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Promotion of Recovery Through Socio-economic Inclusion for People Living with Severe Mental Illness

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Innovations in Global Mental Health

Abstract

Stigma and discrimination against people living with mental illness not only affects access to healthcare but also participation in social, educational, and employment opportunities, leading to further impoverishment and social marginalization of people living with serious mental illness (PWSMI). Several initiatives have been designed to improve quality of life by improving access to opportunities for minority populations including youth, women and people with disabilities. However, given the high levels of unemployment and social exclusion, poor mental health policy, and funding priorities, very little is being done to enhance the uptake of available socio-economic opportunities by people living with serious mental illness in low and middle income countries.

Several studies have attempted to pilot solutions that address barriers to equitable access to socio-economic opportunities, for example, for women and youth in both communities, particularly those living with mental illness. These models include work integrated social enterprises offering competitive employment with equal pay for people recovering from serious mental illness and the design and development of group-owned and led microenterprises run by women living with PTSD in Kenya.

Increase in community awareness of the nature and benefits of quality mental health care, improved living standards, and community reintegration are some of the preliminary findings from these models. This chapter will discuss various approaches adopted by these studies to develop, assess, and scale up systems that enhance the improvement and equality of access of socio-economic opportunities for people living with mental illnesses in resource-limited areas in Kenya.

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Abbreviations

CRPD:

Convention on the Rights of Persons with Disabilities

GDP:

Gross Domestic Product

LMICs:

Low and Middle Income Countries

NGOs:

Non-Governmental Organizations

PSR:

Psychosocial Rehabilitation

PTSD:

Post Traumatic Stress Disorder

PWSMI:

People with Serious Mental Illness

VSLA:

Village Savings and Loan Associations

WHO:

World Health Organization

WISE:

Work Integration Social Enterprise

References

  • African Population, Health Research Center. Population and health dynamics in Nairobi’s informal settlements: report of the Nairobi cross-sectional slums survey (NCSS) 2000. African Population and Health Research Center; 2002.

    Google Scholar 

  • Angermeyer MC, Dietrich S. Public beliefs about and attitudes towards people with mental illness: a review of population studies. Acta Psychiatr Scand. 2006;113(3):163–79.

    CAS  PubMed  Google Scholar 

  • Anthony WA. Recovery from mental illness: the guiding vision of the mental health service system in the 1990s. Psychosoc Rehabil J. 1993;16(4):11–23.

    Google Scholar 

  • Casey R, Krupa T, Lysaght R, Price E, Canes M, Ngan N, Little J, Jayaraman V, Ruhara R, Mutiso V, Ndetei D. The development and application of a recovery-oriented psychosocial rehabilitation toolkit in Kenya: a community based research initiative for social inclusion. J Psychosoc Rehabil Mental Health. 2018;5(2):199–207.

    Google Scholar 

  • Cheston S, Kuhn L. Empowering women through microfinance. Draft Oppor Int. 2002;6:1–52.

    Google Scholar 

  • Clement S, Schauman O, Graham T, Maggioni F, Evans-Lacko S, Bezborodovs N, Morgan C, Rüsch N, Brown JS, Thornicroft G. What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychol Med. 2015;45(1):11–27.

    CAS  PubMed  Google Scholar 

  • Copeland ME. Wellness recovery action plan. Brattleboro: Peach Press; 1999.

    Google Scholar 

  • CRPD. Convention on the rights of persons with disabilities and optional protocol. New York: United Nations General Assembly; 2008.

    Google Scholar 

  • Deegan PE. Recovery: the lived experience of rehabilitation. Psychosoc Rehabil J. 1988;11(4):11–9.

    Google Scholar 

  • Ebuenyi ID, Guxens M, Ombati E, Bunders-Aelen JF, Regeer BJ. Employability of persons with mental disability: understanding lived experiences in Kenya. Front Psych. 2019a;10:539. https://doi.org/10.3389/fpsyt.2019.00539.

  • Ebuenyi ID, Regeer BJ, Ndetei DM, Bunders-Aelen JF, Guxens M. Experienced and anticipated discrimination and social functioning in persons with mental disabilities in Kenya: implications for employment. Front Psych. 2019b;10:181.

    Google Scholar 

  • Gatere BC, Shale NI. Challenges affecting the implementation of access to government procurement opportunities for special interest groups in Kenya: a case of Nairobi County. Int J Soc Sci Entrep. 2014;1(12):831–47.

    Google Scholar 

  • Karlan D, Savonitto B, Thuysbaert B, Udry C. Impact of savings groups on the lives of the poor. Proc Natl Acad Sci. 2017;7:201611520.

    Google Scholar 

  • Kimuna SR, Djamba YK. Gender based violence: correlates of physical and sexual wife abuse in Kenya. J Fam Violence. 2008;23(5):333–42.

    Google Scholar 

  • Liu NH, Daumit GL, Dua T, Aquila R, Charlson F, Cuijpers P, Druss B, Dudek K, Freeman M, Fujii C, Gaebel W. Excess mortality in persons with severe mental disorders: a multilevel intervention framework and priorities for clinical practice, policy and research agendas. World Psychiatry. 2017;16(1):30–40.

