Global Mental Health 4 Scale up of services for mental health in low-income and middle-income countries
Julian Eaton, Layla McCay, Maya Semrau, Sudipto Chatterjee, Florence Baingana, Ricardo Araya, Christina Ntulo, Graham Thornicroft, Shekhar Saxena
The Lancet | ELSEVIER SCIENCE INC | Published : 2011
Mental disorders constitute a huge global burden of disease, and there is a large treatment gap, particularly in low-income and middle-income countries. One response to this issue has been the call to scale up mental health services. We assess progress in scaling up such services worldwide using a systematic review of literature and a survey of key national stakeholders in mental health. The large number of programmes identified suggested that successful strategies can be adopted to overcome barriers to scaling up, such as the low priority accorded to mental health, scarcity of human and financial resources, and difficulties in changing poorly organised services. However, there was a lack of..View full abstract
Awarded by Department for International Development (DFID)
We thank the respondents to the survey (listed on webappendix pp 34 37) for sharing their knowledge of mental health services in the countries in which they work and Alex Sales (Tavistock Centre, UK) and Joel Amah (CBM, Togo) for Spanish and French translations, respectively, of the survey and associated responses. The Librarian Service at the London School of Hygiene and Tropical Medicine helped to undertake the systematic review. For the case study of West Bank and Gaza, we thank Nargiza Khodjaeva (Technical Officer on Mental Health, WHO Office in Jerusalem), Hazem Ashour (President of Mental Health Unit of the Ministry of Health in the West Bank), and Mustafa Elmasri (WHO local consultant in Gaza) for their contributions. GT is supported in relation to a National Institute for Health Research (NIHR) Applied Programme grant awarded to the South London and Maudsley NHS Foundation Trust, and in relation to the NIHR Specialist Mental Health Biomedical Research Centre at the Institute of Psychiatry, King's College London and the South London and Maudsley NHS Foundation Trust. GT holds a visiting professorship at the University of KwaZulu Natal in Durban. MS is supported by a PhD studentship grant from the UK Medical Research Council. FB is supported by a Wellcome Trust Research Fellowship Grant. The views expressed in this review are those of the authors and do not necessarily represent the decisions, policies, or views of their respective institutions.