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Global mental health inequalities

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There is major inequality in the mental health field on a global scale, especially in developing countries. The amount of people with a mental health condition is substantial, while clinicians are underappreciated and under resourced.

Around 30% of people globally suffer from a mental disorder in any given year, and more than two thirds of those individuals do not receive the necessary care[1]. The most common mental health disorders globally are depression, alcohol and substance abuse, and psychosis. The consequences of mental health inequalities include unneeded suffering and premature death, increased stigma and marginalization, a lack of investment in mental health workforce and infrastructure and limited or no treatment for people suffering from these conditions.

The burden of unmet mental health needs perpetuates a cycle of inequalities that impact a person’s overall health and wellbeing. Many developing countries lack policies that address the basic needs and rights of people suffering from mental illnesses[2]. According to research, patients in developing countries frequently leave hospitals without knowing their diagnosis or what medications they are taking, they wait too long for referrals, appointments, and treatment, and they are not respected or given adequate emotional support[3][4].

There is astounding disparity that exists between the prevalence of mental problems around the world and the resources available for mental health. Globally, only 2% of national budgets are devoted to mental health[5]. Due to a lack of finances and the ability to adequately treat their patients, some nations merely have warehouses to serve as hospitals where patients are isolated from the rest of society. The few psychiatric hospitals that do exist in developing countries are frequently overcrowded, understaffed, and may not offer the necessary level of care[2]. Most psychiatric hospitals are located in urban areas, away from family members, which increases social isolation and costs for families. Integrating mental health into primary health care could help solve these problems on a global scale.

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References

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  1. ^ Prince, Martin; Patel, Vikram; Saxena, Shekhar; Maj, Mario; Maselko, Joanna; Phillips, Michael R.; Rahman, Atif (2007-09-08). "No health without mental health". Lancet (London, England). 370 (9590): 859–877. doi:10.1016/S0140-6736(07)61238-0. ISSN 1474-547X. PMID 17804063.
  2. ^ a b Ngui, Emmanuel M.; Khasakhala, Lincoln; Ndetei, David; Roberts, Laura Weiss (2010-06). "Mental disorders, health inequalities and ethics: A global perspective". International Review of Psychiatry. 22 (3): 235–244. doi:10.3109/09540261.2010.485273. ISSN 0954-0261. {{cite journal}}: Check date values in: |date= (help)
  3. ^ Payton, Otto D (1994). "Through the Patientʼs Eyes: Understanding and Promoting Patient-Centered Care. Gerteis M, Edgman-Levitan S, Daley J, Delbanco TL, eds, San Francisco, CA, Jossey-Bass Inc, Publishers, 1993, hardback, 317 pp, $33.95". Journal of Physical Therapy Education. 8 (2): 88. doi:10.1097/00001416-199407000-00030. ISSN 0899-1855.
  4. ^ Ndetei, D M; Ongetcha, F A; Mutiso, V; Kuria, M; Khasakhala, L A; Kokonya, D A (2007-07-24). "The challenges of human resources in mental health in Kenya". African Journal of Psychiatry. 10 (1). doi:10.4314/ajpsy.v10i1.30231. ISSN 1994-8220.
  5. ^ ALMEIDA, OSVALDO P. (2003-04). "Atlas: Mental Health Resources in the World 2001. Edited by S. Saxena. (Pp. 55; available free from WHO, CH1211 Geneva 27, Switzerland.) World Health Organization: Geneva. 2001". Psychological Medicine. 33 (3): 563–568. doi:10.1017/s0033291703267659. ISSN 0033-2917. {{cite journal}}: Check date values in: |date= (help)