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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×

PROVIDING SUSTAINABLE
MENTAL AND NEUROLOGICAL
HEALTH CARE IN GHANA AND KENYA

WORKSHOP SUMMARY

Sheena Posey Norris, Erin Hammers Forstag, and
Bruce M. Altevogt, Rapporteurs

Forum on Neuroscience and
Nervous System Disorders

Board on Health Sciences Policy

Board on Global Health

Institute of Medicine

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Washington, DC

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×

THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001

This activity was supported by the Alzheimer’s Association; Brain Canada Foundation; Contract No. HHSN26300026 [Under Master Base # DHHS10001292] with the U.S. Department of Health and Human Services’ Food and Drug Administration and National Institutes of Health through the National Center for Complementary and Integrative Health, National Eye Institute, National Institute of Mental Health, National Institute of Neurological Disorders and Stroke, National Institute on Aging, National Institute on Alcohol Abuse and Alcoholism, National Institute on Drug Abuse, and NIH Blueprint for Neuroscience Research; Contract No. VA240-14-C-0057 with the U.S. Department of Veterans Affairs; Eli Lilly and Company; Foundation for the National Institutes of Health; the Gatsby Charitable Foundation; GlaxoSmithKline, Inc.; Johnson & Johnson Pharmaceutical Research and Development, LLC; Lundbeck Research USA; Merck Research Laboratories; The Michael J. Fox Foundation for Parkinson’s Research; the National Multiple Sclerosis Society; Contract No. BCS-1064270 with the National Science Foundation; One Mind for Research; Orion Bionetworks; Pfizer Inc.; Pharmaceutical Product Development, LLC; Sanofi; the Society for Neuroscience; Takeda Pharmaceutical Company Limited; and Wellcome Trust. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-37764-5
International Standard Book Number-10: 0-309-37764-1
DOI: 10.17226/21793

Additional copies of this report are available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

Copyright 2016 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2016. Providing sustainable mental and neurological health care in Ghana and Kenya: Workshop summary. Washington, DC: The National Academies Press.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×

images

The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Ralph J. Cicerone is president.

The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. C. D. Mote, Jr., is president.

The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president.

The three Academies work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine.

Learn more about the National Academies of Sciences, Engineering, and Medicine at www.national-academies.org.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×

PLANNING COMMITTEE ON PROVIDING SUSTAINABLE
MENTAL HEALTH CARE IN GHANA AND KENYA: A
WORKSHOP SERIES1

STEVEN HYMAN (Co-Chair), The Broad Institute of Massachusetts Institute of Technology and Harvard University

VIKRAM PATEL (Co-Chair), London School of Hygiene and Tropical Medicine

LUKOYE ATWOLI, Moi University School of Medicine

CAROL BERNSTEIN, New York University School of Medicine

FRANÇOIS BOMPART, Sanofi

TARUN DUA, World Health Organization

FIONA DUNBAR, Janssen Pharmaceuticals, Inc.

JULIAN EATON, CBM International

DAVID KIIMA, Ministry of Health, Kenya

ALAN LESHNER, American Association for the Advancement of Science (Emeritus)

CRICK LUND, University of Cape Town

ANA-CLAIRE MEYER, Yale School of Medicine

DAVID MICHELSON, Merck Research Laboratories

DAVID NDETEI, Africa Mental Health Foundation; University of Nairobi

ANGELA OFORI-ATTA, University of Ghana School of Medicine and Dentistry

SAMMY OHENE, University of Ghana School of Medicine and Dentistry

AKWASI OSEI, Ghana Health Service

ATUL PANDE, Tal Medical

BEVERLY PRINGLE, National Institute of Mental Health

PETER BADIMAK YARO, BasicNeeds Ghana

IOM Staff

BRUCE M. ALTEVOGT, Project Director (until April 2015)

SHEENA M. POSEY NORRIS, Associate Program Officer

ANNALYN M. WELP, Senior Program Assistant

ANDREW M. POPE, Director, Board on Health Sciences Policy

_______________________

1Institute of Medicine planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×

This page intentionally left blank.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×

FORUM ON NEUROSCIENCE AND NERVOUS
SYSTEM DISORDERS1

STEVEN HYMAN (Chair), The Broad Institute of Massachusetts Institute of Technology and Harvard University

STORY LANDIS (Vice Chair), Former Director, National Institute of Neurological Disorders and Stroke

SALVATORE ALESCI, Takeda Pharmaceuticals International, Inc. (until November 2015)

SUSAN AMARA, Society for Neuroscience

RITA BALICE-GORDON, Pfizer Global Research and Development (since September 2015)

KATJA BROSE, Cell Press

DANIEL BURCH, Pharmaceutical Product Development, LLC

SARAH CADDICK, Gatsby Charitable Foundation

ROSA CANET-AVILES, Foundation for the National Institutes of Health

MARIA CARRILLO, Alzheimer’s Association

C. THOMAS CASKEY, Baylor College of Medicine

KAREN CHANDROSS, Sanofi US

TIMOTHY COETZEE, National Multiple Sclerosis Society

FAY LOMAX COOK, National Science Foundation

BRUCE CUTHBERT, National Institute of Mental Health (since November 2015)

