Mental Health and the Global Agenda
New England Journal of MedicinePublished 4 July 2013Open access
Anne E. Becker, Arthur Kleinman
Citations347
SJR quartileQ1
SJR score19.08
SNIP13.47
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
This article reviews the impact of mental health on overall health on a global level and suggests changes that could lead to improved identification and treatment of mental illness in countries with limited resources.
Abstract
This article reviews the impact of mental health on overall health on a global level. The authors suggest changes that could lead to improved identification and treatment of mental illness in countries with limited resources.
Keywords
PsychologyHealth Professions
The LancetDisability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010
9,004 Citations2012Christopher J L Murray, Theo Vos +360 more
The results for 1990 and 2010 supersede all previously published Global Burden of Disease results and highlight the importance of understanding local burden of disease and setting goals and targets for the post-2015 agenda taking such patterns into account.
The LancetYears lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010
8,388 Citations2012Theo Vos, Abraham D Flaxman +356 more
Prevalence and severity of health loss were weakly correlated and age-specific prevalence of YLDs increased with age in all regions and has decreased slightly from 1990 to 2010, but population growth and ageing have increased YLD numbers and crude rates over the past two decades.
JAMAPrevalence, Severity, and Unmet Need for Treatment of Mental Disorders in the World Health Organization World Mental Health Surveys
3,454 Citations2004Koen Demyttenaere
Reallocation of treatment resources could substantially decrease the problem of unmet need for treatment of mental disorders among serious cases and careful consideration needs to be given to the value of treating some mild cases, especially those at risk for progressing to more serious disorders.
The LancetMental health of young people: a global public-health challenge
3,168 Citations2007Vikram Patel, Alan J. Flisher +2 more
This work proposes a population-based, youth focused model, explicitly integrating mental health with other youth health and welfare expertise, and challenges to addressing mental- health needs include the shortage of mental-health professionals, the fairly low capacity and motivation of non-specialist health workers, and the stigma associated with mental disorder.
NatureGrand challenges in global mental health
2,016 Citations2011Pamela Y. Collins, Vikram Patel +30 more
A consortium of researchers, advocates and clinicians announces here research priorities for improving the lives of people with mental illness around the world, and calls for urgent action and investment.
RePEc: Research Papers in EconomicsThe Global Economic Burden of Noncommunicable Diseases
1,968 Citations2012David E. Bloom, Elizabeth Cafiero +17 more
New estimates of the global economic burden of non-communicable diseases in 2010 are developed, and the size of the burden through 2030 is projected, to capture the thinking of the business community about the impact of NCDs on their enterprises.
The LancetResources for mental health: scarcity, inequity, and inefficiency
1,760 Citations2007Shekhar Saxena, Graham Thornicroft +2 more
Scarcity of available resources, inequities in their distribution, and inefficiencies in their use pose the three main obstacles to better mental health, especially in low-income and middle-income countries.
Res MedicaWorld Health Report
1,711 Citations2013Thomas R. Prentice
The launch of The World Health Report (WHR) 2013 in Beijing in September of this year brought the total of such reports to 16 since the World Health Organization (WHO) brought out the first edition in 1995.
The LancetPriority actions for the non-communicable disease crisis
1,610 Citations2011Robert Beaglehole, Ruth Bonita +42 more
The Lancet NCD Action Group and the NCD Alliance propose five overarching priority actions for the response to the crisis and the delivery of five priority interventions--tobacco control, salt reduction, improved diets and physical activity, reduction in hazardous alcohol intake, and essential drugs and technologies.
The LancetBarriers to improvement of mental health services in low-income and middle-income countries
1,084 Citations2007Benedetto Saraceno, Mark van Ommeren +6 more
Barriers to progress in improvement of mental health services can be overcome by generation of political will for the organisation of accessible and humane mental health care, a qualitative survey of international mental health experts and leaders suggests.
The LancetHuman resources for mental health care: current situation and strategies for action
1,006 Citations2011Ritsuko Kakuma, Harry Minas +6 more
Evidence suggests that mental health care can be delivered effectively in primary health-care settings, through community-based programmes and task-shifting approaches, and within the context of low-income and middle-income countries.
The LancetCognitive behaviour therapy-based intervention by community health workers for mothers with depression and their infants in rural Pakistan: a cluster-randomised controlled trial
963 Citations2008Atıf Rahman, Abid Malik +3 more
This cognitive behaviour therapy-based intervention delivered by community-based primary health workers in rural Pakistan has the potential to be integrated into health systems in resource-poor settings.
The LancetPoverty and mental disorders: breaking the cycle in low-income and middle-income countries
880 Citations2011Crick Lund, Mary De Silva +6 more
It is found that the mental health effect of poverty alleviation interventions was inconclusive, although some conditional cash transfer and asset promotion programmes had mental health benefits and mental health interventions were associated with improved economic outcomes in all studies.
The LancetScale up services for mental disorders: a call for action
820 Citations2007Dan Chisholm, AJ Flisher +6 more
It is argued that a basic, evidence-based package of services for core mental disorders should be scaled up, and that protection of the human rights of people with mental disorders and their families should be strengthened.
