Scaling Up Global Mental Health Services During the COVID-19 Pandemic and Beyond

doi:10.1176/appi.ps.202000774

. 2022 Feb 1;73(2):231-234.

doi: 10.1176/appi.ps.202000774. Epub 2021 Jul 8.

Scaling Up Global Mental Health Services During the COVID-19 Pandemic and Beyond

Frances Adiukwu¹, Renato de Filippis¹, Laura Orsolini¹, Drita Gashi Bytyçi¹, Sheikh Shoib¹, Ramdas Ransing¹, Mohammad Slaih¹, Florence Jaguga¹, Jibril I M Handuleh¹, Margaret Isioma Ojeahere¹, Irfan Ullah¹, Ruta Karaliuniene¹, Sachin Nagendrappa¹, Bita Vahdani¹, Agaah Ashrafi¹, Dorottya Ori¹, Camille Noël¹, Zargham Abbass¹, Chonnakarn Jatchavala¹, Mariana Pinto da Costa¹, Lamiaà Essam¹, Ramyadarshni Vadivel¹, Mohammadreza Shalbafan¹

Affiliations

Affiliation

¹ Department of Neuropsychiatry, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria (Adiukwu); Department of Mental Health, University of Port Harcourt, Port Harcourt, Nigeria (Adiukwu); Psychiatric Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy (de Filippis); Unit of Clinical Psychiatry, Department of Neurosciences and Department of Experimental and Clinical Medicine, Polytechnic University of Marche, Ancona, Italy (Orsolini); Hospital and University Clinical Service of Kosovo, Prizren, Kosovo (Gashi Bytyçi); Jawahar Lal Nehru Memorial Hospital, Srinagar, India (Shoib); B.K.L. Walawalkar Rural Medical College, Sawarde, India (Ransing); National Center for Mental Health, Jordanian Ministry of Health. Amman, Jordan (Slaih); Moi Teaching and Referral Hospital, Eldoret, Kenya (Jaguga); Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia (Handuleh); Department of Psychiatry, Jos University Teaching Hospital, Jos, Nigeria (Ojeahere); Kabir Medical College, Gandhara University, and Naseer Teaching Hospital, Peshawar, Pakistan (Ullah); Elblandklinkum Radebeul, Academic Hospital at Technical University, Dresden, Germany (Karaliuniene); National Institute of Mental Health and Neurosciences, Bengaluru, India (Nagendrappa); Department of Psychology, University of Tehran, Tehran, Iran (Vahdani); Tehran University of Medical Sciences, Tehran, Iran (Ashrafi); Department of Mental Health, Heim Pal National Pediatric Institute, Bupdapest (Ori); Universitaire Libre de Bruxelles, Department of Child Psychiatry, Centre Hospitalier Universitaire, Saint Pierre, Brussels (Noël); Center for Behavioral Medicine, University of Missouri-Kansas City, Kansas City (Abbass); Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand (Jatchavala); Institute of Psychiatry, Psychology, and Neurosciences, King's College London, London (Pinto da Costa); Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal (Pinto da Costa); El Demerdash Teaching Hospital, Ain Shams University, Cairo, Egypt (Essam); Royal Australian and New Zealand College of Psychiatrists and Waikato District Health Board, Hamilton, New Zealand (Vadivel); Mental Health Research Center, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran (Shalbafan). Kathleen M. Pike, Ph.D., Matías Irarrázaval, M.D., M.P.H., and Lola Kola, Ph.D., are editors of this column.

PMID: 34235945
DOI: 10.1176/appi.ps.202000774

Scaling Up Global Mental Health Services During the COVID-19 Pandemic and Beyond

Frances Adiukwu et al. Psychiatr Serv. 2022.

. 2022 Feb 1;73(2):231-234.

doi: 10.1176/appi.ps.202000774. Epub 2021 Jul 8.

Authors

Affiliation

¹ Department of Neuropsychiatry, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria (Adiukwu); Department of Mental Health, University of Port Harcourt, Port Harcourt, Nigeria (Adiukwu); Psychiatric Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy (de Filippis); Unit of Clinical Psychiatry, Department of Neurosciences and Department of Experimental and Clinical Medicine, Polytechnic University of Marche, Ancona, Italy (Orsolini); Hospital and University Clinical Service of Kosovo, Prizren, Kosovo (Gashi Bytyçi); Jawahar Lal Nehru Memorial Hospital, Srinagar, India (Shoib); B.K.L. Walawalkar Rural Medical College, Sawarde, India (Ransing); National Center for Mental Health, Jordanian Ministry of Health. Amman, Jordan (Slaih); Moi Teaching and Referral Hospital, Eldoret, Kenya (Jaguga); Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia (Handuleh); Department of Psychiatry, Jos University Teaching Hospital, Jos, Nigeria (Ojeahere); Kabir Medical College, Gandhara University, and Naseer Teaching Hospital, Peshawar, Pakistan (Ullah); Elblandklinkum Radebeul, Academic Hospital at Technical University, Dresden, Germany (Karaliuniene); National Institute of Mental Health and Neurosciences, Bengaluru, India (Nagendrappa); Department of Psychology, University of Tehran, Tehran, Iran (Vahdani); Tehran University of Medical Sciences, Tehran, Iran (Ashrafi); Department of Mental Health, Heim Pal National Pediatric Institute, Bupdapest (Ori); Universitaire Libre de Bruxelles, Department of Child Psychiatry, Centre Hospitalier Universitaire, Saint Pierre, Brussels (Noël); Center for Behavioral Medicine, University of Missouri-Kansas City, Kansas City (Abbass); Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand (Jatchavala); Institute of Psychiatry, Psychology, and Neurosciences, King's College London, London (Pinto da Costa); Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal (Pinto da Costa); El Demerdash Teaching Hospital, Ain Shams University, Cairo, Egypt (Essam); Royal Australian and New Zealand College of Psychiatrists and Waikato District Health Board, Hamilton, New Zealand (Vadivel); Mental Health Research Center, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran (Shalbafan). Kathleen M. Pike, Ph.D., Matías Irarrázaval, M.D., M.P.H., and Lola Kola, Ph.D., are editors of this column.

PMID: 34235945
DOI: 10.1176/appi.ps.202000774

Abstract

Every health care system requires an adequate health care workforce, service delivery, financial support, and information technology. During the COVID-19 pandemic, global health systems were ill prepared to address the rising prevalence of mental health problems, especially in low- and middle-income countries (LMICs), thereby increasing treatment gaps. To close these gaps globally, task shifting and telepsychiatry should be made available and maximized, particularly in LMICs. Task shifting to nonspecialist health workers to improve essential mental health coverage and encourage efficient use of the available resources and technology has become the most viable strategy.

Keywords: Task shifting; mental health care equity; mental health gap; telepsychiatry.

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Scaling Up Global Mental Health Services During the COVID-19 Pandemic and Beyond

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Scaling Up Global Mental Health Services During the COVID-19 Pandemic and Beyond

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