Sumaya Mall|Maji Hailemariam|Medhin Selamu|Abebaw Fekadu|Crick Lund|Vikram Patel|Inge Petersen|Charlotte Hanlon
‘Restoring the person's life’: a qualitative study to inform development of care for people with severe mental disorders in rural Ethiopia
University of Cape Town|Addis Ababa University|Addis Ababa University|Addis Ababa University|King's College London|King's College London|University of Cape Town|Sangath|London School of Hygiene & Tropical Medicine|Public Health Foundation of India|University of KwaZulu-Natal|Addis Ababa University|King's College London
aims lowincome countries care people severe mental disorders smds manage access treatment usually emergencybased intermittent narrowly biomedical aim study inform development scalable districtlevel mental health care plan meet longterm care needs people smd rural ethiopia methods present study carried formative work pr ogramme mproving ental health car e seeks develop implement evaluate district level model integrating mental health care primary care six focus group discussions 25 indepth interviews conducted service planners primary care providers traditional religious healers mental health service users caregivers community representatives framework analysis used findings mapped onto domains innovative care chronic conditions iccc framework results three main themes identified 1 focused restoring persons life including need interventions address basic needs food shelter livelihoods well spiritual recovery reintegration society respondents considered important service users gave particular emphasis aspect care 2 engaging families addressed essential role families need practical emotional support importance equipping families provide therapeutic environment 3 delivering collaborative longterm care focused enhancing accessibility biomedical mental health care utilising communitybased health workers volunteers untapped resource support adherence engagement services learning experience service models chronic communicable diseases hiv tuberculosis integrating role traditional religious healers alongside biomedical care biomedical approaches strongly endorsed health workers traditional healers religious leaders service users inclined see medication one component care salience poverty service planning crosscutting conclusions stakeholders prioritised interventions meet basic needs survival endorsed multifaceted approach promoting recovery smd including social recovery however sole reliance overstretched community mobilise necessary resources may feasible adapted form iccc framework appeared highly applicable planning acceptable feasible sustainable model care