Cited by 223Mental Health Treatment and AccessGlobal Health Workforce IssuesGlobal Health and Surgery

The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.

The future of psychiatry in low- and middle-income countries

Open access

Patel, V.·2009·Psychological Medicine

Open this paper in CoChat — free account Open PDF

Abstract

The great shortage, and inequitable distribution, of psychiatrists in low- and middle-income countries is one of the key reasons for the large treatment gap for people with mental disorders. Psychiatrists need to play a public mental health leadership role in increasing the coverage of mental health care through task shifting of effective interventions to non-specialist health workers. Psychiatrists' new roles should include designing and managing such programmes, building clinical capacity, supervision and quality assurance, providing referral pathways and research.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Integrity signals

Registry

Crossref · 10.1017/s0033291709005224

Cites

19 of 19 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Resources for mental health: scarcity, inequity, and inefficiency
Saxena, S., Thornicroft, G., Knapp, M., & Whiteford, H. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61239-2 · Cited by 1,789 · cited 1×
“The great scarcity of psychiatrists in most countries of the world and the inequity in the global distribution of these specialists has been vividly illustrated by recent reports on mental health resources (WHO, 2005; Saxena et al .”
Background
Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys
Wang, P. S., Aguilar-Gaxiola, S., Alonso, J., Angermeyer, M. C., Borges, G., Bromet, E. J., Bruffaerts, R., de Girolamo, G., de Graaf, R., Gureje, O., et al. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61414-7 · Cited by 1,655
Treatment gap in mental health care.
Abramowitz, M. Z., Greenberg, D., & Levav, I. (2008) · PubMed · Cited by 1,483
The treatment gap in mental health care.
(2004) · Europe PMC (PubMed Central) · Cited by 1,419
Barriers to improvement of mental health services in low-income and middle-income countries
Saraceno, B., van Ommeren, M., Batniji, R., Cohen, A., Gureje, O., Mahoney, J., Sridhar, D., & Underhill, C. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61263-x · Cited by 1,088
Cognitive behaviour therapy-based intervention by community health workers for mothers with depression and their infants in rural Pakistan: a cluster-randomised controlled trial
Rahman, A., Malik, A., Sikander, S., Roberts, C., & Creed, F. (2008) · The Lancet · doi:10.1016/s0140-6736(08)61400-2 · Cited by 993
Scale up services for mental disorders: a call for action
(2007) · The Lancet · doi:10.1016/s0140-6736(07)61242-2 · Cited by 835
The Metrics of the Physician Brain Drain
Mullan, F. (2005) · New England Journal of Medicine · doi:10.1056/nejmsa050004 · Cited by 758
Group Interpersonal Psychotherapy for Depression in Rural Uganda: A Randomized Controlled Trial
Bolton, P., Bass, J., Neugebauer, R., Verdeli, H., Clougherty, K. F., Wickramaratne, P., Speelman, L., Ndogoni, L., & Weissman, M. (2003) · JAMA · doi:10.1001/jama.289.23.3117 · Cited by 655 · cited 1×
“…can be trained to deliver psychological and psychosocial interventions for people with depressive and anxiety disorders, schizophrenia and dementia (Bolton et al. 2003, 2007 ; Chatterjee et al. 2003 ; Ran et al. 2003 ; Dias et al. 2008; Rahman et al. 2008) in a diverse range of low- and…”
Background
Interventions for Depression Symptoms Among Adolescent Survivors of War and Displacement in Northern Uganda: A Randomized Controlled Trial
Bolton, P., Bass, J., Betancourt, T., Speelman, L., Onyango, G., Clougherty, K. F., Neugebauer, R., Murray, L., & Verdeli, H. (2007) · JAMA · doi:10.1001/jama.298.5.519 · Cited by 589

Show all 19 references

Research works printed but not linked: 2

2005, Mental Health Atlas 2005
2007, Task Shifting: Global Recommendations and Guidelines

