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Mental Health in Ethiopia: an Exploratory Study of Counseling Alignment with Culture

  • Waganesh A. Zeleke
  • Lindsey M. Nichols
  • Yemataw Wondie
ORIGINAL ARTICLE
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Abstract

This qualitative study explored the congruence of the counseling profession with mental health professionals in Ethiopia. After 6 days of training on counseling professional orientation and basic techniques, 26 mental health practitioners or educators from various helping professions were asked a series of questions to explore their reactions to counseling. A systematic content analysis of their survey and focus group responses yielded six key areas of attention. The results revealed a need for more local education and training in mental health services to better serve this unique and developing country.

Keywords

Ethiopia Wellness Counseling Cultural competence Mental health 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declared that they have no conflict on interest.

References

  1. Abdulahi, H., Hailemariam, D., & Kebede, D. (2001). Burden of diseases analysis in rural Ethiopia. Ethiopian Medical Journal, 39, 271–281.PubMedGoogle Scholar
  2. Abebe, T.S. (2011). Studies on psychotic disorders in Rural Ethiopia. Umeå University Medical Dissertations, New Series No 1427.Google Scholar
  3. Alem, A., & Kebede, D. (2005). Mental disorder. In Y. Berhane, D. Hailmariam, & H. Kloos (Eds.), Epidemiology and ecology of Health and Diseases in Ethiopia. Addis Ababa: Shama Book.Google Scholar
  4. Bekele, Y. Y., Flisher, A. J., & Baheretebeb, Y. (2009). Pathway to psychiatric care in Ethiopia. Psychological Medicine, 39, 475–483.CrossRefGoogle Scholar
  5. Corey, K. L. M. (2007). Promoting and protecting mental health as flourishing: a complementary strategy for improving national mental health. American Psychologist, 6, 95–108.Google Scholar
  6. Corrigan, P. (2004). How stigma interferes with mental health care. American Psychologist, 59, 614–625.CrossRefGoogle Scholar
  7. Desta, M. (2008). Epidemiology of child psychiatric disorder in Addis Ababa, Ethiopia. Sweden: Division of child and Adolescent Psychiatry, Department of Clinical Science, Umea University.Google Scholar
  8. Federal Democratic Republic of Ethiopia Ministry of Health (2012). The National Mental Health Strategies (2012/13–2015/16), Addis Ababa, Ethiopia.Google Scholar
  9. Gladding, S. T. (2008). The impact of creativity in counseling. Journal of Creativity in Mental Health, 3, 97–104.  https://doi.org/10.1080/15401380802226679.CrossRefGoogle Scholar
  10. Hohenshil, T. H. (2010). International counseling: introduction. Journal of Counseling & Development, 88, 3.CrossRefGoogle Scholar
  11. Hohenshil, T. H., Amundson, N. E., & Niles, S. G. (Eds.). (2013). Counseling around the world. Alexandria: American Counseling Association.Google Scholar
  12. Jacobsson, L., & Merdasa, F. (1991). Traditional perception and treatment of mental disorders in western Ethiopia before the 1974 revolution. Acta Psychiatrica Scandinavica, 84, 475–481.CrossRefGoogle Scholar
  13. Kakuma, R., Minas, H., van Ginneken, N., Dal Poz, M. R., Desiraju, K., Morris, J. E., Saxena, S., & Scheffler, R. M. (2011). Human resources for mental health care: Current situation and strategies for action. Lancet, 378, 1654–1663.  https://doi.org/10.1016/50140-6736(11)61093-3.CrossRefPubMedGoogle Scholar
  14. Kortmann, F. (1987). Popular, traditional, and professional mental health care in Ethiopia. Transcultural Psychiatric Research Review, 24, 255–274.CrossRefGoogle Scholar
  15. Krippendorff, K. H. (2012). Content analysis; an introduction to its methodology (3rd ed.). Thousand Oaks: SAGE Publications.Google Scholar
  16. Lioyd, K. R., Jacob, K. S., Patel, V., St. Louis, L., Bhugra, D., & Mann, A. H. (1998). The development of the short explanatory model interview (SEMI) and its use among primary-care attenders with common mental disorders. Psychological Medicine, 28(5), 1231–1237.CrossRefGoogle Scholar
