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Extracted from text ... 27 e d i t o r i a l The history of the development of mental health services in Africa falls into four phases, firstly the pre-colonial phase, with care being under the traditional and spiritual healers, then the rise of asylums for mainly custodial confinement, followed by modern large asylum-like mental hospitals during and soon after the colonial period, and most recently the decentralisation of mental health care and adoption of World Health Organisation recommendations and the Alma Ata concept by integrating mental health into general health care during the last two decades or so. The concept ..

Challenges to the current provision of mental health services and development of psychiatry in Africa