Sorted by citations

Human resources for mental health care: current situation and strategies for action
Kakuma, R., Minas, H., van Ginneken, N., Dal Poz, M. R., Desiraju, K., Morris, J. E., Saxena, S., & Scheffler, R. M. (2011) · The Lancet · doi:10.1016/s0140-6736(11)61093-3 · Cited by 979
Scale up of services for mental health in low-income and middle-income countries
Eaton, J., McCay, L., Semrau, M., Chatterjee, S., Baingana, F., Araya, R., Ntulo, C., Thornicroft, G., & Saxena, S. (2011) · The Lancet · doi:10.1016/s0140-6736(11)60891-x · Cited by 698
Health workforce skill mix and task shifting in low income countries: a review of recent evidence
Fulton, B. D., Scheffler, R. M., Sparkes, S. P., Auh, E. Y., Vujicic, M., & Soucat, A. L. B. (2011) · Human Resources for Health · doi:10.1186/1478-4491-9-1 · Cited by 566
User‐centered design for psychosocial intervention development and implementation.
Lyon, A. R., & Koerner, K. (2016) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12154 · Cited by 478
The mental health workforce gap in low- and middle-income countries: a needs-based approach
Bruckner, T. A., Scheffler, R. M., Shen, G., Yoon, J., Chisholm, D., Morris, J., Fulton, B. D., Dal Poz, M. R., & Saxena, S. (2011) · Bulletin of the World Health Organization · doi:10.2471/blt.10.082784 · Cited by 433
Reducing the treatment gap for mental disorders: a WPA survey
PATEL, V., MAJ, M., FLISHER, A. J., DE SILVA, M. J., KOSCHORKE, M., PRINCE, M., WPA Zonal and Member Society Representatives, Tempier, R., Riba, M., Sanchez, M., et al. (2010) · World Psychiatry · doi:10.1002/j.2051-5545.2010.tb00305.x · Cited by 420
Self-citation
A Common Elements Treatment Approach for Adult Mental Health Problems in Low- and Middle-Income Countries
Murray, L. K., Dorsey, S., Haroz, E. E., Lee, C., Alsiary, M. M., Haydary, A., Weiss, W. M., & Bolton, P. A. (2013) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2013.06.005 · Cited by 404
Improving access to psychological treatments: lessons from developing countries
Patel, V., Chowdhary, N., Rahman, A., & Verdeli, H. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.06.012 · Cited by 394
“Put bluntly, relying on mental health professionals to deliver PTs will only address a tiny fraction of the treatment gap and task-shifting these interventions to more available and affordable members of the health workforce or community is widely acknowledged to be the only sustainable way of addressing this barrier…”
BackgroundSelf-citation
The WPA-Lancet psychiatry commission on the future of psychiatry
Bhugra, D., Tasman, A., Pathare, S., Priebe, S., Smith, S., Torous, J., Arbuckle, M. R., Langford, A., Alarcón, R. D., Chiu, H. F. K., et al. (2017) · The Lancet Psychiatry · doi:10.1016/s2215-0366(17)30333-4 · Cited by 392
Mental health interventions in schools in low-income and middle-income countries
Fazel, M. S., Patel, V., Thomas, S., & Tol, W. A. (2014) · The Lancet Psychiatry · doi:10.1016/s2215-0366(14)70357-8 · Cited by 401
Self-citation
Acceptability and feasibility of using non-specialist health workers to deliver mental health care: Stakeholder perceptions from the PRIME district sites in Ethiopia, India, Nepal, South Africa, and Uganda
Mendenhall, E., De Silva, M. J., Hanlon, C., Petersen, I., Shidhaye, R., Jordans, M., Luitel, N., Ssebunnya, J., Fekadu, A., Patel, V., et al. (2014) · Social Science & Medicine · doi:10.1016/j.socscimed.2014.07.057 · Cited by 355
Self-citation
Mental Health and the Global Agenda
Becker, A. E., & Kleinman, A. (2013) · New England Journal of Medicine · doi:10.1056/nejmra1110827 · Cited by 348
Building capacity in mental health interventions in low resource countries: an apprenticeship model for training local providers
Murray, L. K., Dorsey, S., Bolton, P., Jordans, M. J., Rahman, A., Bass, J., & Verdeli, H. (2011) · International Journal of Mental Health Systems · doi:10.1186/1752-4458-5-30 · Cited by 326
WPA guidance on steps, obstacles and mistakes to avoid in the implementation of community mental health care
Thornicroft, G., Alem, A., dos Santos, R. A., Barley, E. A., Drake, R. E., Gregório, G., Hanlon, C., Ito, H., Latimer, E. A., LAW, A., et al. (2010) · World Psychiatry · doi:10.1002/j.2051-5545.2010.tb00276.x · Cited by 289
Implementation Science in School Mental Health: Key Constructs in a Developing Research Agenda
Owens, J. S., Lyon, A. R., Brandt, N. E., Masia Warner, C., Nadeem, E., Spiel, C., & Wagner, M. (2014) · School Mental Health · doi:10.1007/s12310-013-9115-3 · Cited by 247
Packages of Care for Mental, Neurological, and Substance Use Disorders in Low- and Middle-Income Countries: PLoS Medicine Series
