背景:儿童和青少年心理健康是全球优先事项。在撒哈拉以南非洲,尽管负担很高,有精神健康障碍的儿童和青少年的卫生服务存在差距。为了弥合这个差距,医护人员需要对儿童和青少年的心理健康有很好的了解,正确的态度,以及旨在改善儿童和青少年心理健康的做法。这次范围界定审查了知识,态度,以及撒哈拉以南非洲医护人员中与儿童和青少年心理健康有关的做法。
方法:搜索在2010年1月(心理健康差距行动计划指南发布的那一年)之间受到限制,2024年4月。审查遵循了Arksey和O\'Malley提出的进行范围审查的方法框架。搜索的数据库包括NHAL,PubMed,WebofScience,PsycINFO,和灰色文献数据库。通过引用的研究参考文献确定了其他文章。使用数据提取模板来检索相关文本。采用叙事综合方法来探索所包括研究内部和之间的关系。
结果:文献检索产生了4658项研究。其中,817个被确定为重复,筛选后排除3740例.只有21篇文章符合纳入审查的标准。调查结果显示,医护人员对儿童和青少年心理健康的认识不足,对有心理健康问题的儿童和青少年持消极态度,并表现出与儿童和青少年心理健康有关的不良做法。
结论:建设能力和改善医护人员的做法至关重要,知识,以及对撒哈拉以南非洲儿童和青少年心理健康的态度。这可能导致该地区儿童和青少年更好地获得心理健康服务。
BACKGROUND: Child and adolescent mental health is a global priority. In sub-Saharan Africa, despite the high burden, there is a gap in health services for children and adolescents with mental health disorders. To bridge this gap, healthcare workers require a good understanding of child and adolescent mental health, the right attitude, and practices geared to improving child and adolescent mental health. This scoping review examined the knowledge, attitudes, and practices related to child and adolescent mental health among sub-Saharan African healthcare workers.
METHODS: The search was restricted between January 2010, the year when the Mental Health Gap Action Programme guidelines were launched, and April 2024. The review followed the methodological framework proposed by Arksey and O\'Malley for conducting scoping reviews. The databases searched included CINHAL, PubMed, Web of Science, PsycINFO, and grey literature databases. Additional articles were identified through cited references of the studies included. A data extraction template was used to retrieve relevant text. A narrative synthesis approach was adopted to explore the relationships within and between the included studies.
RESULTS: The literature search yielded 4658 studies. Among these, 817 were identified as duplicates, and 3740 were excluded after screening. Only twenty-one articles met the criteria for inclusion in the review. The findings showed that healthcare workers have insufficient knowledge of child and adolescent mental health, hold negative attitudes toward children and adolescents with mental health problems, and exhibit poor practices related to child and adolescent mental health.
CONCLUSIONS: It is crucial to build capacity and improve healthcare workers\' practices, knowledge, and attitudes toward child and adolescent mental health in sub-Saharan Africa. This could lead to better access to mental health services for children and adolescents in the region.