Cited by 258Mental Health Treatment and AccessHealth Systems, Economic Evaluations, Quality of LifePsychiatric care and mental health services

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The global burden of mental disorders.

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Ustün, T B·1999·American Journal of Public Health

DOI 10.2105/ajph.89.9.1315PMC PMC1508755

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Abstract

Recent data on the burden of mental disorders worldwide demonstrates a major public health problem that affects patients, society, and nations as a whole. Research must be done to find effective ways to deal with the increasing burden of mental disorders. Given the growing evidence that mental disorders are disorders of the brain and that they can be treated effectively with both psychosocial counseling and psychotropic medications, intervention packages could be developed to deal with the increasing burden. Such packages should be tested for real-world effectiveness and their cost-effectiveness should be demonstrated to guide policymakers to choose from among many other non-mental health interventions. The transportability and sustainability of intervention packages should be studied in public health research and a link between efficacy, effectiveness, cost-effectiveness, generalizability, and sustainability should be demonstrated. The World Health Organization's initiative on the World Mental Health 2000 Survey will provide the first basic epidemiologic data. Together with other data, the initiative will provide solid evidence for including mental disorders into essential treatment packages. In this way, parity can be achieved for mental disorders and mental health can be mainstreamed into health and public health practice.

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Authors: Ustün, T. B.
Venue: American Journal of Public Health
Publisher: American Public Health Association
Published: 1999-09
Volume: 89
Issue: 9
Pages: 1315-1318
ISSN: 0090-0036 (ISSN-L)
1541-0048
DOI: 10.2105/ajph.89.9.1315
PMC: PMC1508755
OpenAlex: W2099673838
Cited by: 258
References: 20
Citations by year: 2026: 2 · 2025: 5 · 2024: 9 · 2023: 7 · 2022: 6 · 2021: 5 · 2020: 4 · 2019: 4 · 2018: 4 · 2017: 40 · 2016: 6 · 2015: 4 · 2014: 7 · 2013: 18 · 2012: 10
FWCI: 17.46
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: American Journal of Public Health (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords: mental illness, global burden of disease, psychiatric epidemiology, World Mental Health Surveys, psychotropic drugs, psychosocial counseling, intervention package, cost-effectiveness, intervention sustainability, mental health policy
MeSH terms: Mental Disorders, Cost-Benefit Analysis, Forecasting, Persons with Disabilities, Humans, Morbidity, Public Health, Research, Global Health, World Health Organization, Causality, Cost of Illness, Quality-Adjusted Life Years, Needs Assessment

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