Integrated Nocturnal Mental Health Service Model: Addressing Barriers to Mental Health Care at Night in Malaysia

Abstract

Introduction: Mental health is a critical aspect of overall well-being, playing a significant role in coping with stress, realizing one's potential, and contributing to society. However, mental health issues have experienced a global rise, with Malaysia reporting a substantial increase in lifetime prevalence. These troubling statistics emphasize the urgent need for effective mental health services, particularly during night-time hours, a period when services are limited. The present study aims to devise an Integrated Nocturnal Mental Health Service Model (INMHSM) that specifically targets the barriers to receiving mental health care during night-time hours.

Methodology: A qualitative research approach was employed, involving in-depth interviews with mental health experts, survivors, patients, and caregivers. The proposed model integrates an alternative support system that utilizes community resources, such as ex-service members, retired nurses, and trained drivers. The system designed to work in conjunction with existing hotlines and face-to-face services, providing prompt and accessible care during the most vulnerable hours.

Results: The findings revealed significant voids in the provision of night-time mental health services, including extended waiting periods, limited availability of professionals, and a lack of integrated support systems. The proposed model aims to bridge these gaps by establishing a community-based support network that operates during night-time hours, ensuring timely and effective intervention.

Conclusion: The study emphasizes the importance of accessible, targeted interventions and stresses the need for further studies to refine and implement this model effectively. Addressing nocturnal mental health care challenges is crucial for a comprehensive mental health strategy in Malaysia.