MENTAL HEALTH SERVICES WRITE-UP: MARCH 2017
The Mental Health Department is a unit under the Ministry of Health and Child Care.The Department of Mental Health Services coordinates provision of comprehensive mental health and psychiatric services (promotive, preventive, curative and rehabilitative) including substance abuse(Alcohol, Drug and Tobacco Control).
This includes development, implementation and maintenance of national mental health and psychiatric care programmes, standards and regulations affecting the programme. It also provides professional and technical leadership, advice, support and supervision on mental health and psychiatric care areas.
To have the highest possible level of mental health and quality of life for all the citizens of Zimbabwe.
The Mental Health Department is there to provide for all Zimbabweans with a comprehensive, coordinated, quality mental health service that is integrated into the general medical system with the aim of improving the mental health of the nation.
1) To increase access to appropriate and effective mental health services including care of those addicted to drugs.
2) To reduce the incidence of mental illness and substance abuse
3) To identify early and promptly offer treatment to those affected by mental illness and substance abuse.
4) To promotemental health and prevent mental illness throughawareness activities
5) To strengthen the Mental Health Programme and its activities
6) To advocate for Mental Health.
7) To develop Mental Health Human Resource.
8) To integrate Mental Health Services into the General Health system.
9)To co-ordinate, collaborate and co-operatewith other stakeholders on Mental Health issues.
Government Mental Health Institutions in Zimbabwe.
Nationally: - Four referral centres: Ingutsheni Central Hospital, Harare Psychiatric Unit, Parirenyatwa Hospital Annexe and Ngomahuru Hospital.
Provincial Units and Wards: Mutoko and Marondera mental health units, Gweru Psychiatric Ward, Chinhoyi Psychiatric Unit, Bindura Psychiatric Ward. Sakubva Psychiatric Ward is currently offering outpatient services.
There are two Special Institutions for the mentally ill offenders serviced by two Special Boards,these are Chikurubi in Harare andMlondolozi in Bulawayo.There is a Mental Health Review Tribunal in place which finalizes the discharges of the Detained Mental Patients after recommendations from the Special Boards.
Community Home Based Rehabilitation Centres and
Homes including Resettlements:
Belleview Halfway Home and Emakhandeni Day Care Centre in Bulawayo,
Ngomahuru Resettlement Farm,Rural and Urban Halfway Homes inMasvingo,
Rukariro Rehabilitation Centre – Mutare,
Queen of Peace Halfway Home –Gweru,
Chinhoyi Halfway Home –Chinhoyi,
Tariro Centre – Harare, Beatrice Resettlement Farm – Beatrice,
Southerton Halfway Home- Harare,
Tirivanhu Centre –Ruwa , Harare
Legislation, Regulation, Policies and Guidelines:
- Mental Health Act 1996 No.15
- Mental Health Regulations Statutory Instrument 62 of 1999
- Mental Health Policy
- Guidelines and Treatment Protocols for the Management of Mental Health Disorders in Primary Care.
- Mental Health Strategy 2014-2018.
The Departmentdeveloped a Mental Health Strategy which was launched and disseminated in 2015: see attachment
Zimbabwe is now a Party to WHO Framework Convention on Tobacco Control (FCTC) since March 2015.
Global Youth Tobacco Survey (GYTS) conducted Nationally and Report launched and disseminated in January 2016. (20% youths smoke tobacco) –see fact sheet attached.
Mental Health GAP(Mh GAP)training for the non-specialised personnel conducted. This complements the Guidelines and protocol developed by the Mental Health Department to ensure Patients are managed within the Community with referral of those needing expert help.
Mental Health First Aid training conducted.
Integration of Mental Health into HIV care using a SSQ, CAGE and Community Screening tool for primarycare workers is on-going.
Biopsychosocial support: given to returning victims from HumanTraffickin, Xenophobic clients, Refugees in Refugee Camps, Flood Victims, RTA victims.
The department has concluded the intersection of Alcohol, Gender Based Violence and HIV Policies to ensure that the three speak to each other. The final Draft of the National Alcohol Policy is now ready for approval processes by Cabinet.
Awareness creation for promotion of Mental Health and prevention of Mental Disorder is on-going and more pronounced on World Health Commemoration Days (Epilepsy Day, World Autism Awareness Day, World No Tobacco Day, International Day AgainstDrug Abuse &Illicit Trafficking, World Mental Health Day). This is done through electro and print media(ZBC TV, Newspapers), road shows, expos, exhibitions and IEC materials.
The Mental Health Discharge Plan wasdeveloped and ready for launching.
In conclusion the Mental Health Department works with several partners and CSOs who deal with Substance Abuse (drugs, alcohol and tobacco). The Department also works in conjunction with several Ministries for inclusiveness and effective provision of the services.
Mrs Dorcas Shirley Sithole