The LancetScale up of services for mental health in low-income and middle-income countries
674 Citations2011Julian Eaton, Layla McCay +7 more
Assessment of progress in scaling up mental health services worldwide using a systematic review of literature and a survey of key national stakeholders in mental health suggested that successful strategies can be adopted to overcome barriers to scaling up.
Cochrane Database of Systematic ReviewsLay health workers in primary and community health care
544 Citations2005Simon Lewin, Judy Dick +6 more
LHW interventions show promising benefits in promoting immunisation uptake and improving outcomes for acute respiratory infections and malaria, when compared to usual care, and appear promising for breastfeeding promotion.
Bulletin of the World Health OrganizationThe mental health workforce gap in low- and middle-income countries: a needs-based approach
445 Citations2010Tim A. Bruckner, Richard M. Scheffler +7 more
Country-specific policies are needed to overcome the large shortage of mental health-care staff and services throughout LMICs, which would need to be increased by 239,000 full-time equivalent professionals.
The British Journal of PsychiatryLay health worker led intervention for depressive and anxiety disorders in India: impact on clinical and disability outcomes over 12 months
307 Citations2011Vikram Patel, Helen A. Weiss +10 more
Trained lay counsellors working within a collaborative-care model can reduce prevalence of common mental disorders, suicidal behaviour, psychological morbidity and disability days among those attending public primary care facilities.
PLoS MedicinePackages of Care for Mental, Neurological, and Substance Use Disorders in Low- and Middle-Income Countries: PLoS Medicine Series
236 Citations2009Vikram Patel, Graham Thornicroft
A new series in PLoS Medicine that reviews the evidence for packages of care for ADHD, alcohol misuse disorders, dementia, depression, epilepsy, and schizophrenia in low- and middle-income countries is introduced.
Psychological MedicineThe future of psychiatry in low- and middle-income countries
228 Citations2009Vikram Patel
Psychiatrists' new roles should include designing and managing such programmes, building clinical capacity, supervision and quality assurance, providing referral pathways and research.
The British Journal of PsychiatryGroup interpersonal psychotherapy for depression in rural Uganda: 6-month outcomes
211 Citations2006Judith Bass, Richard Neugebauer +7 more
Participation in a 16-week group interpersonal psychotherapy intervention continued to confer a substantial mental health benefit 6 months after conclusion of the formal intervention.
The LancetMedical journals: evidence of bias against the diseases of poverty
207 Citations2003Richard Horton
PLoS MedicinePackages of Care for Depression in Low- and Middle-Income Countries
201 Citations2009Vikram Patel, Gregory E. Simon +3 more
In the first in a series of six articles on packages of care for mental disorders in low- and middle-income countries, Neerja Chowdary and colleagues discuss the treatment of depression.
Bulletin of the World Health OrganizationSetting priorities for global mental health research
172 Citations2009Mark Tomlinson
In the context of global mental health and with a time frame of the next 10 years, it would be best to fill critical knowledge gaps by investing in research into health policy and systems, epidemiology and improved delivery of cost-effective interventions.
Clinical Infectious DiseasesFrom Directly Observed Therapy to Accompagnateurs: Enhancing AIDS Treatment Outcomes in Haiti and in Boston
158 Citations2004Heidi Behforouz, Paul E. Farmer +1 more
A pilot project in rural Haiti introduced DOT-HAART (directly observed therapy with highly active antiretroviral therapy) for the care of patients with advanced acquired immune deficiency syndrome and a similar effort was launched in Boston for patients with drug-resistant HIV disease who had experienced failure of unsupervised therapy.
The British Journal of PsychiatryContribution of low- and middle-income countries to research published in leading general psychiatry journals, 2002–2004
158 Citations2006Vikram Patel, Youl‐Ri Kim
Strengthening the research capacity of low- and middle-income countries and reviewing the editorial policies of leading journals can help increase the international representation of LAMI countries in psychiatric research.
Health PolicyScarcity and inequity of mental health research resources in low-and-middle income countries: A global survey
122 Citations2009Denise Razzouk, Pratap Sharan +11 more
Mental health research capacity is scarce and unequally distributed in low-and-middle-income countries (LAMIC) and global agencies for health research as well as LAMIC with higher concentrations of researchers and scientific output should play a more decisive role in strengthening the capacity of other LAMic enhancing South-South partnerships and networks.
Harvard Review of PsychiatryCapacity Building in Global Mental Health: Professional Training
122 Citations2012Gregory L. Fricchione, Christina P. C. Borba +4 more
It is suggested that the optimal approach to building capacity in global mental health care will require partnerships between professional resources in high-income countries and promising health-related institutions in low- and middle- income countries.
Community Mental Health JournalThe Feasibility of Adapted Group-Based Interpersonal Therapy (IPT) for the Treatment of Depression by Community Health Workers Within the Context of Task Shifting in South Africa
121 Citations2011Inge Petersen, Arvin Bhana +1 more
Qualitative process evaluation suggests that improved social support, individual coping skills and improved personal agency assisted in the reduction of depressive symptoms in the group-based IPT intervention.
