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Published in: International Journal of Mental Health Systems 1/2020

Open Access 01-12-2020 | Research

Development of mental healthcare in Cambodia: barriers and opportunities

Authors: Sarah J. Parry, Nil Ean, Shirley P. Sinclair, Ewan Wilkinson

Published in: International Journal of Mental Health Systems | Issue 1/2020

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Abstract

Background

Despite the increasing recognition globally of the importance of mental health for sustainable development, significant barriers remain to developing mental health services in low- and middle-income countries. This study explored the particular barriers and opportunities for developing mental health services in Cambodia and how these compared with those described in other low- and middle-income countries.

Methods

For this qualitative study, 18 experienced mental health professionals from different disciplines were selected using purposive sampling. Semi-structured interviews were carried out in Phnom Penh and thematic analysis of the data was completed.

Results

Five key themes were identified: (1) Prioritising mental health in Cambodia, (2) Strengthening collaborations between mental health stakeholders, (3) Developing a mental healthcare model appropriate for the Cambodian culture and context, (4) Increasing the quantity and (5) Improving the quality of mental healthcare. All five themes were referred to by all 18 participants and the two most repeated themes were (2) Strengthening collaborations and (5) Improving the quality of mental healthcare.

Conclusions

The themes identified in this study both corroborate previous barriers identified to developing mental health services in low- and middle-income countries and shed new light on opportunities of particular importance in Cambodia. Strengthening collaborations between key stakeholders in mental health and prioritising the quality of mental health education, training and service provision were both cited as being significant opportunities for enhancing the development of mental health services in Cambodia. These have not been widely described before as being important factors.
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Literature
2.
go back to reference World Health Organisation. mhGAP intervention guide for mental, neurological and substance use disorders in non-specialized health settings: mental health gap action programme (mhgap): version 2.0. [Internet]. Geneva: World Health Organisation. 2016. pp. 1–174. https://www.ncbi.nlm.nih.gov/books/NBK390828/. Accessed 27 May 2020. World Health Organisation. mhGAP intervention guide for mental, neurological and substance use disorders in non-specialized health settings: mental health gap action programme (mhgap): version 2.0. [Internet]. Geneva: World Health Organisation. 2016. pp. 1–174. https://​www.​ncbi.​nlm.​nih.​gov/​books/​NBK390828/​. Accessed 27 May 2020.
18.
go back to reference Un K. Cambodia: return to authoritarianism. Cambridge: Cambridge University Press; 2019.CrossRef Un K. Cambodia: return to authoritarianism. Cambridge: Cambridge University Press; 2019.CrossRef
21.
go back to reference Somasundaram DJ, Van De Put WACM, Eisenbruch M, De Jong JTVM. Starting mental health services in Cambodia. Soc Sci Med. 1999;48:1029–46.PubMedCrossRef Somasundaram DJ, Van De Put WACM, Eisenbruch M, De Jong JTVM. Starting mental health services in Cambodia. Soc Sci Med. 1999;48:1029–46.PubMedCrossRef
24.
go back to reference Stockwell A, Whiteford H, Townsend C, Stewart D. Mental health policy development: case study of Cambodia. Australas Psychiatry. 2005;13(2):191–3.CrossRef Stockwell A, Whiteford H, Townsend C, Stewart D. Mental health policy development: case study of Cambodia. Australas Psychiatry. 2005;13(2):191–3.CrossRef
28.
go back to reference Ministry of Health National Program for Mental Health Kingdom of Cambodia. Mental health and substance misuse strategic plan 2011–2015. Phnom Penh; 2010. 1–38. Ministry of Health National Program for Mental Health Kingdom of Cambodia. Mental health and substance misuse strategic plan 2011–2015. Phnom Penh; 2010. 1–38.
34.
go back to reference Sonis J, Gibson JL, de Jong J, Field NP, Hean S, Komproe I. Probable posttraumatic stress disorder and disability in Cambodia, associations with perceived justice, desire for revenge, and attitudes toward the Khmer Rouge trials. JAMA. 2009;302:5.CrossRef Sonis J, Gibson JL, de Jong J, Field NP, Hean S, Komproe I. Probable posttraumatic stress disorder and disability in Cambodia, associations with perceived justice, desire for revenge, and attitudes toward the Khmer Rouge trials. JAMA. 2009;302:5.CrossRef
35.
go back to reference Sakisaka K, Fujita K, Kaneko Y, Motohashi Y. Trends of suicide and suicide countermeasures in Cambodia. Suicide Policy Res. 2018;2(1):8–15. Sakisaka K, Fujita K, Kaneko Y, Motohashi Y. Trends of suicide and suicide countermeasures in Cambodia. Suicide Policy Res. 2018;2(1):8–15.
45.
go back to reference Hinton DE, Hinton AL, Eng K-T. PTSD and key somatic complaints and cultural syndromes among rural cambodians. Med Anthropol Q. 2012;26:383–407.PubMedCrossRef Hinton DE, Hinton AL, Eng K-T. PTSD and key somatic complaints and cultural syndromes among rural cambodians. Med Anthropol Q. 2012;26:383–407.PubMedCrossRef
51.
53.
go back to reference Van De Put W, Van der Veer G. Counselling in Cambodia: cultural competence and contextual costs. Intervention. 2005;3(2):87–96. Van De Put W, Van der Veer G. Counselling in Cambodia: cultural competence and contextual costs. Intervention. 2005;3(2):87–96.
60.
go back to reference Wynaden D, Chapman R, Orb A, McGowan S, Zeeman Z, Yeak SH. Factors that influence Asian communities’ access to mental health care. Int J Ment Health Nurs. 2005;14(2):88–95.PubMedCrossRef Wynaden D, Chapman R, Orb A, McGowan S, Zeeman Z, Yeak SH. Factors that influence Asian communities’ access to mental health care. Int J Ment Health Nurs. 2005;14(2):88–95.PubMedCrossRef
Metadata
Title
Development of mental healthcare in Cambodia: barriers and opportunities
Authors
Sarah J. Parry
Nil Ean
Shirley P. Sinclair
Ewan Wilkinson
Publication date
01-12-2020
Publisher
BioMed Central
Published in
International Journal of Mental Health Systems / Issue 1/2020
Electronic ISSN: 1752-4458
DOI
https://doi.org/10.1186/s13033-020-00385-4

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