  17. Lorelle, S., Byrd, R., & Crockett, S. (2012). Globalization and counseling: Professional issues for counselors. The Professional Counselor, 2, 115–123 Retrieved from http://tpcjournal.nbcc.org/wp-content/uploads/globalizationandcounseling_lorelle-article.pdf. Accessed April 2016
  18. Lund, C., Tomlinson, M., De Silva, M., Fekadu, A., Shidhaye, R., et al. (2012). PRIME: a programme to reduce the treatment gap for mental disorders in five low-income and middle-income countries. PLoS Medicine, 9, e1001359.  https://doi.org/10.1371/journal.pmed.1001359.CrossRefPubMedPubMedCentralGoogle Scholar
  19. Mellin, E. A., Hunt, B., & Nichols, L. M. (2011). Counselor professional identity: Findings and implication for counseling and interprofessional collaboration. Journal of Counseling & Development, 89, 140–147.  https://doi.org/10.1002/j.1556-6678.2011.tb00071.x.CrossRefGoogle Scholar
  20. Moody, R., & West, W. (Eds.). (2005). Integrating traditional healing practices in counseling and psychotherapy. Thousand Oaks: SAGE Publications.Google Scholar
  21. National Council for Behavioral Health. (2013). Youth mental health first aid. Retrieved from https://www.mentalhealthfirstaid.org/cs/take-a-course/course-types/youth/.
  22. NBCC-International. (2012). Mental health facilitator. Retrieved from http://www.nbccinternational.org/What_we_do/MHF.
  23. Ng, K., & Noonan, B. (2012). Internationalization of the counseling profession: meaning, scope and concerns. International Journal of Advance Counseling, 34, 5–18.CrossRefGoogle Scholar
  24. Nichols, L. M. (2015). The use of mind-body practices in counseling: a grounded theory study. Journal of Mental Health Counseling, 37, 28–46.CrossRefGoogle Scholar
  25. Paul, M. B. (1996). An introduction to guidance and counseling in diverse African contexts. Dare es Salaam: Dar es Salaam University Press.Google Scholar
  26. Sacra, M., & Nichols, L. M. (2018). Globalization and internationalization: the implications on the mental health Field in Bhutan. International Journal for the Advancement of Counselling, 40, 1–12.  https://doi.org/10.1007/s10447-018-9336-0.CrossRefGoogle Scholar
  27. Saraceno, B., Ommeren, M., Batniji, R., Cohen, A., Gureje, O., Mahoney, J., Sridhar, D., & Underhill, C. (2007). Barriers to improvement of mental health services in low-income and middle –income countries. The Lancet, 370, 1164–1174.CrossRefGoogle Scholar
  28. Uppal, R., Crossley, G., & Swanscott, J. (2014). Globalization of psychology: implication for the development of psychology in Ethiopian. International Review of Psychiatry, 26(5), 579–584.  https://doi.org/10.3109/09540261.2014.917610.CrossRefPubMedGoogle Scholar
  29. Vaismoradi, M., Turunen, H., & Bondas, T. (2013). Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nursing and Health Sciences, 15, 398–405.  https://doi.org/10.1111/nhs.12048.CrossRefPubMedGoogle Scholar
  30. Wondie, Y. (2014). Reflection on the development of Psychology in Ethiopia and future direction. International Review of Psychiatry, 26(5), 585–588.  https://doi.org/10.3109/09540261.2014.917611.CrossRefPubMedGoogle Scholar
  31. World Health Organization. (2011). Global burden of mental disorders and the need for a comprehensive, coordinated response from health and social sectors at the country level. Retrieved from http://apps.who.int/gb/ebwha/pdf_files/EB130/B130_9-en.pdf
  32. World Health Organization. (n.d.). Mental health gap action programme (mhGAP). Retrieved from http://www.who.int/mental_health/mhgap/en/
  33. Yusuf, A., & Bradley, R. (1983). Guidance and counseling in socialist Ethiopia. The Personnel and Guidance Journal, 61, 454–456.  https://doi.org/10.1111/j.2164-4918.1983.tb00069.x.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Counseling, Psychology, and Special Needs EducationDuquesne UniversityPittsburghUSA
  2. 2.University of MontanaMissoulaUSA
  3. 3.University of GondarGondarEthiopia

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