Mental health leadership is a critical component of patient access to care. More specifically, the ability of mental health professionals to articulate the needs of patients, formulate strategies and engage meaningfully at the appropriate level in pursuit of resources. This is not a skill set routinely taught to mental health professionals.
A public–private mental health leadership initiative, emanating from a patient access to care programme, was developed with the aim of building leadership capacity within the South African public mental health sector. The express aim was to equip health care professionals with the requisite skills to more effectively advocate for their patients. The initiative involved participants from various sites within South Africa. Inclusion was based on the proposal of an ongoing “project”, i.e. a clinician-initiated service development with a multidisciplinary focus. The projects were varied in nature but all involved identification of and a plan for addressing an aspect of the participants’ daily professional work which negatively impacted on patient care due to unmet needs. Six such projects were included and involved 15 participants, comprising personnel from psychiatry, psychology, occupational therapy and nursing. Each project group was formally mentored as part of the initiative, with mentors being senior professionals with expertise in psychiatry, public health and nursing. The programme design thus provided a unique practical dimension in which skills and learnings were applied to the projects with numerous and diverse outcomes.
Benefits were noted by participants but extended beyond the individuals to the health institutions in which they worked and the patients that they served. Participants acquired both the skills and the confidence which enabled them to sustain the changes that they themselves had initiated in their institutions. The initiative gave impetus to the inclusion of public mental health as part of the curriculum for specialist training.
Despite the significant adverse social and economic costs of mental illness, psychiatric and related services receive a low level of priority within the health care system. Ensuring that mental health receives the recognition and the resources it deserves requires that mental health care professionals become effective advocates through mental health leadership.
Bradshaw D, Norman R, Schneider MA. Clarion call for action based on refined DALY estimates for South Africa. S Afr Med J. 2007;97(6):438–40. PubMed
Lund C. Public health advocacy: how can we grow a national advocacy movement for mental health in South Africa? Public health association of South Africa 15th February 2011. https://www.phasa.org.za/public-health-advocacy-how-can-we-grow-a-national-advocacy-movement-for-mental-health-in-south-africa/. Accessed 17 July 2015.
Kahn T. Most people with mental disorders “not getting care they need. Business day 13th June 2013. http://www.bdlive.co.za/national/health/2013/06/13/most-people-with-mental-disorders-not-getting-care-they-need. Accessed 25 May 2014.
Abdulmalik J, Fadahunsi W, Kola L, Nwefoh E, Minas H, Eaton J, Gureje O. The mental health leadership and advocacy program (mhLAP): a pioneering response to the neglect of mental health in Anglophone West Africa. Int J Mental Health Syst. 2014;8:5. http://www.ijmhs.com/content/8/1/5.
It’s time to change attitudes on mental health. Mail and guardian editorial team, 29th July 2014. http://mg.co.za/article/2014-07-29-its-time-to-change-attitudes-on-mental-health. Accessed 25 May 2014.
National mental health policy framework and strategic Plan 2103-1010, Department of Health, Republic of South Africa.
Fine J. Mental health leadership and patient access to care: a South African initiative. S Afr Psychiatry. 2014;1:10–1.
Angermeyer MC, van der Auwera S, Carta MG, Schomerus G. Public attitudes towards psychiatry and psychiatric treatment at the beginning of the 21st century: a systematic review and meta-analysis of population surveys. Wolrd Psychiatry. 2017;16(1):50–61.
van Rensburg ABRJ, Jassat W. Acute mental health care according to recent mental health legislation part II. Activity-based costing. Afr J Psychiatry. 2011;14(1):23–9.
Bornman J. Making the most of limited resources in a rural setting. S Afr Psychiatry. 2015;3:45–6.
Prinsloo C, Smith E, de Lange E, Theron L, Smit L, Toffar N. Paarl assertive community treatment: a program with a difference. S Afr Psychiatry. 2015;3:26–8.
Vogel W, Damons Z, de Jager W. A child and adolescent mental health initiative. S Afr Psychiatry. 2015;3:29–30.
Nassen R, Moos A. Lentegeur hospital child and adolescent mental health service. S Afr Psychiatry. 2015;3:12–4.
Mbele Z, Edgar J. Assertive community treatment programme in the department of psychiatry at the Chris Hani Baragwanath Academic Hospital. S Afr Psychiatry. 2015;3:6–9.
van Rensburg ABRJ. Participating in the Sanofi mental health leadership initiative. S Afr Psychiatry. 2015;3:10–1.
Zabow T. Mental health leadership—a mentor’s perspective. S Afr Psychiatry. 2015;4:14–5.
Naidoo S. Mental health leadership—a mentor’s perspective. S Afr Psychiatry. 2015;4:20–1.
Mayers P. Mental health leadership—a mentor’s perspective. S Afr Psychiatry. 2015;4:34.
Parker JS, Allen RR, Lund C. Are we training our psychiatrists adequately as public mental health practitioners. S Afr J Psychiatry. 2013;19(1):2–3. CrossRef
Szabo CP. Patient access to care—a need for mental health leadership, and a role for industry. Afr J Psychiatry. 2013;16:311–3.
- Mental health leadership and patient access to care: a public–private initiative in South Africa
Christopher Paul Szabo
Mental Health Leadership Working Group
- BioMed Central
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