For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
40
views
44
references
 Top references
cited by
262
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      314
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Mental Health Service Provision in Low- and Middle-Income Countries

      review-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          This article discusses the provision of mental health services in low- and middle-income countries (LMICs) with a view to understanding the cultural dynamics–how the challenges they pose can be addressed and the opportunities harnessed in specific cultural contexts. The article highlights the need for prioritisation of mental health services by incorporating local population and cultural needs. This can be achieved only through political will and strengthened legislation, improved resource allocation and strategic organisation, integrated packages of care underpinned by professional communication and training, and involvement of patients, informal carers, and the wider community in a therapeutic capacity.

          Related collections

          Most cited references44

          • Record: found
          • Abstract: found
          • Article: not found

          Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys.

          Philip Wang, Sergio Aguilar-Gaxiola, Jordi Alonso … (2007)
          Mental disorders are major causes of disability worldwide, including in the low-income and middle-income countries least able to bear such burdens. We describe mental health care in 17 countries participating in the WHO world mental health (WMH) survey initiative and examine unmet needs for treatment. Face-to-face household surveys were undertaken with 84,850 community adult respondents in low-income or middle-income (Colombia, Lebanon, Mexico, Nigeria, China, South Africa, Ukraine) and high-income countries (Belgium, France, Germany, Israel, Italy, Japan, Netherlands, New Zealand, Spain, USA). Prevalence and severity of mental disorders over 12 months, and mental health service use, were assessed with the WMH composite international diagnostic interview. Logistic regression analysis was used to study sociodemographic predictors of receiving any 12-month services. The number of respondents using any 12-month mental health services (57 [2%; Nigeria] to 1477 [18%; USA]) was generally lower in developing than in developed countries, and the proportion receiving services tended to correspond to countries' percentages of gross domestic product spent on health care. Although seriousness of disorder was related to service use, only five (11%; China) to 46 (61%; Belgium) of patients with severe disorders received any care in the previous year. General medical sectors were the largest sources of mental health services. For respondents initiating treatments, 152 (70%; Germany) to 129 (95%; Italy) received any follow-up care, and one (10%; Nigeria) to 113 (42%; France) received treatments meeting minimum standards for adequacy. Patients who were male, married, less-educated, and at the extremes of age or income were treated less. Unmet needs for mental health treatment are pervasive and especially concerning in less-developed countries. Alleviation of these unmet needs will require expansion and optimum allocation of treatment resources.
          Article 0 comments Cited 524 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Mental health systems in countries: where are we now?

            K S Jacob, P. Sharan, I. Mirza … (2007)
            More than 85% of the world's population lives in 153 low-income and middle-income countries (LAMICs). Although country-level information on mental health systems has recently become available, it still has substantial gaps and inconsistencies. Most of these countries allocate very scarce financial resources and have grossly inadequate manpower and infrastructure for mental health. Many LAMICs also lack mental health policy and legislation to direct their mental health programmes and services, which is of particular concern in Africa and South East Asia. Different components of mental health systems seem to vary greatly, even in the same-income categories, with some countries having developed their mental health system despite their low-income levels. These examples need careful scrutiny to derive useful lessons. Furthermore, mental health resources in countries seem to be related as much to measures of general health as to economic and developmental indicators, arguing for improved prioritisation for mental health even in low-resource settings. Increased emphasis on mental health, improved resources, and enhanced monitoring of the situation in countries is called for to advance global mental health.
            Article 0 comments Cited 178 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              Recovery from psychotic illness: a 15- and 25-year international follow-up study.

              S. Malhotra, Lenny D Wiersma, Anita Hopper … (2001)
              Poorly defined cohorts and weak study designs have hampered cross-cultural comparisons of course and outcome in schizophrenia. To describe long-term outcome in 18 diverse treated incidence and prevalence cohorts. To compare mortality, 15- and 25-year illness trajectory and the predictive strength of selected baseline and short-term course variables. Historic prospective study. Standardised assessments of course and outcome. About 75% traced. About 50% of surviving cases had favourable outcomes, but there was marked heterogeneity across geographic centres. In regression models, early (2-year) course patterns were the strongest predictor of 15-year outcome, but recovery varied by location; 16% of early unremitting cases achieved late-phase recovery. A significant proportion of treated incident cases of schizophrenia achieve favourable long-term outcome. Sociocultural conditions appear to modify long-term course. Early intervention programmes focused on social as well as pharmacological treatments may realise longer-term gains.
              Article 0 comments Cited 114 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (nlm-ta): Health Serv Insights
                Journal ID (iso-abbrev): Health Serv Insights
                Journal ID (publisher-id): Health Services Insights
                Title: Health Services Insights
                Publisher: SAGE Publications (Sage UK: London, England )
                ISSN (Electronic): 1178-6329
                Publication date Collection: 2017
                Publication date (Electronic): 28 March 2017
                Volume: 10
                Electronic Location Identifier: 1178632917694350
                Affiliations
                [1 ]Clinical Trials Facility, Southern Health NHS Foundation Trust, Southampton, UK.
                [2 ]School of Osteopathic Medicine, Rowan University and Oaks Integrated Care, Stratford, NJ, USA.
                [3 ]Department of Mental Health, Psychiatry & Behavioral Sciences, Peshawar Medical College, Peshawar, Pakistan.
                [4 ]Department of Sport and Exercise Science, University of Portsmouth, Portsmouth, UK.
                [5 ]Department of Economics, The London School of Economics and Political Science, London, UK.
                [6 ]Department of Health Sciences and Hull York Medical School, University of York, York, UK.
                [7 ]Department of Psychiatry, Queen’s University, Kingston, ON, Canada.
                Author notes
                CORRESPONDING AUTHOR: Shanaya Rathod, Clinical Trials Facility, Southern Health NHS Foundation Trust, Tom Rudd Unit, Moorgreen Hospital, Southampton SO30 3JB, UK. Email: Shanaya.rathod@ 123456southernhealth.nhs.uk
                Article
                Publisher ID: 10.1177_1178632917694350
                DOI: 10.1177/1178632917694350
                PMC ID: 5398308
                PubMed ID: 28469456
                SO-VID: 76634a4c-06a5-4f3b-90c3-ddf66ac1285d
                Copyright © © The Author(s) 2017
                License:

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Date received : 22 November 2016
                Date accepted : 27 January 2017
                Categories
                Subject: Review

                Keywords: mental health services,low- and middle-income countries,service provision
                Data availability:
                Keywords: mental health services, low- and middle-income countries, service provision

                Comments

                Comment on this article

                scite_

                Similar content314

                See all similar

                Cited by258

                See all cited by

                Most referenced authors765

                See all reference authors