The Association St. Camille De Lellis in Côte D'Ivoire: Innovations, Potential, and Limits of a Practice Coming from The “Wretched of the Earth”
Bibliographic record
Abstract
The Association St. Camille de Lellis, a Catholic charitable association, serves people with mental health problems in Côte d'Ivoire. The remarkable work of the association, whose innovative character was recognized by the World Health Organization in a recent report, is situated in a particular socio-political and cultural context that combines solidarity and rejection. We describe this context, then we show how the association's activities open the way to new solutions for both developing and industrialized countries. We then present some information and analysis regarding “African madness,” and go on to consider the nature of mental health policies and services in a continent where chronic shortages of financial and material resources have a major impact on African populations. We found 3 of the Association St. Camille de Lellis's practices especially promising: people taking control of their futures, the protection of people's rights, and the establishment of social enterprises. At the same time, we also retain a critical point of view regarding the Association's experience, and we examine the obstacles to replication of this experience in other sites, the therapeutic and psycho-social consequences of some of its practices, and issues regarding financing.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.007 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.011 | 0.006 |
| Scholarly communication | 0.004 | 0.001 |
| Open science | 0.001 | 0.005 |
| Research integrity | 0.003 | 0.003 |
| Insufficient payload (model declined to judge) | 0.008 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".