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 accessAbstract
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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“Task shifting to using CHWs to deliver interventions primarily delivered by behaviorists can be seen as an important aspect of delivering more accessible, efficient, cost-effective services 29,30 .”
From Addressing Behavioral Health Disparities for Somali Immigrants Through Group Cognitive Behavioral Therapy Led by Community Health Workers (2017) · cites this paper as [30]
Experimental — accuracy not yet measuredIn the citing paper
“the strategy of task shifting/sharing has been implemented, in which nonmedical health workers deliver most, if not all, of the treatment for mental disorders (5, 6).”
From Internet-Based Interventions for the Prevention and Treatment of Mental Disorders in Latin America: A Scoping Review (2019) · cites this paper as [6]
In the citing paper
“The lack of specialized human resources is a critical issue in delivering mental health care in LMIC (5, 6).”
From Internet-Based Interventions for the Prevention and Treatment of Mental Disorders in Latin America: A Scoping Review (2019) · cites this paper as [6]
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Citations
Cites
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 .”
BackgroundWang, 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
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…”
BackgroundBolton, 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
Research works printed but not linked: 2
- 2005, Mental Health Atlas 2005
- 2007, Task Shifting: Global Recommendations and Guidelines
Cited by
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
Metadata
- 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
- 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
- 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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