Scaling up services for mental and neurological disorders in low-resource settings
Open accessAbstract
Mental and neurological disorders (MNDs) account for a large, and growing, burden of disease in low- and middle-income countries. Most people do not have access to even basic health care for these disorders. Recent evidence shows that task-shifting to non-specialist community health workers is a feasible and effective strategy for delivery of efficacious treatments for specific MND in low-resource settings. New global initiatives, such as the WHO's mental health Gap Action Program, are utilizing this evidence to devise packages of care for specific MNDs. This paper describes a plan that seeks to integrate the evidence on the treatment of specific MNDs, based on a task-shifting paradigm, for scaling up services for MNDs at the level of a defined population. The plan was developed by a state government in India in collaboration with technical partners, as a model District Mental Health Program for India's National Mental Health Program.
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Task shifting could enhance mental health care in rural and other underserved areas of both low- and high-income nations.
“task shifting has the potential to improve mental health care in rural or otherwise underserved settings in low and high income countries.8,9”
From Task-sharing approaches to improve mental health care in rural and other low-resource settings: a systematic review (2018) · cites this paper as [8]
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References 21 · Cited by 74
Research works printed but not linked: 3
- [5]Patel V, Kleinman A, Saraceno B. Protecting the human rights of people with mental disorders: a call to action for global mental health. In: Dudley M, Silove D, Gale F editors. Mental health & human rights. Oxford: Oxford University Press; Forthcoming.
- [9]WHO. Mental Health Gap Action Program (mhGAP): scaling up care for mental, neurological and substance abuse disorders. Geneva: World Health Organization; 2008. 26290926
- [22]Thornicroft G. Shunned 2006 Oxford University Press Oxford
- Authors
- Patel, V., Goel, D. S., & Desai, R.
- Affiliations
- London School of Hygiene & Tropical Medicine (GB)
- Southland Hospital (NZ)
- Corresponding author
- Patel, Vikram
- ORCID
- Patel, Vikram
- Venue
- International Health
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-09
- Volume
- 1
- Issue
- 1
- Pages
- 37-44
- ISSN
- 1876-3405 (ISSN-L)
- 1876-3413
- PMC
- PMC3081098
- OpenAlex
- W2148356669
- Cited by
- 74
- References
- 21
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 4 · 2023: 3 · 2022: 5 · 2021: 7 · 2020: 11 · 2019: 3 · 2018: 4 · 2017: 8 · 2016: 5 · 2015: 4 · 2014: 4 · 2013: 3 · 2012: 1
- FWCI
- 2.61
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- cc-by
- Locations
- International Health (publishedVersion)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- Greater South Information System
- Funders
- Wellcome Trust
- Ministry of Health and Family Welfare
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › Emergency Medical Services › Global Health Workforce Issues
- Keywords
- task shifting, community health workers, scaling up mental health services, resource-limited settings, Mental Health Gap Action Programme, National Mental Health Programme, India, mental health service delivery
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