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Community Engagement Mental Health Model for Home Treatment of Psychosis in Jamaica
Danielle Nelson1, Geoffrey Walcott1, Christine Walters1
1South East Regional Health Authority, Ministry of Health of the Government of Jamaica, Kingston (Nelson); Faculty of Medical Sciences, University of the West Indies, Mona, Jamaica (Walcott, Walters, Hickling); Caribbean Institute of Mental Health and Substance Abuse, Kingston (Walcott, Hickling). Kathleen M. Pike, Ph.D., and Pamela Scorza, Sc.D., M.P.H., are editors of this column.
Abstract:
Economic constraints in low- and middle-income countries like Jamaica challenge health care services to identify efficient methods of mental health care. This column describes the community engagement mental health (CEMH) model in Kingston, Jamaica, for patients with mental disorders, including psychosis. The CEMH uses a task sharing methodology to deliver acute psychiatric treatment within a community setting. Preliminary results suggest high service user and provider satisfaction and good clinical outcomes. The authors discuss challenges and benefits of the CEMH in terms of its potential as a cost-effective service innovation.
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