Title:
Literature Review of the Factors Influencing Access to Mental Health Treatment Services Among Adults in Conflict-Affected Areas in the Eastern Mediterranean Region
Authors:
Taha, Sari M. A.
Place:
Amsterdam, The Netherlands
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2022
PAGE:
ix, 55
Language:
En
Subject:
Health and Poverty
Keywords:
Conflict, mental health, mental health system, access, stigma
Abstract:
Introduction: The Eastern Mediterranean region (EMR) is home to several armed conflicts that exacerbate the economic, political and health-related indicators. The burden of mental disorders in these conflict-affected areas is huge while access to mental-health services is limited, resulting in a considerable treatment gap. This study aimed to review the grey and academic literature for the factors influencing access to mental health services among adults in conflict-affected areas of EMR. Methodology: Google Search, PubMed, VU library and APA PsycInfo were used to search for literature published after 2000. The World Bank’s list of Fragile and Conflict-affected Situations was used to include countries in conflict. Andersen’s framework was modified to assess the results. Results: 54 sources were included in this review. Several factors were found to influence access to mental-health services: beliefs and stigma towards mental health; lack of resources; mental-health integration into primary healthcare (PHC); community support; distance, transportation and travel time; and funding for mental health. Discussion: As mental-health research is insufficient, collaboration between governments, international donors and universities is needed to prioritize mental-health research. The implementation of anti-stigma interventions is challenged by the lack of evidence, cultural insensitivity and disinterest in mental health. Post-conflict governments are recommended to incorporate anti-stigma advocacy into cultural platforms. Integration of mental health into PHC can mitigate resource unavailability and stigma. Context-tailored training should be provided for the most available non-specialized healthcare workers.
Organization:
KIT - Royal Tropical Institute , VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Region:
Eastern Mediterranean
Training:
Master of International Health (MIH)
Category:
Research
Right:
@ 2022 Taha
Document type:
Thesis/dissertation
File:
MJKszYRpSE_20230509155121676.pdf