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Community mental health care worldwide: current status and further developments
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This paper aims to give an overview of the key issues facing those who are in a position to influence the planning and provision of mental health systems, and who need to address questions of which staff, services and sectors to invest in, and for which patients. The paper considers in turn: a) definitions of community mental health care; b) a conceptual framework to use when evaluating the need for hospital and community mental health care; c) the potential for wider platforms, outside the health service, for mental health improvement, including schools and the workplace; d) data on how far community mental health services have been developed across different regions of the world; e) the need to develop in more detail models of community mental health services for low‐ and middle‐income countries which are directly based upon evidence for those countries; f) how to incorporate mental health practice within integrated models to identify and treat people with comorbid long‐term conditions; g) possible adverse effects of deinstitutionalization. We then present a series of ten recommendations for the future strengthening of health systems to support and treat people with mental illness.
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“Alignment of these provider characteristics with the community in which they work can improve the acceptability of task-sharing interventions [28, 89, 90].”
From Barriers and facilitators to implementation of evidence-based task-sharing mental health interventions in low- and middle-income countries: a systematic review using implementation science frameworks (2022) · cites this paper as [90]
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Self-citationMental health care systems in Latin America and the Caribbean
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Metadata
- Authors
- Thornicroft, G., Deb, T., & Henderson, C.
- Affiliations
- King's College London (GB)
- Venue
- World Psychiatry
- Publisher
- Wiley
- Published
- 2016-09-22
- Volume
- 15
- Issue
- 3
- Pages
- 276-286
- ISSN
- 1723-8617 (ISSN-L)
- 2051-5545
- PMC
- PMC5032514
- OpenAlex
- W2523056141
- Cited by
- 374
- References
- 149
- Citations by year
- 2026: 39 · 2025: 29 · 2024: 40 · 2023: 48 · 2022: 42 · 2021: 76 · 2020: 44 · 2019: 29 · 2018: 14 · 2017: 12 · 2016: 1
- FWCI
- 24.99
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- World Psychiatry (publishedVersion, other-oa)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- National Institute for Health Research
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
- Keywords
- community mental health services, mental health system, mental health service planning, school mental health, workplace mental health, low- and middle-income countries, integrated care model, deinstitutionalization, mental illness, health system strengthening
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