Strengthening mental health systems in low- and middle-income countries: the Emerald programme

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dc.contributor.authorSemrau, Maya
dc.contributor.authorEvans-Lacko, Sara
dc.contributor.authorAlem, Atalay
dc.contributor.authorAyuso-Mateos, Jose L
dc.contributor.authorChisholm, Dan
dc.contributor.authorGureje, Oye
dc.contributor.authorHanlon, Charlotte
dc.contributor.authorJordans, Mark
dc.contributor.authorKigozi, Fred
dc.contributor.authorLempp, Heidi
dc.contributor.authorLund, Crick
dc.contributor.authorPetersen, Inge
dc.contributor.authorShidhaye, Rahul
dc.contributor.authorThornicroft, Graham
dc.date.accessioned2015-07-30T03:57:17Z
dc.date.available2015-07-30T03:57:17Z
dc.date.issued2015-04-10
dc.date.updated2015-04-10T18:02:11Z
dc.description.abstractAbstract There is a large treatment gap for mental health care in low- and middle-income countries (LMICs), with the majority of people with mental, neurological, and substance use (MNS) disorders receiving no or inadequate care. Health system factors are known to play a crucial role in determining the coverage and effectiveness of health service interventions, but the study of mental health systems in LMICs has been neglected. The ‘Emerging mental health systems in LMICs’ (Emerald) programme aims to improve outcomes of people with MNS disorders in six LMICs (Ethiopia, India, Nepal, Nigeria, South Africa, and Uganda) by generating evidence and capacity to enhance health system performance in delivering mental health care. A mixed-methods approach is being applied to generate evidence on: adequate, fair, and sustainable resourcing for mental health (health system inputs); integrated provision of mental health services (health system processes); and improved coverage and goal attainment in mental health (health system outputs). Emerald has a strong focus on capacity-building of researchers, policymakers, and planners, and on increasing service user and caregiver involvement to support mental health systems strengthening. Emerald also addresses stigma and discrimination as one of the key barriers for access to and successful delivery of mental health services.
dc.identifier.apacitationSemrau, M., Evans-Lacko, S., Alem, A., Ayuso-Mateos, J. L., Chisholm, D., Gureje, O., ... Thornicroft, G. (2015). Strengthening mental health systems in low- and middle-income countries: the Emerald programme. <i>BMC Medicine</i>, http://hdl.handle.net/11427/13597en_ZA
dc.identifier.chicagocitationSemrau, Maya, Sara Evans-Lacko, Atalay Alem, Jose L Ayuso-Mateos, Dan Chisholm, Oye Gureje, Charlotte Hanlon, et al "Strengthening mental health systems in low- and middle-income countries: the Emerald programme." <i>BMC Medicine</i> (2015) http://hdl.handle.net/11427/13597en_ZA
dc.identifier.citationSemrau, M., Evans-Lacko, S., Alem, A., Ayuso-Mateos, J. L., Chisholm, D., Gureje, O., ... & Thornicroft, G. (2015). Strengthening mental health systems in low-and middle-income countries: the Emerald programme. BMC medicine, 13(1), 79.
dc.identifier.ris TY - Journal Article AU - Semrau, Maya AU - Evans-Lacko, Sara AU - Alem, Atalay AU - Ayuso-Mateos, Jose L AU - Chisholm, Dan AU - Gureje, Oye AU - Hanlon, Charlotte AU - Jordans, Mark AU - Kigozi, Fred AU - Lempp, Heidi AU - Lund, Crick AU - Petersen, Inge AU - Shidhaye, Rahul AU - Thornicroft, Graham AB - Abstract There is a large treatment gap for mental health care in low- and middle-income countries (LMICs), with the majority of people with mental, neurological, and substance use (MNS) disorders receiving no or inadequate care. Health system factors are known to play a crucial role in determining the coverage and effectiveness of health service interventions, but the study of mental health systems in LMICs has been neglected. The ‘Emerging mental health systems in LMICs’ (Emerald) programme aims to improve outcomes of people with MNS disorders in six LMICs (Ethiopia, India, Nepal, Nigeria, South Africa, and Uganda) by generating evidence and capacity to enhance health system performance in delivering mental health care. A mixed-methods approach is being applied to generate evidence on: adequate, fair, and sustainable resourcing for mental health (health system inputs); integrated provision of mental health services (health system processes); and improved coverage and goal attainment in mental health (health system outputs). Emerald has a strong focus on capacity-building of researchers, policymakers, and planners, and on increasing service user and caregiver involvement to support mental health systems strengthening. Emerald also addresses stigma and discrimination as one of the key barriers for access to and successful delivery of mental health services. DA - 2015-04-10 DB - OpenUCT DO - 10.1186/s12916-015-0309-4 DP - University of Cape Town J1 - BMC Medicine LK - https://open.uct.ac.za PB - University of Cape Town PY - 2015 T1 - Strengthening mental health systems in low- and middle-income countries: the Emerald programme TI - Strengthening mental health systems in low- and middle-income countries: the Emerald programme UR - http://hdl.handle.net/11427/13597 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/13597
dc.identifier.urihttp://dx.doi.org/10.1186/s12916-015-0309-4
dc.identifier.vancouvercitationSemrau M, Evans-Lacko S, Alem A, Ayuso-Mateos JL, Chisholm D, Gureje O, et al. Strengthening mental health systems in low- and middle-income countries: the Emerald programme. BMC Medicine. 2015; http://hdl.handle.net/11427/13597.en_ZA
dc.language.rfc3066en
dc.publisher.departmentCentre for Public Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution License*
dc.rights.holderSemrau et al.; licensee BioMed Central.
dc.rights.urihttp://creativecommons.org/licenses/by/4.0*
dc.sourceBMC Medicineen_ZA
dc.source.urihttp://www.biomedcentral.com/bmcmed/
dc.subject.otherDelivery of health careen_ZA
dc.subject.otherHealth care systemsen_ZA
dc.subject.otherMental healthen_ZA
dc.titleStrengthening mental health systems in low- and middle-income countries: the Emerald programme
dc.typeJournal Articleen_ZA
uct.type.filetype
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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