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Global mental health in high-income countries

  • S. P. Sashidharan (a1), Ross White (a1), Roberto Mezzina (a2), Stefan Jansen (a3) and Darius Gishoma (a3)...
Summary

Over the past decade there have been significant efforts to scale-up mental health services in resource-poor countries. A number of cost-effective innovations have emerged as a result. At the same time, there is increasing concern in resource-rich countries about efficacy, efficiency and acceptability of mental health services. We consider two specific innovations used widely in low- and middle-income countries, task-sharing and a development model of mental healthcare, that we believe have the potential to address some of the current challenges facing mental health services in high-income countries.

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Copyright
Corresponding author
S. P. Sashidharan, Institute of Health & Wellbeing, University of Glasgow, Admin Bldg, Mental Health and Wellbeing, Gartnavel Royal Hospital, Glasgow G12 0XH, UK. Email: s.p.sashidharan@gmail.com
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Declaration of interest

S.P.S. and R.M. are involved in international programmes for community mental health supported by the WHO Collaborating Centre, Trieste, Italy where R.M. is the director. S.P.S. is a director of (NGO) Mental Health Rights. R.W. leads the MSc programme in Global Mental Health at the University of Glasgow.

Footnotes
References
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1 Drake, RE, Binagwaho, A, Martell, HC, Mulley, AG. Mental healthcare in low and middle income countries. BMJ 2014; 349: g7086.
2 Demyttenaere, K, Bruffaerts, R, Posada-Villa, G, Gasquet, I, Kovess, V, Lepine, JP, et al. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA 2004; 291: 2581–90.
3 The King's Fund. Briefing: Mental Health Under Pressure. King's Fund, 2015 (http://www.kingsfund.org.uk/publications/mental-health-under-pressure).
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5 Patel, V, Saxena, S, De Silva, M, Samele, C. Transforming Lives, Enhancing Communities: Innovations in Mental Health. World Innovation Summit for Health. Qatar Foundation, 2013 (http://www.wish-qatar.org/summit/inaugural-summit/reports/forum-reports).
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7 van Ginneken, N, Tharyan, P, Lewin, S, Rao, GN, Meera, SM, Pian, J, et al. Non-specialist health worker interventions for the care of mental, neurological and substance-abuse disorders in low and middle-income countries. Cochrane Database Syst Rev 2013; 11: CD00914.
8 Imison, C, Bohmer, R. NHS and Social Care Workforce: Meeting our Needs Now and in the Future. The King's Fund, 2013.
9 Lund, C, Waruguru, M, Kingori, K, Kippen-Wood, S, Breuer, E, Mannarath, S, et al. Outcomes of the mental health and development model in rural Kenya: a 2-year prospective cohort intervention study. Int Health 2013; 5: 4350.
10 Raja, S, Underhill, C, Shrestha, P, Sunder, U, Mannarath, S, Wood, SK, et al. Integrating mental health and development: a case study of the basic needs model in Nepal. PLoS Med 2012; 9: e1001261.
11 McKenzie, K, Patel, V, Araya, R. Learning from low-income countries: mental health. BMJ 2004; 329: 1138–40.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Global mental health in high-income countries

  • S. P. Sashidharan (a1), Ross White (a1), Roberto Mezzina (a2), Stefan Jansen (a3) and Darius Gishoma (a3)...
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