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

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  • Wiley-Exley, Elizabeth

Abstract

Community-based models of providing mental health services are widely considered effective ways of serving individuals diagnosed with mental illness, but more comprehensive literature on these models in low- and middle-income countries is needed. This study is a systematic review of the effects of community-based models on health outcomes of adults with depression, schizophrenia, panic disorder, or bipolar disorders in middle- and low-income countries. PubMed, PsycINFO, and Cochrane Reviews were searched, returning 500 articles. The seventeen interventions included in this review in 14 countries show us that community-based mental health services can provide improvements in mental health outcomes, and the limited cost analyses suggest cost savings associated with community models of care. These findings are in line with much of the research on higher income countries. In addition, the studies also point to the gaps in the literature on costs, rural areas, bipolar disorders, and panic disorders, and note the need for further reviews of interventions targeting additional diseases, children, and adolescents as well as studies published in languages other than English. This review of the literature serves as a stepping stone for further research in community-based mental health services in low- and middle-income countries. The works reviewed here provide a base of knowledge that will assist us in taking the important next steps in program implementation and evaluation.

Suggested Citation

  • Wiley-Exley, Elizabeth, 2007. "Evaluations of community mental health care in low- and middle-income countries: A 10-year review of the literature," Social Science & Medicine, Elsevier, vol. 64(6), pages 1231-1241, March.
  • Handle: RePEc:eee:socmed:v:64:y:2007:i:6:p:1231-1241
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    References listed on IDEAS

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    1. Elzbieta Slupczynska-Kossobudzka & Ludmila Boguszewska, 1999. "Effects of Community Mobile Team Intervention in the Drewnica Hospital Catchment Area. 1. Patient Outcome," International Journal of Social Psychiatry, , vol. 45(3), pages 207-215, September.
    2. Sarah James & Daniel Chisholm & R. Srinivasa Murthy & K. Kishore Kumar & K. Sekar & Khalid Saeed & Malik Mubbashar, 2002. "Demand for, Access to and Use of Community Mental Health Care: Lessons from a Demonstration Project in India and Pakistan," International Journal of Social Psychiatry, , vol. 48(3), pages 163-176, September.
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    1. Jona J Frasch & Ionela Petrea & Jana Chihai & Filip Smit & Matthijs Oud & Laura Shields-Zeeman, 2020. "Taking steps towards deinstitutionalizing mental health care within a low and middle-income country: A cross-sectional study of service user needs in the Republic of Moldova," International Journal of Social Psychiatry, , vol. 66(1), pages 49-57, February.
    2. Mateus Dias & Luiz Felipe Fontes, 2024. "The Effects of a Large-Scale Mental Health Reform: Evidence from Brazil," American Economic Journal: Economic Policy, American Economic Association, vol. 16(3), pages 257-289, August.
    3. Aboud, Frances E. & Singla, Daisy R., 2012. "Challenges to changing health behaviours in developing countries: A critical overview," Social Science & Medicine, Elsevier, vol. 75(4), pages 589-594.
    4. Betancourt, Theresa Stichick & Meyers-Ohki, Sarah & Stulac, Sara N. & Elizabeth Barrera, Amy & Mushashi, Christina & Beardslee, William R., 2011. "Nothing can defeat combined hands (Abashize hamwe ntakibananira): Protective processes and resilience in Rwandan children and families affected by HIV/AIDS," Social Science & Medicine, Elsevier, vol. 73(5), pages 693-701, September.
    5. Vaios Peritogiannis & Maria Samakouri, 2021. "Research on psychotic disorders in rural areas: Recent advances and ongoing challenges," International Journal of Social Psychiatry, , vol. 67(8), pages 1046-1057, December.

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