ArticleEpidemiology and psychiatric sciences2017
Next steps for meeting the needs of people with severe mental illness in low- and middle-income countries.
Article in Epidemiology and psychiatric sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Exploring the effectiveness of family-based interventions for psychosis in low- and middle-income countries: a systematic review.Social psychiatry and psychiatric epidemiology · 2022Pooled it
- Barriers and facilitators to implementation of evidence-based task-sharing mental health interventions in low- and middle-income countries: a systematic review using implementation science frameworks.Implementation science : IS · 2022Pooled it
- Cost-Effectiveness of Community-Based Rehabilitation for People With Schizophrenia: A Secondary Analysis of a Cluster Randomized Trial.JAMA health forum · 2026Trial
- Improving adherence in mental health service users with severe mental illness in South Africa: a pilot randomized controlled trial of a treatment partner and text message intervention vs. treatment as usual.BMC research notes · 2017Trial
- Real-world comprehensive care of people living with schizophrenia: recommendations across different settings and clinical stages.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
- Community-based care for patients with severe mental illness: A comparative study in Iran and selected countries.Journal of education and health promotion · 2026Review
- Clinical outcomes of a primary care mental health implementation program scale-up in the Eastern Province of Rwanda: a prospective cohort study.BMC psychiatry · 2025Article
- Factors associated with non-adherence to clinic visits among patients with severe mental illness enrolled in the SMILE study in Uganda.BMC psychiatry · 2025Article
- Article
- Service guidelines, models, and protocols for integrating rehabilitation services in primary healthcare in Brazil, Russia, India, China, and South Africa: a scoping review.Disability and rehabilitation · 2024Article
- Establishing partnerships with people with lived experience of mental illness for stigma reduction in low- and middle-income settings.Global mental health (Cambridge, England) · 2024Article
- Studying the context of psychoses to improve outcomes in Ethiopia (SCOPE): Protocol paper.PloS one · 2024Article
- Understanding mental health stigma and discrimination in Ethiopia: A qualitative study.Global mental health (Cambridge, England) · 2024Article
- Barriers to mental health treatment in primary care practice in low- and middle-income countries in a post-covid era: A systematic review.Journal of family medicine and primary care · 2023Review
- A qualitative of stable symptomatology for patients with schizophrenia: do they have adequate post-discharge rehabilitative resources?Schizophrenia (Heidelberg, Germany) · 2023Article
- Community Support for Persons with Disabilities in Low- and Middle-Income Countries: A Scoping Review.International journal of environmental research and public health · 2022Article
- Service Providers Perspectives on Personal Recovery from Severe Mental Illness in Cape Town, South Africa: A Qualitative Study.Community mental health journal · 2022Article
- The Effectiveness of a Multi-Pronged Psycho-Social Intervention Among People With Mental Health and Epilepsy Problems - A Pre-Post Prospective Cohort Study Set in North India.International journal of health policy and management · 2021Observational
- Pathways into and out of homelessness among people with severe mental illness in rural Ethiopia: a qualitative study.BMC public health · 2021Article
- Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The explicit inclusion of mental health within the Sustainable Development Goals is a welcome development, borne out of powerful advocacy using public health, economic and human rights arguments. As funding comes on line for scale-up of evidence-based mental health care by task-sharing with primary care, it is time to take stock about care for people affected by severe mental illness (SMI). The existing evidence base for task shared care for SMI provides an imperative to get started, but is skewed towards relatively more affluent and urban populations in middle-income countries where specialist mental health professionals provide most of the care. Randomised, controlled trials and rigorous implementation research on task shared service models are underway which will go some way to improving understanding of the quality, safety, effectiveness and acceptability of more widely generalisable care for people with SMI. A sub-group of people with SMI have more complex and long-term needs for care, with a high risk of homelessness, imprisonment and human rights violations as family and social supports become overwhelmed. Case studies from non-governmental organisations provide examples of holistic approaches to rehabilitation, recovery and empowerment of people with SMI, but rigorous comparative studies are needed to identify the most efficient, effective and scalable approaches to care. Health system constraints are emerging as the over-riding barriers to successful task-sharing, highlighting a need to develop and evaluate chronic care models for people with SMI that succeed in reducing premature mortality, improving wellbeing and achieving better social outcomes. Addressing these evidence gaps is essential if task-sharing mental health care is going to deliver on its promise of promoting recovery for the full range of people affected by SMI.
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