Scaling up services for mental and neurological disorders in low-resource settings
2009

Scaling Up Mental Health Services in Low-Resource Settings

publication Evidence: moderate

Author Information

Author(s): Vikram Patel, Digvijay Singh Goel, Rajnanda Desai

Primary Institution: London School of Hygiene and Tropical Medicine

Hypothesis

Can task-shifting to non-specialist community health workers effectively deliver treatments for mental and neurological disorders in low-resource settings?

Conclusion

The proposed District Mental Health Program aims to improve access to mental health care in India by integrating evidence-based treatments and utilizing community health workers.

Supporting Evidence

  • Mental and neurological disorders account for a significant burden of disease in low- and middle-income countries.
  • Task-shifting to non-specialist health workers has been shown to be a feasible and effective strategy for delivering mental health care.
  • The treatment gap for mental disorders in low-resource settings often exceeds 50%.

Takeaway

This study suggests that training local health workers can help more people get the mental health care they need, especially in places where there aren't enough doctors.

Methodology

The article proposes a District Mental Health Program based on task-shifting and evidence-based treatments for mental and neurological disorders.

Limitations

The evidence for scaling up treatments in low-resource settings is still developing, and the plan may need adaptation for different contexts.

Participant Demographics

The program targets low- and middle-income populations in India, focusing on those with mental and neurological disorders.

Digital Object Identifier (DOI)

10.1016/j.inhe.2009.02.002

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