Objectives: To provide a model to estimate human resource needs for
community-based mental health services in South Africa.
Methods: A situation analysis was conducted of current community-based
mental health service provision in South Africa, which comprise
outpatient and emergency services, residential care and day care.
Service utilisation rates and staffing needs were estimated for two
levels of service coverage, using data from the situation analysis,
local epidemiological studies and consultation with key stakeholders.
Results: For a population of 100 000 people, 7.3–23.8 full-time
equivalent staff would be required to provide services in outpatient
services, 14.9–41.6 in day care and 11.5–23.0 in residential care at
minimum and full coverage levels respectively. The model can facilitate
rational planning by requiring transparency and accountability in the
assumptions used. This method can be adapted to a range of countries, by
entering relevant country data.
Conclusions: The model fills a gap, particularly in low- and
middle-income countries, where community-based mental health services
are sparse, and decisions regarding allocations to them are hampered by
a lack of good quality data. The results of the model are limited by the
quality of data and the assumptions upon which the modelling are based.
See the spreadsheet model .
Lund, C.; Flisher, A. J. A model for community mental health services in South Africa. Tropical Medicine and International Health (2009) 14 (9) 1040-1047. [DOI: 10.1111/j.1365-3156.2009.02332.x]
A model for community mental health services in South Africa.