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Transcultural Psychiatry, Vol. 37, No. 1, 57-72 (2000)
DOI: 10.1177/136346150003700103

An Anthropological and Epidemiological Overview of Mental Health in Belize

Jason Bonander

Robert Kohn

Brown University, USA

Belito Arana

Belize City, Belize

Itzhak Levav

Pan American Health Organization/World Health Organization, Washington DC, USA

While the use of epidemiological and anthropological methods to determine health risk factors is growing, combined work in the area of psychiatric epidemiology is still limited. This article presents a preliminary overview of the mental health needs and resources in Belize using historic, demographic, epidemiologic and ethnographic methods to survey both the needs and societal resources available to the ethnically heterogeneous population of this country. The projected epidemiological data suggest that the Belizean population is underserved, although these data by themselves fail to account for traditional therapeutic resource utilization and cultural conceptions of mental health, illness, risk and efficacy. On the basis of our initial findings, we conclude that there is a need to complement this study with cultural epidemiological research to achieve a more comprehensive understanding of the mental health situation in Belize.

Key Words: anthropology • Belize • epidemiology • mental health services • psychiatric nurse practitioner


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