Patel, V., & Thornicroft, G. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000160 · Cited by 237
Self-citation
Cognitive–behavioral guided self-help for eating disorders: Effectiveness and scalability
Wilson, G. T., & Zandberg, L. J. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.03.001 · Cited by 232
Overview of the mental health system in Mozambique: Addressing the treatment gap with a task-shifting strategy in primary care
dos Santos, P. F., Wainberg, M. L., Caldas-de-Almeida, J. M., Saraceno, B., & Mari, J. D. J. (2016) · International Journal of Mental Health Systems · doi:10.1186/s13033-015-0032-8 · Cited by 216
Disruptive innovations for designing and diffusing evidence-based interventions
Rotheram-Borus, M. J., Swendeman, D., & Chorpita, B. F. (2012) · American Psychologist · doi:10.1037/a0028180 · Cited by 210
Mental health care in Nepal: current situation and challenges for development of a district mental health care plan
Luitel, N. P., Jordans, M. J. D., Adhikari, A., Upadhaya, N., Hanlon, C., Lund, C., & Komproe, I. H. (2015) · Conflict and Health · doi:10.1186/s13031-014-0030-5 · Cited by 233
Are psychiatrists an endangered species? Observations on internal and external challenges to the profession
Katschnig, H. (2010) · World Psychiatry · doi:10.1002/j.2051-5545.2010.tb00257.x · Cited by 191
Global Mental Health: From Science to Action
Patel, V. (2012) · Harvard Review of Psychiatry · doi:10.3109/10673229.2012.649108 · Cited by 183
Self-citation
The Friendship Bench programme: a cluster randomised controlled trial of a brief psychological intervention for common mental disorders delivered by lay health workers in Zimbabwe
Chibanda, D., Bowers, T., Verhey, R., Rusakaniko, S., Abas, M., Weiss, H. A., & Araya, R. (2015) · International Journal of Mental Health Systems · doi:10.1186/s13033-015-0013-y · Cited by 179
Outcomes and moderators of a preventive school‐based mental health intervention for children affected by war in Sri Lanka: a cluster randomized trial
TOL, W. A., KOMPROE, I. H., JORDANS, M. J. D., VALLIPURAM, A., SIPSMA, H., SIVAYOKAN, S., MACY, R. D., & DE JONG, J. T. (2012) · World Psychiatry · doi:10.1016/j.wpsyc.2012.05.008 · Cited by 176
Prevalence and socioeconomic impact of depressive disorders in India: multisite population-based cross-sectional study
Arvind, B. A., Gururaj, G., Loganathan, S., Amudhan, S., Varghese, M., Benegal, V., Rao, G. N., Kokane, A. M., Chavan, B. S., Dalal, P., et al. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-027250 · Cited by 188
A mental health training program for community health workers in India: impact on knowledge and attitudes
Armstrong, G., Kermode, M., Raja, S., Suja, S., Chandra, P. S., & Jorm, A. F. (2011) · International Journal of Mental Health Systems · doi:10.1186/1752-4458-5-17 · Cited by 168
Barriers and facilitators of mental health programmes in primary care in low-income and middle-income countries
Esponda, G. M., Hartman, S. J., Qureshi, O., Sadler, E., Cohen, A., & Kakuma, R. (2019) · The Lancet Psychiatry · doi:10.1016/s2215-0366(19)30125-7 · Cited by 176
An evaluation of trauma focused cognitive behavioral therapy for children in Zambia
Murray, L. K., Familiar, I., Skavenski, S. V. W., Jere, E., Cohen, J., Imasiku, M. L., Mayeya, J., Bass, J., & Bolton, P. A. (2013) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2013.04.017 · Cited by 167
Antenatal depression and adversity in urban South Africa
van Heyningen, T., Myer, L., Onah, M. N., Tomlinson, M., Field, S., & Honikman, S. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.05.052 · Cited by 150
Effect of psychosocial interventions on social functioning in depression and schizophrenia: meta-analysis
De Silva, M. J., Cooper, S., Li, H. L., Lund, C., & Patel, V. (2013) · British Journal of Psychiatry · doi:10.1192/bjp.bp.112.118018 · Cited by 125
Self-citation
Considering culture, context and community in mhGAP implementation and training: challenges and recommendations from the field
Faregh, N., Lencucha, R., Ventevogel, P., Dubale, B. W., & Kirmayer, L. J. (2019) · International Journal of Mental Health Systems · doi:10.1186/s13033-019-0312-9 · Cited by 120
Designing the Future of Children’s Mental Health Services
Lyon, A. R., Dopp, A. R., Brewer, S. K., Kientz, J. A., & Munson, S. A. (2020) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-020-01038-x · Cited by 120
Integration of mental health into primary healthcare in low-income countries: Avoiding medicalization
Ventevogel, P. (2014) · International Review of Psychiatry · doi:10.3109/09540261.2014.966067 · Cited by 105
