Next steps for meeting the needs of people with severe mental illness in low- and middle-income countries

by C. Hanlon
Epidemiology and Psychiatric Sciences, Vol. 26, Issue 4, August 2017, pp. 348-354

7 pp. 145 kB
https://www.cambridge.org/core/services/aop-cambridge-
core/content/view/42C9AE17A6D4CEE962E8C73DCD9E3651/S2045796016001013a.pd
f/next_steps_for_meeting_the_needs_of_people_with_severe_mental_illness_in_low
_and_middleincome_countries.pdf

The explicit inclusion of mental health within the Sustainable Development Goals is a welcome development, borne out of powerful advocacy using public health, economic and human rights arguments. As funding comes on line for scale-up of evidence-based mental health care by task-sharing with primary care, it is time to take stock about care for people affected by severe mental illness (SMI). The existing evidence base for task shared care for SMI provides an imperative to get started, but is skewed towards relatively more affluent and urban populations in middle-income countries where specialist mental health professionals provide most of the care.

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