Prevalence, Severity, and Unmet Need for Treatment of Mental Disorders in the World Health Organization World Mental Health Surveys

Demyttenaere, Koen; Bruffærts, Ronny; Posada‐Villa, José; Gasquet, Isabelle; Kovess,; Jp, Lépine; Mc, Angermeyer; Bernert, Sebastian; Girolamo, Giovanni de; Morosini, Pierluigi; Polidori, G; Kikkawa, Takehiko; Kawakami, Norito; Ono, Yoshihiro; Takeshima, Tadashi; Uda, Hidenori; Eg, Karam; Fayyad, JA; An, Karam; Mneimneh, ZN; Me, Medina-Mora; Borges, Guilherme; Lara, Carmen; R, de Graaf; Ormel, Johan; Gureje, Oye; Shen, Yucun; Huang, Yueqin; Zhang, M; Alonso, Jordi; Jm, Haro; Vilagut, Gemma; Ej, Bromet; Gluzman, Semyon; Webb, Charles; Kessler, RC; Merikangas, Kathleen R.; Jc, Anthony; Mr, Von Korff; Wang, PS; Brugha, Terry; Aguilar‐Gaxiola, Sergio; S, Lee; Heeringa, Steven G.; Be, Pennell; Am, Zaslavsky; Tb, Ustün; Chatterji, Somnath

doi:10.1001/jama.291.21.2581

Cited by 2,720 publications

(936 citation statements)

References 39 publications

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“…If the resulting intervention is found to be cost‐effective, then this has major implications for alcohol treatments in low resource settings. In LMIC, the gap between those who could benefit from mental health interventions and those who receive such care is very large, in particular for AUD (Saxena et al., 2007; WHO World Mental Health Survey Consortium, 2004). A contextually adapted intervention like CAP which can be delivered by nonspecialists has the potential of being scaled up in low resource settings, thus helping reduce the treatment gap.…”

Section: Discussionmentioning

confidence: 99%

The Systematic Development and Pilot Randomized Evaluation of Counselling for Alcohol Problems, a Lay Counselor‐Delivered Psychological Treatment for Harmful Drinking in Primary Care in India: The PREMIUM Study

Nadkarni

Velleman

Dabholkar³

et al. 2015

Alcohol Clin Exp Res

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BackgroundDespite harmful drinking causing a significant burden on global health, there is a large treatment gap, especially in low‐ and middle‐income countries. A major barrier to care is the lack of adequately skilled human resources to deliver contextually appropriate treatments. This paper describes the systematic process used to develop Counselling for Alcohol Problems (CAP), a brief psychological treatment (PT) for delivery by lay counselors in routine primary care settings to men with harmful drinking in India.MethodsCAP was developed using a methodology involving 3 sequential steps: (i) identifying potential treatment strategies; (ii) developing a theoretical framework for the treatment; and (iii) evaluating the acceptability and feasibility of the treatment.ResultsCAP is a 3‐phase treatment delivered over 1 to 4 sessions based on a motivational interviewing (MI) stance and involves the following strategies: assessment and personalized feedback, family engagement, drink refusal skills, skills to address drinking urges, problem‐solving skills and handling difficult emotions, and relapse prevention and management. Data from a case series were used to inform several adaptations to enhance the acceptability of CAP to the recipients and feasibility of delivery by lay counselors of the treatment, for example expansion of the target group to include alcohol‐dependent patients and the extension of the delivery settings to include home‐based delivery. There was preliminary evidence of the effectiveness of CAP.ConclusionsCAP is an acceptable brief PT for harmful drinking delivered by lay counselors in primary care whose effectiveness is currently being tested in a randomized controlled trial based in primary care in Goa, India.

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Section: Discussionmentioning

confidence: 99%

The Systematic Development and Pilot Randomized Evaluation of Counselling for Alcohol Problems, a Lay Counselor‐Delivered Psychological Treatment for Harmful Drinking in Primary Care in India: The PREMIUM Study

Nadkarni

Velleman

Dabholkar³

et al. 2015

Alcohol Clin Exp Res

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show abstract

“…In such countries, treatment rates for these disorders are suboptimal and range from 35% to 50%. [9][10][11] Researchers, policy-makers and international agencies have issued calls for low-and middle-income countries (LMICs) to scale up the mental health components of their health systems. [12][13][14] To accomplish this, they need to increase their workforces, 14 particularly the number of trained professionals who can provide good mental health services.…”

Section: Introductionmentioning

confidence: 99%

The mental health workforce gap in low- and middle-income countries: a needs-based approach

Bruckner

Scheffler

Shen

et al. 2010

Bull. World Health Organ.

353

281

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“…Studies have estimated the prevalence rate of Major Depressive Disorder to be around 30% among the adult population seeking health care services in Emergency Departments in various countries in Latin America (Castilla-Puentes et al, 2008). Using the World Mental Health Composite International Diagnostic Interview in various countries in the Americas, the 12-month prevalence rate of mood disorders among adults, including major depression, ranges from 4.8% in Mexico, to 10% in Colombia, and 18.2% in the United States (WHO, 2004).…”

Section: Depressive Disorders and Symptoms In The Americasmentioning

confidence: 99%

Adolescent Cigarette Use in the Americas: The Link with Depression

Bares¹,

Delva²,

Hynes³

et al. 2012

Essential Notes in Psychiatry

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Prevalence, Severity, and Unmet Need for Treatment of Mental Disorders in the World Health Organization World Mental Health Surveys

Cited by 2,720 publications

References 39 publications

The Systematic Development and Pilot Randomized Evaluation of Counselling for Alcohol Problems, a Lay Counselor‐Delivered Psychological Treatment for Harmful Drinking in Primary Care in India: The PREMIUM Study

The Systematic Development and Pilot Randomized Evaluation of Counselling for Alcohol Problems, a Lay Counselor‐Delivered Psychological Treatment for Harmful Drinking in Primary Care in India: The PREMIUM Study

The mental health workforce gap in low- and middle-income countries: a needs-based approach

Adolescent Cigarette Use in the Americas: The Link with Depression

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