Reducing mental health-related stigma in primary health care settings in low- and middle-income countries: a systematic review
Heim, E., Kohrt, B. A., Koschorke, M., Milenova, M., & Thornicroft, G. (2020) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796018000458 · Cited by 99
Autism: A Global Perspective
Hahler, E.-M., & Elsabbagh, M. (2014) · Current Developmental Disorders Reports · doi:10.1007/s40474-014-0033-3 · Cited by 106
Supervision of Task-Shared Mental Health Care in Low-Resource Settings: A Commentary on Programmatic Experience
Kemp, C. G., Petersen, I., Bhana, A., & Rao, D. (2019) · Global Health Science and Practice · doi:10.9745/ghsp-d-18-00337 · Cited by 99
Development of a scoring system for non-specialist ratings of clinical competence in global mental health: a qualitative process evaluation of the Enhancing Assessment of Common Therapeutic Factors (ENACT) scale
Kohrt, B. A., Ramaiya, M., Rai, S., Bhardwaj, A., & Jordans, M. J. D. (2015) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2015.21 · Cited by 92
Prevalence and correlates of probable common mental disorders in a population with high prevalence of HIV in Zimbabwe
Chibanda, D., Cowan, F. M., Gibson, L., Weiss, H. A., & Lund, C. (2016) · BMC Psychiatry · doi:10.1186/s12888-016-0764-2 · Cited by 92
Psychological interventions for Common Mental Disorders for People Living With HIV in Low‐ and Middle‐Income Countries: systematic review
Chibanda, D., Cowan, F. M., Healy, J. L., Abas, M., & Lund, C. (2015) · Tropical Medicine & International Health · doi:10.1111/tmi.12500 · Cited by 89
Internet-Based Interventions for the Prevention and Treatment of Mental Disorders in Latin America: A Scoping Review
Jiménez-Molina, Á., Franco, P., Martínez, V., Martínez, P., Rojas, G., & Araya, R. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00664 · Cited by 85
“Among these, the relative lack of studies showing effectiveness of Internetbased interventions for mental disorders in LMICs (15, 16).”
BackgroundInfluential
Developing a culturally sensitive mental health intervention for asylum seekers in the Netherlands: A pilot study
Slobodin, O., Ghane, S., & de Jong, J. T. V. M. (2018) · Intervention · doi:10.4103/intv.intv_2_18 · Cited by 86
The future of community psychiatry and community mental health services
Rosen, A., Gill, N. S., & Salvador‐Carulla, L. (2020) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000620 · Cited by 91
Mental health system in Saudi Arabia: an overview
Qureshi, N. A., Al-Habeeb, & Koenig, H. G. (2013) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s48782 · Cited by 79
Mental Health Response in Haiti in the Aftermath of the 2010 Earthquake: A Case Study for Building Long-Term Solutions
Raviola, G. J., Eustache, E., Oswald, C., & Belkin, G. S. (2012) · Harvard Review of Psychiatry · doi:10.3109/10673229.2012.652877 · Cited by 72
Advancing successful implementation of task-shifted mental health care in low-resource settings (BASIC): protocol for a stepped wedge cluster randomized trial
Dorsey, S., Gray, C. L., Wasonga, A. I., Amanya, C., Weiner, B. J., Belden, C. M., Martin, P., Meza, R. D., Weinhold, A., Soi, C., et al. (2020) · BMC Psychiatry · doi:10.1186/s12888-019-2364-4 · Cited by 71
Disseminating Evidence-Based Psychological Treatments for Eating Disorders
Cooper, Z., & Bailey-Straebler, S. (2015) · Current Psychiatry Reports · doi:10.1007/s11920-015-0551-7 · Cited by 71
A Cultural Adaptation of Dialectical Behavior Therapy in Nepal
Ramaiya, M., Fiorillo, D., Regmi, U., Robins, C. J., & Kohrt, B. A. (2017) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2016.12.005 · Cited by 69
Improving AIDS Care After Trauma (ImpACT): Pilot Outcomes of a Coping intervention Among HIV-Infected Women with Sexual Trauma in South Africa
Sikkema, K. J., Mulawa, M. I., Robertson, C., Watt, M. H., Ciya, N., Stein, D. J., Cherenack, E. M., Choi, K. W., Kombora, M., & Joska, J. A. (2017) · AIDS and Behavior · doi:10.1007/s10461-017-2013-1 · Cited by 63
Applying mobile technologies to mental health service delivery in South Asia
Aggarwal, N. K. (2012) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2011.12.009 · Cited by 60
Developing lay health worker policy in South Africa: a qualitative study
Daniels, K., Clarke, M., & Ringsberg, K. C. (2012) · Health Research Policy and Systems · doi:10.1186/1478-4505-10-8 · Cited by 57
Perception of healthcare workers on mobile app-based clinical guideline for the detection and treatment of mental health problems in primary care: a qualitative study in Nepal
