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Capacity Building for a Mental Health System of Care in Liberia

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Liberia endured 14 years of brutal civil wars. The psychological impact of the civil conflict contributed to a mental health crisis exacerbated by misconceptions, stigma, and resulting discrimination surrounding mental illnesses. Lack of training to deliver robust mental health care by health professionals and inadequate supplies of necessary medications have contributed to poor mental health status among the population. Trauma from the war was further exacerbated by the freedom of movement and even appointment to high positions of perpetrators of extreme violence. Even now, close to 30 years later, some perpetrators of mass murder and torture are just being brought to justice, not by the Liberian government whose truth and reconciliation process remains incomplete but by foreign governments. These proceedings, as well as regular sightings of perpetrators in the public space, constantly conjure up and resurface difficult memories, fear, guilt, internal angsts, and deep-seated emotional pain. The Ebola crisis further exacerbated these fears and trauma. Since 2010, The Carter Center has assisted Liberia’s Ministry of Health to build a mental health system of care. Together they have trained a sustainable mental health workforce, strengthened and supported the implementation of the national mental health policy and plan, and supported the empowerment of mental health service users and their family/caregivers at the individual and community levels. This chapter outlines the evolution of a mental health system in Liberia through the lens of persons working at various levels with The Carter Center, an international nongovernmental organization operating in Liberia.


  • Mental health
  • Service user
  • Anti-stigma
  • Providers
  • Training

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    Named after late Liberian psychiatrist Edward Grant, E.S. Grant Hospital was a fairly rudimentary two-ward in-patient structure with outpatient rooms and capacity for X patients.

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    A completed referral is a referral that is made where you are aware that the person referred connected with the intended service. If you referred someone who did not end up getting services or did not meet the person to which they were referred for service, that represents an incomplete referral.


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Correspondence to Janice L. Cooper .

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Cooper, J.L., Gwaikolo, W., Thomas, D. (2021). Capacity Building for a Mental Health System of Care in Liberia. In: Okpaku, S.O. (eds) Innovations in Global Mental Health. Springer, Cham.

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-70134-9

  • Online ISBN: 978-3-319-70134-9

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