Mental health in the Americas: an overview of the treatment gap
Objective. To understand the mental health treatment gap in the Region of the Americas by examining the prevalence of mental health disorders, use of mental health services, and the global burden of disease. Methods. Data from community-based surveys of mental disorders in Argentina, Brazil, Canada,...
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ftdoajarticles:oai:doaj.org/article:31774633d0104423a5d73d5ae9b62999 2023-05-15T15:12:17+02:00 Mental health in the Americas: an overview of the treatment gap Robert Kohn Ali Ahsan Ali Victor Puac-Polanco Chantal Figueroa Victor López-Soto Kristen Morgan Sandra Saldivia Benjamín Vicente 2018-10-01T00:00:00Z https://doi.org/10.26633/RPSP.2018.165 https://doaj.org/article/31774633d0104423a5d73d5ae9b62999 EN ES PT eng spa por Pan American Health Organization http://iris.paho.org/xmlui/handle/123456789/49540 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2018.165 https://doaj.org/article/31774633d0104423a5d73d5ae9b62999 Revista Panamericana de Salud Pública, Vol 42, Pp 1-10 (2018) Mental disorders professional practice gaps mental health services Americas Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2018 ftdoajarticles https://doi.org/10.26633/RPSP.2018.165 2022-12-31T06:19:31Z Objective. To understand the mental health treatment gap in the Region of the Americas by examining the prevalence of mental health disorders, use of mental health services, and the global burden of disease. Methods. Data from community-based surveys of mental disorders in Argentina, Brazil, Canada, Chile, Colombia, Guatemala, Mexico, Peru, and the United States were utilized. The World Mental Health Survey published data were used to estimate the treatment gap. For Canada, Chile, and Guatemala, the treatment gap was calculated from data files. The mean, median, and weighted treatment gap, and the 12-month prevalence by severity and category of mental disorder were estimated for the general adult, child-adolescent, and indigenous populations. Disability-adjusted Life Years and Years Lived with Disability were calculated from the Global Burden of Disease study. Results. Mental and substance use disorders accounted for 10.5% of the global burden of disease in the Americas. The 12-month prevalence rate of severe mental disorders ranged from 2% – 10% across studies. The weighted mean treatment gap in the Americas for moderate to severe disorders was 65.7%; North America, 53.2%; Latin America, 74.7%; Mesoamerica, 78.7%; and South America, 73.1%. The treatment gap for severe mental disorders in children and adolescents was over 50%. One-third of the indigenous population in the United States and 80% in Latin America had not received treatment. Conclusion. The treatment gap for mental health remains a public health concern. A high proportion of adults, children, and indigenous individuals with serious mental illness remains untreated. The result is an elevated prevalence of mental disorders and global burden of disease. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Canada Argentina Revista Panamericana de Salud Pública 42 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Mental disorders professional practice gaps mental health services Americas Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Mental disorders professional practice gaps mental health services Americas Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Robert Kohn Ali Ahsan Ali Victor Puac-Polanco Chantal Figueroa Victor López-Soto Kristen Morgan Sandra Saldivia Benjamín Vicente Mental health in the Americas: an overview of the treatment gap |
topic_facet |
Mental disorders professional practice gaps mental health services Americas Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objective. To understand the mental health treatment gap in the Region of the Americas by examining the prevalence of mental health disorders, use of mental health services, and the global burden of disease. Methods. Data from community-based surveys of mental disorders in Argentina, Brazil, Canada, Chile, Colombia, Guatemala, Mexico, Peru, and the United States were utilized. The World Mental Health Survey published data were used to estimate the treatment gap. For Canada, Chile, and Guatemala, the treatment gap was calculated from data files. The mean, median, and weighted treatment gap, and the 12-month prevalence by severity and category of mental disorder were estimated for the general adult, child-adolescent, and indigenous populations. Disability-adjusted Life Years and Years Lived with Disability were calculated from the Global Burden of Disease study. Results. Mental and substance use disorders accounted for 10.5% of the global burden of disease in the Americas. The 12-month prevalence rate of severe mental disorders ranged from 2% – 10% across studies. The weighted mean treatment gap in the Americas for moderate to severe disorders was 65.7%; North America, 53.2%; Latin America, 74.7%; Mesoamerica, 78.7%; and South America, 73.1%. The treatment gap for severe mental disorders in children and adolescents was over 50%. One-third of the indigenous population in the United States and 80% in Latin America had not received treatment. Conclusion. The treatment gap for mental health remains a public health concern. A high proportion of adults, children, and indigenous individuals with serious mental illness remains untreated. The result is an elevated prevalence of mental disorders and global burden of disease. |
format |
Article in Journal/Newspaper |
author |
Robert Kohn Ali Ahsan Ali Victor Puac-Polanco Chantal Figueroa Victor López-Soto Kristen Morgan Sandra Saldivia Benjamín Vicente |
author_facet |
Robert Kohn Ali Ahsan Ali Victor Puac-Polanco Chantal Figueroa Victor López-Soto Kristen Morgan Sandra Saldivia Benjamín Vicente |
author_sort |
Robert Kohn |
title |
Mental health in the Americas: an overview of the treatment gap |
title_short |
Mental health in the Americas: an overview of the treatment gap |
title_full |
Mental health in the Americas: an overview of the treatment gap |
title_fullStr |
Mental health in the Americas: an overview of the treatment gap |
title_full_unstemmed |
Mental health in the Americas: an overview of the treatment gap |
title_sort |
mental health in the americas: an overview of the treatment gap |
publisher |
Pan American Health Organization |
publishDate |
2018 |
url |
https://doi.org/10.26633/RPSP.2018.165 https://doaj.org/article/31774633d0104423a5d73d5ae9b62999 |
geographic |
Arctic Canada Argentina |
geographic_facet |
Arctic Canada Argentina |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 42, Pp 1-10 (2018) |
op_relation |
http://iris.paho.org/xmlui/handle/123456789/49540 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2018.165 https://doaj.org/article/31774633d0104423a5d73d5ae9b62999 |
op_doi |
https://doi.org/10.26633/RPSP.2018.165 |
container_title |
Revista Panamericana de Salud Pública |
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42 |
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1766342983348649984 |