Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-27T01:03:52.140Z Has data issue: false hasContentIssue false
  • English
  • Français

Acceptability and challenges of implementing the NICE guidelines for schizophrenia in Lagos, Nigeria

Published online by Cambridge University Press:  02 January 2018

Adeniran Okewole ,
Mobolaji Dada ,
Adefemi Adeoye ,
Kehinde Lawal  and
Taiwo Oduguwa
Adeniran Okewole
Affiliation:
Neuropsychiatric Hospital, Aro, Abeokuta, Nigeria, email [email protected]
Mobolaji Dada
Affiliation:
Ekiti State University Teaching Hospital, Ekiti, Nigeria
Adefemi Adeoye
Affiliation:
Federal Neuropsychiatric Hospital, Yaba, Lagos, Nigeria
Kehinde Lawal
Affiliation:
Centre for Child and Adolescent Mental Health, University College Hospital, Ibadan, Nigeria
Taiwo Oduguwa
Affiliation:
Federal Neuropsychiatric Hospital, Yaba, Lagos, Nigeria
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

This study aimed to examine the suitability and challenges of implementing in a Nigerian tertiary mental health facility the guidelines for the management of schizophrenia produced by the UK National Institute for Health and Care Excellence (NICE). The study was based on a group discussion at the Psychiatric Hospital, Yaba, Lagos. A panel of ten individuals (consultants, senior registrars, senior psychologists and senior social workers and nurses) discussed the guidelines, having been given ample time to study the document. Five patients were also interviewed. Some of the recommendations of the NICE guidelines are already being practised in the hospital to various extents. Full implementation would be hampered by a shortage of human resources and financial constraints. The guidelines need to factor in sociocultural differences. The NICE guidelines with modifications are suitable for use in a Nigerian setting.

Type
Research papers
Information
BJPsych International , Volume 12 , Issue S1: Research Supplement , May 2015 , pp. S-23 - S-25
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists 2015

References

Bruijnzeel, D., Suryadevara, U. & Tandon, R. (2014) Antipsychotic treatment of schizophrenia: an update. Asian Journal of Psychiatry, 11, 3–7. doi: 10.1016/j.ajp.2014.08.002.Google Scholar
Gray, R. (2005) The NICE guidelines for schizophrenia. Psychiatry, 4(10), 11–13.Google Scholar
Grimshaw, J. M. & Russell, I. T. (1993) Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluation. Lancet, 342, 1317–1322.Google Scholar
Gureje, O. & Bamidele, R. (1994) Thirteen year social outcome among Nigerian outpatients with schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 34, 147–151.CrossRefGoogle Scholar
Habib, N., Dawood, S., Kingdon, D., et al (2014) Preliminary evaluation of culturally adapted CBT for psychosis (CA-CBTp): findings from Developing Culturally-Sensitive CBT Project (DCCP). Behavioural and Cognitive Psychotherapy, 2, 1–9.Google Scholar
NICE (2002) Clinical Guideline 1. Schizophrenia: Core Interventions in the Treatment and Management of Schizophrenia in Primary and Secondary Care. London: NICE.Google Scholar
NICE (2009) Schizophrenia: Core Interventions in the Treatment and Management of Schizophrenia in Primary and Secondary Care. NICE.Google Scholar
Rathod, S., Phiri, P., Harris, S., et al (2013) Cognitive behavior therapy for psychosis can be adapted for minority ethnic groups: a randomized controlled trial. Schizophrenia Research, 143, 319–326.CrossRefGoogle Scholar
Rowlands, P. (2004) The NICE schizophrenia guidelines: the challenge of implementation. Advances in Psychiatric Treatment, 10, 403–412.Google Scholar
Suleiman, G. T., Ohaeri, J. U., Lawal, R. A., et al (1997) Financial cost of treating outpatients with schizophrenia in Nigeria. British Journal of Psychiatry, 171, 364–368.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.