Treatment of common mental disorders in primary care in low- and middle-income countries

Trans R Soc Trop Med Hyg. 2007 Oct;101(10):957-8. doi: 10.1016/j.trstmh.2007.04.006. Epub 2007 May 30.

Abstract

Common mental disorders are responsible for up to 10% of the total global disease burden. The growing evidence base for the efficacy and cost-effectiveness of treatments for these disorders raises the possibility of delivering huge health and economic benefits. However, delivering these treatments in resource-constrained settings is challenging. At least one-third of all patients seen in primary care in low- and middle-income countries present with common mental disorders. The majority are not recognised or are ineffectively treated. To address this problem, WHO advocates integrating mental health in primary care. However, the limited evidence base has impeded efforts to develop such services.

Publication types

  • Review

MeSH terms

  • Antidepressive Agents / economics
  • Antidepressive Agents / therapeutic use*
  • Antipsychotic Agents / economics
  • Antipsychotic Agents / therapeutic use*
  • Cost-Benefit Analysis
  • Developing Countries*
  • Humans
  • Mental Disorders / diagnosis
  • Mental Disorders / economics
  • Mental Disorders / therapy*
  • Mental Health Services / economics
  • Mental Health Services / standards
  • Poverty

Substances

  • Antidepressive Agents
  • Antipsychotic Agents