Challenges of building community mental health care

Murthy, R. Srinivasa; Kumar, Kishore

doi:10.1002/j.2051-5545.2008.tb00169.x

Cited by 9 publications

(8 citation statements)

References 3 publications

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“…In our recent review of the duration of untreated psychosis (DUP) in low and middle income (LAMI) countries, we employed exhaustive search strategies, but were only able to locate data from 18 of over 150 LAMI and only 3 of over 50 African countries 3. The low priority given to mental health in LAMI countries 4,8 and the widely accepted but controversial notion that schizophrenia carries a better prognosis in developing countries might have hindered the development of services for psychosis.…”

supporting

confidence: 78%

Early intervention in psychosis in developing coun‐tries: evidence and action

Farooq

Nielssen

2009

World Psychiatry

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supporting

confidence: 78%

Early intervention in psychosis in developing coun‐tries: evidence and action

Farooq

Nielssen

2009

World Psychiatry

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“…Chronic pain, for example, continues to affect about half of military service members in the long-term . War also has devastating and long-term consequences on the mental health of veterans and civilians alike …”

Section: War’s Near-term and Long-term Consequences To Healthmentioning

confidence: 99%

Physicians and the Health Consequences of War

Galea

2022

JAMA Health Forum

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Less than 2 weeks after Russia's invasion of Ukraine on February 24, 2022, following its prior invasion of the Crimean Peninsula in 2014, nearly 2 million Ukrainians had already become refugees fleeing the Russian attack on Ukrainian civilian centers, as bombing continued in and around the largest Ukrainian cities. The war in Ukraine, the first land war of this scale in Europe since World War II, is playing out in public in an unprecedented fashion. Images of conflict, of military and civilian casualties, are available on the internet and through social media allowing the world to witness the war unfolding in real time.As political commentary swirls about the geopolitical peril and significance of the moment, we, as citizens of the world, watch in near disbelief at the seeming senseless violence unfolding. Those of us who are trained in the health professions watch with an additional engagement, recognizing that the ravages of war are, above all else, about health. This experience pushes us to ask: What is the role of physicians and other health professionals as war unfolds around us? and How best do we live by our responsibility? These notions are well captured by the modern version of the Hippocratic Oath used by many US medical schools "that [we] remain…member[s] of society, with special obligations to all [our] fellow human beings." Against a backdrop of the war in Ukraine, physicians and other health professionals should thoughtfully consider how they can, and should, engage in the context of war to fulfill our obligations as citizens who are trained and committed to the promotion of health worldwide. War's Near-term and Long-term Consequences to HealthAlthough much of the public conversation about the invasion of Ukraine has been about the political ramifications of the moment, we cannot forget that fundamentally war is about health. The nearterm and long-term consequences of war can be catastrophic for health. 2 Certainly, during war, Author affiliations and article information are listed at the end of this article.

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“…Although such a model can have a potentially multiplier effect on access to care, the success of such an effective collaborative care model focused on home-based psychosocial interventions hinges on the willingness of specialists to do the following 38 : share healthcare responsibilities with non-specialists, without fear of losing their work, identity and income; reduce the amount of time devoted to individual clinical care and increase the time for training of other personnel; and devote significant time to periodic support and supervision of the non-specialists. An example of such a collaborative care model for treatment of alcohol dependence is Community Oriented Non-specialist Treatment of Alcohol Dependence (CONTAD), a proof of concept project implemented in Goa ( Box 2 ).…”

Section: Introductionmentioning

confidence: 99%

Increasing access to psychosocial interventions for alcohol use disorders: Home based interventions

Nadkarni

2018

Indian J Psychiatry

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Challenges of building community mental health care

Cited by 9 publications

References 3 publications

Early intervention in psychosis in developing coun‐tries: evidence and action

Early intervention in psychosis in developing coun‐tries: evidence and action

Physicians and the Health Consequences of War

Increasing access to psychosocial interventions for alcohol use disorders: Home based interventions

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