Cited by 139Mental Health Treatment and AccessMigration, Health and TraumaGlobal Health and Surgery

Global research challenges and opportunities for mental health and substance-use disorders

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Baingana, Florence, al'Absi, Mustafa, Becker, Anne E., Pringle, Beverly·2015·Nature

Abstract

The research agenda for global mental health and substance-use disorders has been largely driven by the exigencies of high health burdens and associated unmet needs in low- and middle-income countries. Implementation research focused on context-driven adaptation and innovation in service delivery has begun to yield promising results that are improving the quality of, and access to, care in low-resource settings. Importantly, these efforts have also resulted in the development and augmentation of local, in-country research capacities. Given the complex interplay between mental health and substance-use disorders, medical conditions, and biological and social vulnerabilities, a revitalized research agenda must encompass both local variation and global commonalities in the impact of adversities, multi-morbidities and their consequences across the life course. We recommend priorities for research — as well as guiding principles for context-driven, intersectoral, integrative approaches — that will advance knowledge and answer the most pressing local and global mental health questions and needs, while also promoting a health equity agenda and extending the quality, reach and impact of scientific enquiry. This article has not been written or reviewed by Nature editors. Nature accepts no responsibility for the accuracy of the information provided.

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  • The lack of valid and pragmatic assessments for implementation-related factors and outcomes has been noted in the health services and implementation science literature and echoed by researchers across health-related interventions.

    “Furthermore, the lack of valid and pragmatic assessments for implementation-related factors and outcomes has been noted in the health services and implementation science literature [110, 111] and has been echoed by researchers across health-related interventions [112].”

    From Barriers and facilitators to implementation of evidence-based task-sharing mental health interventions in low- and middle-income countries: a systematic review using implementation science frameworks (2022) · cites this paper as [110]

    The Health Delivery and Implementation Research section identifies gaps in knowledge about implementing mental-health interventions and calls for better diagnostic assessment and population surveillance. It does not say that valid, pragmatic assessments of implementation-related factors or outcomes are lacking; searches for that claim and for implementation measures found no supporting passage. (LLM, conf=0.73)

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  • There is widespread consensus that integrating mental health services into primary and community healthcare settings and task-sharing are essential for addressing the global treatment gap.

    “There is widespread consensus that integrating mental health services into primary and community healthcare settings and task-sharing are essential for addressing the global treatment gap.7,8”

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Research works printed but not linked: 2

  1. [1]Becker AE A. Kleinman. In Psychiatry: Past. Present, and Prospect (eds Bloch S. Green S & Holmes J) (Oxford Univ. Press 2013).
  2. [45]World Health Organization. WHO mhGAP Intervention Guide for Mental. Neurological, and Substance use Disorders in Non-Specialized Health Settings http://www.who.int/mental_health/publications/mhGAP_intervention_guide/en/index.html(WHO 2010) 23741783

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Authors
Baingana, F., al'Absi, M., Becker, A. E., & Pringle, B.
Affiliations
  • Makerere University (UG)
  • Harvard University (US)
  • National Institute of Mental Health (US)
Corresponding author
Baingana, Florence
Venue
Nature
Published
2015-11-18
Volume
527
Issue
7578
Pages
S172-S177
ISSN
  • 0028-0836 (ISSN-L)
  • 1476-4687
OpenAlex
W2176845058
Cited by
138
References
66
Citations by year
2026: 11 · 2025: 11 · 2024: 15 · 2023: 17 · 2022: 14 · 2021: 8 · 2020: 14 · 2019: 15 · 2018: 12 · 2017: 12 · 2016: 7 · 2015: 1 · 2014: 1
FWCI
1.66
Type
journal article
Language
en
Open access
Locations
  • Nature (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion, cc-by)
  • PubMed Central (acceptedVersion, cc-by)
  • RePEc: Research Papers in Economics (submittedVersion)
Funders
  • Grand Challenges Canada
  • National Institute of Mental Health
  • National Institute on Drug Abuse (R21DA024626, R01DA016351, R01DA027232)
  • Fogarty International Center
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
Keywords
global mental health, substance use disorders, low- and middle-income countries, implementation research, service delivery adaptation, research capacity building, multimorbidity, life course, health equity, multisectoral approach, integrative care, access to mental health care
MeSH terms
Delivery of Health Care, Humans, Mental Health, Substance-Related Disorders, Biomedical Research, Internationality

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