Khabbache Hicham, Jebbar Abdelhak, Rania Nadia, Doucet Marie-Chantal, Watfa Ali Assad, Candau Joël, Martini Mariano, Siri Anna, Brigo Francesco, Bragazzi Nicola Luigi
Faculty of Literature and Humanistic Studies, Sais, Sidi Mohamed Ben Abdellah University, Fez.
Faculty of Art and Humanities, Sultan Moulay Slimane University, Beni-Mellal, Morocco.
Psychol Res Behav Manag. 2017 Apr 10;10:103-108. doi: 10.2147/PRBM.S117456. eCollection 2017.
Mental, neurological and substance use (MNS) disorders represent a major source of disability and premature mortality worldwide. However, in developing countries patients with MNS disorders are often poorly managed and treated, particularly in marginalized, impoverished areas where the mental health gap and the treatment gap can reach 90%. Efforts should be made in promoting help by making mental health care more accessible. In this article, we address the challenges that psychological and psychiatric services have to face in a low-resource context, taking our experience at a Moroccan rehabilitation center as a case study. A sample of 60 patients were interviewed using a semi-structured questionnaire during the period of 2014-2015. The questionnaire investigated the reactions and feelings of the patients to the rehabilitation program, and their perceived psychological status and mental improvement, if any. Interviews were then transcribed and processed using ATLAS.ti V.7.0 qualitative analysis software. Frequencies and co-occurrence analyses were carried out. Despite approximately 30 million inhabitants within the working age group, Morocco suffers from a shortage of specialized health workers. Our ethnographic observations show that psychiatric treatment can be ensured, notwithstanding these hurdles, if a public health perspective is assumed. In resource-limited settings, working in the field of mental health means putting oneself on the line, exposing oneself to new experiences, and reorganizing one's own skills and expertise. In the present article, we have used our clinical experience at a rehabilitation center in Fes as a case study and we have shown how to use peer therapy to overcome the drawbacks that we are encountered daily in a setting of limited resources.
精神、神经和物质使用（MNS）障碍是全球残疾和过早死亡的主要原因。然而，在发展中国家，MNS障碍患者往往管理不善且治疗不足，特别是在边缘化、贫困地区，那里的精神卫生差距和治疗差距可达90%。应努力通过使精神卫生保健更易获得来促进提供帮助。在本文中，我们以摩洛哥一家康复中心的经验为案例研究，探讨心理和精神科服务在资源匮乏环境中必须面对的挑战。2014年至2015年期间，使用半结构化问卷对60名患者进行了访谈。该问卷调查了患者对康复计划的反应和感受，以及他们所感知的心理状态和精神改善情况（如有）。然后使用ATLAS.ti V.7.0定性分析软件对访谈进行转录和处理。进行了频率和共现分析。尽管摩洛哥有大约3000万劳动年龄人口，但该国缺乏专业卫生工作者。我们的人种学观察表明，如果从公共卫生角度出发，尽管有这些障碍，精神科治疗仍可得到保障。在资源有限的环境中，从事精神卫生领域的工作意味着要置身其中，接触新的经历，并重新组织自己的技能和专业知识。在本文中，我们以非斯一家康复中心的临床经验为案例研究，展示了如何利用同伴治疗来克服我们在资源有限的环境中每天遇到的缺点。
