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Psychiatric service with no psychiatrist: Developing primary care psychiatry

Psychiatric service with no psychiatrist: Developing primary care psychiatry From the mountains of the Andes and Himalayas to the steppes of Mongolia and the rainforest of Borneo, there are psychiatric services providing care for the mentally ill, albeit with penurious resources and facilities. In this issue, the review paper from South America by Dr Incayawar et al ., with commentaries by Dr Chee from Sabah in Malaysia, Dr Nirola from Bhutan and Dr Erdenetuul from Mongolia, provides us insight to rethink primary care psychiatry in places where there is no psychiatrist. Psychiatric services in all these countries are challenging, not only because of the dearth of human resources, but also because of the forbidding terrain. The psychiatrist in Sabah has earned thousands of frequent flyer miles per year providing consultation to the many small district hospitals and clinics scattered around a landscape half the size of England. All these services are dependent on primary care doctors or nurses, and rarely do they have a trained psychologist, occupational therapist or social worker. It is incontrovertible that in the midst of scarcity, improvision and innovation are necessary. In all countries of the world there is inequity of access to psychiatric service, even within major cities. Tasman . (2009) have http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Asia-Pacific Psychiatry Wiley

Psychiatric service with no psychiatrist: Developing primary care psychiatry

Heok, Kua Ee; Gan, Goh Lee
Asia-Pacific Psychiatry , Volume 2 (3) – Oct 1, 2010
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References (3)

Publisher
Wiley
Copyright
Copyright © 2010 Blackwell Publishing Asia Pty Ltd
ISSN
1758-5864
eISSN
1758-5872
DOI
10.1111/j.1758-5872.2010.00064.x
Publisher site
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Abstract

From the mountains of the Andes and Himalayas to the steppes of Mongolia and the rainforest of Borneo, there are psychiatric services providing care for the mentally ill, albeit with penurious resources and facilities. In this issue, the review paper from South America by Dr Incayawar et al ., with commentaries by Dr Chee from Sabah in Malaysia, Dr Nirola from Bhutan and Dr Erdenetuul from Mongolia, provides us insight to rethink primary care psychiatry in places where there is no psychiatrist. Psychiatric services in all these countries are challenging, not only because of the dearth of human resources, but also because of the forbidding terrain. The psychiatrist in Sabah has earned thousands of frequent flyer miles per year providing consultation to the many small district hospitals and clinics scattered around a landscape half the size of England. All these services are dependent on primary care doctors or nurses, and rarely do they have a trained psychologist, occupational therapist or social worker. It is incontrovertible that in the midst of scarcity, improvision and innovation are necessary. In all countries of the world there is inequity of access to psychiatric service, even within major cities. Tasman . (2009) have

Journal

Asia-Pacific Psychiatry – Wiley

Published: Oct 1, 2010

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