Table 3 Mental healthcare services
Indicator | Anguilla | Bermuda | BVI | Cayman Islands | Montserrat | TCI |
|---|---|---|---|---|---|---|
Services | Â | Â | Â | Â | Â | Â |
Psychiatric inpatient acute unit | Yes (10 beds) | Yes (23 beds) | Yes (10 beds) | Yes (8 beds) | No | No |
Outpatient clinics | Yes | Yes | Yes | Yes | Yes | Yes |
Community Mental Health Team | No | Yes | Yes | Yes | Yes | Yes |
Child and adolescent mental health services | No | Yes | No | Yes | No | No |
Dedicated MH crisis service | No | Yes | No | No | No | No |
Talking therapies | Yes (public and private) | Yes (public and private) | Yes (public and private) | Yes (public and private) | Yes (public) | Yes (public and private) |
Rehabilitation services | No | Occupational therapy day programme | Occupational therapy day programme | Occupational therapy day programme Long stay facility under construction in 2021 | No | No |
Human Resources | ||||||
Psychiatrists | Visiting (1Â week/month) | 5 consultants and 5 psychiatric residents | 2 psychiatrists | 4 consultant psychiatrists | Visiting (1Â week/2Â months) | 2 psychiatrists |
Psychologists | 1 clinical psychologist (community) | 6 clinical psychologists | 1 clinical psychologist | 3 clinical psychologists | 1 psychologist | 2 clinical psychologists |
Psychiatric nurses (inpatient) | 12 | 23 | 7 | 10 | none | none |
Psychiatric nurses (community) | none | 12 | 3 | 3 | 2 | 3 |
Mental Health Officers | None | 6 | 2 | None | 1 | None |
Mental Health Social Workers | None | 6 | 1 | None (recruiting) | None | 1 |
Psychiatric aides/Support workers in community | None | 6 | 4 | 5 inpatient psychiatric aides | None | None |
Primary Care clinicians trained in mental health (eg mhGAP) | 1 GP (out of six) and 1 nurse | 0 | 4 GPs, 3 nurses | 18 GPs (8 public, 10 private) | 2 GPs | 9 GPs |
Treatment coverage | Unknown | Unknown | Unknown | Unknown | Unknown | Unknown |
Intersectoral involvement in mental health | Police respond to mental health crises in the community | |||||