Mental health services in KwaZulu-Natal

This article is a summary of a document prepared by a task team appointed by the Superintendent-General, Head: Department of Health, KwaZulu-Natal. The terms of reference of the task team were to scrutinise all available documents on mental health in the province and to come up with a new doc- ument entitled ‘Strategic and Implementation Plan for Delivery of Mental Health Services in KwaZulu-Natal’, with operational plans and time frames, and to make specific recommendations with regard to community mental health services and forensic psychiatry. The documents used to prepare the new document were: A Framework for the Delivery of Mental Health Services by Institutions in KwaZulu-Natal;Mental Health Services Planning Report; Strategic Policy Document for Mental Health Services in KwaZulu-Natal; Community Mental Health Services at Indlovu Region, KwaZulu-Natal; KwaZulu-Natal Health Care Act 2000; Mental Health Act 2002; World Health Report on Mental Health 2001; and Mental Health and Substance Abuse Report. The article is divided into nine sections, namely organisational structure; education, training and research; mental health ser- vice provision; highly specialised services; community mental health services; forensic mental health services; mental health and the private sector; pharmaceutical services; and summary of recommendations

The 15th Biannual National Congress of the South African Society of Psychiatrists, 10-14 August 2008, Fancourt, George, W Cape

1. How can we maintain a sustainable private practice in the current political and economic climate? Eugene Allers 2. SASOP Clinical guidelines, protocols and algorithms: Development of treatment guidelines for bipolar mood disorder and major depression  Eugene Allers, Margaret Nair, Gerhard Grobler 3. The revolving door phenomenon in psychiatry: Comparing low-frequency and high-frequency users of psychiatric inpatient services in a developing country U A Botha, P Oosthuien, L Koen, J A Joska, J Parker, N Horn 4. Neurophysiology of emotion and senses - The interface between psyche and soma Eugene Allers 5. Suicide prevention: From and beyond the psychiatrist's hands O Alonso Betanourt, M Morales Herrera 6. Treatment of first-episod psychosis: Efficacy and toleabilty of a long-acting typical antipsychotic B Chiliza, R Schoeman, R Emsey, P Oosthuizen, L KOen, D Niehaus, S Hawkridge 7. Treatment of attention deficit hyperactivity disorder in the young child Helen Clark 8. Holistic/ Alternative treatment in psychiatry: The value of indigenous knowledge systems in cllaboration with moral, ethical and religious approaches in the military services J Dill 9. Treating Schizophrenia: Have we got it wrong? Robin Emsley 10.Terminal questions in the elderly Mike Ewart Smith 11. Mental Health Policy development and implementation in Ghana, South Africa, Uganda and Zambia Alan J Flisher, Crick Lund, Michelle Frank, Arvin Bhana, Victor Doku, Natalie Drew, Fred N Kigozi, Martin Knapp, Mayeh Omar, Inge Petersen, Andrew Green andthe MHaPP Research Programme Consortium 12. What indicators should be used to monitor progress in scaling uo services for people with mental disorders? Lancet Global Mental Health Group (Alan J Flisher, Dan Chisholm, Crick Lund, Vikram Patel, Shokhar Saxena, Graham Thornicroft, Mark Tomlinson) 13. Does unipolar mania merit research in South Africa? A look at the literature Christoffel Grobler 14. Revisiting the Cartesian duality of mind and body Oye Gureje 15. Child and adolescent psychopharmacology: Current trends and complexities S M Hawkridge 16. Integrating mental illness, suicide and religion Volker Hitzeroth 17. Cost of acute inpatient mental health care in a 72-hour assessment uniy A B R Janse van Rensburg, W Jassat 18. Management of Schizophrenia according to South African standard treatment guidelines A B R Janse van Rensburg 19. Structural brain imaging in the clinical management of psychiatric illness F Y Jeenah 20. ADHD: Change in symptoms from child to adulthood S A Jeeva, A Turgay 21. HIV-Positive psychiatric patients in antiretrovirals G Jonsson, F Y Jeenah, M Y H Moosa 22. A one year review of patients admitted to tertiary HIV/Neuropsychiatry beds in the Western Cape John Joska, Paul Carey, Ian Lewis, Paul Magni, Don Wilson, Dan J Stein 23. Star'd - Critical review and treatment implications Andre Joubert 24. Options for treatment-resistent depression: Lessons from Star'd; an interactive session Andre Joubert 25. My brain made me do it: How Neuroscience may change the insanity defence Sean Kaliski 26. Child andadolescent mental health services in four African countries Sharon Kleintjies, Alan Flisher, Victoruia Campbell-Hall, Arvin Bhana, Phillippa Bird, Victor Doku, Natalie, Drew, Michelle Funk, Andrew Green, Fred Kigozi, Crick Lund, Angela Ofori-Atta, Mayeh Omar, Inge Petersen, Mental Health and Poverty Research Programme Consortium 27. Individualistic theories of risk behaviour Liezl Kramer, Volker Hitzeroth 28. Development and implementation of mental health poliy and law in South Africa: What is the impact of stigma? Ritsuko Kakuma, Sharon Kleintjes, Crick Lund, Alan J Flisher, Paula Goering, MHaPP Research Programme Consortium 29. Factors contributing to community reintegration of long-term mental health crae users of Weskoppies Hospital Carri Lewis, Christa Kruger 30. Mental health and poverty: A systematic review of the research in low- and middle-income countries Crick Lund, Allison Breen, Allan J Flisher, Ritsuko Kakuma, Leslie Swartz, John Joska, Joanne Corrigall, Vikram Patel, MHaPP Research Programe Consortium 31. The cost of scaling up mental health care in low- and middle-income countries Crick Lund, Dan Chishlom, Shekhar Saxena 32. 'Tikking'Clock: The impact of a methamphetamine epidemic at a psychiatric hospital in the Western Cape P Milligan, J S Parker 33. Durban youth healh-sk behaviour: Prevalence f Violence-related behaviour D L Mkize 34. Profile of morality of patients amitted Weskoppies Psychiatric Hospital in Sout frican over a 5-Year period (2001-2005) N M Moola, N Khamker, J L Roos, P Rheeder 35. One flew over Psychiatry nest Leverne Mountany 36. The ethical relationship betwe psychiatrists and the pharmaceutical indutry Margaret  G Nair 37. Developing the frameor of a postgraduate da programme in mental health R J Nichol, B de Klerk, M M Nel, G van Zyl, J Hay 38. An unfolding story: The experience with HIV-ve patients at a Psychiatric Hospital J S Parker, P Milligan 39. Task shifting: A practical strategy for scalingup mental health care in developing countries Vikram Patel 40. Ethics: Informed consent and competency in the elderly Willie Pienaar 41. Confronting ommonmoral dilemmas. Celebrating uncertainty, while in search  patient good Willie Pienaar 42. Moral dilemmas in the treatment and repatriation of patients with psychtorders while visiting our country Duncan Ian Rodseth 43. Geriatrics workshop (Psegal symposium): Medico-legal issuess in geriatric psyhiatry Felix Potocnik 44. Brain stimulation techniques - update on recent research P J Pretorius 45. Holistic/Alternative treatments in psychiatry T Rangaka, J Dill 46. Cognitive behaviour therapy and other brief interventions for management of substances Solomon Rataemane 47. A Transtheoretical view of change Nathan P Rogerson 48. Profile of security breaches in longerm mental health care users at Weskoppies Hospital over a 6-month period Deleyn Rema, Lindiwe Mthethwa, Christa Kruger 49. Management of psychogenic and chronic pain - A novel approach M S Salduker 50. Childhood ADHD and bipolar mood disorders: Differences and similarities L Scribante 51. The choice of antipsychotic in HIV-infected patients and psychopharmacocal responses to antipsychotic medication Dinesh Singh, Karl Goodkin 52. Pearls in clinical neuroscience: A teaching column in CNS Spectrums Dan J Stein 53. Urinary Cortisol secretion and traumatics in a cohort of SA Metro policemen A longitudinal study Ugash Subramaney 54. Canabis use in Psychiatric inpatients M Talatala, G M Nair, D L Mkize 55. Pathways to care and treatmt in first and multi-episodepsychosis: Findings fm a developing country H S Teh, P P Oosthuizen 56. Mental disorders in HIV-infected indivat various HIV Treatment sites in South Africa Rita Thom 57. Attendanc ile of long-term mental health care users at ocupational therapy group sessions at Weskoppies Hospital Ronel van der Westhuizen, Christa Kruger 58. Epidemiological patterns of extra-medical drug use in South Africa: Results from the South African stress and health study Margaretha S van Heerden, Anna Grimsrud, David Williams, Dan  Stein 59. Persocentred diagnosis: Where d ps and mental disorders fit in the International classificaton of diseases (ICD)? Werdie van Staden 60. What every psychiatrist needs to know about scans Herman van Vuuren 61. Psychiatric morbidity in health care workers withle drug-resistant erulosis (MDR-TB) A case series Urvashi Vasant, Dinesh Singh 62. Association between uetrine artery pulsatility index and antenatal maternal psychological stress Bavanisha Vythilingum, Lut Geerts, Annerine Roos, Sheila Faure, Dan J Stein 63. Approaching the dual diagnosis dilemma Lize Weich 64. Women's mental health: Onset of mood disturbance in midlife - Fact or fiction Denise White 65. Failing or faking: Isses in the fiagnosis and treatment of adult ADHD Dora Wynchan

