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2000
Volume 21, Issue 4
  • ISSN: 2666-0822
  • E-ISSN: 2666-0830

Abstract

Introduction

Common Mental Disorders (CMD) cause significant impairment in socio-occupational functioning, leading to dreadful socio-economic consequences on the individual, family, and society. Even though mental illness is prevalent worldwide, the public health burden of mental illness seems to be the highest in low- and middle-income countries (LMICs). In these countries, lack of access to essential mental health services has also led to a significant treatment gap in psychiatric disorders. In such a situation, reaching out to the community and utilizing community-based resources to decentralize mental health care is essential.

Objective

The aim of this narrative review was to appraise the impact of community-based mental health interventions on CMD. This review also highlights the impact of the rights-based approach in mental health care and the psychosocial determinants of mental health.

Methods

A thorough search of databases, such as PubMed/Medline, CINHAL, and Scopus, was done to gather articles published between January 2001 and July 2023. Studies answering the central theme of the review, such as the trends and existing mental health services in the community and their impact on CMD, were included in the review. The relevant articles were analyzed in detail.

Results

Involvement of people at the grassroots level through peer support programs or in recovery camps, addressing the social determinants like poverty, housing, and unemployment, and a rights-based approach in every mental health service were found to be beneficial and effective in running community mental health services. These approaches are the need of the hour and are well accepted by the people in the community.

Conclusion

In order to overcome the treatment gap in LMICs, a well-utilized community mental health service is the only way out. The allocation of adequate funds by policymakers, the development of infrastructure, and investment in manpower need to be scaled up tremendously.

