TY - JOUR PY - 2017// TI - Collaborative care for mental health in low- and middle-income countries: a WHO health systems framework assessment of three programs JO - Psychiatric services A1 - Acharya, Bibhav A1 - Ekstrand, Maria A1 - Rimal, Pragya A1 - Ali, Mohammed K. A1 - Swar, Sikhar A1 - Srinivasan, Krishnamachari A1 - Mohan, Viswanathan A1 - Unützer, Jurgen A1 - Chwastiak, Lydia A. SP - 870 EP - 872 VL - 68 IS - 9 N2 - 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.
Language: en
LA - en SN - 1075-2730 UR - http://dx.doi.org/10.1176/appi.ps.201700232 ID - ref1 ER -