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Stakeholders Push for Psychiatry Reform

Simon Osuji by Simon Osuji
July 4, 2025
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Stakeholders Push for Psychiatry Reform
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Stakeholders Push for Psychiatry Reform

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Stakeholders Push for Psychiatry Reform

A Call for Inclusive Reform

Stakeholders are calling for a multisectoral strategy to reform forensic psychiatry in Kenya. Their key priorities include safeguarding the rights and dignity of patients, improving legal frameworks, and increasing the number of trained professionals in the field.

These concerns came to light during a meeting held at Mathari National Teaching and Referral Hospital. The session brought together leaders from the Ministry of Health, Office of the Attorney General, Director of Public Prosecutions, and the National Police Service. Correctional Services Principal Secretary Dr. Salome Beacco chaired the meeting.

Bridging the Gap Between Health and Law

Dr. Beacco emphasized the importance of addressing the disconnect between mental health and legal systems. She explained that doing so is essential for helping patients transition back into society successfully.

“We must take this opportunity to explore bold, lasting strategies,” said Dr. Beacco. “Our solutions should go beyond immediate fixes to support long-term reform.”

She added that patients in forensic psychiatry often need highly specialized care, typically provided in secure environments. To ensure consistent treatment, all such patients will now be registered with the Social Health Authority.

Stakeholders Push for Psychiatry ReformStakeholders Push for Psychiatry Reform

Stakeholders Push for Psychiatry Reform

Promoting Rehabilitation and Inclusion

To further support recovery, the PS revealed that her department is working with other government agencies and partners to introduce vocational training programs at Mathari Hospital. These programs will use trainers from the Kenya Prisons Service to equip patients with life skills and improve their chances of reintegration.

Dr. Beacco reiterated her department’s commitment to strengthening outcomes through collaboration with criminal justice institutions.

“Since January, we have prepared 133 evidence-based social assessment reports,” she noted. “These reports help psychiatrists and clinicians create personalized treatment plans. At the same time, they offer the judiciary valuable insights into a patient’s mental fitness, level of responsibility, and potential for rehabilitation.”

Challenges in Delivering Quality Care

Dr. Julius Ogeto, CEO of Mathari National Teaching and Referral Hospital, welcomed the multisectoral approach. However, he pointed out that limited funding, outdated infrastructure, and policy gaps have hindered the facility’s ability to provide efficient care.

He urged the government and stakeholders to invest more in forensic psychiatry. Doing so, he said, would help ensure that both patients and the justice system receive the support they need.

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