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2025-11-15

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References

  1. RisalA. Common mental disorders.Kathmandu Univ. Med. J.201193521321722946143
     [Google Scholar]
  2. NaveedS. WaqasA. ChaudharyA.M.D. KumarS. AbbasN. AminR. Prevalence of common mental disorders in south asia: A systematic review and meta-regression analysis.Front. Psychiatry2020211
     [Google Scholar]
  3. RathodS. PinnintiN. IrfanM. GorczynskiP. RathodP. GegaL. Mental health service provision in low- and middle-income countries.Health Serv. Insights2017101178632917694350
     [Google Scholar]
  4. HansG. SharanP. Community-based mental health services in india: current status and roadmap for the future.Consortium Psychiatricum2021236371
     [Google Scholar]
  5. SashidharanS.P. WhiteR. MezzinaR. JansenS. GishomaD. Global mental health in high-income countries.Br. J. Psychiatry201620913510.1192/bjp.bp.115.17955627369474
     [Google Scholar]
  6. FurberG. SegalL. LeachM. Preventing mental illness: closing the evidence-practice gap through workforce and services planning.BMC Health Serv. Res.201515128310.1186/s12913‑015‑0954‑526205006
     [Google Scholar]
  7. EbertD.D. CuijpersP. MuñozR.F. BaumeisterH. Prevention of mental health disorders using internet- and mobile-based interventions: A narrative review and recommendations for future research.Front. Psychiatry20178AUG11610.3389/fpsyt.2017.0011628848454
     [Google Scholar]
  8. AndersonL.M. AdeneyK.L. ShinnC. SafranekS. Buckner-BrownJ. KrauseL.K. Community coalition-driven interventions to reduce health disparities among racial and ethnic minority populations.Cochrane Database Syst. Rev.20152015610.1002/14651858.CD009905.pub2
     [Google Scholar]
  9. KishoreJ. GuptaA. JilohaR. BantmanP. Myths, beliefs and perceptions about mental disorders and health-seeking behavior in Delhi, India.Indian J. Psychiatry201153432432910.4103/0019‑5545.9190622303041
     [Google Scholar]
  10. AlhoranyA.K. Kamel AlhoranyA. Attitudes toward help-seeking counseling, stigma in arab context: A systematic literature review.Malaysian J Med Heal Sci201915Suppl. 126369346
     [Google Scholar]
  11. WainbergM.L. ScorzaP. ShultzJ.M. Challenges and opportunities in global mental health: a research-to-practice perspective.Curr. Psychiatry Rep.20171952810.1007/s11920‑017‑0780‑z28425023
     [Google Scholar]
  12. BloomD.E. CafieroE.T. Jané-LlopisE. Abrahams-GesselS. BloomL.R. FathimaS.F. The global economic burden of noncommunicable diseases.Geneva: World economic forum.2011Available from: https://www.scirp.org/reference/referencespapers?referenceid=1341915 (accessed on 15-7-2024)
     [Google Scholar]
  13. Early Identification of Mental Health Issues in Young People.2013Available from: https://mhanational.org/issues/early-identification-mental-health-issues-young-people(accessed on 15-7-2024)
  14. ThornicroftG. DebT. HendersonC. Community mental health care worldwide: current status and further developments.World Psychiatry201615327628610.1002/wps.2034927717265
     [Google Scholar]
  15. Van CittersA.D. BartelsS.J. A systematic review of the effectiveness of community-based mental health outreach services for older adults.Psychiatr. Serv.200455111237124910.1176/appi.ps.55.11.123715534012
     [Google Scholar]
  16. SimmondsS. CoidJ. JosephP. MarriottS. Petertyrer. Community mental health team management in severe mental illness: A systematic review.Br. J. Psychiatry2001178649750210.1192/bjp.178.6.49711388964
     [Google Scholar]
  17. SinghS.P. Running an effective community mental health team.Adv. Psychiatr. Treat.20006641442210.1192/apt.6.6.414
     [Google Scholar]
  18. SanchezA.L. CornacchioD. PoznanskiB. GolikA.M. ChouT. ComerJ.S. The effectiveness of school-based mental health services for elementary-aged children: A meta-analysis.J. Am. Acad. Child Adolesc. Psychiatry201857315316510.1016/j.jaac.2017.11.02229496124
     [Google Scholar]
  19. SinghO. Comprehensive Mental Health Action Plan 2013–2030: We must rise to the challenge.Indian J. Psychiatry202163541541710.4103/indianjpsychiatry.indianjpsychiatry_811_2134789927
     [Google Scholar]
  20. JoagK. Shields-ZeemanL. Kapadia-KunduN. KawadeR. BalajiM. PathareS. Feasibility and acceptability of a novel community-based mental health intervention delivered by community volunteers in Maharashtra, India: the Atmiyata programme.BMC Psychiatry20202014810.1186/s12888‑020‑2466‑z32028910
     [Google Scholar]
