Diagnostic characteristics of inpatients in a Western African psychiatric hospital

Abstract

Little is known about psychiatric patients and psychiatric service delivery in non-Western developing countries. Therefore, this naturalistic pilot study aimed at analysing and describing the patient population treated in the Tanka Tanka Psychiatric Hospital, the mental health inpatient facility of The Gambia. Most patients were male and exhibited a wide age range of over 40 years. There were also indicators that the hospital population consisted of two distinguished groups: a large group of chronically ill patients and a smaller group of psychiatric patients with very acute symptoms. Psychotic/mood disorders and substance dependence/abuse were the most common diagnoses. In many patients problematic cannabis use was prevalent. Such research can contribute to better understand the needs of psychiatric patients, and help to develop continuously improved service delivery and optimise therapeutic options.

Key words::

• Africa
• BPRS
• developing countries
• epidemiology
• MINI
• psychiatric services
• transcultural psychiatry

Acknowledgements

The authors would like to thank Ms Ngenarr Manka for excellent secretarial and Mr Yankuba Kujabie for excellent logistical support.

Statement of Interest

JT has received financial support (including paritially for this paper) from the following pharmaceutical companies: AstraZeneca, Bristol-Myers Squibb, Janssen-Cilag, Lilly, Lundbeck, MEDICE, Merz, Novartis, Pfizer, Servier, Shire.