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Journal articles on the topic 'Community health services – Botswana'

Author: Grafiati
Published: 4 June 2021
Last updated: 16 February 2022

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1

Ntlotlang, Tuelo, and Balulwami Grand. "The role of libraries in the dissemination of health information in Botswana." Library Review 65, no. 4/5 (2016): 320–49. http://dx.doi.org/10.1108/lr-05-2015-0051.

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Purpose This paper aims to investigate the role of public libraries in the dissemination of health information in the southern part of Botswana, namely, Kgatleng and Kweneng districts. It also explored how these libraries market health information services to the community they serve. The study also used health information acquisition model to get an understanding on how public library users seek health information. Design/methodology/approach The survey research design was chosen for the study and purposive sampling procedure was used to obtain the sample size of the population. The sample size consisted of 120 respondents and six interviewees. Data were collected from both library staff and users using questionnaires and interviews. Findings The results of the study showed that public libraries are striving to provide accurate and useful health information to members of the community by collecting and availing both print and electronic health information sources. The findings further indicated that public libraries have marketing programmes that they use on raising awareness of health information to their clientele. The marketing programmes include outreach, library brochures/leaflets, newsletters and library exhibitions. The results of the study also showed that there were some challenges that hindered the library users to access and use health information (e.g. lack of appropriateness of information resources and limited number of health information sources). Originality/value For a better dissemination of health information, public libraries should establish working relationships with health agencies and communication organisations or media houses with the objective of cooperative developments of collections, referrals and shared training.
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2

Becker, Timothy D., Ari R. Ho-Foster, Ohemaa B. Poku, et al. "“It’s When the Trees Blossom”: Explanatory Beliefs, Stigma, and Mental Illness in the Context of HIV in Botswana." Qualitative Health Research 29, no. 11 (2019): 1566–80. http://dx.doi.org/10.1177/1049732319827523.

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Mental illness is a common comorbidity of HIV and complicates treatment. In Botswana, stigma impedes treatment of mental illness. We examined explanatory beliefs about mental illness, stigma, and interactions between HIV and mental illness among 42 adults, from HIV clinic and community settings, via thematic analysis of interviews. Respondents endorse witchcraft as a predominant causal belief, in addition to drug abuse and effects of HIV. Respondents describe mental illness as occurring “when the trees blossom,” underscoring a conceptualization of it as seasonal, chronic, and often incurable and as worse than HIV. Consequently, people experiencing mental illness (PEMI) are stereotyped as dangerous, untrustworthy, and cognitively impaired and discriminated against in the workplace, relationships, and sexually, increasing vulnerability to HIV. Clinical services that address local beliefs and unique vulnerabilities of PEMI to HIV, integration with peer support and traditional healers, and rehabilitation may best address the syndemic by facilitating culturally consistent recovery-oriented care.
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3

Nkhwalume, Ludo, and Yohana Mashalla. "Health care workers experiences in emergency obstetric care following implementation of an in-service training program: case of 2 Referral Hospitals in Botswana." African Health Sciences 21 (May 23, 2021): 51–58. http://dx.doi.org/10.4314/ahs.v21i.9s.

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Background: Maternal mortality rate remains a challenge in many developing countries.
 Objectives: This study explored experiences of Health Care Workers on Emergency Obstetrics Care (EMOC) in-service training and its effect on maternal mortality.
 Methods: Descriptive qualitative study design was conducted using in-depth interviews and focus group discussions. Par- ticipants were EMOC trained midwives and doctors purposively selected from the 2 referral hospitals in the country. Data were transcribed verbatim, coded, and analysed using Grounded Theory approach.
 Results: Four themes emerged including training, EMOC implementation, maternal death factors and EMOC prioritisation. The duration of training was viewed inadequate but responsiveness to and confidence in managing obstetric emergencies improved post EMOC training. Staff shortage, HCWs non-adherence and negative attitude to EMOC guidelines; delays in instituting interventions, inadequate community involvement, minimal or no health talk to women and their partners and communities on sexual reproductive matters and non-prioritisation of EMOC by authorities were concerns raised.
 Conclusion: Strengthening health education at health facility levels, stakeholders’ involvement; and prioritising EMOC in-service training are necessary in reducing the national maternal mortality.
 Keywords: Maternal mortality; health care workers; EMOC, in-service training.
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4

Nkhwalume, Ludo, and Yohana Mashalla. "Health care workers experiences in emergency obstetric care following implementation of an in-service training program: case of 2 Referral Hospitals in Botswana." African Health Sciences 21, no. 1 (2021): 51–58. http://dx.doi.org/10.4314/ahs.v21i1.9s.