Pokhrel, P., Karmacharya, R., Taylor Salisbury, T., Carswell, K., Kohrt, B. A., Jordans, M. J. D., Lempp, H., Thornicroft, G., & Luitel, N. P. (2021) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-021-01386-0 · Cited by 55
Number and characteristics of medical professionals working in Chinese mental health facilities.
Liu, C., Chen, L., Xie, B., Yan, J. H., Jin, T., & Wu, Z. (2013) · PubMed Central · doi:10.3969/j.issn.1002-0829.2013.05.003 · Cited by 55
Implementing Evidence-Based Mental Health Care in Low-Resource Settings: A Focus on Safety Planning Procedures
Murray, L. K., Skavenski, S. V. W., Bass, J., Wilcox, H. C., Bolton, P. A., Imasiku, M. L., & Mayeya, J. (2014) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.28.3.168 · Cited by 54
Work functioning of schizophrenia patients in a rural south Indian community: status at 4-year follow-up
Suresh, K. K., Kumar, C. N., Thirthalli, J., Bijjal, S., Venkatesh, B. K., Arunachala, U., Kishorekumar, K. V., Subbakrishna, D. K., & Gangadhar, B. N. (2012) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-012-0495-8 · Cited by 51
Knowledge and attitudes of doctors regarding the provision of mental health care in Doddaballapur Taluk, Bangalore Rural district, Karnataka
Cowan, J., Raja, S., Naik, A., & Armstrong, G. (2012) · International Journal of Mental Health Systems · doi:10.1186/1752-4458-6-21 · Cited by 49
Strengthening medical specialisation policy in low-income and middle-income countries
Sriram, V., & Bennett, S. (2020) · BMJ Global Health · doi:10.1136/bmjgh-2019-002053 · Cited by 49
A study of human resource competencies required to implement community rehabilitation in less resourced settings
Gilmore, B., MacLachlan, M., McVeigh, J., McClean, C., Carr, S. C., Duttine, A., Mannan, H., McAuliffe, É., Mji, G., Eide, A. H., et al. (2017) · Human Resources for Health · doi:10.1186/s12960-017-0240-1 · Cited by 51
Barriers to mental health service utilisation in Sudan - perspectives of carers and psychiatrists
Ali, S. H., & Agyapong, V. I. O. (2015) · BMC Health Services Research · doi:10.1186/s12913-016-1280-2 · Cited by 46
The Role of Health Systems Factors in Facilitating Access to Psychotropic Medicines: A Cross-Sectional Analysis of the WHO-AIMS in 63 Low- and Middle-Income Countries
McBain, R. K., Norton, D. J., Morris, J. E., Yasamy, M. T., & Betancourt, T. S. (2012) · PLoS Medicine · doi:10.1371/journal.pmed.1001166 · Cited by 45
Collaborative care in schools: enhancing integration and impact in youth mental health
Lyon, A. R., Whitaker, K. M., French, W. P., Richardson, L. P., Wasse, J. K., & McCauley, E. (2016) · Advances in School Mental Health Promotion · doi:10.1080/1754730x.2016.1215928 · Cited by 46
The availability of essential medicines for mental healthcare in Sofala, Mozambique
Wagenaar, B. H., Stergachis, A. S., Rao, D., Hoek, R., Cumbe, V., Napúa, M., & Sherr, K. (2015) · Global Health Action · doi:10.3402/gha.v8.27942 · Cited by 39
Global mental health: Global strengths and strategies
McInnis, M. G., & Merajver, S. D. (2011) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2011.06.002 · Cited by 39
Inverting the deficit model in global mental health: An examination of strengths and assets of community mental health care in Ghana, India, Occupied Palestinian territories, and South Africa
Mathias, K. R., Bunkley, N., Pillai, P., Ae-Ngibise, K. A., Kpobi, L. N. A., Taylor, D., Joag, K., Rawat, M., Hammoudeh, W., Mitwalli, S., et al. (2024) · PLOS Global Public Health · doi:10.1371/journal.pgph.0002575 · Cited by 38
Train‐the‐Trainer: Implementation of Cognitive Behavioural Guided Self‐Help for Recurrent Binge Eating in a Naturalistic Setting
Zandberg, L. J., & Wilson, G. T. (2012) · European Eating Disorders Review · doi:10.1002/erv.2210 · Cited by 39
Cognitive stimulation therapy as a low-resource intervention for dementia in sub-Saharan Africa (CST-SSA): Adaptation for rural Tanzania and Nigeria
Mkenda, S., Olakehinde, O. O., Mbowe, G. L., Siwoku, A. A., Kisoli, A., Paddick, S., Adediran, B., Gray, W. K., Dotchin, C. L., Adebiyi, A., et al. (2016) · Dementia · doi:10.1177/1471301216649272 · Cited by 43
The “First” Case of Cholera in Haiti: Lessons for Global Health
Ivers, L. C., & Walton, D. A. (2012) · American Journal of Tropical Medicine and Hygiene · doi:10.4269/ajtmh.2012.11-0435 · Cited by 38
Scaling up interventions for depression in sub-Saharan Africa: lessons from Zimbabwe
Chibanda, D., Verhey, R., Munetsi, E., Rusakaniko, S., Cowan, F., & Lund, C. (2016) · Global Mental Health · doi:10.1017/gmh.2016.8 · Cited by 36
Task-Shifting in Community Mental Health in Kerala: Tensions and Ruptures