  21. BrobergE. PerssonA. JacobsonA. EngqvistA.K. A human rights-based approach to psychiatry: Is it possible?Health Hum. Rights202022112113132669794
     [Google Scholar]
  22. SampaioM.L. Bispo JúniorJ.P. Towards comprehensive mental health care: experiences and challenges of psychosocial care in Brazil.BMC Public Health2021211135210.1186/s12889‑021‑11397‑134238266
     [Google Scholar]
  23. BarbosaR da S. GarciaM.L.T. SpolanderG.C. Psychosocial healthcare centres (CAPS) in Brazilian mental health policy, 2008-2017.Res Square2020
     [Google Scholar]
  24. Porsdam MannS. BradleyV.J. SahakianB.J. Human rights-based approaches to mental health: A review of programs.Health Hum. Rights201618126327627781015
     [Google Scholar]
  25. Vera San JuanN. GronholmP.C. HeslinM. Recovery from severe mental health problems: A systematic review of service user and informal caregiver perspectives.Front. Psychiatry20211271202610.3389/fpsyt.2021.71202634539464
     [Google Scholar]
  26. CottonS. ButselaarF. Outdoor adventure camps for people with mental illness.Australas. Psychiatry201321435235810.1177/103985621349235123828947
     [Google Scholar]
  27. RajL. ChavanB.S. BalaC. Community ′de-addiction′ camps: A follow-up study.Indian J. Psychiatry2005471444710.4103/0019‑5545.46074
     [Google Scholar]
  28. TaylorE. PerlmanD. MoxhamL. Recovery camp: Assisting consumers toward enhanced self-determination.Int. J. Ment. Health Nurs.201726330130810.1111/inm.1222727230567
     [Google Scholar]
  29. OchockaJ. NelsonG. JanzenR. TrainorJ. A longitudinal study of mental health consumer/survivor initiatives: Part 3—A qualitative study of impacts of participation on new members.J. Community Psychol.200634327328310.1002/jcop.20099
     [Google Scholar]
  30. Lloyd-EvansB. Mayo-WilsonE. HarrisonB. A systematic review and meta-analysis of randomised controlled trials of peer support for people with severe mental illness.BMC Psychiatry20141413910.1186/1471‑244X‑14‑3924528545
     [Google Scholar]
  31. SunderlandK. MishkinW. Guidelines for the Practice and Training of Peer Support.2013Available from: [https://www.mentalhealthcommission.ca/wp-content/uploads/2021/09/Guidelines-for-the-Practice-and-Training-of-Peer-Support.pdf(accessed on 15-7-2024)]
     [Google Scholar]
  32. LundC. BreenA. FlisherA.J. Poverty and common mental disorders in low and middle income countries: A systematic review.Soc. Sci. Med.201071351752810.1016/j.socscimed.2010.04.02720621748
     [Google Scholar]
  33. HanS. LeeH.S. Social capital and depression: does household context matter?Asia Pac. J. Public Health201527220082018
     [Google Scholar]
  34. ReiblingN. BeckfieldJ. HuijtsT. Schmidt-CatranA. ThomsonK.H. WendtC. Depressed during the depression: has the economic crisis affected mental health inequalities in Europe? Findings from the European Social Survey (2014) special module on the determinants of health.Eur. J. Public Health201727Suppl. 1475410.1093/eurpub/ckw22528355641
     [Google Scholar]
  35. SinghA. DanielL. BakerE. BentleyR. Housing disadvantage and poor mental health: A systematic review.Am. J. Prev. Med.201957226227210.1016/j.amepre.2019.03.01831326010
     [Google Scholar]
  36. PevalinD.J. ReevesA. BakerE. BentleyR. The impact of persistent poor housing conditions on mental health: A longitudinal population-based study.Prev. Med.201710530431010.1016/j.ypmed.2017.09.02028963007
     [Google Scholar]
  37. BostwickW.B. BoydC.J. HughesT.L. WestB.T. McCabeS.E. Discrimination and mental health among lesbian, gay, and bisexual adults in the United States.Am. J. Orthopsychiatry2014841354510.1037/h009885124826824
     [Google Scholar]
  38. WandrekarJ.R. NigudkarA.S. What do we know about LGBTQIA+ mental health in india? A review of research from 2009 to 2019.J Psychosexual Heal2019212636
     [Google Scholar]
  39. LundC. OrkinK. WitteM. DaviesT. HaushoferJ. BassJ. Economic impacts of mental health interventions in low and middle-income countries: a systematic review and meta-analysis.Glob. Health Action2018141
     [Google Scholar]
  40. NazaraS. RahayuS.K. Program keluarga harapan (PKH): Indonesian conditional cash transfer programme. Res Br No42. Int Cent Incl Growth.2013Available from: [https://ipcig.org/sites/default/files/pub/en/IPCPolicyResearchBrief42.pdf(accessed on 15-7-2024)]
     [Google Scholar]
  41. ChristianC. HenselL. RothC. Income shocks and suicides: Causal evidence from Indonesia.Rev. Econ. Stat.2019101590592010.1162/rest_a_00777
     [Google Scholar]
