Human resources for mental health care: current situation and strategies for action.


Kakuma, R; Minas, H; van Ginneken, N; Dal Poz, MR; Desiraju, K; Morris, JE; Saxena, S; Scheffler, RM; (2011) Human resources for mental health care: current situation and strategies for action. Lancet, 378 (9803). pp. 1654-63. ISSN 0140-6736 DOI: https://doi.org/10.1016/S0140-6736(11)61093-3

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Abstract

: A challenge faced by many countries is to provide adequate human resources for delivery of essential mental health interventions. The overwhelming worldwide shortage of human resources for mental health, particularly in low-income and middle-income countries, is well established. Here, we review the current state of human resources for mental health, needs, and strategies for action. At present, human resources for mental health in countries of low and middle income show a serious shortfall that is likely to grow unless effective steps are taken. Evidence suggests that mental health care can be delivered effectively in primary health-care settings, through community-based programmes and task-shifting approaches. Non-specialist health professionals, lay workers, affected individuals, and caregivers with brief training and appropriate supervision by mental health specialists are able to detect, diagnose, treat, and monitor individuals with mental disorders and reduce caregiver burden. We also discuss scale-up costs, human resources management, and leadership for mental health, particularly within the context of low-income and middle-income countries.

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Global Health and Development
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Nutrition and Public Health Interventions Research (2003-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
PubMed ID: 22008420
Web of Science ID: 296768300031
URI: http://researchonline.lshtm.ac.uk/id/eprint/24094

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