DESK REVIEWS | 04.07.05. What are the components of care coordination?

DESK REVIEW | 04.07.05. What are the components of care coordination?

No data is available as no care coordination mechanisms are in place.

Not applicable, see responses from 04.07.01 to 04.07.04.

There is an interdisciplinary team (psychiatric nurses, social workers, and psychologists) in some level 5 hospitals especially those with a mental health clinic. However, there is uncoordinated planning and weak monitoring and evaluation systems at both National and County levels which worsen in lower levels of care (John & Kiarie, 2019).

References:

John, T., & Kiarie, H. (2019). Building strong stewardship and collaborating systems towards UHC in Kenya’s Devolved Health system. Nairobi, Kenya.

Due to shortage of human resources and funding for mental health care, the current component of care coordination is often task-sharing (facilitated by NGOs). For instance, Africa Mental Health Research and Training Foundation has implemented task sharing approaches through training non-mental health specialists (nurses, clinical officers) to provide interventions to people with mental illness (including dementia) receiving care in primary health care facilities and community providers such as community health workers, traditional, and faith healers to identify and refer people with suspected mental illness for further care (Mutiso et al., 2018).

References:

Mutiso, V. N., Gitonga, I., Musau, A., Musyimi, C. W., Nandoya, E., Rebello, T. J., … Ndetei, D. M. (2018). A step-wise community engagement and capacity building model prior to implementation of mhGAP-IG in a low-and middle-income country: a case study of Makueni County, Kenya. International Journal of Mental Health Systems, 12(1), 1–13.  https://doi.org/10.1186/s13033-018-0234-y

It was not mentioned whether there are provisions to ensure provider continuity (e.g., for a patient to be seen by the same GP at every visit).

The Kenya Mental Health Policy states that individuals, families, and communities will play a key role in promotion, prevention, treatment, and rehabilitation of persons with mental disorders. They will also participate and advocate for community mental health programmes (Ministry of Health, 2015c). This community-based approach involves dementia care.

References:

Ministry of Health. (2015c). Kenya mental health policy 2015-2030: Towards Attaining the Highest Standard of Mental Health. Nairobi, Kenya. https://publications.universalhealth2030.org/uploads/Kenya-Mental-Health-Policy.pdf