Pathways to Mental Health Care in Bangladesh, India, Japan, Mongolia, and Nepal

作者：Hashimoto Naoki^*; Fujisawa Daisuke; Giasuddin Noor Ahmed; Kenchaiah Basanth Kumar; Narmandakh Altanzul; Dugerragchaa Khongorzul; Tamrakar Sharad Man; Adhikari Shailendra Raj; Sartorius Norman

来源：Asia-Pacific Journal of Public Health, 2015, 27(2): NP1847-NP1857.

DOI：10.1177/1010539510379395

• Bangladesh
• help seeking
• India
• Japan
• Mongolia
• Nepal
• pathway
• psychiatry

Introduction: As mental health systems are still developing in many Asian countries, knowledge of the pathways to mental health care (MHC) in this region would be very important. Aims: To clarify the pathways to MHC in 5 Asian countries. Method: A total of 50 new subjects attending each institution were interviewed. Pathway diagrams, the patterns and duration of care seeking, and the previous treatment were compared. Results: Four major pathways were direct access, referrals from private practitioners, referrals from general hospitals, and referrals from native or religious healers. General practitioners did not play a pivotal role in any of the areas, whereas native or religious healers had an important place in all areas except for Yokohama, Japan. Family members had a significant impact on the decision to seek MHC. Conclusions: Studies of pathways to MHC in Asian countries are feasible and can provide data of interest in the organization of care.

• 出版日期2015-3
• 单位上海市精神卫生中心