The South African Stress and Health (SASH) Study: 12-Month and Lifetime Prevalence of Common Mental Disorders (Original Articles) (Clinical Report)

The South African Stress and Health (SASH) Study: 12-Month and Lifetime Prevalence of Common Mental Disorders (Original Articles) (Clinical Report)

At the end of the apartheid era, the African National Congress (ANC) formulated a broad policy framework that forms the basis for the current enabling health care legislation in South Africa. The ANC government developed a health care delivery policy based on the district health system that was designed to extend the availability of appropriate […]

Mental Health Service Use Among South Africans for Mood, Anxiety and Substance Use Disorders (Original Articles) (Survey)

Mental Health Service Use Among South Africans for Mood, Anxiety and Substance Use Disorders (Original Articles) (Survey)

Of the national burden of disease, neuropsychiatric disorders are third only to HIV/AIDS and infectious disease, according to revised DALY (disability-adjusted life-years) estimates for the year 2000. (1,2) Yet mental health services are grossly under-resourced and there are many barriers to health care for the mentally ill. (3,4) Barriers include lack of accessibility, acceptability and […]

Mental Health Service Delivery in South Africa from 2000 to 2010: One Step Forward, One Step Back (Original Articles) (Report)

Mental Health Service Delivery in South Africa from 2000 to 2010: One Step Forward, One Step Back (Original Articles) (Report)

In 2000, Rita Thorn published a systematic review of mental health services research in southern Africa, conducted from 1967 to 1999. (1) The review suggested a need to shift from centralised institutional care, which characterised apartheid South Africa, towards decentralised, integrated and community-based services provided within a human rights framework. The use of trained non-specialists […]

The Yield of Lumbar Puncture to Exclude Nosocomial Meningitis As Aetiology for Mental Status Changes in the Medical Intensive Care Unit.

The Yield of Lumbar Puncture to Exclude Nosocomial Meningitis As Aetiology for Mental Status Changes in the Medical Intensive Care Unit.

SUMMARY We aimed to evaluate the diagnostic value of lumbar puncture in excluding nosocomial meningitis as the cause of mental status changes in medical intensive care unit patients. We retrospectively reviewed the records of all patients admitted to the medical intensive care unit at our institution over a four-year period who had a lumbar puncture […]