ArticlePsychiatric services (Washington, D.C.)2017
Collaborative Care for Mental Health in Low- and Middle-Income Countries: A WHO Health Systems Framework Assessment of Three Programs.
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Article in Psychiatric services (Washington, D.C.), 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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26citing papers in PubMed, 2 pooled it
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26 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Mental Health Gap Action Programme intervention Guide (mhGAP-IG) for Child and Adolescent Mental Health in Low- and Middle-Income Countries (LMIC): A Systematic Review.Community mental health journal · 2023Pooled it
- Pooled it
- Provider experiences delivering collaborative care for co-occurring opioid and mental health disorders: a qualitative study.Family practice · 2025Trial
- Acceptability and fidelity of a psychosocial intervention (PROACTIVE) for older adults with depression in a basic health unit in São Paulo, Brazil: a qualitative study.BMC public health · 2021Trial
- Article
- Development of a collaborative chronic care model for management of cardiometabolic disease in low- and middle-income countries.PloS one · 2026Article
- Barriers and Facilitators to Implementation of Mental Health Task Sharing Among Older Chinese Adults: A Qualitative Study.Administration and policy in mental health · 2025Article
- Association between depression and medication adherence in noncommunicable diseases: a narrative review.Korean journal of family medicine · 2025Article
- Acceptability and feasibility of a task-shifted collaborative care model for depression and anxiety in primary HIV clinics in the Philippines: a qualitative inquiry.BMC health services research · 2025Article
- Integrated programs for common mental illnesses within primary care and community settings in Latin America: a scoping review of components and implementation strategies.Lancet regional health. Americas · 2025Article
- Global mental health and psychosocial support programming: An expert review of major implementation and funding challenges.Global mental health (Cambridge, England) · 2025Review
- Improving recognition of common mental health disorders in Cambodia: Validation of the PHQ-9 and GAD-7 and development of a brief mental health screener.PLOS mental health · 2025Article
- Addressing challenges for psychotherapy supervision in global mental health through experiential learnings from rural Nepal.Discover public health · 2025Article
- Are we ready for a sustainable approach? A qualitative study of the readiness of the public health system to provide STI services to the key populations at risk of HIV in Bangladesh.BMC health services research · 2023Article
- "We are the sun for our community:" Partnering with community health workers/promotores to adapt, deliver and evaluate a home-based collaborative care model to improve equity in access to quality depression care for older U.S. Latino adults who are underserved.Frontiers in public health · 2023Article
- Successful ingredients of effective Collaborative Care programs in low- and middle-income countries: A rapid review.Global mental health (Cambridge, England) · 2023Review
- Protecting vulnerable communities and health professionals from COVID-19 associated mental health distress: a comprehensive approach led by a public-civil partnership in rural Chiapas, Mexico.Global health action · 2021Article
- Technology-Assisted Collaborative Care Program for People with Diabetes and/or High Blood Pressure Attending Primary Health Care: A Feasibility Study.International journal of environmental research and public health · 2021Article
- Speaking Up: How Family Members Advocate for Relatives Living with a Mental Illness.Community mental health journal · 2021Article
- Collaborative care model for depression in rural Nepal: a mixed-methods implementation research study.BMJ open · 2021Article
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Authors and funding
9 authors.
Bibhav AcharyaDr. Acharya, Ms. Rimal, and Dr. Swar are with Possible, Achham, Nepal. Dr. Acharya is also with the Department of Psychiatry, University of California, San Francisco (UCSF), where Dr. Ekstrand is with the Department of Medicine. Dr. Ali is with the Department of Global Health and Epidemiology, Emory University, Atlanta. Dr. Srinivasan is with St. Johns Research Institute, Bengaluru, Karnataka, India. Dr. Mohan is with the Department of Diabetology, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India. Dr. Unützer and Dr. Chwastiak are with the Department of Psychiatry and Behavioral Sciences, University of Washington Medical Center, Seattle.
Maria EkstrandDr. Acharya, Ms. Rimal, and Dr. Swar are with Possible, Achham, Nepal. Dr. Acharya is also with the Department of Psychiatry, University of California, San Francisco (UCSF), where Dr. Ekstrand is with the Department of Medicine. Dr. Ali is with the Department of Global Health and Epidemiology, Emory University, Atlanta. Dr. Srinivasan is with St. Johns Research Institute, Bengaluru, Karnataka, India. Dr. Mohan is with the Department of Diabetology, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India. Dr. Unützer and Dr. Chwastiak are with the Department of Psychiatry and Behavioral Sciences, University of Washington Medical Center, Seattle.
Pragya RimalDr. Acharya, Ms. Rimal, and Dr. Swar are with Possible, Achham, Nepal. Dr. Acharya is also with the Department of Psychiatry, University of California, San Francisco (UCSF), where Dr. Ekstrand is with the Department of Medicine. Dr. Ali is with the Department of Global Health and Epidemiology, Emory University, Atlanta. Dr. Srinivasan is with St. Johns Research Institute, Bengaluru, Karnataka, India. Dr. Mohan is with the Department of Diabetology, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India. Dr. Unützer and Dr. Chwastiak are with the Department of Psychiatry and Behavioral Sciences, University of Washington Medical Center, Seattle.
