Evidence map›Paper›PMID 28949462›Full record

ArticleInternational journal of health policy and management2017

Peruvian Mental Health Reform: A Framework for Scaling-up Mental Health Services.

Mauricio Toyama, Humberto Castillo, Jerome T Galea, Lena R Brandt, María Mendoza, Vanessa Herrera, Martha Mitrani, Yuri Cutipé, Victoria Cavero, Francisco Diez-Canseco and 1 more

Open access · diamondAbstract read
In one paragraph

Article in International journal of health policy and management, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
12.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 116 citations in OpenAlex.

  1. Article
  2. Building EVA (Journal of medical Internet research · 2026
    Article
  3. Community Mental Health Services in Andean Peru: Mapping Supply and Demand.International journal of environmental research and public health · 2026
    Article
  4. Article
  5. Transforming public mental health: a review on global trends, challenges, and pathways to change.Health care analysis : HCA : journal of health philosophy and policy · 2026
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2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Mauricio ToyamaCRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru.
Humberto CastilloInstituto Nacional de Salud Mental "Honorio Delgado - Hideyo Noguchi," Lima, Peru.
Jerome T GaleaSocios en Salud, Lima, Peru.
Lena R BrandtCRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru.
María MendozaInstituto Nacional de Salud Mental "Honorio Delgado - Hideyo Noguchi," Lima, Peru.
Vanessa HerreraInstituto Nacional de Salud Mental "Honorio Delgado - Hideyo Noguchi," Lima, Peru.
Martha MitraniInstituto Nacional de Salud Mental "Honorio Delgado - Hideyo Noguchi," Lima, Peru.
Yuri CutipéMinisterio de Salud, Lima, Peru.
Victoria CaveroCRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru.
Francisco Diez-CansecoCRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru.
J Jaime MirandaCRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru.
Universidad Peruana Cayetano Heredia · PEInstituto Nacional de Salud · PEHarvard University · USMinistry of Health · PE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental, neurological, and substance (MNS) use disorders are a leading cause of disability worldwide; specifically in Peru, MNS affect 1 in 5 persons. However, the great majority of people suffering from these disorders do not access care, thereby making necessary the improvement of existing conditions including a major rearranging of current health system structures beyond care delivery strategies. This paper reviews and examines recent developments in mental health policies in Peru, presenting an overview of the initiatives currently being introduced and the main implementation challenges they face.

methodsKey documents issued by Peruvian governmental entities regarding mental health were reviewed to identify and describe the path that led to the beginning of the reform; how the ongoing reform is taking place; and, the plan and scope for scale-up.

resultsSince 2004, mental health has gained importance in policies and regulations, resulting in the promotion of a mental health reform within the national healthcare system. These efforts crystallized in 2012 with the passing of Law 29889 which introduced several changes to the delivery of mental healthcare, including a restructuring of mental health service delivery to occur at the primary and secondary care levels and the introduction of supporting services to aid in patient recovery and reintegration into society. In addition, a performance-based budget was approved to guarantee the implementation of these changes. Some of the main challenges faced by this reform are related to the diversity of the implementation settings, eg, isolated rural areas, and the limitations of the existing specialized mental health institutes to substantially grow in parallel to the scaling-up efforts in order to be able to provide training and clinical support to every region of Peru.

conclusionAlthough the true success of the mental healthcare reform will be determined in the coming years, thus far, Peru has achieved a number of legal, policy and fiscal milestones, thereby presenting a unique and fertile environment for the expansion of mental health services.

Indexed as

Capacity BuildingHealth Care ReformHealth PolicyHumansMental DisordersMental Health ServicesPeruQuality ImprovementHealthcare ReformHealth SystemsLow- and Middle-IncomeMental Health ServicesPolicy Analysis

Identifiers

PMID28949462
PMCPMC5582436
OpenAlexW2580653833

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.