Kottai, S. R., & Ranganathan, S. (2020) · Medical Anthropology · doi:10.1080/01459740.2020.1722122 · Cited by 37
A Model for Sustainable Development of Child Mental Health Infrastructure in the LMIC World: Vietnam as a Case Example
Weiss, B., Ngo, V. K., Dang, H., Pollack, A. A., Trung, L. T., Tran, C. V., Tran, N. T., Sang, D. L., & Khánh, Đ. N. (2012) · International Perspectives in Psychology · doi:10.1037/a0027316 · Cited by 35
Disease burden and mental health system capacity: WHO Atlas study of 117 low- and middle-income countries
McBain, R. K., Salhi, C., Morris, J. E., Salomon, J. A., & Betancourt, T. S. (2012) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.112.112318 · Cited by 34
A mental health training program for community health workers in India: impact on recognition of mental disorders, stigmatizing attitudes and confidence
Hofmann-Broussard, C., Armstrong, G., Boschen, M. J., & Somasundaram, K. V. (2016) · International Journal of Culture and Mental Health · doi:10.1080/17542863.2016.1259340 · Cited by 31
Workforce Support for Urban After‐School Programs: Turning Obstacles into Opportunities
Frazier, S. L., Chou, T., Ouellette, R. R., Helseth, S. A., Kashem, E. R., & Cromer, K. D. (2019) · American Journal of Community Psychology · doi:10.1002/ajcp.12328 · Cited by 35
Pushing the bench: A mixed methods study of barriers to and facilitators of identification and referral into depression care by professional nurses in KwaZulu-Natal, South Africa
Kemp, C. G., Mntambo, N., Weiner, B. J., Grant, M., Rao, D., Bhana, A., Gigaba, S. G., Luvuno, Z., Simoni, J. M., Hughes, J. P., et al. (2021) · SSM - Mental Health · doi:10.1016/j.ssmmh.2021.100009 · Cited by 32
The Vietnam Multicomponent Collaborative Care for Depression Program: Development of Depression Care for Low- and Middle-Income Nations
Ngo, V. K., Weiss, B., Lam, T., Dang, T., Nguyen, T. T., & Nguyen, M. H. (2014) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.28.3.156 · Cited by 29
The multiplier role of psychiatrists in low income settings
Kigozi, F. N., & Ssebunnya, J. (2014) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796014000080 · Cited by 27
Community Mental Health Care in the Future
Thornicroft, G., & Tansella, M. (2014) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000151 · Cited by 28
Improving adherence in mental health service users with severe mental illness in South Africa: a pilot randomized controlled trial of a treatment partner and text message intervention vs. treatment as usual
Sibeko, G., Temmingh, H., Mall, S., Williams-Ashman, P., Thornicroft, G., Susser, E. S., Lund, C., Stein, D. J., & Milligan, P. D. (2017) · BMC Research Notes · doi:10.1186/s13104-017-2915-z · Cited by 26
A Contextual Adaptation of the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders in Victims of the Armed Conflict in Colombia
Castro-Camacho, L., Rattner, M., Quant, D. M., González, L., Moreno-Villamizar, J. D., & Ametaj, A. (2018) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2018.08.002 · Cited by 30
Attitude toward psychiatrists and psychiatric medication: A survey from five metropolitan cities in India
Zieger, A., Mungee, A., Schomerus, G., Ta, T. M. T., Weyers, A. R., Böge, K., Dettling, M., Bajbouj, M., von Lersner, U., Angermeyer, M. C., et al. (2017) · Indian Journal of Psychiatry · doi:10.4103/psychiatry.indianjpsychiatry_190_17 · Cited by 26
Utilizing passive sensing data to provide personalized psychological care in low-resource settings
Byanjankar, P., Poudyal, A., Kohrt, B. A., Maharjan, S. M., Hagaman, A. K., & van Heerden, A. C. (2020) · Gates Open Research · doi:10.12688/gatesopenres.13117.1 · Cited by 24
Attitude of medical students towards psychiatry: the case of Jimma University, Southwest Ethiopia
Hailesilassie, H., Kerebih, H., Negash, A., Girma, E., Siebeck, M., & Tesfaye, M. (2017) · Ethiopian Journal of Health Sciences · doi:10.4314/ejhs.v27i3.2 · Cited by 24
Addressing Behavioral Health Disparities for Somali Immigrants Through Group Cognitive Behavioral Therapy Led by Community Health Workers
Pratt, R., Ahmed, N., Noor, S., Sharif, H., Raymond, N., & Williams, C. (2017) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-015-0338-2 · Cited by 23
Recruiting medical students into psychiatry in lower income countries
Nortje, G., & Seedat, S. (2013) · International Review of Psychiatry · doi:10.3109/09540261.2013.813838 · Cited by 23
Continuing Education to Go: Capacity Building in Psychotherapies for Front-Line Mental Health Workers in Underserviced Communities
