Carers of those with mental health problems are said to carry the main burden of care, but exactly what this 'burden' constitutes varies from culture to culture and over time with changes to mental health legislation and services (Awad & Voruganti, 2008). The burden may be economic, physical or psychological, but it is invariably emotional. Evidence of the care-giving burden of carers from less developed countries tend to emphasize a lack of resources (

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