  42. AubryT. TsemberisS. AdairC.E. One-year outcomes of a randomized controlled trial of housing first with ACT in five Canadian cities.Psychiatr. Serv.201566546346910.1176/appi.ps.20140016725639993
     [Google Scholar]
  43. O’CampoP. StergiopoulosV. DavisO. LachaudJ. NisenbaumR. DunnJ.R. Health and social outcomes in the Housing First model: Testing the theory of change. eClinicalMedicine.Lancet202247
     [Google Scholar]
  44. Powell-JacksonT. PereiraS.K. DuttV. TougherS. HaldarK. KumarP. Cash transfers, maternal depression and emotional well-being: Quasi-experimental evidence from India’s Janani Suraksha Yojana programme.Soc. Sci. Med.201616221021810.1016/j.socscimed.2016.06.03427387651
     [Google Scholar]
  45. SchuttR.K. HoughR.L. GoldfingerS.M. Lessening homelessness among persons with mental illness: A comparison of five randomized treatment trials.Asian J. Psychiatr.20092310010510.1016/j.ajp.2009.07.00320161434
     [Google Scholar]
  46. AziziH. FakhariA. FarahbakhshM. EsmaeiliE.D. MirzapourM. Outcomes of community-based suicide prevention program in primary health care of Iran.Int. J. Ment. Health Syst.20211516710.1186/s13033‑021‑00492‑w34348779
     [Google Scholar]
  47. Hospital-based mental health servicesPromoting person-centred and rights-based approaches.2021Available from: [https://www.who.int/publications/i/item/9789240025745(accessed on 15-7-2024)]
     [Google Scholar]
  48. BreuerE. De SilvaM.J. ShidayeR. Planning and evaluating mental health services in low- and middle-income countries using theory of change.Br. J. Psychiatry2016208s56Suppl. 56s55s6210.1192/bjp.bp.114.15384126447178
     [Google Scholar]
  49. FreemanM. Investing for population mental health in low and middle income countries—where and why?Int. J. Ment. Health Syst.20221613810.1186/s13033‑022‑00547‑635953845
     [Google Scholar]
  50. Mueller-WilliamsA.C. HopsonJ. MomperS.L. Evaluating the effectiveness of suicide prevention gatekeeper trainings as part of an American Indian/alaska native youth suicide prevention program.Community Ment. Health J.20235981631163810.1007/s10597‑023‑01154‑637558869
     [Google Scholar]
  51. KumarD. School mental health program in India: Need to shift from a piecemeal approach to a long-term comprehensive approach with strong intersectoral coordination.Indian J. Psychiatry2021631919610.4103/psychiatry.IndianJPsychiatry_204_2034083828
     [Google Scholar]
  52. RamanV. ThomasS. School mental health program in India—Issues and possible practical solutions.Indian J. Psychol. Med.202345328328810.1177/0253717623116503337152393
     [Google Scholar]
  53. DharD. JainT. JayachandranS. The impact of a school-based gender attitude change program in India.2021Available from: [https://www.povertyactionlab.org/evaluation/impact-school-based-gender-attitude-change-program-india(accessed on 15-7-2024)]
     [Google Scholar]
  54. HylerS.E. GangureD.P. A review of the costs of telepsychiatry.Psychiatr. Serv.200354797698010.1176/appi.ps.54.7.97612851433
     [Google Scholar]
  55. CrowS.J. MitchellJ.E. CrosbyR.D. SwansonS.A. WonderlichS. LancansterK. The cost effectiveness of cognitive behavioral therapy for bulimia nervosa delivered via telemedicine versus face-to-face.Behav. Res. Ther.200947645145310.1016/j.brat.2009.02.00619356743
     [Google Scholar]
  56. ButtorffC. HockR. WeissH. Economic evaluation of a task-shifting intervention for common mental disorders in India.Bull. World Health Organ.2012901181382110.2471/BLT.12.10413323226893
     [Google Scholar]
  57. ChatterjeeS. ChowdharyN. PednekarS. Integrating evidence-based treatments for common mental disorders in routine primary care: feasibility and acceptability of the MANAS intervention in Goa, India.World Psychiatry200871394610.1002/j.2051‑5545.2008.tb00151.x18458786
     [Google Scholar]
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The Impact of Community-based Mental Health Interventions on Mental Disorders
Curr Psyc Res Rev 21, 529 (2025); https://doi.org/10.2174/0126660822317419240805103954
/content/journals/cprr/10.2174/0126660822317419240805103954
/content/journals/cprr/10.2174/0126660822317419240805103954
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  • Article Type:     Review Article
Keyword(s): common mental disorders; community based mental health interventions; Community mental health; human rights-based approach; mental health care access; mental health disparities; mental health inequalities; mental health interventions; psychosocial determinants

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