WILLIAM DUNN, Food and Drug Administration

EMMELINE EDWARDS, National Center for Complementary and Integrative Health

MARTHA FARAH, University of Pennsylvania

DANIEL GESCHWIND, University of California, Los Angeles

HANK GREELY, Stanford University

MAGALI HAAS, Cohen Veterans Bioscience

RAMONA HICKS, One Mind for Research

RICHARD HODES, National Institute on Aging

STUART HOFFMAN, U.S. Department of Veterans Affairs

THOMAS INSEL, National Institute of Mental Health (until October 2015)

PHILIP IREDALE, Pfizer Inc. (until August 2015)

_______________________

1Institute of Medicine forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×

MICHAEL IRIZARRY, Eli Lilly and Company

JOHN ISAAC, Wellcome Trust

INEZ JABALPURWALA, Brain Canada Foundation

FRANCES JENSEN, University of Pennsylvania School of Medicine

GEORGE KOOB, National Institute on Alcohol Abuse and Alcoholism

WALTER KOROSHETZ, National Institute of Neurological Disorders and Stroke

ALAN LESHNER, American Association for the Advancement of Science (Emeritus)

HUSSEINI MANJI, Johnson & Johnson Pharmaceutical Research and Development, LLC

DAVID MICHELSON, Merck Research Laboratories

JAMES OLDS, National Science Foundation

ATUL PANDE, Tal Medical

STEVEN PAUL, Voyager Therapeutics

EMILIANGELO RATTI, Takeda Pharmaceuticals International, Inc. (since December 2015)

TODD SHERER, The Michael J. Fox Foundation for Parkinson’s Research

DAVID SHURTLEFF, National Center for Complementary and Integrative Health

PAUL SIEVING, National Eye Institute

NORA VOLKOW, National Institute on Drug Abuse

STEVIN ZORN, Lundbeck Research USA

IOM Staff

BRUCE M. ALTEVOGT, Forum Co-Director (until April 2015)

CLARE STROUD, Forum Director

SHEENA M. POSEY NORRIS, Associate Program Officer

ANNALYN M. WELP, Senior Program Assistant

ANDREW M. POPE, Director, Board on Health Sciences Policy

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×

BOARD ON GLOBAL HEALTH1

THOMAS C. QUINN (Chair), National Institute of Allergy and Infectious Disease and Johns Hopkins University School of Medicine

JO IVEY BOUFFORD, New York Academy of Medicine

GARY DARMSTADT, Stanford School of Medicine

JACOB A. GAYLE, Medtronic Foundation

GLENDA E. GRAY, South African Medical Research Council

MARGARET A. HAMBURG, National Academy of Medicine

STEPHEN W. HARGARTEN, Medical College of Wisconsin

CLARION JOHNSON, ExxonMobil

ALAN LESHNER, American Association for the Advancement of Science (Emeritus)

GUY H. PALMER, Washington State University

ANNE C. PETERSEN, University of Michigan

DAVID VLAHOV, University of California, San Francisco, Schools of Nursing and Medicine

IOM Staff

PATRICK KELLEY, Board Director

_______________________

1Institute of Medicine boards do not review or approve individual reports and are not asked to endorse conclusions and recommendations. The responsibility for the content of the reports rests with the rapporteurs and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×

This page intentionally left blank.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×

Reviewers

This workshop summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published workshop summary as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this workshop summary:

JOSEPH BEDIAKO ASARE, Ghana Mental Health Authority

MARCELLO CRUZ, Central University of Ecuador

RICHARD OTIENO MUGA, Great Lakes University Kisumu

INGE PETERSEN, University of Kwazulu-Natal

STEPHANIE SMITH, Harvard Medical School; Partners In Health

CATHERINE SYENGO MUTISYA, Mathari National Teaching & Referral Hospital

TEDLA WOLDE-GIORGIS, Ministry of Health, Ethiopia

Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop summary was overseen by HELLEN GELBAND, Center for Disease Dynamics, Economics & Policy. She was responsible for making certain that an independent examination of this workshop summary was carried out in accordance with institutional procedures and that all review

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×

comments were carefully considered. Responsibility for the final content of this workshop summary rests entirely with the rapporteurs and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
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Page R7
Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
Page R8
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
Page R9
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
Page R10
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
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Page R12
Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
×
Page R13
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2016. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21793.
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Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya: Workshop Summary Get This Book
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Mental, neurological, and substance use (MNS) disorders have a substantial impact on global health and well-being. Disorders such as depression, alcohol abuse, and schizophrenia constitute about 13 percent of the total burden of disease. Worldwide, MNS disorders are the leading cause of disability, and the 10th leading cause of death. Despite this high burden, there is a significant shortage of resources available to prevent, diagnose, and treat MNS disorders. Approximately four out of five people with serious MNS disorders living in low- and middle-income countries do not receive needed health services.

This treatment gap is particularly high in Sub-Saharan Africa (SSA). Challenges to MNS care in SSA countries include a lack of trained mental health professionals, few mental health facilities, and low prioritization for MNS disorders in budget allocations. African countries, on average, have one psychiatrist for every 2 million people, whereas European countries have one psychiatrist per 12,000 people.

Expanding on previous efforts to address the development and improvement of sustainable mental health systems in SSA, the Institute of Medicine convened this 2015 workshop series, bringing together key stakeholders to examine country-specific opportunities to improve the health care infrastructure in order to better prevent, diagnose, and treat MNS disorders. Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya summarizes the presentations and discussions from these workshops.

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