Informing mental health policies and services in the EMR: cost-effective deployment of human resources to deliver integrated community-based care.
Ivbijaro, G;
Patel, V;
Chisholm, D;
Goldberg, D;
Khoja, TAM;
Edwards, TM;
Enum, Y;
Kolkiewic, LA;
(2015)
Informing mental health policies and services in the EMR: cost-effective deployment of human resources to deliver integrated community-based care.
Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit, 21 (7).
pp. 486-492.
ISSN 1020-3397
DOI: https://doi.org/10.26719/2015.21.7.486
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For EMR countries to deliver the expectations of the Global Mental Health Action Plan 2013-2020 & the ongoing move towards universal health coverage, all health & social care providers need to innovate and transform their services to provide evidence-based health care that is accessible, cost-effective & with the best patient outcomes. For the primary and community workforce, this includes general medical practitioners, practice & community nurses, community social workers, housing officers, lay health workers, nongovernmental organizations & civil society, including community spiritual leaders/healers. This paper brings together the current best evidence to support transformation & discusses key approaches to achieve this, including skill mix and/or task shifting and integrated care. The important factors that need to be in place to support skill mix/task shifting and good integrated care are outlined with reference to EMR countries.