Introduction
Mental health services structure in Cambodia
Lack of mental health research
Research priorities
Methods
Setting
Technical working groups and context
Recruitment process
Data collection and analysis
Individual questionnaire
Stakeholder discussion
Follow up survey
Results
Mental Health Services
Services and interventions currently available
Services and interventions needed
Mental health research priorities
Mental health and disability research priorities
Research barriers and facilitators
Focused research priorities
Research categories | Research topics |
---|---|
Problem – prevalence | • Mental health (MH) issues in children and young people |
• MH issues in adults | |
• MH issues in children and young people with disabilities | |
• MH issues in people with disabilities in adults | |
• Drug and alcohol issues | |
Cause—conceptual understanding | • How MH issues are experienced |
• Understanding health seeking behaviours | |
• Cultural conceptualisation of mental health symptoms and mental health disorders | |
Solution – effectiveness | • Community based psychological (e.g., cognitive behavioural therapy), social (e.g., poverty reduction supports) and psychosocial interventions (e.g., psychoeducation, peer support) and medical mental health care interventions (e.g., medication) |
• Self-care interventions for professionals | |
• Mindfulness interventions for a range of mental health issues and disorders (e.g., depression) | |
• Early childhood interventions | |
• Grants/loans in creating employment/educational opportunities | |
• Cognitive behavioural therapy | |
• Support programmes for substance misuse (e.g., relapse prevention) | |
Implementation – gaps | • Pathways to engagement in services for children and families |
• Identifying the best treatment pathways for mental health services with individuals with disabilities | |
• Services for children who are “left behind” or orphaned and their carers | |
• Exploring family experiences of caring for children with disabilities | |
Social inclusion/exclusion | • MH and disability – experience of abuse, stigma and discrimination |
• Exploring the need for the development of Mental Health legislation | |
• Exploring and understanding the use of force in MH intervention | |
• Stigma faced by parents of children who have MH problems | |
• Rights of people who have MH and/or disability issue | |
• Service access needs of people in rural areas |
Problem-prevalence | MH issues in children and young people | MH issues in adults | MH issues in children and young people with disabilities | MH issues in people with disabilities in adults | Level of drug and alcohol issues |
---|---|---|---|---|---|
1st Preference | 8 | 8 | 4 | 3 | 3 |
2nd Preference | 5 | 3 | 9 | 7 | 5 |
3rd Preference | 2 | 2 | 2 | 4 | 2 |
Total | 220 | 200 | 180 | 150 | 120 |
Solution – effectiveness | Community based psychological, sociological and psychosocial interventions and medical mental health care interventions | Self-care interventions for professionals | Mindfulness interventions | Early childhood interventions | Grants/loans in creating employment/educational opportunities | Cognitive behavioural therapy (CBT) | Support programmes for substance misuse |
---|---|---|---|---|---|---|---|
1st Preference | 7 | 7 | 6 | 4 | 5 | 3 | 3 |
2nd Preference | 5 | 4 | 4 | 7 | 4 | 8 | 6 |
3rd Preference | 2 | 2 | 2 | 2 | 4 | 1 | 1 |
Total | 200 | 190 | 170 | 160 | 160 | 145 | 125 |
Cause—conceptual understanding | How MH issues are experienced | Understanding health seeking behaviours | Cultural conceptualisation of symptoms and disorders |
---|---|---|---|
1st Preference | 10 | 9 | 3 |
2nd Preference | 5 | 7 | 9 |
3rd Preference | 2 | 1 | 5 |
Total | 260 | 255 | 175 |
Implementation – gaps | Improve pathways to engagement in mental health services for children and families | Improve pathways to mental health services for individuals with disabilities | Implement support services for children who are “left behind” or orphaned and their carers | Implement services for people who are caring for children with disabilities |
---|---|---|---|---|
1st Preference | 9 | 7 | 7 | 3 |
2nd Preference | 5 | 8 | 6 | 8 |
3rd Preference | 2 | 2 | 2 | 4 |
Total | 240 | 230 | 210 | 160 |
Social Inclusion | MH and disability – experience of abuse, oppression | Development of Mental Health legislation | The use of force in MH interventions | Stigma faced by parents of children who have MH problems | Rights of people who have MH and/or disability issues | Service access needs of people in rural areas |
---|---|---|---|---|---|---|
1st Preference | 5 | 7 | 5 | 3 | 1 | 2 |
2nd Preference | 9 | 3 | 6 | 9 | 10 | 4 |
3rd Preference | 2 | 2 | 3 | 1 | 2 | 6 |
Total | 200 | 180 | 175 | 155 | 130 | 110 |
Overall | Implementation | Solution | Social inclusion/exclusion | Problem | Cause |
---|---|---|---|---|---|
1st Preference | 12 | 10 | 4 | 4 | 1 |
2nd Preference | 3 | 3 | 7 | 6 | 8 |
3rd Preference | 1 | 3 | 5 | 3 | 3 |
Total | 275 | 245 | 175 | 155 | 115 |