Global Mental Health 4 - Mental health systems in countries: where are we now?

dc.contributor.authorJacob, K. S.
dc.contributor.authorSharan, P.
dc.contributor.authorMirza, J.
dc.contributor.authorGarrido-Cumbrera, M.
dc.contributor.authorSeedat, S.
dc.contributor.authorMari, Jair de Jesus [UNIFESP]
dc.contributor.authorSreenivas, V.
dc.contributor.authorSaxena, Shekhar
dc.contributor.institutionChristian Med Coll & Hosp
dc.contributor.institutionAll India Inst Med Sci
dc.contributor.institutionUniv Hlth Sci
dc.contributor.institutionUniv Stellenbosch
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.description.abstractMore than 85% of the world's population lives in 153 low-income and middle-income countries (LAMICs). Although country-level information on mental health systems has recently become available, it still has substantial gaps and inconsistencies. Most of these countries allocate very scarce financial resources and have grossly inadequate manpower and infrastructure for mental health. Many LAMICs also lack mental health policy and legislation to direct their mental health programmes and services, which is of particular concern in Africa and South East Asia. Different components of mental health systems seem to vary greatly, even in the same-income categories, with some countries having developed their mental health system despite their low-income levels. These examples need careful scrutiny to derive useful lessons. Furthermore, mental health resources in countries seem to be related as much to measures of general health as to economic and developmental indicators, arguing for improved prioritisation for mental health even in low-resource settings. Increased emphasis on mental health, improved resources, and enhanced monitoring of the situation in countries is called for to advance global mental health.en
dc.description.affiliationChristian Med Coll & Hosp, Dept Psychiat, Vellore 632002, Tamil Nadu, India
dc.description.affiliationAll India Inst Med Sci, Dept Psychiat, New Delhi, India
dc.description.affiliationAll India Inst Med Sci, Dept Biostat, New Delhi, India
dc.description.affiliationUniv Hlth Sci, Rawalpindi Med Coll, Inst Psychiat, Lahore, Pakistan
dc.description.affiliationWHO, Dept Mental Hlth & Subst Abuse, CH-1211 Geneva, Switzerland
dc.description.affiliationUniv Stellenbosch, Dept Psychiat, MRC, Unit Anxiety Disorders, Cape Town, South Africa
dc.description.affiliationUniversidade Federal de São Paulo, Dept Psychiat, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Psychiat, São Paulo, Brazil
dc.description.provenanceMade available in DSpace on 2016-01-24T13:49:05Z (GMT). No. of bitstreams: 0 Previous issue date: 2007-09-22en
dc.description.sourceWeb of Science
dc.identifier.citationLancet. London: Lancet Ltd, v. 370, n. 9592, p. 1061-1077, 2007.
dc.publisherLancet Ltd
dc.rightsAcesso restrito
dc.titleGlobal Mental Health 4 - Mental health systems in countries: where are we now?en