The Child Mental Health Treatment Gap in an Urban Low-Income Setting: Multisectoral Service Use and Correlates

2021 ◽  
pp. appi.ps.2020007
Author(s):  
Cristiane S. Duarte ◽  
Kathryn L. Lovero ◽  
Andre Sourander ◽  
Wagner S. Ribeiro ◽  
Isabel A. S. Bordin
2017 ◽  
Vol 63 (3) ◽  
pp. 261-274 ◽  
Author(s):  
Eddy Eustache ◽  
Margaret E Gerbasi ◽  
Mary C Smith Fawzi ◽  
J Reginald Fils-Aimé ◽  
Jennifer Severe ◽  
...  

Background: The mental health treatment gap for youth in low- and middle-income countries (LMICs) is substantial; strategies for redress are urgently needed to mitigate the serious health and social consequences of untreated mental illness in youth. Aims: To estimate the burden of major depressive episode (MDE) and posttraumatic stress disorder (PTSD) as well as utilization of care among Haitian youth in order to describe the mental health treatment gap in a LMIC setting. Methods: We estimated the point prevalence of MDE, PTSD, and subthreshold variants in a school-based sample of youth ( n = 120, ages 18–22 years) using a modified Structured Clinical Interview for DSM-IV-TR Axis I Disorders (SCID)-based interview and examined treatment utilization among those receiving one of these diagnoses. We assessed additional psychopathology with self-report measures to examine validity of study diagnostic assignments. Results: The combined prevalence of full-syndrome or subthreshold MDE or PTSD was high (36.7%). A large majority of affected individuals (88.6%) had accessed no mental health services in the health sector, and 36.4% had accessed no care of any kind in either the health or folk sectors in the past year. Conclusion: Findings demonstrate a high mental health burden among Haiti’s youth and that many youth with MDE and PTSD are not accessing mental health care.


2017 ◽  
Vol 17 (5) ◽  
pp. 394
Author(s):  
Janelle Wheat ◽  
Kirsty Smith ◽  
Julianne Whyte ◽  
Janelle Thomas

2014 ◽  
Vol 27 (4) ◽  
pp. 308-314 ◽  
Author(s):  
Tahilia J. Rebello ◽  
Andrea Marques ◽  
Oye Gureje ◽  
Kathleen M. Pike

2014 ◽  
Vol 7 (1) ◽  
pp. 23431 ◽  
Author(s):  
Helen Jack ◽  
Ryan G. Wagner ◽  
Inge Petersen ◽  
Rita Thom ◽  
Charles R Newton ◽  
...  

2020 ◽  
Vol 7 ◽  
pp. 238212052092400
Author(s):  
Oksana Kopchak ◽  
Irina Pinchuk ◽  
Boris Ivnev ◽  
Norbert Skokauskas

In Ukraine, mental health problems are common yet the mental health services available are still old fashioned and based on healthcare approaches used in the Soviet Union, providing mainly inpatient services and rudimentary community services. The World Health Organization (WHO) introduced the Mental Health Gap Action Programme (mhGAP) to reduce the mental health treatment gap all over the world and 2 years later introduced the WHO mhGAP-Intervention Guide (mhGAP-IG), version 2.0 (2016) as not only an educational tool, but also an evidence based guideline to scale up services for mental, neurological and substance use (MNS) conditions with an objective to reduce gap between available health systems capacity and resources for mental health. The main aim of this paper is to describe reforms of undergraduate psychiatry training in Ukraine using Kyiv Medical University as a case example. Kyiv Medical University (KMU) is the first university in Ukraine to introduce the mhGAP-IG in Ukraine. The revised psychiatry curricula in KMU aims to strengthens the evidence based teaching practices, to put emphasis on community orientated mental health care, and to use interactive teaching methods that the university hopes will attract more future doctors to psychiatry and ideally contribute towards the reduction of the mental health treatment-gap in Ukraine.


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