Focus on Global Mental Health: Mental Health Services in 42 Low- and Middle-Income Countries: A WHO-AIMS Cross-National Analysis

Saxena, Shekhar; Lora, Antonio; Morris, Jodi; Berrino, Annamaria; Esparza, Patricia; Barrett, Thomas; Ommeren, Mark van; Saraceno, Benedetto

doi:10.1176/ps.62.2.pss6202_0123

Cited by 40 publications

(25 citation statements)

References 4 publications

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“…This need extends to a range of frontline practitioners and the relatively small number of mental health professionals in LMIC (World Health Organisation, 2015). Taking into consideration the overwhelming needs across all sectors of life, most LMIC countries allocate less than 1% of their budget to mental health (Saxena et al, 2011), and this almost exclusively relates to adult provision (World Health Organisation, 2013).…”

Section: Discussionmentioning

confidence: 99%

“Everybody’s responsibility”: Conceptualization of youth mental health in Kenya

Tamburrino

Getanda

O’Reilly

et al. 2018

J Child Health Care

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There is increasing interest in providing resilience-building interventions in low- and middle-income countries (LMIC), but limited evidence on how young people and their carers process mental health and related supports. The aim of this study was to establish stakeholders’ conceptualization of youth mental health in a disadvantaged area of Kenya through focus groups with 7 young people aged 14–17 years and their parents, 9 teachers and 11 practitioners or community leads. The four identified themes related to definitions of both mental well-being and mental health problems; a range of contributing factors related to identity resolution, parenting, poverty and social media; attribution of responsibility at different socio-ecological levels; and required awareness, supports and interventions at these levels. Stakeholders, notably young people, are thus essential in the development and planning of user-led and culturally appropriate interventions in LMIC.

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Section: Discussionmentioning

confidence: 99%

“Everybody’s responsibility”: Conceptualization of youth mental health in Kenya

Tamburrino

Getanda

O’Reilly

et al. 2018

J Child Health Care

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“…Mental health research is an essential component to support mental health system strengthening in LMICs (Saxena et al 2011;Betancourt & Chambers, 2016). The expropriation of research expertise from LMICs to high-income settings (or 'brain drain') is a continuing threat to the viability of research capacity in LMICs .…”

Section: Mental Health Researchersmentioning

confidence: 99%

Developing capacity-building activities for mental health system strengthening in low- and middle-income countries for service users and caregivers, service planners, and researchers

Semrau

Alem

Abdulmalik

et al. 2017

Epidemiol Psychiatr Sci

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There is increasing international recognition of the need to build capacity to strengthen mental health systems. This is a fundamental goal of the ‘Emerging mental health systems in low- and middle-income countries’ (Emerald) programme, which is being implemented in six low- and middle-income countries (LMICs) (Ethiopia, India, Nepal, Nigeria, South Africa, Uganda). This paper discusses Emerald's capacity-building approaches and outputs for three target groups in mental health system strengthening: (1) mental health service users and caregivers, (2) service planners and policy-makers, and (3) mental health researchers. When planning the capacity-building activities, the approach taken included a capabilities/skills matrix, needs assessments, a situational analysis, systematic reviews, qualitative interviews and stakeholder meetings, as well as the application of previous theory, evidence and experience. Each of the Emerald LMIC partners was found to have strengths in aspects of mental health system strengthening, which were complementary across the consortium. Furthermore, despite similarities across the countries, capacity-building interventions needed to be tailored to suit the specific needs of individual countries. The capacity-building outputs include three publicly and freely available short courses/workshops in mental health system strengthening for each of the target groups, 27 Masters-level modules (also open access), nine Emerald-linked PhD students, two MSc studentships, mentoring of post-doctoral/mid-level researchers, and ongoing collaboration and dialogue with the three groups. The approach taken by Emerald can provide a potential model for the development of capacity-building activities across the three target groups in LMICs.

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“…3,4 Despite this, only a minority of people with schizophrenic disorders receive care from formal mental health services. 5 Access to specialized services is a key measure in evaluating the capacity of health-care systems to reduce the untreated burden of schizophrenic disorders. This measure requires information on how many people with schizophrenic disorders have access to care out of the total number of people in need of services.…”

Section: Introductionmentioning

confidence: 99%

Service availability and utilization and treatment gap for schizophrenic disorders: a survey in 50 low- and middle-income countries

Lora

Kohn

Levav³

et al. 2011

Bull. World Health Organ.

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168

129

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Focus on Global Mental Health: Mental Health Services in 42 Low- and Middle-Income Countries: A WHO-AIMS Cross-National Analysis

Abstract: Mental health services in participating countries are limited and often hospital based.

Cited by 40 publications

References 4 publications

“Everybody’s responsibility”: Conceptualization of youth mental health in Kenya

“Everybody’s responsibility”: Conceptualization of youth mental health in Kenya

Developing capacity-building activities for mental health system strengthening in low- and middle-income countries for service users and caregivers, service planners, and researchers

Service availability and utilization and treatment gap for schizophrenic disorders: a survey in 50 low- and middle-income countries

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