I remember, well, a presentation at the International Conference of Urban Health in Nairobi in 2009. The presenters were a team of psychiatric researchers who had been assisting a Kenyan mental health service to try to utilise and integrate an American classification of mental health diseases into the Kenyan mental health team work practices. The exercise was unsuccessful and mayhave failed as the patient centric USA system did not match the community centric Kenyan system of mental health management - ie a community based model for psychiatric care - the patient as part of a community rather than just an individual.
HIFA profile: Richard Fitton is a retired family doctor - GP. Professional interests: Health literacy, patient partnership of trust and implementation of healthcare with professionals, family and public involvement in the prevention of modern lifestyle diseases, patients using access to professional records to overcome confidentiality barriers to care, patients as part of the policing of the use of their patient data Email address: richardpeterfitton7 AT gmail.com