Format

Send to

Choose Destination
See comment in PubMed Commons below
Glob Health Action. 2014 Feb 27;7:23433. doi: 10.3402/gha.v7.23433. eCollection 2014.

Language, culture, and task shifting--an emerging challenge for global mental health.

Author information

1
Alan J Flisher Centre for Public Mental Health, Department of Psychology, Stellenbosch University, South Africa; Lswartz@sun.ac.za.
2
Alan J Flisher Centre for Public Mental Health, Department of Psychology, Stellenbosch University, South Africa.
3
Department of Psychiatry, Stellenbosch University, South Africa.

Abstract

Language is at the heart of mental health care. Many high-income countries have sophisticated interpreter services, but in low- and middle-income countries there are not sufficient professional services, let alone interpreter services, and task shifting is used. In this article, we discuss this neglected issue in the context of low- and middle-income countries, where task shifting has been suggested as a solution to the problem of scarce mental health resources. The large diversity of languages in low- and middle-income countries, exacerbated by wide-scale migration, has implications for the scale-up of services. We suggest that it would be useful for those who are working innovatively to develop locally delivered mental health programmes in low- and middle-income countries to explore and report on issues of language and how these have been addressed. We need to know more about local challenges, but also about local solutions which seem to work, and for this we need more information from the field than is currently available.

KEYWORDS:

interpreter services; language; low income; mental health; task shifting

PMID:
24581319
PMCID:
PMC3938800
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments

    Supplemental Content

    Full text links

    Icon for PubMed Central
    Loading ...
    Support Center