Prevalence among adolescents with mental disorders are about 20% worldwide. In 2012, Ghana enacted the Mental Health Act, Act 846 to regulate mental health care, but did not include specific programmatic details of service provision nor any measurable indicators for adolescent mental health. Currently no service programmes focused on adolescents and no aggregated data exists documenting prevalence of mental and neurological disorders among adolescents. In the Brong Ahafo region, mental health providers carry out simultaneous programmes to diagnose, treat, and counsel patients. There is a need to investigate how these service programmes are currently functioning as measured by World Health Organisation guidelines. This study therefore, investigated quality of service provision for adolescents with mental disorders in Kintampo North and South districts of central Ghana. Mixed method approach of quantitative and qualitative data collection, organization, and analysis was implored. Quantitative method data collection used case registers to identify mental and neurological disorders among adolescents. Qualitative methods used in-depth interviews of service providers, primary caregivers, and users of healthcare on the services available to treat mental and neurological disorders among adolescents. A combination of quality standards tools was used to assess services. Epilepsy was the most common treated disorder among adolescents receiving services at the four facilities in the two districts. Providers and stakeholders had limited or no training in adolescent mental health. Validated diagnostic tools were not being used to rule out differential diagnosis; medication procurement was a challenge to consistent treatment. Data collection and analysis was not standardized. Providers, stakeholders, patients, and their primary caregivers reported challenges with funding, transportation logistics, and stigma against people with mental and neurological disorders. There are few mental health service providers for people living with mental disorders in the two Kintampo districts, with no specific services for adolescents. The Mental Health Act 846 of 2012 is an important milestone in mental health care but there are not specific plans for its implementation. Community sensitization, education in mental health and neurological disorders, and advocacy against stigma are all successful programmes that have the potential to be scaled up.

中文翻译：

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加纳两个地区为患有精神和神经疾病的青少年提供服务的情况分析

世界范围内，患有精神疾病的青少年患病率约为20％。2012年，加纳颁布了《精神卫生法》（第846号法），以规范精神卫生保健，但未包括服务提供的具体计划细节，也未包括青少年精神卫生的任何可衡量指标。当前，没有针对青少年的服务计划，也没有汇总的数据来证明青少年中精神和神经系统疾病的患病率。在布隆阿哈福（Brong Ahafo）地区，精神卫生服务提供者同时开展计划以诊断，治疗和咨询患者。根据世界卫生组织的指导原则，有必要调查这些服务计划的当前运作方式。因此，这项研究 调查了加纳中部金塔姆波北部和南部地区为患有精神疾病的青少年提供的服务质量。提出了定量和定性数据收集，组织和分析的混合方法。定量方法数据收集使用病例登记表来识别青少年的精神和神经疾病。定性方法对服务提供商，主要护理人员和医疗保健用户进行了深度访谈，涉及可用于治疗青少年精神和神经疾病的服务。结合使用质量标准工具来评估服务。在两个地区的四个机构中接受服务的青少年中，癫痫病是最常见的治疗疾病。提供者和利益相关者在青少年心理健康方面的培训很少或没有培训。没有使用经过验证的诊断工具来排除鉴别诊断。药物采购是持续治疗的一个挑战。数据收集和分析未标准化。提供者，利益相关者，患者及其主要护理人员报告说，在资金，运输物流以及对精神和神经疾病患者的耻辱感方面存在挑战。在金塔姆波两个地区，针对精神障碍患者的精神卫生服务提供者很少，没有针对青少年的专门服务。2012年的《 846年精神卫生法》是精神卫生保健的重要里程碑，但尚无具体实施计划。社区宣传，心理健康和神经系统疾病的教育，