• S. Afr. Med. J. · May 2021

    Strengthening of district mental health services in Gauteng Province, South Africa.

    • L J Robertson, M Y H Moosa, and F Y Jeenah.
    • Department of Psychiatry, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Community Psychiatry, Sedibeng District Health Services, Gauteng Province, South Africa. Lesley.Robertson@wits.ac.za.
    • S. Afr. Med. J. 2021 May 31; 111 (6): 538-543.

    AbstractIn response to the Life Esidimeni tragedy, the Gauteng Department of Health established a task team to advise on the implementation of the Health Ombud's recommendations and to develop a mental health recovery plan. Consistent with international human rights and South African legislation and policy, the plan focused on making mental healthcare more accessible, incorporating a strategy to strengthen district mental health services to deliver community-based care for people with any type and severity of mental illness. The strategy included an organogram with three new human resource teams integrated into the district health system: a district specialist mental health team to develop a public mental health approach, a clinical community psychiatry team for service delivery, and a team to support non-governmental organisation governance. This article discusses the strategy in terms of guiding policies and legislation, the roles and responsibilities of the various teams in the proposed organogram, and its sustainability.

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