Mental Healthcare Accessibility in Virgin Gorda

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DOI: 10.21522./TAJMHR.2016.05.01.Art014

Authors : Vickie Alexander

Abstract:

The research project focused on investigating mental health care accessibility, needs and existing obstacles in accessing care delivery on the island of Virgin Gorda, in the British Virgin Islands. Virgin Gorda is a geographically isolated island with an estimated population of approximately 3,500 residents. The data for this study were collected using a mixed methods approach. The approach combined data from a survey conducted among 50 questionnaire participants and qualitative interviews with 20 informants (mental health professionals, community leaders, and mental health patients). The findings of the study revealed some major challenges for residents in their efforts to access mental health care, such as limited access to specialized care services, financial barriers, stigma, cultural misconceptions about mental health, transportation hurdles in accessing mental health services, and inadequate resources/infrastructure. Highlighted in the findings was the need for combining the existing mental health services with primary health care services on the island to enhance mental health care delivery. Also, there was a need for the expansion of community outreach programs to increase awareness and reduce the impact of stigma and cultural misconceptions about mental health. Some major recommendations included in the study were increasing the allocation of mental health resources on the island to fall in line with the existing Mental Health Act [2014] of the British Virgin Islands and enhancing the frequency of mental health services provided on the island. It is hoped that by giving priority to these recommendations, improvements in mental health service delivery and outcomes may be realized, thereby providing a pathway for strengthening mental health care in Virgin Gorda. Of notable significance, the findings of the study offered insights for enhancing mental health care delivery for similar, geographically isolated island communities like Virgin Gorda.

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