This innovation aims for the integration of community mental health with primary and secondary health care services and the treatment of severe acute mental illness on the open medical wards of general hospitals.
It also wants to see the abolition of custodial care facilities for the mentally ill in Jamaica. No long-stay or medium-stay facilities exist in the island. By law, 28 days is the maximum length of stay that a patient can be held involuntarily in hospital.
The final goal of the project is the establishment of Cultural Therapy based on the novel analytic technique – psychohistoriography. This method has morphed into the present wave of multi model-therapy for children and adults that is now being called Community Engagement.
This innovation’s most effective features include:
- Fostering creative and visionary leadership of indigenous mental health practitioners
- Island-wide integration of mental health services into the public health services of the country
- Geographic catchment areas of mental health services created island-wide
- Extensive integration of psychiatry with Internal Medicine and Public Health Medicine at a private and public level
- Abolition of medium and long term custodialization of the mentally ill
- Significantly reduce the costs of managing acute and enduring mental illness
- Development of culturally appropriate methods of treating mental illness
- Diversion of treatment of the mentally ill offenders from the Correctional Services
- Reduction in stigma towards the mentally ill in the community
- A large increase of the number of mental health professionals (psychiatrists, psychologists, mental health officers and psychiatric nurse practitioners) in the country over 50 years
- Reversing the mental health professional brain-drain
- Facilitation of private/public collaboration at all levels of clinical practice