Collaborative Care for Mental Health in Low- and Middle-Income Countries: A WHO Health Systems Framework Assessment of Three Programs

Acharya, B and Ekstrand, M and Rimal, P and Ali, Mohammed K and Swar, S and Srinivasan, K and Mohan, V and Unützer, J and Chwastiak, L A (2017) Collaborative Care for Mental Health in Low- and Middle-Income Countries: A WHO Health Systems Framework Assessment of Three Programs. Psychiatric Services, 68 (9). p. 870. ISSN 1075-2730

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Abstract

The collaborative care model is an evidence-based intervention for behavioral and other chronic conditions that has the potential to address the large burden of mental illness globally. Using the World Health Organization Health Systems Framework, the authors present challenges in implementing this model in low- and middle-income countries (LMICs) and discuss strategies to address these challenges based on experiences with three large-scale programs: an implementation research study in a district-level government hospital in rural Nepal, one clinical trial in 50 primary health centers in rural India, and one study in four diabetes clinics in India. Several strategies can be utilized to address implementation challenges and enhance scalability in LMICs, including mobilizing community resources, engaging in advocacy, and strengthening the overall health care delivery system.

Item Type:Article
Official URL/DOI:http://dx.doi.org/10.1176/appi.ps.201700232
Uncontrolled Keywords:collaborative care; diabetes
Subjects:Diabetes Clinical Trials
Divisions:Department of Diabetology
Department of Clinical Trials
ID Code:1047
Deposited By:surendar radha
Deposited On:06 Sep 2017 10:52
Last Modified:06 Sep 2017 10:52

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