Evidence map›Paper›PMID 31093193›Full record

ArticleRevista panamericana de salud publica = Pan American journal of public health2018

Mental health in the Americas: an overview of the treatment gap.

Robert Kohn, Ali Ahsan Ali, Victor Puac-Polanco, Chantal Figueroa, Victor López-Soto, Kristen Morgan, Sandra Saldivia, Benjamín Vicente

Abstract read
In one paragraph

Article in Revista panamericana de salud publica = Pan American journal of public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 121 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
121citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

121 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  6. Evaluating A Brief Telehealth Positive Parenting Intervention: A Randomized Controlled Trial.Prevention science : the official journal of the Society for Prevention Research · 2026
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61 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

8 authors.

Robert KohnDepartment of Psychiatry and Human Behavior, Brown University, Providence, Rhode Island, United States of America.
Ali Ahsan AliDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, Elmhurst Hospital Center, New York, New York, United States.
Victor Puac-PolancoDepartment of Epidemiology, Columbia University, New York, New York, United States.
Chantal FigueroaGlobal Heath Program, Colorado College, Colorado Springs, Colorado, United States.
Victor López-SotoIndependent Researcher, Guatemala City, Guatemala.
Kristen MorganBrown University School of Public Health, Providence, Rhode Island, United States.
Sandra SaldiviaDepartment of Psychiatry and Mental Health, University of Concepción, Concepción, Región del Bío Bío, Chile.
Benjamín VicenteDepartment of Psychiatry and Mental Health, University of Concepción, Concepción, Región del Bío Bío, Chile.

Funding

NCIPC CDC HHS R49 CE002096
6 · The paper itself

Abstract

objectiveTo understand the mental health treatment gap in the Region of the Americas by examining the prevalence of mental health disorders, use of mental health services, and the global burden of disease.

methodsData from community-based surveys of mental disorders in Argentina, Brazil, Canada, Chile, Colombia, Guatemala, Mexico, Peru, and the United States were utilized. The World Mental Health Survey published data were used to estimate the treatment gap. For Canada, Chile, and Guatemala, the treatment gap was calculated from data files. The mean, median, and weighted treatment gap, and the 12-month prevalence by severity and category of mental disorder were estimated for the general adult, child-adolescent, and indigenous populations. Disability-adjusted Life Years and Years Lived with Disability were calculated from the Global Burden of Disease study.

resultsMental and substance use disorders accounted for 10.5% of the global burden of disease in the Americas. The 12-month prevalence rate of severe mental disorders ranged from 2% - 10% across studies. The weighted mean treatment gap in the Americas for moderate to severe disorders was 65.7%; North America, 53.2%; Latin America, 74.7%; Mesoamerica, 78.7%; and South America, 73.1%. The treatment gap for severe mental disorders in children and adolescents was over 50%. One-third of the indigenous population in the United States and 80% in Latin America had not received treatment.

conclusionThe treatment gap for mental health remains a public health concern. A high proportion of adults, children, and indigenous individuals with serious mental illness remains untreated. The result is an elevated prevalence of mental disorders and global burden of disease.

Indexed as

AmericasMental disordersmental health servicesprofessional practice gaps

Identifiers

PMID31093193
PMCPMC6386160

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.