Harvard Review of PsychiatryCapacity Building in Global Mental Health Research
119 Citations2012Graham Thornicroft, Sara Cooper +3 more
This article describes two methods that have proved successful in strengthening, or have the potential to strengthen, mental health research capacity in low‐resource settings and proposed structured approach for the career development of research staff at every career stage.
International Journal of Mental Health SystemsMental health policy in Kenya -an integrated approach to scaling up equitable care for poor populations
115 Citations2010David Kiima, Rachel Jenkins
The project has demonstrated the importance of using a multi-faceted and comprehensive programme to promote sustainable system change, key elements of which include a focus on the use of rapid appropriate assessment and treatment at primary care level.
PLoS MedicineEducating a New Generation of Doctors to Improve the Health of Populations in Low- and Middle-Income Countries
86 Citations2011Francesca Celletti, Teri Reynolds +3 more
It is argued that a transformation in the scale-up of medical education in low- and middle-income countries is needed, and what this might look like is detailed.
International Journal of Mental Health SystemsCommunity mental health in India: A rethink
68 Citations2008Thara Rangawsamy, Padmavati Ramachandran +2 more
Community based initiatives in the management of mental disorders however well intentioned will not be sustainable unless the family and the community are involved in the intervention program with support being provided regularly by mental health professionals.
Obstetric Anesthesia DigestCognitive Behavior Therapy-based Intervention by Community Health Workers for Mothers With Depression and Their Infants in Rural Pakistan: A Cluster-randomized Controlled Trial
66 Citations2009Atıf Rahman, A. Malik +3 more
PLoS MedicineA United Nations General Assembly Special Session for Mental, Neurological, and Substance Use Disorders: The Time Has Come
57 Citations2012Judith Bass, Thomas Bornemann +16 more
A special session of the UN General Assembly is called for to discuss and debate action needed on mental, neurological, and substance use disorders, which have been left off the international NCDs agenda.
International Journal of Mental Health SystemsMental health policy and development in Egypt - integrating mental health into health sector reforms 2001-9
55 Citations2010Rachel Jenkins, Ahmed Heshmat +3 more
The bilateral collaboration programme initiated a reform programme which has been sustained beyond the end of the funding, and key elements include a focus on the use of rapid appropriate treatment at primary care level, strengthening the referral system, interministerial and intersectoral liaison, rehabilitation, and media work to mobilize community engagement.
The LancetA global scope for global health—including mental health
53 Citations2011Giuseppe Raviola, Anne E. Becker +1 more
The British Journal of PsychiatryCombating editorial racism in psychiatric publications
46 Citations2005Peter Tyrer
The ‘nine to one’ rule: 90% of health resources are consumed by 10% of the richest countries ([Global Forum for Health Research, 2000][1]).
PLoS ONETask-Shifting in HIV Care: A Case Study of Nurse-Centered Community-Based Care in Rural Haiti
37 Citations2011Louise C. Ivers, Jean-Gregory Jerome +4 more
Task-shifting using a community-based, nurse-centered model of HIV care in rural Haiti is an effective model for scale-up of HIV services with good clinical and program outcomes.
European Archives of Psychiatry and Clinical NeuroscienceGlobal mental health: the role of psychiatry
34 Citations2009Benedetto Saraceno, Tarun Dua
The burden of mental health globally, resources available to tackle the massive burden, WHO’s mental health Gap Action Programme (mhGAP) on scaling up services with a special focus on low- and middle-income countries, and the paradigm shift required in psychiatry as the way forward are discussed.
The LancetPriority actions for the non-communicable disease crisis
16 Citations2011Quratulain Humayun, Shirin Mirza
PubMedMental health services in primary care in 'developing' countries.
16 Citations2003Vikram Patel, Alex Cohen
The evidence for the effectiveness of specific approaches to specific mental disorders in primary care and community settings is slowly, but surely, growing and there are likely to be many obstacles to the upscaling of specific interventions strategies to the health system level.
PubMedChallenges for psychiatry: delivering the Mental Health Declaration for Europe.
15 Citations2006Matt Muijen
New roles and responsibilities of all members of a multi-disciplinary team need to be planned, and education and training have to be designed to prepare professionals to deal with expectations and demands.
The LancetA UN summit on global mental health
14 Citations2010Patrick T. Lee, Michael Henderson +1 more
This work calls on UNGA to convene a summit on global mental health in 2012 and issues a multilateral Declaration of Commitment on Global Mental Health with a clear prescription for action, milestones for measuring success, and specifi c actors responsible for each step.
International PsychiatryProvision of mental health services in Nigeria
11 Citations2008Olufemi Olugbile, Mathew Zachariah +3 more
Nigeria, like other African countries, is short of personnel trained in mental healthcare, but most of the specialist centres where such highly trained personnel work are in urban areas and for a large part of the population access to them is limited by distance and cost.
