Ethical and professional challenges in mental health care in low- and middle-income countries

2010 ◽  
Vol 22 (3) ◽  
pp. 245-251 ◽  
Author(s):  
Charlotte Hanlon ◽  
Markos Tesfaye ◽  
Dawit Wondimagegn ◽  
Teshome Shibre
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Middle Income ◽  
Middle Income Countries ◽  
Professional Challenges ◽  
Ethical And Professional Challenges ◽  
Low And Middle Income

scholarly journals Evidence-based mental health care and implementation science in low- and middle-income countries

2012 ◽  
Vol 21 (3) ◽  
pp. 241-244 ◽  
Author(s):  
G. Thornicroft
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Implementation Science ◽  
Low Income ◽  
Routine Practice ◽  
Evidence Based ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

Although the evidence base for what to do about the mental health gap in low- and middle-income countries (LAMICs) has improved significantly over the last decade, mental health care in LAMICs still provide services to only a small minority of people with mental disorders. The problem is how to translate the relevant body of scientific knowledge into routine practice. It is clear from over two decades of research that the creation of evidence-based guidelines is necessary but not sufficient for evidence-based practice, whether in high- or low-income settings. In this Editorial, I discuss whether the recent development of ‘implementation science’ may offer an opportunity towards effective guideline implementation in low- and medium-income settings, so that clinical practice is more often based on evidence that does lead to patient benefit.

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