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

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Patel, V.·2009·Psychological Medicine

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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.

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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

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