework are well-known, it has not been sufficiently intertwined and therefore not been integrated. We think in the current times our integrated framework offers an opportunity to “building back better” mental health for all. |
| format |
article |
| author |
Manasi Kumar Manasi Kumar Thomas L. Osborn Thomas L. Osborn Cyrus Mugo Hossein Akbarialiabad Hossein Akbarialiabad Osman Warfa Wangui Muthigani Mbuthia Christine Wambugu Carol Ngunu Fatima Gohar Shillah Mwaniga Simon Njuguna Shekhar Saxena |
| author_facet |
Manasi Kumar Manasi Kumar Thomas L. Osborn Thomas L. Osborn Cyrus Mugo Hossein Akbarialiabad Hossein Akbarialiabad Osman Warfa Wangui Muthigani Mbuthia Christine Wambugu Carol Ngunu Fatima Gohar Shillah Mwaniga Simon Njuguna Shekhar Saxena |
| author_sort |
Manasi Kumar |
| title |
A Four-Component Framework Toward Patient-Centered, Integrated Mental Healthcare in Kenya |
| title_short |
A Four-Component Framework Toward Patient-Centered, Integrated Mental Healthcare in Kenya |
| title_full |
A Four-Component Framework Toward Patient-Centered, Integrated Mental Healthcare in Kenya |
| title_fullStr |
A Four-Component Framework Toward Patient-Centered, Integrated Mental Healthcare in Kenya |
| title_full_unstemmed |
A Four-Component Framework Toward Patient-Centered, Integrated Mental Healthcare in Kenya |
| title_sort |
four-component framework toward patient-centered, integrated mental healthcare in kenya |
| publisher |
Frontiers Media S.A. |
| publishDate |
2021 |
| url |
https://doaj.org/article/596281cf20214deab0fb4f090d56bcbc |
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