Mohammed K AliDr. Acharya, Ms. Rimal, and Dr. Swar are with Possible, Achham, Nepal. Dr. Acharya is also with the Department of Psychiatry, University of California, San Francisco (UCSF), where Dr. Ekstrand is with the Department of Medicine. Dr. Ali is with the Department of Global Health and Epidemiology, Emory University, Atlanta. Dr. Srinivasan is with St. Johns Research Institute, Bengaluru, Karnataka, India. Dr. Mohan is with the Department of Diabetology, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India. Dr. Unützer and Dr. Chwastiak are with the Department of Psychiatry and Behavioral Sciences, University of Washington Medical Center, Seattle.
Sikhar SwarDr. Acharya, Ms. Rimal, and Dr. Swar are with Possible, Achham, Nepal. Dr. Acharya is also with the Department of Psychiatry, University of California, San Francisco (UCSF), where Dr. Ekstrand is with the Department of Medicine. Dr. Ali is with the Department of Global Health and Epidemiology, Emory University, Atlanta. Dr. Srinivasan is with St. Johns Research Institute, Bengaluru, Karnataka, India. Dr. Mohan is with the Department of Diabetology, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India. Dr. Unützer and Dr. Chwastiak are with the Department of Psychiatry and Behavioral Sciences, University of Washington Medical Center, Seattle.
Krishnamachari SrinivasanDr. Acharya, Ms. Rimal, and Dr. Swar are with Possible, Achham, Nepal. Dr. Acharya is also with the Department of Psychiatry, University of California, San Francisco (UCSF), where Dr. Ekstrand is with the Department of Medicine. Dr. Ali is with the Department of Global Health and Epidemiology, Emory University, Atlanta. Dr. Srinivasan is with St. Johns Research Institute, Bengaluru, Karnataka, India. Dr. Mohan is with the Department of Diabetology, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India. Dr. Unützer and Dr. Chwastiak are with the Department of Psychiatry and Behavioral Sciences, University of Washington Medical Center, Seattle.
Viswanathan MohanDr. Acharya, Ms. Rimal, and Dr. Swar are with Possible, Achham, Nepal. Dr. Acharya is also with the Department of Psychiatry, University of California, San Francisco (UCSF), where Dr. Ekstrand is with the Department of Medicine. Dr. Ali is with the Department of Global Health and Epidemiology, Emory University, Atlanta. Dr. Srinivasan is with St. Johns Research Institute, Bengaluru, Karnataka, India. Dr. Mohan is with the Department of Diabetology, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India. Dr. Unützer and Dr. Chwastiak are with the Department of Psychiatry and Behavioral Sciences, University of Washington Medical Center, Seattle.
Jürgen UnützerDr. Acharya, Ms. Rimal, and Dr. Swar are with Possible, Achham, Nepal. Dr. Acharya is also with the Department of Psychiatry, University of California, San Francisco (UCSF), where Dr. Ekstrand is with the Department of Medicine. Dr. Ali is with the Department of Global Health and Epidemiology, Emory University, Atlanta. Dr. Srinivasan is with St. Johns Research Institute, Bengaluru, Karnataka, India. Dr. Mohan is with the Department of Diabetology, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India. Dr. Unützer and Dr. Chwastiak are with the Department of Psychiatry and Behavioral Sciences, University of Washington Medical Center, Seattle.
Lydia A ChwastiakDr. Acharya, Ms. Rimal, and Dr. Swar are with Possible, Achham, Nepal. Dr. Acharya is also with the Department of Psychiatry, University of California, San Francisco (UCSF), where Dr. Ekstrand is with the Department of Medicine. Dr. Ali is with the Department of Global Health and Epidemiology, Emory University, Atlanta. Dr. Srinivasan is with St. Johns Research Institute, Bengaluru, Karnataka, India. Dr. Mohan is with the Department of Diabetology, Madras Diabetes Research Foundation, Chennai, Tamil Nadu, India. Dr. Unützer and Dr. Chwastiak are with the Department of Psychiatry and Behavioral Sciences, University of Washington Medical Center, Seattle.
Funding
Translational Research Core - Engagement and Behavior ChangeP30DK111024 · NIDDK · EMORY UNIVERSITY · PI Mohammed Kumail Ali · 2016 to 2026
$13.4MIntegrated Care for Co-morbid Depression and Diabetes in IndiaR01MH100390 · NIMH · EMORY UNIVERSITY · PI ALI, MOHAMMED KUMAIL, CHWASTIAK, LYDIA ANN · 2013 to 2017
$2.4MImproving Mental Health through Integration with Primary Care in Rural KarnatakaR01MH100311 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI EKSTRAND, MARIA L., KRISHNAMACHARI, SRINIVASAN · 2014 to 2018
$1.9MNIDDK NIH HHS P30 DK111024NIMH NIH HHS R01 MH100311NIMH NIH HHS R01 MH100390
Abstract
The collaborative care model is an evidence-based intervention for behavioral and other chronic conditions that has the potential to address the large burden of mental illness globally. Using the World Health Organization Health Systems Framework, the authors present challenges in implementing this model in low- and middle-income countries (LMICs) and discuss strategies to address these challenges based on experiences with three large-scale programs: an implementation research study in a district-level government hospital in rural Nepal, one clinical trial in 50 primary health centers in rural India, and one study in four diabetes clinics in India. Several strategies can be utilized to address implementation challenges and enhance scalability in LMICs, including mobilizing community resources, engaging in advocacy, and strengthening the overall health care delivery system.
Indexed as
Developing CountriesIntersectoral CollaborationDelivery of Health CareHumansIndiaMental DisordersNepalProgram DevelopmentWorld Health Organizationcollaborative carediabetes
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