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Welfare Reform on the Web (April 2007): Mental health services - overseas

Evaluations of community mental health care in low- and middle-income countries: a 10-year review of the literature

E. Wiley-Exley

Social Science and Medicine, vol.64, 2007, p. 1231-1241

Community-based models of providing mental health services are widely considered to be efficient and effective ways of serving individuals diagnosed with mental illness. However, more comprehensive research about the performance of those models in low- and middle-income countries would assist in policy and programme development. More needs to be known in many areas, including costs and cost-effectiveness of interventions, case management for schizophrenia, and the overall effectiveness of current treatments. This study presents the available evidence by systematically reviewing the literature on the effects of community-based models on outcomes for adults with depression, schizophrenia, panic disorder or bipolar disorder in low- and middle-income countries.

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