Strengthening mental health systems in low- and middle-income countries: the Emerald programme.
Journal: BMC medicine
Volume: 13
Issue:
Year of Publication: 2015
Affiliated Institutions:
King's College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, London, SE AF, UK. maya.semrau@kcl.ac.uk.
King's College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, London, SE AF, UK. sara.evans-lacko@kcl.ac.uk.
Addis Ababa University, College of Health Sciences, School of Medicine, Department of Psychiatry, th Floor, College of Health Sciences Building, Tikur Anbessa Hospital, PO , Addis Ababa, Ethiopia. atalay.alem@gmail.com.
Department of Psychiatry, Universidad Autonoma de Madrid, IIS-IP, CIBER, Calle Arzobispo Morcillo , , Madrid, Spain. joseluis.ayuso@uam.es.
Department of Mental Health and Substance Abuse, World Health Organization, Avenue Appia , , Geneva , Switzerland. chisholmd@who.int.
Department of Psychiatry, College of Medicine, University of Ibadan, University College Hospital, Oritamefa, PMB , Ibadan, Nigeria. oye_gureje@yahoo.com.
King's College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, London, SE AF, UK. charlotte.hanlon@kcl.ac.uk.
King's College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, London, SE AF, UK. mark.jordans@hntpo.org.
Butabika National Referral and Teaching Mental Hospital, PO Box , Kampala, Uganda. fredkigozi@yahoo.com.
King's College London, Faculty of Life Sciences and Medicine, Academic Rheumatology, Clinical Trials Group, Weston Education Centre, , Cutcombe Rd., London, SE RJ, UK. heidi.lempp@kcl.ac.uk.
Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Sawkins Road, Rondebosch, , Cape Town, South Africa. crick.lund@uct.ac.za.
School of Applied Human Sciences, University of KwaZulu-Natal, Mazisi Kunene Avenue, , Durban, South Africa. peterseni@ukzn.ac.za.
Center for Chronic Conditions and Injuries, Public Health Foundation of India, Plot No. , Sector , Institutional Area Gurgaon, Delhi, NCR, , India. rahul.shidhaye@phfi.org.
King's College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, London, SE AF, UK. graham.thornicroft@kcl.ac.uk.
Abstract summary
There is a large treatment gap for mental health care in low- and middle-income countries (LMICs), with the majority of people with mental, neurological, and substance use (MNS) disorders receiving no or inadequate care. Health system factors are known to play a crucial role in determining the coverage and effectiveness of health service interventions, but the study of mental health systems in LMICs has been neglected. The 'Emerging mental health systems in LMICs' (Emerald) programme aims to improve outcomes of people with MNS disorders in six LMICs (Ethiopia, India, Nepal, Nigeria, South Africa, and Uganda) by generating evidence and capacity to enhance health system performance in delivering mental health care. A mixed-methods approach is being applied to generate evidence on: adequate, fair, and sustainable resourcing for mental health (health system inputs); integrated provision of mental health services (health system processes); and improved coverage and goal attainment in mental health (health system outputs). Emerald has a strong focus on capacity-building of researchers, policymakers, and planners, and on increasing service user and caregiver involvement to support mental health systems strengthening. Emerald also addresses stigma and discrimination as one of the key barriers for access to and successful delivery of mental health services.
Authors & Co-authors:
Semrau Maya M
Evans-Lacko Sara S
Alem Atalay A
Ayuso-Mateos Jose Luis JL
Chisholm Dan D
Gureje Oye O
Hanlon Charlotte C
Jordans Mark M
Kigozi Fred F
Lempp Heidi H
Lund Crick C
Petersen Inge I
Shidhaye Rahul R
Thornicroft Graham G
Study Outcome
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