COVID-19 mental health impact and responses in low-income and middle-income countries: reimagining global mental health.
COVID-19
/ epidemiology
Developing Countries
Global Health
Health Promotion
/ organization & administration
Health Services Accessibility
/ organization & administration
Humans
Mental Health
Mental Health Services
/ organization & administration
Social Determinants of Health
Socioeconomic Factors
Telemedicine
Journal
The lancet. Psychiatry
ISSN: 2215-0374
Titre abrégé: Lancet Psychiatry
Pays: England
ID NLM: 101638123
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
received:
06
10
2020
revised:
11
01
2021
accepted:
14
01
2021
pubmed:
28
2
2021
medline:
5
6
2021
entrez:
27
2
2021
Statut:
ppublish
Résumé
Most of the global population live in low-income and middle-income countries (LMICs), which have historically received a small fraction of global resources for mental health. The COVID-19 pandemic has spread rapidly in many of these countries. This Review examines the mental health implications of the COVID-19 pandemic in LMICs in four parts. First, we review the emerging literature on the impact of the pandemic on mental health, which shows high rates of psychological distress and early warning signs of an increase in mental health disorders. Second, we assess the responses in different countries, noting the swift and diverse responses to address mental health in some countries, particularly through the development of national COVID-19 response plans for mental health services, implementation of WHO guidance, and deployment of digital platforms, signifying a welcome recognition of the salience of mental health. Third, we consider the opportunity that the pandemic presents to reimagine global mental health, especially through shifting the balance of power from high-income countries to LMICs and from narrow biomedical approaches to community-oriented psychosocial perspectives, in setting priorities for interventions and research. Finally, we present a vision for the concept of building back better the mental health systems in LMICs with a focus on key strategies; notably, fully integrating mental health in plans for universal health coverage, enhancing access to psychosocial interventions through task sharing, leveraging digital technologies for various mental health tasks, eliminating coercion in mental health care, and addressing the needs of neglected populations, such as children and people with substance use disorders. Our recommendations are relevant for the mental health of populations and functioning of health systems in not only LMICs but also high-income countries impacted by the COVID-19 pandemic, with wide disparities in quality of and access to mental health care.
Identifiants
pubmed: 33639109
pii: S2215-0366(21)00025-0
doi: 10.1016/S2215-0366(21)00025-0
pmc: PMC9764935
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
535-550Subventions
Organisme : FIC NIH HHS
ID : K43 TW011046
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH100470
Pays : United States
Organisme : Medical Research Council
ID : MR/T019662/1
Pays : United Kingdom
Organisme : NIMH NIH HHS
ID : R01 MH120649
Pays : United States
Organisme : NIMH NIH HHS
ID : U19 MH113211
Pays : United States
Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : NIMH NIH HHS
ID : R01 MH127767
Pays : United States
Commentaires et corrections
Type : ErratumIn
Type : CommentIn
Type : CommentIn
Type : CommentIn
Type : CommentIn
Type : CommentIn
Informations de copyright
Copyright © 2021 Elsevier Ltd. All rights reserved.
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