Evidence map›Paper›PMID 37024835›Full record

ArticleBMC health services research2023

What barriers could impede access to mental health services for children and adolescents in Africa? A scoping review.

Sabine Saade, Annick Parent-Lamarche, Tatiana Khalaf, Sara Makke, Alexander Legg

Erratum issuedOpen access · goldAbstract readScoping Review
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
8.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

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  18. Mental health and substance use problems among adolescents in Lesotho: Prevalence, access to care, and association with lifestyle factors.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

Sabine SaadeDepartment of Psychology, American University of Beirut, P.O.Box 11-0236, Riad El-Solh/Beirut, 1107 2020, Lebanon. ss241@aub.edu.lb.
Annick Parent-LamarcheDépartement de gestion des ressources humaines, Université du Québec à Trois-Rivières, 3351, boulevard des Forges, Trois-Rivières, QC, G8Z 4M3, Canada.
Tatiana KhalafDepartment of Psychology, American University of Beirut, P.O.Box 11-0236, Riad El-Solh/Beirut, 1107 2020, Lebanon.
Sara MakkeDepartment of Psychology, American University of Beirut, P.O.Box 11-0236, Riad El-Solh/Beirut, 1107 2020, Lebanon.
Alexander LeggDepartment of Psychology, CUNY John Jay College of Criminal Justice, 524 W 59th Street, New York, NY, 10019, USA.
American University of Beirut · LBJohn Jay College of Criminal Justice · USUniversité du Québec à Trois-Rivières · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew studies have examined the mental health needs of African children and teenagers. Based on this gap, this scoping review aims to identify barriers to mental health services, treatments and services sought, and where mental health services are received.

methodsTo pursue the stated objectives, we searched the following databases a) PsycINFO, b) CINAHL, c) Medline, and d) Web of Science. The search yielded 15,956 records in total.

resultsStudies included in this review were conducted in six African countries: Ethiopia, Mali, Egypt, South Africa, Nigeria, and Tunisia. The majority of the studies were conducted in South Africa (33.32%), followed by Ethiopia (25%), and Egypt (16.67%). In terms of treatments and services sought, both professional and traditional/alternative treatments were reported. The most frequently noted services were psychiatric treatments (25%), screening and diagnostic assessment (16.67%), as well as psychiatric and psychological consultations (16.67%). The most frequently reported treatment centers were psychiatric hospitals. As for treatment barriers, the three most frequently encountered barriers were: a preference for traditional/alternative and complementary treatments (33.33%), followed by stigma (25%), and a lack of knowledge/unfamiliarity with the mental health condition (25%).

conclusionThe results of this study are alarming due to the significant barriers to accessing mental health services coupled with the use of potentially harmful interventions to treat those mental health conditions. We hope this scoping review will help shed light on this important issue and help tomorrow's generation reach its full potential.

Indexed as

Mental DisordersMental Health ServicesAdolescentChildEthiopiaHumansMental HealthPsychotherapyAdolescentsAfricaBarriersChildrenKnowledgeMental healthStigma

Identifiers

PMID37024835
PMCPMC10080850
OpenAlexW4362677388

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.