Cappo David, Mutamba Brian, Verity Fiona
YouBelong Uganda, Plot 199, Natasha Road, P.O. Box 36510, Kampala, Uganda.
Clinical Department, Butabika National Mental Hospital, Butabika Road, P.O. Box 7017, Kampala, Uganda.
Health Promot Int. 2021 Mar 12;36(1):58-66. doi: 10.1093/heapro/daaa006.
There are significant barriers to the development of a 'balanced model' of mental health in low-income countries. These include gaps in the evidence base on effective responses to severe mental health issues and what works in the transition from hospital to home, and a low public investment in primary and community care. These limitations were the drivers for the formation of the non-government organization, YouBelong Uganda (YBU), which works to contribute to the implementation of a community-based model of mental health care in Uganda. This paper overviews an intervention protocol developed by YBU, which is a combined model of parallel engagement with the national mental hospital in Kampala, Uganda, movement of 'ready for discharge' patients back to their families and communities, and community development. The YBU programme is theoretically underpinned by a capabilities approach together with practical application of a concept of 'belonging'. It is an experiment in implementation with hopes that it may be a positive step towards the development of an effective model in Uganda, which may be applicable in other countries. Finally, we discuss the value in joining ideas from social work, sociology, philosophy, public health and psychiatry into a community mental health 'belonging framework'.
在低收入国家，发展心理健康“平衡模式”存在重大障碍。这些障碍包括在应对严重心理健康问题的有效措施以及从医院过渡到家庭的有效方法方面证据基础存在差距，以及对初级和社区护理的公共投资不足。这些限制因素促使非政府组织“乌干达你属于（YouBelong Uganda，YBU）”的成立，该组织致力于推动乌干达实施基于社区的心理健康护理模式。本文概述了YBU制定的一项干预方案，该方案是一种综合模式，包括与乌干达坎帕拉的国家精神病院并行合作、将“准备出院”的患者送回其家庭和社区以及社区发展。YBU项目在理论上以能力方法为基础，并实际应用了“归属感”概念。这是一次实施方面的试验，希望它可能是朝着在乌干达开发有效模式迈出的积极一步，该模式可能适用于其他国家。最后，我们讨论了将社会工作、社会学、哲学、公共卫生和精神病学的理念融入社区心理健康“归属感框架”的价值。
