scholarly journals Mental health services in the prisons of Bangladesh

2021 ◽  
pp. 1-4
Author(s):  
Al Aditya Khan ◽  
Howard Ryland ◽  
Tayeem Pathan ◽  
Helal Uddin Ahmed ◽  
Amir Hussain ◽  
...  

In this narrative review we consider what is known about mental health conditions in the prison system in Bangladesh and describe the current provision of mental health services for prisoners with mental health needs. We contextualise this within the literature on mental health conditions in correctional settings in the wider sub-continental region and low- and middle-income countries (LMICs) more broadly. We augment findings from the literature with information from unstructured interviews with local experts, and offer recommendations for research, policy and practice.

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Richard Mpango ◽  
Jasmine Kalha ◽  
Donat Shamba ◽  
Mary Ramesh ◽  
Fileuka Ngakongwa ◽  
...  

Abstract Background A recent editorial urged those working in global mental health to “change the conversation” on coronavirus disease (Covid-19) by putting more focus on the needs of people with severe mental health conditions. UPSIDES (Using Peer Support In Developing Empowering mental health Services) is a six-country consortium carrying out implementation research on peer support for people with severe mental health conditions in high- (Germany, Israel), lower middle- (India) and low-income (Tanzania, Uganda) settings. This commentary briefly outlines some of the key challenges faced by UPSIDES sites in low- and middle-income countries as a result of Covid-19, sharing early lessons that may also apply to other services seeking to address the needs of people with severe mental health conditions in similar contexts. Challenges and lessons learned The key take-away from experiences in India, Tanzania and Uganda is that inequalities in terms of access to mobile technologies, as well as to secure employment and benefits, put peer support workers in particularly vulnerable situations precisely when they and their peers are also at their most isolated. Establishing more resilient peer support services requires attention to the already precarious situation of people with severe mental health conditions in low-resource settings, even before a crisis like Covid-19 occurs. While it is essential to maintain contact with peer support workers and peers to whatever extent is possible remotely, alternatives to face-to-face delivery of psychosocial interventions are not always straightforward to implement and can make it more difficult to observe individuals’ reactions, talk about emotional issues and offer appropriate support. Conclusions In environments where mental health care was already heavily medicalized and mostly limited to medications issued by psychiatric institutions, Covid-19 threatens burgeoning efforts to pursue a more holistic and person-centered model of care for people with severe mental health conditions. As countries emerge from lockdown, those working in global mental health will need to redouble their efforts not only to make up for lost time and help individuals cope with the added stressors of Covid-19 in their communities, but also to regain lost ground in mental health care reform and in broader conversations about mental health in low-resource settings.


2002 ◽  
Vol 47 (7) ◽  
pp. 628-634 ◽  
Author(s):  
Frank Holloway ◽  
Jerome Carson ◽  
Sarah Davis

Objective: To review research, policy, and practice in psychiatric rehabilitation in the UK. Method: We undertook a literature review and review of government policy documents. Findings: Most individuals with severe, disabling mental illnesses are cared for by generic community mental health services under the Care Programme Approach (CPA). Current government policy requires the introduction of assertive outreach and early psychosis services and is highly consistent with the adoption of the recovery paradigm within UK mental health services. Research and development activities have demonstrated the success of the UK hospital-closure program and have contributed to the worldwide resurgence of interest in psychosocial interventions in psychosis. Conclusions: A need remains to focus research and practice on those who are most disabled by their illnesses and to improve the skills of the workforce in psychosocial interventions.


The Lancet ◽  
2007 ◽  
Vol 370 (9593) ◽  
pp. 1164-1174 ◽  
Author(s):  
Benedetto Saraceno ◽  
Mark van Ommeren ◽  
Rajaie Batniji ◽  
Alex Cohen ◽  
Oye Gureje ◽  
...  

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