Photographs from the Grahamstown Lunatic Asylum, South Africa, 1890–1907

This essay investigates photographs taken at the Grahamstown Lunatic Asylum during the superintendence of Dr Thomas Duncan Greenlees, from 1890 to 1907. It examines two specific sets of photographs: first, the photographs taken for public consumption, and, second, the casebook photographs of the patients. I argue that the photographs produced for public consumption ascribe to the broader public image of the asylum. Greenlees constructed a public image of the asylum being committed to the curative regime of moral therapy while catering to the tastes, proclivities and activities of white private patients. The photographs for public consumption also include images of black patients. Yet, in this time of British colonial rule in South Africa, there was differential treatment for black patients. Under Greenlees’s superintendence, they were assigned supervised physical labour tasks under the pretext of them being occupational treatment. The discourses of cure and recovery in such a “treatment” regimen become signalled by the black patient’s ability to work. Thus, the curative ideal of the asylum for black patients, disseminated as its public image, is primarily concerned with domesticating black bodies into a docile and cooperative labour force. However, the public image of black patients as being passive before the asylum’s regimen is problematised through an analysis of the second set of images – the casebook photographs. These photographs depict patients confronting, refusing and resisting the asylum administration. Thus, the casebook photographs are valuable in recuperating active resistance and hold the potential to undermine the public image of the asylum.http://www.tandfonline.com/loi/rsdy20hb201