Seloilwe E S, Thupayagale-Tshweneagae G
Department Nursing Education, University of Botswana, Gaborone, Botswana.
Int Nurs Rev. 2007 Jun;54(2):173-8. doi: 10.1111/j.1466-7657.2007.00525.x.
The purpose of this article is to provide an insight into the developmental trends in community mental health care in Botswana. Different approaches are discussed and the opportunities that have emanated from them.
Care of the mentally ill in Botswana is provided at different levels of coverage and sophistication. There is a single mental hospital in the country. Attached to the district hospitals are psychiatric outpatient clinics run by psychiatric nurses and a psychiatrist who visits them on monthly basis. Mental health care in Botswana has gone through a paradigm shift, from the prepenal years, penal years and institutional to community based care, which reflects a philosophy of citizen involvement and collaboration.
Several approaches have been utilized in the development of community mental health care. However, difficulties and challenges still exist in the provision of community mental health care.
本文旨在深入了解博茨瓦纳社区精神卫生保健的发展趋势。文中讨论了不同的方法以及由此产生的机遇。
博茨瓦纳针对精神疾病患者的护理在覆盖范围和精细程度上存在不同层次。该国仅有一家精神病医院。各地区医院设有由精神科护士运营的精神科门诊,并有一位精神科医生每月前来坐诊。博茨瓦纳的精神卫生保健经历了范式转变,从刑罚前时期、刑罚时期的机构化护理转变为基于社区的护理,这体现了公民参与和协作的理念。
在社区精神卫生保健的发展过程中采用了多种方法。然而,在提供社区精神卫生保健方面仍然存在困难和挑战。