title: Global mental health in high-income countries.
abstract: Over the past decade there have been significant efforts to scale-up mental health services in resource-poor countries. A number of cost-effective innovations have emerged as a result. At the same time, there is increasing concern in resource-rich countries about efficacy, efficiency and acceptability of mental health services. We consider two specific innovations used widely in low- and middle-income countries, task-sharing and a development model of mental healthcare, that we believe have the potential to address some of the current challenges facing mental health services in high-income countries.
authors.affiliation: S. P. Sashidharan, MRCPsych, PhD, Ross White, PhD, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK; Roberto Mezzina, MD, Dipartimento di Salute Mentale, WHO Collaborating Centre for Research and Training, Trieste, Italy; Stefan Jansen, PhD, Darius Gishoma, PhD College of Medicine and Health Sciences, Center for Mental Health, University of Rwanda, Rwanda s.p.sashidharan@gmail.com.
authors.forename: S P
authors.initials: SP
authors.lastname: Sashidharan
authors.affiliation: S. P. Sashidharan, MRCPsych, PhD, Ross White, PhD, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK; Roberto Mezzina, MD, Dipartimento di Salute Mentale, WHO Collaborating Centre for Research and Training, Trieste, Italy; Stefan Jansen, PhD, Darius Gishoma, PhD College of Medicine and Health Sciences, Center for Mental Health, University of Rwanda, Rwanda.
authors.forename: Ross
authors.initials: R
authors.lastname: White
authors.affiliation: S. P. Sashidharan, MRCPsych, PhD, Ross White, PhD, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK; Roberto Mezzina, MD, Dipartimento di Salute Mentale, WHO Collaborating Centre for Research and Training, Trieste, Italy; Stefan Jansen, PhD, Darius Gishoma, PhD College of Medicine and Health Sciences, Center for Mental Health, University of Rwanda, Rwanda.
authors.forename: Roberto
authors.initials: R
authors.lastname: Mezzina
authors.affiliation: S. P. Sashidharan, MRCPsych, PhD, Ross White, PhD, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK; Roberto Mezzina, MD, Dipartimento di Salute Mentale, WHO Collaborating Centre for Research and Training, Trieste, Italy; Stefan Jansen, PhD, Darius Gishoma, PhD College of Medicine and Health Sciences, Center for Mental Health, University of Rwanda, Rwanda.
authors.forename: Stefan
authors.initials: S
authors.lastname: Jansen
authors.affiliation: S. P. Sashidharan, MRCPsych, PhD, Ross White, PhD, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK; Roberto Mezzina, MD, Dipartimento di Salute Mentale, WHO Collaborating Centre for Research and Training, Trieste, Italy; Stefan Jansen, PhD, Darius Gishoma, PhD College of Medicine and Health Sciences, Center for Mental Health, University of Rwanda, Rwanda.
authors.forename: Darius
authors.initials: D
authors.lastname: Gishoma
mesh_terms: D019049:Developed Countries; D014943:Global Health; D006801:Humans; D008603:Mental Health; D008605:Mental Health Services