Priorities for primary mental care in low-resource settings : Implementing sustainable approaches to mental health care delivery in settings with traditionally low motivation for mental health care
de Oliveira Neto, Alfredo ; Ariba, Adekunle Joseph ; AlKhathami, Abdullah Dukhail and Petrazzuoli, Ferdinando LU
(2025)
p.99-129
- Abstract
- Medical, neurological, and substance use disorders constitute a major disease burden worldwide, but especially in low- and middle-income countries (LMICs) where more than 80% of affected persons are unable to receive evidence-supported treatments despite these being widely available in theory. This persistent mental health treatment gap in LMICs is traceable to the very nature of such nations: low per capita income and widespread poverty, population explosion and frequent political instability. This chapter provides a review, considering LMICs, of the epidemiology of mental health conditions, mental care services and the challenges and efforts to reduce the treatment gap, taking into account the importance of primary health care. This... (More)
- Medical, neurological, and substance use disorders constitute a major disease burden worldwide, but especially in low- and middle-income countries (LMICs) where more than 80% of affected persons are unable to receive evidence-supported treatments despite these being widely available in theory. This persistent mental health treatment gap in LMICs is traceable to the very nature of such nations: low per capita income and widespread poverty, population explosion and frequent political instability. This chapter provides a review, considering LMICs, of the epidemiology of mental health conditions, mental care services and the challenges and efforts to reduce the treatment gap, taking into account the importance of primary health care. This chapter also discusses instruments and approaches developed in LMICs to help medical and non-medical health professionals to identify and manage psychosocial distress in the population: Integrative Community Therapy (ICT), Theater of the Oppressed, mindfulness, music therapy and 5-Step Patient Interview approach for integrating mental health care into primary care centres. Finally, the chapter presents a table with non-pharmacological interventions graded in relation to the recent strength of recommendation and/or certainty of evidence. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/05245f61-dad8-4bec-a127-66461b694409
- author
- de Oliveira Neto, Alfredo
; Ariba, Adekunle Joseph
; AlKhathami, Abdullah Dukhail
and Petrazzuoli, Ferdinando
LU
- organization
- publishing date
- 2025-09
- type
- Chapter in Book/Report/Conference proceeding
- publication status
- published
- subject
- host publication
- Challenges in Primary Mental Health Care : Models for Interdisciplinary Collaboration - Models for Interdisciplinary Collaboration
- pages
- 31 pages
- publisher
- CRC Press/Balkema
- external identifiers
-
- scopus:105018117592
- ISBN
- 9781032754277
- 9781040434345
- DOI
- 10.1201/9781003473947-9
- language
- English
- LU publication?
- yes
- id
- 05245f61-dad8-4bec-a127-66461b694409
- date added to LUP
- 2025-11-27 11:12:45
- date last changed
- 2025-12-11 12:41:14
@inbook{05245f61-dad8-4bec-a127-66461b694409,
abstract = {{Medical, neurological, and substance use disorders constitute a major disease burden worldwide, but especially in low- and middle-income countries (LMICs) where more than 80% of affected persons are unable to receive evidence-supported treatments despite these being widely available in theory. This persistent mental health treatment gap in LMICs is traceable to the very nature of such nations: low per capita income and widespread poverty, population explosion and frequent political instability. This chapter provides a review, considering LMICs, of the epidemiology of mental health conditions, mental care services and the challenges and efforts to reduce the treatment gap, taking into account the importance of primary health care. This chapter also discusses instruments and approaches developed in LMICs to help medical and non-medical health professionals to identify and manage psychosocial distress in the population: Integrative Community Therapy (ICT), Theater of the Oppressed, mindfulness, music therapy and 5-Step Patient Interview approach for integrating mental health care into primary care centres. Finally, the chapter presents a table with non-pharmacological interventions graded in relation to the recent strength of recommendation and/or certainty of evidence.}},
author = {{de Oliveira Neto, Alfredo and Ariba, Adekunle Joseph and AlKhathami, Abdullah Dukhail and Petrazzuoli, Ferdinando}},
booktitle = {{Challenges in Primary Mental Health Care : Models for Interdisciplinary Collaboration}},
isbn = {{9781032754277}},
language = {{eng}},
pages = {{99--129}},
publisher = {{CRC Press/Balkema}},
title = {{Priorities for primary mental care in low-resource settings : Implementing sustainable approaches to mental health care delivery in settings with traditionally low motivation for mental health care}},
url = {{http://dx.doi.org/10.1201/9781003473947-9}},
doi = {{10.1201/9781003473947-9}},
year = {{2025}},
}