    PubMed  PubMed Central  Google Scholar 

  • Lysaght R, Roy MJ, Rendall JS, Krupa TM, Ball L, Davis J. Unpacking the foundational dimensions of work integration social enterprise. Soc Enterp J. 2018;14:60.

    Google Scholar 

  • Mason C, Barraket J, Friel S, O’Rourke K, Stenta CP. Social innovation for the promotion of health equity. Health Promot Int. 2015;30(suppl_2):ii116–25.

    PubMed  Google Scholar 

  • Ngui EM, Khasakhala L, Ndetei D, Roberts LW. Mental disorders, health inequalities and ethics: a global perspective. Int Rev Psychiatry. 2010;22(3):235–44.

    PubMed  PubMed Central  Google Scholar 

  • Olfson M, Gerhard T, Huang C, Crystal S, Stroup TS. Premature mortality among adults with schizophrenia in the United States. JAMA Psychiat. 2015;72(12):1172–81.

    Google Scholar 

  • Patel V, Chisholm D, Parikh R, Charlson FJ, Degenhardt L, Dua T, Ferrari AJ, Hyman S, Laxminarayan R, Levin C, Lund C. Addressing the burden of mental, neurological, and substance use disorders: key messages from disease control priorities. Lancet. 2016;387(10028):1672–85.

    PubMed  Google Scholar 

  • Ramon S. The place of social recovery in mental health and related services. Int J Environ Res Public Health. 2018;15(6):1052.

    PubMed Central  Google Scholar 

  • Semrau M, Lempp H, Keynejad R, Evans-Lacko S, Mugisha J, Raja S, Lamichhane J, Alem A, Thornicroft G, Hanlon C. Service user and caregiver involvement in mental health system strengthening in low-and middle-income countries: systematic review. BMC Health Serv Res. 2016;16(1):79.

    PubMed  PubMed Central  Google Scholar 

  • Slade M, Longden E. Empirical evidence about recovery and mental health. BMC Psychiatry. 2015;15(1):1–14.

    Google Scholar 

  • Slade M, Amering M, Farkas M, Hamilton B, O’Hagan M, Panther G, Perkins R, Shepherd G, Tse S, Whitley R. Uses and abuses of recovery: implementing recovery-oriented practices in mental health systems. World Psychiatry. 2014;13(1):12–20.

    PubMed  PubMed Central  Google Scholar 

  • Sathish Kumar SV. Psychiatric and psycho social rehabilitation of long stay patients in mental hospitals: practical challenges. Indian J Public Health Res Dev. 2016;7(2):2205. Prof. RK Sharma

    Google Scholar 

  • Thornicroft G, et al. Stigma: ignorance, prejudice or discrimination? Br J Psychiatry. 2015;190(3):192–3.

    Google Scholar 

  • Vos T, Allen C, Arora M, Barber RM, Bhutta ZA, Brown A, Carter A, Casey DC, Charlson FJ, Chen AZ, Coggeshall M. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1545–602.

    Google Scholar 

  • Weatherhead M, Mariam S, Arnold S, Freeman A. Social cost benefit analysis of care international’s pathways program. London: New Economics Foundation; 2016.

    Google Scholar 

  • Worden JW. Grief counseling and grief therapy: a handbook for the mental health practitioner. New York: Springer Publishing Company; 2018.

    Google Scholar 

  • World Health Organization (WHO). Non communicable diseases country profiles. Genève: WHO Press; 2014. p. 91–3.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Africa Mental Health Research and Training Foundation, Nairobi, Kenya

    David M. Ndetei, Christine W. Musyimi, Victoria N. Mutiso, Ruth W. Ruhara & Isaiah Gitonga

  2. University of Nairobi, Nairobi, Kenya

    David M. Ndetei

  3. European University of Madrid, Madrid, Spain

    Elina Boycheva

Authors
  1. David M. Ndetei
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  2. Christine W. Musyimi
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  3. Victoria N. Mutiso
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  4. Ruth W. Ruhara
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  5. Elina Boycheva
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  6. Isaiah Gitonga
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Corresponding author

Correspondence to David M. Ndetei .

Editor information

Editors and Affiliations

  1. Department of Psychiatry, Center for Health, Culture and Society, George Washington University, Nashville, Washington, TN, USA

    Samuel O. Okpaku

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Ndetei, D.M., Musyimi, C.W., Mutiso, V.N., Ruhara, R.W., Boycheva, E., Gitonga, I. (2020). Promotion of Recovery Through Socio-economic Inclusion for People Living with Severe Mental Illness. In: Okpaku, S. (eds) Innovations in Global Mental Health. Springer, Cham. https://doi.org/10.1007/978-3-319-70134-9_80-1

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  • DOI: https://doi.org/10.1007/978-3-319-70134-9_80-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-70134-9

  • Online ISBN: 978-3-319-70134-9

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