Ravitz, P., Cooke, R. G., Mitchell, S., Reeves, S., Teshima, J., Lokuge, B., Lawson, A., McNaughton, N., Skinner, W., Cooper, C., et al. (2013) · The Canadian Journal of Psychiatry · doi:10.1177/070674371305800605 · Cited by 22
Telepsychiatry clinical decision support system used by non-psychiatrists in remote areas
Malhotra, S., Chakrabarti, S., Shah, R., Sharma, M., Sharma, K. P., Malhotra, A. M., Upadhyaya, S. K., Margoob, M. A., Maqbool, D., & Jassal, G. D. (2017) · The Indian Journal of Medical Research · doi:10.4103/ijmr.ijmr_757_15 · Cited by 23
Improving access to evidence‐based interventions for trauma‐exposed adults in low‐ and middle‐income countries
Kaminer, D., Booysen, D. D., Ellis, K., Kristensen, C. H., Patel, A., Robjant, K., & Sardana, S. M. (2024) · Journal of Traumatic Stress · doi:10.1002/jts.23031 · Cited by 22
Changes in attitudes toward psychiatry with introduction of a new curriculum: experiences of a Sri Lankan medical school
Rodrigo, A., Wijesinghe, C., & Kuruppuarachchi, K. A. L. A. (2012) · Sri Lanka Journal of Psychiatry · doi:10.4038/sljpsyc.v3i1.4454 · Cited by 22
Prison mental health in India: Review
Raghavan, V., & Rabiya, S. (2018) · Indian Journal of Social Psychiatry · doi:10.4103/ijsp.ijsp_9_18 · Cited by 22
Executive functions form a single construct and are associated with schooling: Evidence from three low- and middle- income countries
Wray, C., Kowalski, A. J., Mpondo, F., Ochaeta, L., Belleza, D., DiGirolamo, A. M., Waford, R., Richter, L., Lee, N., Scerif, G., et al. (2020) · PLoS ONE · doi:10.1371/journal.pone.0242936 · Cited by 25
Population trends and public awareness of healthy and pathological ageing in India: A brief overview
Loganathan, S., Iyengar, V., Chowdappa, S. V., & Varghese, M. (2017) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2017.04.012 · Cited by 21
Prevalence of mental health and suicide risk in prisons in low- and middle-income countries: a rapid review
Hill, K., Wainwright, V., Stevenson, C., Senior, J., Robinson, C., & Shaw, J. J. (2022) · Journal of Forensic Psychiatry and Psychology · doi:10.1080/14789949.2021.2016891 · Cited by 21
Integrating mental health in primary healthcare in low-income countries: changing the future for people with mental disorders
Sørensen, C. W., Bæk, O., Kallestrup, P., & Carlsson, J. M. (2016) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2016.1245784 · Cited by 22
Reorienting women's health in low- and middle-income countries: the case of depression and Type 2 diabetes
Mendenhall, E., & Weaver, L. J. (2014) · Global Health Action · doi:10.3402/gha.v7.22803 · Cited by 21
Factors associated with medical students’ choice of psychiatry as future specialty: a cross-sectional study
Kerebih, H., Salelew, E., & Hailesilassie, H. (2019) · Advances in Medical Education and Practice · doi:10.2147/amep.s210286 · Cited by 20
Nurses’ perceptions of mental healthcare in primary-care settings in Kenya
Mendenhall, E., Gitonga, I., Nelson, B., Musau, A., Koon, A. D., Smith, L., Mutiso, V., & Ndetei, D. M. (2016) · Global Public Health · doi:10.1080/17441692.2016.1207196 · Cited by 25
Recommendations from primary care providers for integrating mental health in a primary care system in rural Nepal
Acharya, B., Tenpa, J., Thapa, P., Gauchan, B., Citrin, D., & Ekstrand, M. L. (2016) · BMC Health Services Research · doi:10.1186/s12913-016-1768-9 · Cited by 16
A worldwide survey on training provisions for psychiatric trainees in WPA member associations
Ng, R., Hermans, M. H. M., Belfort, E., & Bhugra, D. (2019) · International Review of Psychiatry · doi:10.1080/09540261.2019.1648241 · Cited by 18
Palliative Psychiatry for Patients With Severe and Persistent Mental Illness: A Survey on the Attitudes of Psychiatrists in India Compared to Psychiatrists in Switzerland
Stoll, J., Mathew, A., Venkateswaran, C., Prabhakaran, A., Westermair, A. L., & Trachsel, M. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.858699 · Cited by 17
Building mental health workforce capacity through training and retention of psychiatrists in Zimbabwe
Abas, M., Nhiwatiwa, S. M., Mangezi, W. O., Jack, H. E., Piette, A., Cowan, F. M., Barley, E. A., Chingono, A., Iversen, A. C., & Chibanda, D. (2014) · International Review of Psychiatry · doi:10.3109/09540261.2014.924487 · Cited by 17
Innovative Educational Initiatives to Train Psychodynamic Psychiatrists in Underserved Areas of the World
Alfonso, C. A., Michael, M. C., Elvira, S. D., ZAKARIA, R. H., Kalayasiri, R., Adlan, A. S. A., Moinalghorabaei, M., Lukman, P. R., San’ati, M., Duchoňová, K., et al. (2018) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2018.01.010 · Cited by 16

