title: A decade of peace: Mental health issues and service developments in the Solomon Islands since 2003.
abstract: OBJECTIVE
  To describe the impact on mental health and psychosocial wellbeing of the armed conflict that occurred in the Solomon Islands from 1998-2003 and the subsequent political unrest and natural disasters, and the developments in mental health services since 2003.
  
  
  METHODS
  A literature and document review was conducted, supplemented by the written reflections of senior staff in the Solomon Islands Mental Health Service.
  
  
  RESULTS
  Conflict and natural disaster have had a significant impact on the mental health and functioning of individuals, families and communities. National health system reform has been accompanied by the reorientation of the mental health services from custodial care to care in the community and greater emphasis on mental health promotion and prevention. The dedication of the small group of Solomon Islands mental health professionals, supported by local health service managers and external donors, has been a major strength. However, they face significant challenges.
  
  
  CONCLUSIONS
  Continued investment in mental health, including the treatment and prevention of mental and substance use disorders, is essential for mental health and development outcomes. All development stakeholders, including civil society, government, academic and research institutions, and development partners, have a role to play.
authors.affiliation: Postgraduate student in psychiatry, School of Medicine & Health Sciences, University of Papua New Guinea, Port Moresby, Papua New Guinea.
authors.forename: Rex
authors.initials: R
authors.lastname: Maukera
authors.affiliation: Visiting Fellow, School of Public Health & Community Medicine, UNSW Australia, Randwick, NSW, Australia i.blignault@unsw.edu.au.
authors.forename: Ilse
authors.initials: I
authors.lastname: Blignault
mesh_terms: D004190:Disasters; D006301:Health Services Needs and Demand; D006801:Humans; D008542:Melanesia / Q000453:epidemiology; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D008603:Mental Health / Q000639:trends; D008605:Mental Health Services / Q000639:trends*; D012924:Social Conditions
keywords: Solomon Islands; conflict; disaster; mental health; mental health services