WPA guidance on steps,obstacles and mistakes to avoid in the implementation of community mental health care

This paper provides guidance on the steps, obstacles and mistakes to avoid in the implementation of community mental health care. The document is intended to be of practical use and interest to psychiatrists worldwide regarding the development of community mental health care for adults with mental illness. The main recommendations are presented in relation to: the need for coordinated policies, plans and programmes, the requirement to scale up services for whole populations, the importance of promoting community awareness about mental illness to increase levels of help-seeking, the need to establish effective financial and budgetary provisions to directly support services provided in the community. The paper concludes by setting out a series of lessons learned from the accumulated practice of community mental health care to date worldwide, with a particular focus on the social and governmental measures that are required at the national level, the key steps to take in the organization of the local mental health system, lessons learned by professionals and practitioners, and how to most effectively harness the experience of users, families, and other advocates.     

Long-term impacts of anthropogenic perturbations on dynamics and speciation of organic carbon in tropical forest and subtropical grassland ecosystems

Anthropogenic perturbations have profoundly modified the Earth's biogeochemical cycles, the most prominent of these changes being manifested by global carbon (C) cycling. We investigated long‐term effects of human‐induced land‐use and land‐cover changes from native tropical forest (Kenya) and subtropical grassland (South Africa) ecosystems to agriculture on the dynamics and structural composition of soil organic C (SOC) using elemental analysis and integrated ¹³C nuclear magnetic resonance (NMR), near‐edge X‐ray absorption fine structure (NEXAFS) and synchrotron‐based Fourier transform infrared‐attenuated total reflectance (Sr‐FTIR‐ATR) spectroscopy. Anthropogenic interventions led to the depletion of 76%, 86% and 67% of the total SOC; and 77%, 85% and 66% of the N concentrations from the surface soils of Nandi, Kakamega and the South African sites, respectively, over a period of up to 100 years. Significant proportions of the total SOC (46–73%) and N (37–73%) losses occurred during the first 4 years of conversion indicating that these forest‐ and grassland‐derived soils contain large amounts of labile soil organic matter (SOM), potentially vulnerable to degradation upon human‐induced land‐use and land‐cover changes. Anthropogenic perturbations altered not only the C sink capacity of these soils, but also the functional group composition and dynamics of SOC with time, rendering structural composition of the resultant organic matter in the agricultural soils to be considerably different from the SOM under natural forest and grassland ecosystems. These molecular level compositional changes were manifested: (i) by the continued degradation of O‐alkyl and acetal‐C structures found in carbohydrate and holocellulose biomolecules, some labile aliphatic‐C functionalities, (ii) by side‐chain oxidation of phenylpropane units of lignin and (iii) by the continued aromatization and aliphatization of the humic fractions possibly through selective accumulation of recalcitrant H and C substituted aryl‐C and aliphatic‐C components such as (poly)‐methylene units, respectively. These changes appeared as early as the fourth year after transition, and their intensity increased with duration of cultivation until a new quasi‐equilibrium of SOC was approached at about 20 years after conversion. However, subtle but persistent changes in molecular structures of the resultant SOM continued long after (up to 100 years) a steady state for SOC was approached. These molecular level changes in the inherent structural composition of SOC may exert considerable influence on biogeochemical cycling of C and bioavailability of essential nutrients present in association with SOM, and may significantly affect the sustainability of agriculture as well as potentials of the soils to sequester C in these tropical and subtropical highland agroecosystems.     

Lessons learned in developing community mental health care in Africa

This paper summarizes the findings for the African Region of the WPA Task Force on Steps, Obstacles and Mistakes to Avoid in the Implementation of Community Mental Health Care. We present an overview of mental health policies, plans and programmes in the African region; a summary of relevant research and studies; a critical appraisal of community mental health service components; a discussion of the key challenges, obstacles and lessons learned, and some recommendations for the development of community mental health services in the African region.     

Parallel host range expansion in two unrelated cossid moths infesting Eucalyptus nitens on two continents

1. Two cossid moths, Coryphodema tristis Drury and Chilecomadia valdiviana Philippi, have recently become pests on Eucalyptus nitens H. Deane & Maiden in South Africa and Chile, respectively. Both C. tristis and C. valdiviana have large host ranges and high levels of similarity in their host distributions. Their infestations of E. nitens are the first records of these moths on Myrtaceae. 2. The contemporaneous adoption of E. nitens as a novel host, despite widespread availability of native and introduced Myrtaceae, suggests a non‐random pattern of invasion. Phylogenetic relatedness among the two species linked to cryptic invasion of one or both moths at some time in the recent past provides a possible explanation for this pattern. 3. To test this hypothesis, variation in mtDNA sequences for the COI gene of C. tristis and C. valdiviana were analyzed. The COI mtDNA sequence data showed that C. tristis and C. valdiviana are highly divergent genetically, indicating that both are native on their respective continents with independent evolutionary trajectories. 4. The parallel host range expansions to E. nitens on different continents appear to be unrelated events, likely driven by characteristics of the biology and/or ecology of the host.