Authors: Patel, V.
Affiliations: London School of Hygiene & Tropical Medicine (GB)
Corresponding author: Patel, V.
ORCID: Patel, V.
Venue: Psychological Medicine
Publisher: Cambridge University Press (CUP)
Published: 2009-02-12
Volume: 39
Issue: 11
Pages: 1759-1762
ISSN: 0033-2917 (ISSN-L)
1469-8978
DOI: 10.1017/s0033291709005224
OpenAlex: W2003210376
Cited by: 223
References: 19
Citations by year: 2026: 2 · 2025: 5 · 2024: 8 · 2023: 10 · 2022: 9 · 2021: 17 · 2020: 17 · 2019: 14 · 2018: 17 · 2017: 20 · 2016: 17 · 2015: 11 · 2014: 17 · 2013: 14 · 2012: 18
FWCI: 19.58
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.cambridge.org/core/terms (unspecified)
Locations: Psychological Medicine (publishedVersion)
PubMed (publishedVersion)
LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
Funders: Wellcome Trust
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health Workforce Issues
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
Keywords: psychiatry workforce, low- and middle-income countries, mental health treatment gap, task shifting, non-specialist health workers, public mental health, referral pathways, role of psychiatrists
MeSH terms: Workforce, Cross-Cultural Comparison, Developing Countries, Forecasting, United Kingdom, Health Services Accessibility, Health Services Needs and Demand, Humans, India, Leadership, Medically Underserved Area, Physician's Role, Psychiatry, Quality Assurance, Health Care, Healthcare Disparities

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

The future of psychiatry in low- and middle-income countries

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Self-check

Citations

Cites

Cited by

Related

Metadata

Record

About these checks