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Background: Maternal mortality rate remains a challenge in many developing countries.
 Objectives: This study explored experiences of Health Care Workers on Emergency Obstetrics Care (EMOC) in-service training and its effect on maternal mortality.
 Methods: Descriptive qualitative study design was conducted using in-depth interviews and focus group discussions. Par- ticipants were EMOC trained midwives and doctors purposively selected from the 2 referral hospitals in the country. Data were transcribed verbatim, coded, and analysed using Grounded Theory approach.
 Results: Four themes emerged including training, EMOC implementation, maternal death factors and EMOC prioritisation. The duration of training was viewed inadequate but responsiveness to and confidence in managing obstetric emergencies improved post EMOC training. Staff shortage, HCWs non-adherence and negative attitude to EMOC guidelines; delays in instituting interventions, inadequate community involvement, minimal or no health talk to women and their partners and communities on sexual reproductive matters and non-prioritisation of EMOC by authorities were concerns raised.
 Conclusion: Strengthening health education at health facility levels, stakeholders’ involvement; and prioritising EMOC in-service training are necessary in reducing the national maternal mortality.
 Keywords: Maternal mortality; health care workers; EMOC, in-service training.
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5

Neuberger, J. "Community health services." BMJ 305, no. 6867 (1992): 1486–88. http://dx.doi.org/10.1136/bmj.305.6867.1486.

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6

Tapela, Neo M., Gontse Tshisimogo, Bame P. Shatera, et al. "Integrating noncommunicable disease services into primary health care, Botswana." Bulletin of the World Health Organization 97, no. 2 (2019): 142–53. http://dx.doi.org/10.2471/blt.18.221424.

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7

Leonard, Barbara J., Linda Randolph, and Martha Smith-Lindall. "Community services." Journal of Adolescent Health Care 6, no. 2 (1985): 152–55. http://dx.doi.org/10.1016/s0197-0070(85)80040-1.

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8

Sowden, DS. "Community child-health services." Lancet 355, no. 9197 (2000): 72. http://dx.doi.org/10.1016/s0140-6736(05)72020-1.

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9

Seloilwe, E. S., and G. Thupayagale-Tshweneagae. "Community mental health care in Botswana: approaches and opportunities." International Nursing Review 54, no. 2 (2007): 173–78. http://dx.doi.org/10.1111/j.1466-7657.2007.00525.x.

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10

Avila, Carlos, Wu Zeng, and Chris Cintron. "Efficiency of health facilities providing antiretroviral treatment services in Botswana." Journal of Hospital Management and Health Policy 4 (December 2020): 35. http://dx.doi.org/10.21037/jhmhp-20-75.

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11

Adler, Nancy E. "Community preventive services." American Journal of Preventive Medicine 24, no. 3 (2003): 10–11. http://dx.doi.org/10.1016/s0749-3797(02)00649-9.

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12

Jones, Roger. "Expanding community-based health services." Clinical Medicine 6, no. 4 (2006): 368–73. http://dx.doi.org/10.7861/clinmedicine.6-4-368.

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13

Ghandi, N., S. Holmes, M. Lock, and N. Purandare. "Targeting community mental health services." BMJ 308, no. 6938 (1994): 1237. http://dx.doi.org/10.1136/bmj.308.6938.1237.

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14

Stefansson, C. G., and J. Cullberg. "Introducing community mental health services." Acta Psychiatrica Scandinavica 74, no. 4 (1986): 368–78. http://dx.doi.org/10.1111/j.1600-0447.1986.tb06256.x.

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15

DeVries, R. A., and R. D. Sparks. "Community-oriented, primary health services." Academic Medicine 64, no. 8 (1989): 439–41. http://dx.doi.org/10.1097/00001888-198908000-00004.

