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Scale up services for mental disorders: a call for action.

dc.creatorLancet Global Mental Health Group
dc.creatorChisholm, D.
dc.creatorFlisher, A.J.
dc.creatorLund, C.
dc.creatorPatel, V.
dc.creatorSaxena, S.
dc.creatorThornicroft, G.
dc.creatorTomlinson, M.
dc.date.accessioned2017-06-30T04:02:25Z
dc.date.available2017-06-30T04:02:25Z
dc.date.issued2007es_ES
dc.identifier2467es_ES
dc.identifier.issn0140-6736es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7108
dc.identifier.urihttps://doi.org/10.1016/S0140-6736(07)61242-2es_ES
dc.language.isoenges_ES
dc.publisherLondon : Lancet Publishing Groupes_ES
dc.relation370 (9594) 1241-1252 p.es_ES
dc.relationversión del editores_ES
dc.rightsacceso cerradoes_ES
dc.subject.meshFemalees_ES
dc.subject.meshHealth Prioritieses_ES
dc.subject.meshstatistics & numerical data*es_ES
dc.subject.meshHealth Resourceses_ES
dc.subject.mesheconomicses_ES
dc.subject.meshHealth Resourceses_ES
dc.subject.meshsupply & distribution*es_ES
dc.subject.meshHealth Services Needs and Demandes_ES
dc.subject.meshstatistics & numerical data*es_ES
dc.subject.meshHumanses_ES
dc.subject.meshMalees_ES
dc.subject.meshMental Disorderses_ES
dc.subject.meshclassificationes_ES
dc.subject.meshMental Disorderses_ES
dc.subject.meshepidemiologyes_ES
dc.subject.meshMental Disorderses_ES
dc.subject.meshtherapy*es_ES
dc.subject.meshMental Health Serviceses_ES
dc.subject.mesheconomicses_ES
dc.subject.meshMental Health Serviceses_ES
dc.subject.meshstatistics & numerical data*es_ES
dc.subject.meshMental Health Serviceses_ES
dc.subject.meshsupply & distributiones_ES
dc.subject.meshPovertyes_ES
dc.subject.meshResearches_ES
dc.subject.meshSocial Welfarees_ES
dc.subject.meshWorld Healthes_ES
dc.titleScale up services for mental disorders: a call for action.es_ES
dc.typearticlees_ES
dc.contributor.affiliationLancet Global Mental Health Group, Chisholm, D. | Flisher, A. J. | Lund, C. | Patel, V. | Saxena, S. | Thornicroft, G. | Tomlinson, M.es_ES
dc.contributor.emailVikram.patel@lshtm.ac.ukes_ES
dc.relation.jnabreviadoLANCETes_ES
dc.relation.journalLancetes_ES
dc.identifier.placeInglaterraes_ES
dc.date.published2007es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1474-547Xes_ES
dc.identifier.doi10.1016/S0140-6736(07)61242-2es_ES
dc.description.monthOctes_ES
dc.description.abstractotrodiomaWe call for the global health community, governments, donors, multilateral agencies, and other mental health stakeholders, such as professional bodies and consumer groups, to scale up the coverage of services for mental disorders in all countries, but especially in low-income and middle-income countries. We argue that a basic, evidence-based package of services for core mental disorders should be scaled up, and that protection of the human rights of people with mental disorders and their families should be strengthened. Three questions are critical to the scaling-up process. What resources are needed? How can progress towards these goals be monitored? What should be the priorities for mental health research? To address these questions, we first estimated that the amount needed to provide services on the necessary scale would be US$2 per person per year in low-income countries and $3-4 in lower middle-income countries, which is modest compared with the requirements for scaling-up of services for other major contributors to the global burden of disease. Second, we identified a series of core and secondary indicators to track the progress that countries make toward achievement of mental health goals| many of these indicators are already routinely monitored in many countries. Third, we did a priority-setting exercise to identify gaps in the evidence base in global mental health for four categories of mental disorders. We show that funding should be given to research that develops and assesses interventions that can be delivered by people who are not mental health professionals, and that assesses how health systems can scale up such interventions across all routine-care settings. We discuss strategies to overcome the five main barriers to scaling-up of services for mental disorders| one major strategy will be sustained advocacy by diverse stakeholders, especially to target multilateral agencies, donors, and governments. This Series has provided the evidence for advocacy. Now we need political will and solidarity, above all from the global health community, to translate this evidence into action. The time to act is now.es_ES


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