Publications by authors named "R Esliker"
As part of the formative work of the SUCCEED Africa consortium, we followed a participatory process to identify existing gaps and resources needed for the development and implementation of a rights-based intervention for people with lived experience of psychosis in Malawi, Nigeria, Sierra Leone and Zimbabwe. In 2021, we conducted a desk review of published and grey literature on psychosis in the four SUCCEED countries. Using an adapted version of the PRIME situation analysis template, data were extracted across the five domains of the WHO Community-Based Rehabilitation (CBR) Matrix: health, education, livelihoods, social and empowerment.
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- The study investigates the effectiveness of the Family Strengthening Intervention for Early Childhood Development and Violence-Prevention (FSI-ECD + VP) in reducing household violence and improving parenting practices among vulnerable families in rural Sierra Leone.
- It involved 80 dual-caregiver households, focusing on caregivers with children aged 6-36 months who showed difficulties in emotion regulation.
- Results indicated that the intervention was seen as beneficial and feasible, leading to significant improvements in caregiver-child relationships compared to those receiving standard treatment.
Reprioritising global mental health: psychoses in sub-Saharan Africa.
Int J Ment Health Syst
March 2023
Arthur Kleinman's 2009 Lancet commentary described global mental health as a "moral failure of humanity", asserting that priorities should be based not on the epidemiological and utilitarian economic arguments that tend to favour common mental health conditions like mild to moderate depression and anxiety, but rather on the human rights of those in the most vulnerable situations and the suffering that they experience. Yet more than a decade later, people with severe mental health conditions like psychoses are still being left behind. Here, we add to Kleinman's appeal a critical review of the literature on psychoses in sub-Saharan Africa, highlighting contradictions between local evidence and global narratives surrounding the burden of disease, the outcomes of schizophrenia, and the economic costs of mental health conditions.
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