The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
Service availability and utilization and treatment gap for schizophrenic disorders: a survey in 50 low- and middle-income countries
Open accessAbstract
OBJECTIVE: To outline mental health service accessibility, estimate the treatment gap and describe service utilization for people with schizophrenic disorders in 50 low- and middle-income countries. METHODS: The World Health Organization Assessment Instrument for Mental Health Systems was used to assess the accessibility of mental health services for schizophrenic disorders and their utilization. The treatment gap measurement was based on the number of cases treated per 100,000 persons with schizophrenic disorders, and it was compared with subregional estimates based on the Global burden of disease 2004 update report. Multivariate analysis using backward step-wise regression was performed to assess predictors of accessibility, treatment gap and service utilization. FINDINGS: The median annual rate of treatment for schizophrenic disorders in mental health services was 128 cases per 100,000 population. The median treatment gap was 69% and was higher in participating low-income countries (89%) than in lower-middle-income and upper-middle-income countries (69% and 63%, respectively). Of the people with schizophrenic disorders, 80% were treated in outpatient facilities. The availability of psychiatrists and nurses in mental health facilities was found to be a significant predictor of service accessibility and treatment gap. CONCLUSION: The treatment gap for schizophrenic disorders in the 50 low- and middle-income countries in this study is disconcertingly large and outpatient facilities bear the major burden of care. The significant predictors found suggest an avenue for improving care in these countries.
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Cites
A Systematic Review of the Prevalence of Schizophrenia
Saha, S., Chant, D., Welham, J., & McGrath, J. (2005) · PLoS Medicine · doi:10.1371/journal.pmed.0020141 · Cited by 2,168
Cited by
Charlson, F. J., Ferrari, A. J., Santomauro, D. F., Diminic, S., Stockings, E., Scott, J. G., McGrath, J. J., & Whiteford, H. A. (2018) · Schizophrenia Bulletin · doi:10.1093/schbul/sby058 · Cited by 1,647
Challenges and opportunities in global mental health: a research-to-practice perspective
Wainberg, M. L., Scorza, P., Shultz, J. M., Helpman, L., Mootz, J. J., Johnson, K. A., Neria, Y., Bradford, J.-M. E., Oquendo, M. A., & Arbuckle, M. R. (2017) · Current Psychiatry Reports · doi:10.1007/s11920-017-0780-z · Cited by 875
Comprehensive mental health action plan 2013–2020
Saxena, S., Funk, M. K., & Chisholm, D. (2015) · Eastern Mediterranean Health Journal · doi:10.26719/2015.21.7.461 · Cited by 834
Self-citationSowing the seeds of doubt: a narrative review on metacognitive training in schizophrenia
Moritz, S., Andreou, C., Schneider, B. C., Wittekind, C. E., Menon, M., Balzan, R. P., & Woodward, T. S. (2014) · Clinical Psychology Review · doi:10.1016/j.cpr.2014.04.004 · Cited by 325
Treatment gap and barriers for mental health care: a cross-sectional community survey in Nepal
Luitel, N. P., Jordans, M. J. D., Kohrt, B. A., Rathod, S. D., & Komproe, I. H. (2017) · PLOS ONE · doi:10.1371/journal.pone.0183223 · Cited by 165
Metadata
- Authors
- Lora, A., Kohn, R., Levav, I., McBain, R., Morris, J., & Saxena, S.
- Venue
- Bulletin of the World Health Organization
- Publisher
- WHO Press
- Published
- 2011-10-31
- Volume
- 90
- Issue
- 1
- Pages
- 47-54B
- ISSN
- 0042-9686 (ISSN-L)
- OpenAlex
- W2143443548
- Cited by
- 212
- References
- 1
- FWCI
- 10.12
- Type
- journal article
- Language
- en
- Open access
- diamond
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- Lora, A., Kohn, R., Levav, I., McBain, R., Morris, J., & Saxena, S. (2012). Service availability and utilization and treatment gap for schizophrenic disorders: a survey in 50 low- and middle-income countries. Bulletin of the World Health Organization. https://doi.org/10.2471/blt.11.089284
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