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16

Godden, S. "Information on community health services." BMJ 320, no. 7230 (2000): 265. http://dx.doi.org/10.1136/bmj.320.7230.265.

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17

Tully, Marlene, and Kathleen Bennett. "Extending Community Health Nursing Services." JONA: The Journal of Nursing Administration 22, no. 3 (1992): 38–42. http://dx.doi.org/10.1097/00005110-199203000-00013.

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18

Oetting, E. R., P. Jumper-Thurman, B. Plested, and R. W. Edwards. "COMMUNITY READINESS AND HEALTH SERVICES." Substance Use & Misuse 36, no. 6-7 (2001): 825–43. http://dx.doi.org/10.1081/ja-100104093.

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19

Baum, Fran. "Community Health Services and Managerialism." Australian Journal of Primary Health 2, no. 4 (1996): 31. http://dx.doi.org/10.1071/py96053.

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In this paper, the impact is described of the introduction of the new public management (NPM) on community health services in Australia. From the late 1980s NPM techniques, modelled largely on private sector practices, have been popular with federal and state governments and have affected the management of community health services. Services have been amalgamated, asked to evaluate their work in inappropriate ways and been pressured to a quasi market form of operation. Three fundamantal differences between a primary health care and NPM approach to management are defined and discussed: whether the focus is on individuals or societies, whether it is on public service or profit, and whether it is on meaningful outcomes or those which appear measurable. The paper concludes with a call for the evaluation of the NPM and a return to a more civic and socially focussed public management.
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20

Levine, Stuart, Richard Rosen, Tom Kennon, and Daniel Anderson. "Corporatization and community health services." Administration and Policy in Mental Health 17, no. 2 (1989): 67–78. http://dx.doi.org/10.1007/bf00706398.

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21

Ben-Tovim, David I. "Therapy Managing in Botswana." Australian & New Zealand Journal of Psychiatry 19, no. 1 (1985): 88–91. http://dx.doi.org/10.3109/00048678509158819.

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Varied and apparently ideologically incompatible systems of health care are available in many developing countries. Patients move freely between them, receiving care serially or simultaneously from different types of healers. Therapy managing is an anthropological term used to describe how choice of health care is made by an informal group that forms around the patient. The author's experiences while running a community-based psychiatric treatment program in Botswana are discussed in terms of his interaction with patients' managing groups.
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22

Jaiyeoba, Olumide Olasimbo, Totwana Tito Chimbise, and Mornay Roberts-Lombard. "E-service usage and satisfaction in Botswana." African Journal of Economic and Management Studies 9, no. 1 (2018): 2–13. http://dx.doi.org/10.1108/ajems-03-2017-0061.

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Purpose The purpose of this paper is to establish the level of usage of e-services (websites and e-mail) by Botswana Public Officers Medical Aid Scheme (BPOMAS) and PULA Medical Aid (PULA) customers; the level of satisfaction; perceived value; and benefits derived from the website and e-mail services. Design/methodology/approach In total, 200 BPOMAS members and 100 PULA members were sampled. Systematic sampling technique was used to select the participants. A questionnaire mainly guided by the E-S-QUAL and E-RecS-QUAL scales was designed to gain an in-depth understanding of customers’ perceptions and experiences of e-service quality. Findings It was established that there is a positive and significant relationship between the usage of e-services and benefits derived from e-services and between the usage of e-services and satisfaction. In addition, a nexus of relationship was observed between perceived value of the e-services and satisfaction. Research limitations/implications The management of healthcare services in Botswana needs to understand customers’ value perceptions of e-services and e-service quality in order to establish where to make the most of their efforts. Practical implications The managers of healthcare insurance providers should consider stepping up e-service usage and satisfaction levels, supported by client-centred training programmes, to assist clinicians deliver care to the expectation of patients. Originality/value There is an acute lack of research in the Botswana context, particularly into the link between e-service usage and satisfaction in the health insurance industry. This paper contributes to the extant literature by elucidating the nexus of relationship between e-service usage and satisfaction in Botswana.
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23

Waghorn, G. "Integrating vocational services into Australian community mental health services." Acta Neuropsychiatrica 18, no. 6 (2006): 273. http://dx.doi.org/10.1017/s0924270800030878.

