Up Scaling Mental Health and Psychosocial Services in a Disaster Context: Lessons Learnt from the Philippine Region Hardest Hit by Typhoon Haiyan | Chapter 11 | Emerging Research in Medical Sciences Vol. 3
In the aftermath of typhoon Haiyan
which struck Philippines in 2013, the World Health Organization Philippines in
collaboration with the Philippine government acted to improve access to mental
healthcare in affected regions. Eastern Visayas with population 4, 3 million
had merely four psychiatrists and seven generalists providing mental health
care. It was selected as a model region for integration of mental health care
into primary and secondary care. This study was carried out to evaluate the
intervention’s success in strengthening mental health services in Eastern
Visayas with particular regard to availability, accessibility and affordability
of these services. Between June 2014 and March 2015, 1038 community workers
were trained in psychosocial care and support and 290 non-specialized healthcare
providers received training on assessment and management of mental health
conditions including on-the-job supervision. By the end of the March 2015, 155
of 159 or 97.5% of primary healthcare units, 21 of 24 District Hospitals (87,
5%) and all eight provincial hospitals had a doctor and a nurse trained in
assessment and management of mental health conditions. The supervised sessions
in each locale benefited 50 to 200 patients per location. Regional Medical
Centre added a 10 bed inpatient unit for the mentally ill. All provincial
hospitals developed the capacity to admit 2 to 4 patients for acute psychiatric
care and additional capacity was established in at least 6 district hospitals.
In addition, services were enhanced to include access to and use of
psychotropic medicines, cross-sectoral collaboration and a clinical referral
pathway from the community to the tertiary level. This study demonstrates the
feasibility of an intervention in a resource poor context, post-disaster, to
improve access to mental healthcare care services over a relatively short
period of time. The remote follow-up of this intervention three years later
showed that the intervention was also to a great extent sustainable.
Author(s) Details
Boris Budosan
Department of Public Mental
Health, University of Zagreb, 10000 Zagreb, Croatia.
Katherine P. O’hanlon [MD,
MPH]
Finger Lakes Health, Geneva,
NY, USA.
John Mahoney
Centre for Global and
Cultural Mental Health Melbourne, School of Population and Global Health, 207 Bouverie Street, The
University of Melbourne Parkville, 3010 VIC, Australia.
Sabah Aziz
Depatrment of Public Health,
Frontier Institute of Medical Sciences, 22010 Abbottabad, KPK, Pakistan.
Dr. Ratnasabapathipillai
Kesavan
WHO Office, Avenue Mamba,
P.O. Box 316, Monrovia, Liberia.
Dr. Kathryn Beluso
Capiz Emmanuel Hospital
Inc., Roxas Avenue, Roxas City, Capiz, Philippines.
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