Cited by 875Mental Health Treatment and AccessPsychiatric care and mental health servicesHealth Policy Implementation Science

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Challenges and Opportunities in Global Mental Health: a Research-to-Practice Perspective

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Wainberg, Milton L., Scorza, Pamela, Shultz, James M., Helpman, Liat, Mootz, Jennifer J., Johnson, Karen A., Neria, Yuval, Bradford, Jean-Marie E., Oquendo, Maria A., Arbuckle, Melissa R.·2017·Current Psychiatry Reports

DOI 10.1007/s11920-017-0780-zPMC PMC5553319

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Abstract

Purpose of review Globally, the majority of those who need mental health care worldwide lack access to high-quality mental health services. Stigma, human resource shortages, fragmented service delivery models, and lack of research capacity for implementation and policy change contribute to the current mental health treatment gap. In this review, we describe how health systems in low- and middle-income countries (LMICs) are addressing the mental health gap and further identify challenges and priority areas for future research.Recent findings Common mental disorders are responsible for the largest proportion of the global burden of disease; yet, there is sound evidence that these disorders, as well as severe mental disorders, can be successfully treated using evidence-based interventions delivered by trained lay health workers in low-resource community or primary care settings. Stigma is a barrier to service uptake. Prevention, though necessary to address the mental health gap, has not solidified as a research or programmatic focus. Research-to-practice implementation studies are required to inform policies and scale-up services. Four priority areas are identified for focused attention to diminish the mental health treatment gap and to improve access to high-quality mental health services globally: diminishing pervasive stigma, building mental health system treatment and research capacity, implementing prevention programs to decrease the incidence of mental disorders, and establishing sustainable scale up of public health systems to improve access to mental health treatment using evidence-based interventions.

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Authors: Wainberg, M. L., Scorza, P., Shultz, J. M., Helpman, L., Mootz, J. J., Johnson, K. A., Neria, Y., Bradford, J.-M. E., Oquendo, M. A., & Arbuckle, M. R.
Affiliations: Columbia University Irving Medical Center (US)
University of Miami (US)
Corresponding author: Wainberg, Milton L.
ORCID: Wainberg, Milton L.
Scorza, Pamela
Shultz, James M.
Helpman, Liat
Mootz, Jennifer J.
Johnson, Karen A.
Neria, Yuval
Arbuckle, Melissa R.
Venue: Current Psychiatry Reports
Publisher: Springer Science and Business Media LLC
Published: 2017-04-19
Volume: 19
Issue: 5
Pages: 28-28
ISSN: 1523-3812 (ISSN-L)
1535-1645
DOI: 10.1007/s11920-017-0780-z
PMC: PMC5553319
OpenAlex: W2606586703
Cited by: 875
References: 105
Citations by year: 2026: 117 · 2025: 179 · 2024: 148 · 2023: 138 · 2022: 111 · 2021: 71 · 2020: 73 · 2019: 24 · 2018: 11 · 2017: 1
FWCI: 4.69
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (unspecified)
Locations: Current Psychiatry Reports (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (T32MH096724)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Keywords: global mental health, mental health treatment gap, access to mental health care, mental health stigma, common mental disorders, severe mental illness, lay health workers, community mental health services, primary care, mental health prevention, implementation research, research capacity building, low- and middle-income countries, mental health policy
MeSH terms: Mental Disorders, Health Personnel, Humans, Mental Health, Mental Health Services, Public Health, Global Health

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Challenges and Opportunities in Global Mental Health: a Research-to-Practice Perspective

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