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24

Adekanmbi, Gbolagade, and Tapologo Maundeni. "BOTSWANA YOUTH AND HEALTH-RELATED RISKS: REFLECTIONS ON SOME INTERVENTION STRATEGIES." Commonwealth Youth and Development 12, no. 2 (2016): 18–34. http://dx.doi.org/10.25159/1727-7140/1623.

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This paper explores the theme of health-related risks among the youth in Botswana. It examines a number of intervention strategies geared toward addressing the problems associated with these risks. The paper notes that Botswana has made considerable progress in the provision of social services, including services that aim to diminish health-related risks among the youth. The dimensions of these interventions have ranged from government policy initiatives to school-based programmes, deliberate development of youth action plans, the involvement of tertiary institutions, the activities of non-governmental organisations and the intervention of faith-based organisations. Despite these interventions, some challenges still exist. For some of the organisations, these challenges include a lack of capacity and shortage of funds. In tertiary institutions, the transitory nature of students’ residence, the under-utilisation of services and human resource constraints are problematic. Adolescents remain exposed to sexually-transmitted diseases, and too little attention is given to youth with disabilities. The paper suggests that there is a need to employ social workers in schools, create greater awareness in tertiary institutions, engage in further research and documentation on the subject, and ensure an aggressive pursuit of the training of youth officers.
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25

Scarpa, Jose. "MTM services within community health centers." Mental Health Clinician 1, no. 2 (2011): 18–22. http://dx.doi.org/10.9740/mhc.n77169.

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26

Brophy, Chris, and David Morris. "Community-oriented integrated mental health services." London Journal of Primary Care 6, no. 6 (2014): 159–63. http://dx.doi.org/10.1080/17571472.2014.11494368.

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27

Yuan Jiang. "Urban community health services in China." Promotion & Education 9, no. 1_suppl (2002): 47. http://dx.doi.org/10.1177/10253823020090010125.

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28

Stilianos, Vicki, and Karen Boucher. "HIMs in Practice: Community Health Services." Health Information Management 29, no. 2 (1999): 91–92. http://dx.doi.org/10.1177/183335839902900211.

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29

Weintraub, Jane A., and Susan G. Millstein. "Community preventive services and oral health." American Journal of Preventive Medicine 23, no. 1 (2002): 3–5. http://dx.doi.org/10.1016/s0749-3797(02)00452-x.

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30

Salleh, Mohd Razali. "Community mental health services in Malaysia." Psychiatric Bulletin 16, no. 10 (1992): 648–50. http://dx.doi.org/10.1192/pb.16.10.648.

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The need to confine and restrain psychotic patients at the turn of the last century saw the building of a few large asylums which soon became overcrowded with the growth of the population. These asylums were the only service available to the mentally ill until 1959 when the trend to decentralise began with the building of general hospital psychiatric units.
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31

Soygur, Haldun. "Community Mental Health Services: Quo Vadis?" Noro Psikiyatri Arsivi 53, no. 1 (2016): 1–3. http://dx.doi.org/10.5152/npa.2016.15022016.

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Ruud, Torleif, and Edvard Hauff. "Community Mental Health Services in Norway." International Journal of Mental Health 31, no. 4 (2002): 3–14. http://dx.doi.org/10.1080/00207411.2002.11449568.

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33

Wilkinson, G. "Community care: planning mental health services." BMJ 290, no. 6479 (1985): 1371–73. http://dx.doi.org/10.1136/bmj.290.6479.1371.

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34

Adey, E. "Community care: planning mental health services." BMJ 290, no. 6484 (1985): 1825–26. http://dx.doi.org/10.1136/bmj.290.6484.1825-b.

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35

Goulder, T. J. "Community care: planning mental health services." BMJ 290, no. 6484 (1985): 1826. http://dx.doi.org/10.1136/bmj.290.6484.1826.

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36

Emery, J. L., and E. M. Taylor. "Child health services in the community." BMJ 293, no. 6546 (1986): 560–61. http://dx.doi.org/10.1136/bmj.293.6546.560-a.

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37

Walker, C. H. M., and M. J. Rigby. "Child health services in the community." BMJ 293, no. 6546 (1986): 561. http://dx.doi.org/10.1136/bmj.293.6546.561.

