{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:07:29Z","timestamp":1792087649652,"version":"4.4.0"},"reference-count":51,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2016,12,20]],"date-time":"2016-12-20T00:00:00Z","timestamp":1482192000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol Psychiatr Sci"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:p>The explicit inclusion of mental health within the Sustainable Development Goals is a welcome development, borne out of powerful advocacy using public health, economic and human rights arguments. As funding comes on line for scale-up of evidence-based mental health care by task-sharing with primary care, it is time to take stock about care for people affected by severe mental illness (SMI). The existing evidence base for task shared care for SMI provides an imperative to get started, but is skewed towards relatively more affluent and urban populations in middle-income countries where specialist mental health professionals provide most of the care. Randomised, controlled trials and rigorous implementation research on task shared service models are underway which will go some way to improving understanding of the quality, safety, effectiveness and acceptability of more widely generalisable care for people with SMI. A sub-group of people with SMI have more complex and long-term needs for care, with a high risk of homelessness, imprisonment and human rights violations as family and social supports become overwhelmed. Case studies from non-governmental organisations provide examples of holistic approaches to rehabilitation, recovery and empowerment of people with SMI, but rigorous comparative studies are needed to identify the most efficient, effective and scalable approaches to care. Health system constraints are emerging as the over-riding barriers to successful task-sharing, highlighting a need to develop and evaluate chronic care models for people with SMI that succeed in reducing premature mortality, improving wellbeing and achieving better social outcomes. Addressing these evidence gaps is essential if task-sharing mental health care is going to deliver on its promise of promoting recovery for the full range of people affected by SMI.<\/jats:p>","DOI":"10.1017\/s2045796016001013","type":"journal-article","created":{"date-parts":[[2016,12,20]],"date-time":"2016-12-20T05:10:24Z","timestamp":1482210624000},"page":"348-354","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":47,"title":["Next steps for meeting the needs of people with severe mental illness in low- and middle-income countries"],"prefix":"10.1017","volume":"26","author":[{"given":"C.","family":"Hanlon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2016,12,20]]},"reference":[{"key":"S2045796016001013_ref32","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(15)00095-9"},{"key":"S2045796016001013_ref51","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD010823.pub2"},{"key":"S2045796016001013_ref36","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbv107"},{"key":"S2045796016001013_ref38","doi-asserted-by":"publisher","DOI":"10.1186\/1752-4458-6-9"},{"key":"S2045796016001013_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(16)30024-4"},{"key":"S2045796016001013_ref5","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-14-56"},{"key":"S2045796016001013_ref40","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-015-0309-4"},{"key":"S2045796016001013_ref46","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009149.pub2"},{"key":"S2045796016001013_ref48","first-page":"177","article-title":"Delay and failure in treatment seeking after first onset of mental health disorders in the World Health Organization's World Mental Health Survey Initiative","volume":"6","author":"Wang","year":"2007","journal-title":"World Psychiatry"},{"key":"S2045796016001013_ref6","first-page":"1","article-title":"Community-based psychosocial rehabilitation for schizophrenia service users in the north west province of South Africa: a formative study","author":"Brooke-Sumner","year":"2016","journal-title":"Social Work in Mental Health"},{"key":"S2045796016001013_ref18","article-title":"Development of a scalable mental healthcare plan for a rural district in Ethiopia","author":"Fekadu","year":"2015","journal-title":"British Journal of Psychiatry Supplement"},{"key":"S2045796016001013_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(16)00105-X"},{"key":"S2045796016001013_ref14","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.110.085340"},{"key":"S2045796016001013_ref37","article-title":"Strengthening mental health system governance in six low-and middle-income countries in Africa and south Asia: challenges, needs and potential strategies","author":"Petersen","year":"2016","journal-title":"Health Policy and Planning"},{"key":"S2045796016001013_ref34","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(15)00515-5"},{"key":"S2045796016001013_ref2","first-page":"340","article-title":"Treatment of mentally Ill offenders in nine developing Latin American Countries","volume":"43","author":"Almanzar","year":"2015","journal-title":"Journal of the American Academy of Psychiatry and the Law"},{"key":"S2045796016001013_ref16","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-014-0138-x"},{"key":"S2045796016001013_ref45","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-006355"},{"key":"S2045796016001013_ref31","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(15)00094-2"},{"key":"S2045796016001013_ref30","doi-asserted-by":"publisher","DOI":"10.1007\/BF03391681"},{"key":"S2045796016001013_ref23","doi-asserted-by":"publisher","DOI":"10.1002\/j.2051-5545.2010.tb00308.x"},{"key":"S2045796016001013_ref4","volume-title":"Community Mental Health Practice. 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