What barriers could impede access to mental health services for children and adolescents in Africa? A scoping review

Abstract Background Few studies have examined the mental health needs of African children and teenagers. Based on this gap, this scoping review aims to identify barriers to mental health services, treatments and services sought, and where mental health services are received. Methods To pursue the st...

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Main Authors: Sabine Saade, Annick Parent Lamarche, Tatiana Khalaf, Sara Makke, Alexander Legg
Format: Article
Language:English
Published: BMC 2023-04-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-023-09294-x
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author Sabine Saade
Annick Parent Lamarche
Tatiana Khalaf
Sara Makke
Alexander Legg
author_facet Sabine Saade
Annick Parent Lamarche
Tatiana Khalaf
Sara Makke
Alexander Legg
author_sort Sabine Saade
collection DOAJ
description Abstract Background Few studies have examined the mental health needs of African children and teenagers. Based on this gap, this scoping review aims to identify barriers to mental health services, treatments and services sought, and where mental health services are received. Methods To pursue the stated objectives, we searched the following databases a) PsycINFO, b) CINAHL, c) Medline, and d) Web of Science. The search yielded 15,956 records in total. Results Studies included in this review were conducted in six African countries: Ethiopia, Mali, Egypt, South Africa, Nigeria, and Tunisia. The majority of the studies were conducted in South Africa (33.32%), followed by Ethiopia (25%), and Egypt (16.67%). In terms of treatments and services sought, both professional and traditional/alternative treatments were reported. The most frequently noted services were psychiatric treatments (25%), screening and diagnostic assessment (16.67%), as well as psychiatric and psychological consultations (16.67%). The most frequently reported treatment centers were psychiatric hospitals. As for treatment barriers, the three most frequently encountered barriers were: a preference for traditional/alternative and complementary treatments (33.33%), followed by stigma (25%), and a lack of knowledge/unfamiliarity with the mental health condition (25%). Conclusion The results of this study are alarming due to the significant barriers to accessing mental health services coupled with the use of potentially harmful interventions to treat those mental health conditions. We hope this scoping review will help shed light on this important issue and help tomorrow’s generation reach its full potential.
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spelling doaj.art-d27716d2f4b84a6d8482ae411cb524e12023-04-09T11:11:32ZengBMCBMC Health Services Research1472-69632023-04-0123111610.1186/s12913-023-09294-xWhat barriers could impede access to mental health services for children and adolescents in Africa? A scoping reviewSabine Saade0Annick Parent Lamarche1Tatiana Khalaf2Sara Makke3Alexander Legg4Department of Psychology, American University of BeirutDépartement de gestion des ressources humaines, Université du Québec à Trois-RivièresDepartment of Psychology, American University of BeirutDepartment of Psychology, American University of BeirutDepartment of Psychology, CUNY John Jay College of Criminal JusticeAbstract Background Few studies have examined the mental health needs of African children and teenagers. Based on this gap, this scoping review aims to identify barriers to mental health services, treatments and services sought, and where mental health services are received. Methods To pursue the stated objectives, we searched the following databases a) PsycINFO, b) CINAHL, c) Medline, and d) Web of Science. The search yielded 15,956 records in total. Results Studies included in this review were conducted in six African countries: Ethiopia, Mali, Egypt, South Africa, Nigeria, and Tunisia. The majority of the studies were conducted in South Africa (33.32%), followed by Ethiopia (25%), and Egypt (16.67%). In terms of treatments and services sought, both professional and traditional/alternative treatments were reported. The most frequently noted services were psychiatric treatments (25%), screening and diagnostic assessment (16.67%), as well as psychiatric and psychological consultations (16.67%). The most frequently reported treatment centers were psychiatric hospitals. As for treatment barriers, the three most frequently encountered barriers were: a preference for traditional/alternative and complementary treatments (33.33%), followed by stigma (25%), and a lack of knowledge/unfamiliarity with the mental health condition (25%). Conclusion The results of this study are alarming due to the significant barriers to accessing mental health services coupled with the use of potentially harmful interventions to treat those mental health conditions. We hope this scoping review will help shed light on this important issue and help tomorrow’s generation reach its full potential.https://doi.org/10.1186/s12913-023-09294-xAfricaMental healthBarriersChildrenAdolescentsStigma
spellingShingle Sabine Saade
Annick Parent Lamarche
Tatiana Khalaf
Sara Makke
Alexander Legg
What barriers could impede access to mental health services for children and adolescents in Africa? A scoping review
BMC Health Services Research
Africa
Mental health
Barriers
Children
Adolescents
Stigma
title What barriers could impede access to mental health services for children and adolescents in Africa? A scoping review
title_full What barriers could impede access to mental health services for children and adolescents in Africa? A scoping review
title_fullStr What barriers could impede access to mental health services for children and adolescents in Africa? A scoping review
title_full_unstemmed What barriers could impede access to mental health services for children and adolescents in Africa? A scoping review
title_short What barriers could impede access to mental health services for children and adolescents in Africa? A scoping review
title_sort what barriers could impede access to mental health services for children and adolescents in africa a scoping review
topic Africa
Mental health
Barriers
Children
Adolescents
Stigma
url https://doi.org/10.1186/s12913-023-09294-x
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