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38

Schneider, Justine, John Carpenter, David Wooff, Toby Brandon, and Faye McNiven. "Carers and community mental health services." Social Psychiatry and Psychiatric Epidemiology 36, no. 12 (2001): 604–7. http://dx.doi.org/10.1007/s127-001-8200-0.

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39

Sampogna, Gaia, Valeria Del Vecchio, Corrado De Rosa, et al. "Community Mental Health Services in Italy." Consortium Psychiatricum 2, no. 2 (2021): 86–92. http://dx.doi.org/10.17816/cp76.

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In 1978, in Italy, approval of Basaglias reform law marked a shift from an asylum-based to a community-based mental health system. The main aim of the reform was to treat patients in the community and no longer in psychiatric hospitals. Following the Italian model, similar reforms of mental health care have been approved worldwide. The community-based model aims to promote integration and human rights for people with mental disorders on the basis of their freedom to choose treatment options.
 By 2000, all psychiatric hospitals had been closed and all patients discharged. Mental health care is organized through the Department of Mental Health, which is the umbrella organization responsible for specialist mental health care in the community; this includes psychiatric wards located in general hospitals, residential facilities, mental health centres, and day-hospital and day-care units.
 Approval of Law 180 led to a practical and ideological shift in the provision of care to patients with mental disorders. In particular, the reform highlighted the need to treat patients in the same way as any other patient, and mental health care moved from a custodialistic to a therapeutic model.
 Progressive consolidation of the community-based system of mental health care in Italy has been observed in the past 40 years. However, some reasons for concern still exist, including low staffing levels, potential use of community residential facilities as long-stay residential services, and a heterogeneity in the availability of resources for mental health throughout the country.
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Harris, David J. "Fragmentation of community services." Psychiatric Bulletin 18, no. 9 (1994): 579–80. http://dx.doi.org/10.1192/pb.18.9.579-b.

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41

White, K., D. Roy, and I. Hamilton. "ABC of mental health: Community mental health services." BMJ 314, no. 7097 (1997): 1817. http://dx.doi.org/10.1136/bmj.314.7097.1817.

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42

Misra, Supriya, Haitisha T. Mehta, Evan L. Eschliman, et al. "Identifying “What Matters Most” to Men in Botswana to Promote Resistance to HIV-Related Stigma." Qualitative Health Research 31, no. 9 (2021): 1680–96. http://dx.doi.org/10.1177/10497323211001361.

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Despite a comprehensive national program of free HIV services, men living with HIV in Botswana participate at lower rates and have worse outcomes than women. Directed content analysis of five focus groups ( n = 38) and 50 in-depth interviews with men and women with known and unknown HIV status in Gaborone, Botswana in 2017 used the “what matters most” (WMM) and “structural vulnerability” frameworks to examine how the most valued cultural aspects of manhood interact with HIV-related stigma. WMM for manhood in Botswana included fulfilling male responsibilities by being a capable provider and maintaining social status. Being identified with HIV threatened WMM, which fear of employment discrimination could further exacerbate. Our findings indicate how cultural and structural forces interact to worsen or mitigate HIV-related stigma for urban men in Botswana. These threats to manhood deter HIV testing and treatment, but interventions could capitalize on cultural capabilities for manhood to promote stigma resistance.
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Attepe Ozden, S., and A. Icagasioglu Coban. "Community mental health services in the eyes of community mental health centers staff." European Psychiatry 41, S1 (2017): S602. http://dx.doi.org/10.1016/j.eurpsy.2017.01.940.

