A Mixed-Method Study of Mental Health Practices and Policy among practitioners in Southern Nigeria A Study of Mental Health Policies in Nigeria

Résumé

Background: The Community Mental Health Model (CMHM) is suggested by the World Health Organization as appropriate for the effective delivery of mental health care. However, the state of Nigeria's mental health care is precarious. This is particularly traceable to the lack of awareness, stigmatization, inadequate or poor services, as well as ineffective government policies. Objectives: The goal of this study was to investigate mental health practices and policy implementation among mental healthcare practitioners in Southern Nigeria. Materials and Methods: The mixed-method research leveraged on quantitative and qualitative data which used a total population and purposive sampling respectively. Data collection was via a researcher-administered questionnaire, and in-depth interviews. Results: Data analysis using SPSS Version 20 and NVivo 12 revealed that the mental healthcare model in the study area is a combination of out-patient, in-patient, and CMHM. Participants showed a good level of awareness of CMHM. They also identified barriers to mental healthcare, including stigmatization and financial constraints. While most participants acknowledged the adoption of the Nigerian mental health policy of 2013, its implementation was notably inadequate. Conclusion: A strong necessity to reform Nigeria's existing mental health care with a proper policy guide is imperative in this study. This will tilt the nation towards international standards and global best practices, and guarantee the most efficient and effective mental health service delivery to the Nigerian people.