What types of mental health care are right for the 21st century—in all countries, around the world? What is the best balance of primary care and specialist mental health care for people with mental illness? What is the best evidence for effective treatments and services? Which methods are most suitable for answering these questions? These are the tough issues addressed by this book. Leading experts from across the world bring their experience to bear in a series of chapters that set out the very best evidence in this field. They present clear accounts of what is known, extensively referenced, with critical appraisals of the strength of the evidence and the robustness of the conclusions that can be drawn.

This book was inspired by the work of Michele Tansella on the development of community care globally. It comprises four sections, identifying the challenges associated with providing mental health services in high-, middle- and low-income countries, then describing ways to meet these challenges. A section on new research methods to produce practical evidence is a novel aspect of the book. The final section addresses how best to deliver new forms of care, bearing in mind the human resources available. The chapters extensively cite specific studies to enhance the practical relevance. Much of the cited research involves service users so their voice is heard throughout the text.

Mental health is rapidly becoming recognised as one of the leading global health challenges. This book adds to our knowledge of the challenge and the solutions and stands to make a significant contribution to global mental health.
Contributors, xii

Section 1 The global challenge

1 The nature and scale of the global mental health challenge

Mirella Ruggeri, Graham Thornicroft and David Goldberg

2 Scaling up mental health care in resource-poor settings

Shekhar Saxena, Benedetto Saraceno and Justin Granstein

3 The swings and roundabouts of community mental health: The UK fairground

Peter Tyrer

4 Mental health services and recovery

Mike Slade, Mary Leamy, Victoria Bird and Clair Le Boutillier

Section 2 Meeting the global challenge

5 Implementing evidence-based treatments in routine mental health services: Strategies, obstacles, new developments to better target care provided

Antonio Lasalvia, Sarah Tosato, Katia De Santi, Doriana Cristofalo, Chiara Bonetto and Mirella Ruggeri

6 The need for new models of care for people with severe mental illness in low- and middle-income countries

Ruben Alvarado, Alberto Minoletti, Elie Valencia, Graciela Rojas and Ezra Susser

7 The role of primary care in low- and middle-income countries

David Goldberg, Graham Thornicroft and Nadja van Ginneken

8 Meeting the challenge of physical comorbidity and unhealthy lifestyles

Lorenzo Burti, Loretta Berti, Elena Bonfioli and Irene Fiorini

9 Complex interventions in mental health services research: Potential, limitations and challenges

Thomas Becker and Bernd Puschner

10 The feasibility of applying the clinical staging paradigm to the care of people with mental disorders

Javier Vázquez-Bourgon, Luis Salvador-Carulla, Benedicto Crespo-Facorro and José Luis Vázquez-Barquero

11 Work, mental health and depression

Aart Schene, Hiske Hees, Maarten Koeter and Gabe de Vries

12 Training mental health providers in better communication with their patients

Christa Zimmermann, Lidia Del Piccolo, Claudia Goss, Giuseppe Deledda, Mariangela Mazzi and Michela Rimondini

13 Making an economic case for better mental health services

Martin Knapp

Section 3 New research methods

14 Incorporating local information and prior expert knowledge to evidence-informed mental health system research

Luis Salvador-Carulla, Carlos Garcia-Alonso, Karina Gibert and Javier Vázquez-Bourgon

15 Innovative epidemiological methods

Francesco Amaddeo, Valeria Donisi, Laura Grigoletti and Alberto Rossi

16 Routine outcome monitoring: A tool to improve the quality of mental health care?

Sjoerd Sytema and Lian van der Krieke

17 Psychiatric case registers: Their use in the era of global mental health

Povl Munk-Jørgensen and Niels Okkels

18 Can brain imaging address psychosocial functioning and outcome in schizophrenia?

Marcella Bellani, Nicola Dusi and Paolo Brambilla

19 Statistics and the evaluation of the effects of randomized health-care interventions

Graham Dunn

20 Service user involvement in mental health research

Diana Rose

Section 4 Delivering better care in the community

21 Psychotropic drug epidemiology and systematic reviews of randomised clinical trials: The roads travelled, the roads ahead

Andrea Cipriani, Michela Nosè and Corrado Barbui

22 Services for people with severe mental disorders in high-income countries: From efficacy to effectiveness

Paul Bebbington, Elizabeth Kuipers and David Fowler

23 The management of mental disorders in the primary care setting

Matteo Balestrieri

24 Some wobbly planks in the platform of mental health care

Norman Sartorius

25 Treatment gaps and knowledge gaps in mental health: Schizophrenia as a global challenge

Assen Jablensky

Index
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