Mental health service provision in low and middle-income countries: Recent developments

Publikation: Beitrag in FachzeitschriftÜbersichtsartikel (Review)BeigetragenBegutachtung

Beitragende

  • Stefan Weinmann - , Universität Basel (Autor:in)
  • Markus Koesters - , Universität Ulm (Autor:in)

Abstract

Purpose of review: The study discusses key issues and concepts of how to provide basic mental health services for people with mental disorders in low and middle-income countries (LAMICs). Recent findings: In the last years a considerable gap between mental healthcare needs and available services in LAMICs has been documented. The transformation of hospital-based to community-based mental health and the building of accessible services in low-resource settings require mental health training of primary care providers, task-sharing/task-shifting models, involvement of families and peers and basic models of community rehabilitation. Several international initiatives have been set up to increase the evidence base and test the feasibility, acceptability, and effectiveness of these approaches which are not new but which have been implemented in only a small amount of LAMICs. A combination of interventions on different levels (governance, legislation, providers, and community) is necessary. Summary: It remains to be shown how the recent global mental health movement, beyond increasing international financial resources, will be helpful in finding locally and culturally sensitive solutions to reduce the mental health gap in LAMICs. Although concepts of a well designed mix of services are available, solutions to reduce implementation barriers must be local, and implementation strategies may vary considerably and still lack a sufficient evidence base.

Details

OriginalspracheEnglisch
Seiten (von - bis)270-275
Seitenumfang6
FachzeitschriftCurrent opinion in psychiatry
Jahrgang29
Ausgabenummer4
PublikationsstatusVeröffentlicht - 1 Juli 2016
Peer-Review-StatusJa
Extern publiziertJa

Externe IDs

PubMed 27100045
ORCID /0000-0001-7018-6021/work/168207927

Schlagworte

Ziele für nachhaltige Entwicklung

Schlagwörter

  • low and middle-income countries, mental health service provision, primary mental healthcare