Table 10 Health system gaps in child and adolescent mental health in the Western Cape as identified in this situational analysis
WHO-AIMS Domain | Gaps in CAMHS |
|---|---|
Domain 1 Policy and legislative framework | • No provincial CAMH policy or implementation plans • No dedicated financing for CAMH |
Domain 2 Clinical services for children and adolescents with mental health disorders | • No dedicated leadership and governance structure for CAMH • No dedicated CAMH services and lack of psychosocial interventions at secondary level • No specialist CAMH services in rural districts |
Domain 3 CAMH in primary healthcare | • Inadequate documentation on training of professionals on CAMHS at primary care level • Lack of dedicated resources at secondary and tertiary care levels to support and train colleagues at primary level, particularly in rural districts • Lack of psychosocial interventions at primary care level |
Domain 4 Human resources | • Limited information systems to access human resources data on CAMH • Limited human resources for CAMH at secondary and tertiary care levels |
Domain 5 Public education and links with other sectors | • Limited public health campaigns on CAMH • Limited intersectoral collaboration about CAMH |
Domain 6 Monitoring and research | • Lack of disaggregated and accessible information systems for CAMH |