title: Informing mental health policies and services in the EMR: cost-effective deployment of human resources to deliver integrated community-based care.
abstract: For EMR countries to deliver the expectations of the Global Mental Health Action Plan 2013-2020 & the ongoing move towards universal health coverage, all health & social care providers need to innovate and transform their services to provide evidence-based health care that is accessible, cost-effective & with the best patient outcomes. For the primary and community workforce, this includes general medical practitioners, practice & community nurses, community social workers, housing officers, lay health workers, nongovernmental organizations & civil society, including community spiritual leaders/healers. This paper brings together the current best evidence to support transformation & discusses key approaches to achieve this, including skill mix and/or task shifting and integrated care. The important factors that need to be in place to support skill mix/task shifting and good integrated care are outlined with reference to EMR countries.
authors.affiliation: Wood Street Medical Centre, London, United Kingdom.
authors.forename: G
authors.initials: G
authors.lastname: Ivbijaro
authors.affiliation: Department of International Mental Health, London School of Hygiene and Tropical Medicine, London, United Kingdom & Centre for Chronic Conditions and Injuries, Public Health Foundation of India, New Delhi, India.
authors.forename: V
authors.initials: V
authors.lastname: Patel
authors.affiliation: Department of Mental Health and Substance Abuse,World Health Organization, Geneva, Switzerland.
authors.forename: D
authors.initials: D
authors.lastname: Chisholm
authors.affiliation: Institute of Psychiatry, King's College, London, United Kingdom.
authors.forename: D
authors.initials: D
authors.lastname: Goldberg
authors.affiliation: General Executive Board, Health Ministers Council for Cooperation Council, Riyadh, Saudi Arabia.
authors.forename: T A M
authors.initials: TA
authors.lastname: Khoja
authors.affiliation: Marital and Family Therapy Program, University of San Diego, San Diego, California, United States of America.
authors.forename: T M
authors.initials: TM
authors.lastname: Edwards
authors.affiliation: Waltham Forest Town Hall, London, United Kingdom.
authors.forename: Y
authors.initials: Y
authors.lastname: Enum
authors.affiliation: East London NHS Foundation Trust, London, United Kingdom.
authors.forename: L A
authors.initials: LA
authors.lastname: Kolkiewic
mesh_terms: D003362:Cost-Benefit Analysis; D019033:Delivery of Health Care, Integrated / Q000191:economics; D006291:Health Policy; D006292:Health Priorities; D006280:Health Workforce / Q000191:economics / Q000458:organization & administration*; D006801:Humans; D019083:Mediterranean Region; D008605:Mental Health Services / Q000191:economics; D009937:Organizational Objectives; D016730:Program Development; D058996:Quality Improvement; D014944:World Health Organization