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IntroductionCommunity mental health centers (CMHC) are established for providing services to individuals with serious mental illness. In these centers, individual's need of treatment and care are expected to be met with a mental illness in the community as possible. The process of community mental health service creation in Turkey is relatively new and gaining popularity in last 7–8 years. First CMHC was established in 2008. After this date CMHCs’ have been opened and the target of 2016 is reaching across 236 CMHC in Turkey.ObjectivesIn this context, this study aims to provide views of psychiatrists, nurses, social workers, psychologists and occupational therapists who work in CMHC for the services that provided to individuals in these CMHC's and learn how to define their professional roles and responsibilities in CMHC.MethodsThis paper used qualitative research design. Data was collected from 7 CMHC in Ankara through in-depth interviews with a total of 30 people consisting of psychiatrists, nurses, social workers, psychologists and occupational therapists.ResultsThe participants look positively about given services, however, financial pressure in the creation process of services, problems in employee personal rights and lack of policies and services related to mental health forced employee and reduce the quality of services provided.ConclusionsThrough understanding perspectives of the professional staff toward community-based services will help to determine current problems in CMHC for policy makers.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Palfrey, Judith S., and Joseph M. Carrillo. "Pediatrics and community services." Current Opinion in Pediatrics 2, no. 5 (1990): 895–904. http://dx.doi.org/10.1097/00008480-199010000-00008.

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Harris, Madeline G., Rebecca M. Di Piazza, Alia Tunagur, Susan E. Sellers, Kristen G. Noles, and John T. Carpenter. "Community and health system partnership." Journal of Clinical Oncology 35, no. 5_suppl (2017): 190. http://dx.doi.org/10.1200/jco.2017.35.5_suppl.190.

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190 Background: Breast cancer survivors face physical, psychological, medical, social, cultural and spiritual challenges. Services to address these needs are frequently not available or if available unknown. We sought to determine whether formation of a community-based comprehensive breast cancer survivorship program was feasible. Methods: After months of relationship building, the Women’s Breast Health Fund of the Community Foundation of Greater Birmingham (CFGB), awarded funding to support a systematic assessment of available services in the region. Survivors, their loved ones, providers and other national models of care were surveyed and interviewed. Focus groups including a Lesbian, Bisexual, Gay, Transgender, Queer (LGBTQ) group were held. Aggregated results were presented in monthly meetings to executive level hospital administrators from all health systems in the area, the UAB School of Nursing and CFGB. Results: Survivors seek advice from other survivors more than any other source. Gaps in services exist. Breast cancer survivors were often unaware of existing services. Services were not available to some cultural/ethnic groups or loved ones; staff of some services were not culturally sensitive to the needs of survivors. Some services were available to all, while others require payment. There was no source of authoritative, evidence-based information on breast cancer survivorship except for a few providers. After 12 months the group of executives from all health systems committed to support the formation of a community-based comprehensive breast cancer survivorship program designed to assist breast cancer survivors, their loved ones and institutions by providing reliable information about services. Conclusions: Breast cancer survivors, providers, and local health systems all support the development of a comprehensive breast cancer survivorship program. We feel that it will address unmet needs of breast cancer survivors, allowing each institution to address needs for individual patients. By using the breast cancer survivorship program to assess individual needs and to provide information about services for identified needs, we expect repetitive services will be reduced and quality of life for breast cancer survivors will improve.
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Watson-Grant, Stephanie, Ratanang Balisi, Deborah Kaliel, Styn Jamu, and James Thomas. "A monitoring and evaluation gap for WHO’s community health worker guidelines, Botswana." Bulletin of the World Health Organization 98, no. 5 (2020): 370–72. http://dx.doi.org/10.2471/blt.19.243238.

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47

Saathoff, Amy J., and Elizabeth Ann Stoffel. "Community-Based Domestic Violence Services." Future of Children 9, no. 3 (1999): 97. http://dx.doi.org/10.2307/1602784.

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48

Rosen, Alan, Neeraj S. Gill, and Luis Salvador-Carulla. "The future of community psychiatry and community mental health services." Current Opinion in Psychiatry 33, no. 4 (2020): 375–90. http://dx.doi.org/10.1097/yco.0000000000000620.

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49

Rodrigo, E. K. "Community psychiatry, community mental health services or primary care psychiatry?" Sri Lanka Journal of Psychiatry 8, no. 2 (2017): 1. http://dx.doi.org/10.4038/sljpsyc.v8i2.8152.

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50

ANDRONIC, Anca-Olga, and Răzvan-Lucian ANDRONIC. "COMMUNITY-BASED MENTAL HEALTH SERVICES IN ROMANIA." SCIENTIFIC RESEARCH AND EDUCATION IN THE AIR FORCE 19, no. 2 (2017): 19–22. http://dx.doi.org/10.19062/2247-3173.2017.19.2.2.

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