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. 2021 Mar 12;36(1):58-66.
doi: 10.1093/heapro/daaa006.

Belonging home: capabilities, belonging and mental health recovery in low resourced settings

David Cappo  1 , Brian Mutamba  1   2 , Fiona Verity  3
Affiliations

Belonging home: capabilities, belonging and mental health recovery in low resourced settings

David Cappo et al. Health Promot Int. .

Abstract

There are significant barriers to the development of a 'balanced model' of mental health in low-income countries. These include gaps in the evidence base on effective responses to severe mental health issues and what works in the transition from hospital to home, and a low public investment in primary and community care. These limitations were the drivers for the formation of the non-government organization, YouBelong Uganda (YBU), which works to contribute to the implementation of a community-based model of mental health care in Uganda. This paper overviews an intervention protocol developed by YBU, which is a combined model of parallel engagement with the national mental hospital in Kampala, Uganda, movement of 'ready for discharge' patients back to their families and communities, and community development. The YBU programme is theoretically underpinned by a capabilities approach together with practical application of a concept of 'belonging'. It is an experiment in implementation with hopes that it may be a positive step towards the development of an effective model in Uganda, which may be applicable in other countries. Finally, we discuss the value in joining ideas from social work, sociology, philosophy, public health and psychiatry into a community mental health 'belonging framework'.

Keywords: Uganda; belonging; community-based mental health; deinstitutionalization; family.

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References

    1. Abbo C., Ekblad S., Waako P., Okello E., Muhwezi W., Musisi S. (2008) Psychological distress and associated factors among the attendees of traditional healing practices in Jinja and Iganga districts, Eastern Uganda: a cross-sectional study. International Journal of Mental Health Systems, 2, 16. - PMC - PubMed
    1. Allen J., Balfour J., Bell R., Marmot M. (2014) Social determinants of mental health. International Review of Psychiatry, 26, 392–407. - PubMed
    1. Auspos P., Cabaj M. (2014) Complexity and Community Change. The Aspen Institute, Washington, DC.
    1. BasicNeeds. (2009) Community Mental Health Practice: Seven Essential Features for Scaling up in Low- and Middle-income Countries. BasicNeeds, Leamington Spa.
    1. Butabika Hospital. (2017) Patient Readmissions: Butabika Hospital Records, Jan–March 2017. Ministry of Health, Kampala.