In Central African Republic, lack of access to and availability of appropriate care can be the difference between life and death for some people affected by mental disorders. Fearful for the safety of relatives affected by mental disorders, families see little choice but to restrain the individuals affected. In addition, the lack of primary healthcare staff trained in mental health is a significant barrier to high-quality, community-based mental health services.
In Central African Republic, there is still a strong perception within some communities that some mental disorders are caused by sorcery or disrespect of tradition, leading to a reluctance to seek treatment (Mbeya et al., 2018). Seeking help from traditional healers or using spiritual healing are the preferred coping methods, further delaying appropriate care and, at times, aggravating the condition.