Alexander L Chu, Aneeta Pasha, Carmen Contreras, Leonid Lecca, Annika C Sweetland, Jerome T Galea
Mental disorders are common among persons with tuberculosis (TB), and the COVID-19 pandemic has only amplified the mental and physical health consequences of this deadly synergy. Here, we call to attention the immense vulnerability of people with TB to mental disorders during the pandemic and highlight the unique challenges and opportunities that the pandemic brings to the future integration of global TB and mental healthcare. We argue that the pandemic era is an ideal period to accelerate this integration and we provide research and policy recommendations to actualise this urgent need.
{"title":"The COVID-19 pandemic as a catalyst for integrated global mental healthcare and tuberculosis care.","authors":"Alexander L Chu, Aneeta Pasha, Carmen Contreras, Leonid Lecca, Annika C Sweetland, Jerome T Galea","doi":"10.1192/bji.2023.3","DOIUrl":"https://doi.org/10.1192/bji.2023.3","url":null,"abstract":"<p><p>Mental disorders are common among persons with tuberculosis (TB), and the COVID-19 pandemic has only amplified the mental and physical health consequences of this deadly synergy. Here, we call to attention the immense vulnerability of people with TB to mental disorders during the pandemic and highlight the unique challenges and opportunities that the pandemic brings to the future integration of global TB and mental healthcare. We argue that the pandemic era is an ideal period to accelerate this integration and we provide research and policy recommendations to actualise this urgent need.</p>","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"20 3","pages":"64-67"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c2/7e/S205647402300003Xa.PMC10387437.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9935317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This report is based on the extrapolation to 2020 of data on the economic burden of mental illnesses in Pakistan in 2006. Given the resultant estimated high economic burden of mental illness in the country (£2.97 billion in 2020), we advocate a revised budget allocation to mental healthcare. As a resource-scarce nation that is entangled in natural disasters, Pakistan needs cost-effective psychological interventions such as culturally adapted manual-assisted problem-solving training (C-MAP) for the prevention of self-harm and suicide and to move towards attaining the United Nations' Sustainable Development Goals (SDGs). Although government has taken initiatives to support healthcare services (such as the Sehat Sahulat Program for universal health coverage), there is still a need to implement a cost-effective national digital model for mental healthcare such as the Agha Khan Development Network Digital Health Programme.
{"title":"Economic burden of mental illness in Pakistan: an estimation for the year 2020 from existing evidence.","authors":"Mohsin Hassan Alvi, Tehmina Ashraf, Tayyeba Kiran, Nasir Iqbal, Anil Gumber, Anita Patel, Nusrat Husain","doi":"10.1192/bji.2023.4","DOIUrl":"https://doi.org/10.1192/bji.2023.4","url":null,"abstract":"<p><p>This report is based on the extrapolation to 2020 of data on the economic burden of mental illnesses in Pakistan in 2006. Given the resultant estimated high economic burden of mental illness in the country (£2.97 billion in 2020), we advocate a revised budget allocation to mental healthcare. As a resource-scarce nation that is entangled in natural disasters, Pakistan needs cost-effective psychological interventions such as culturally adapted manual-assisted problem-solving training (C-MAP) for the prevention of self-harm and suicide and to move towards attaining the United Nations' Sustainable Development Goals (SDGs). Although government has taken initiatives to support healthcare services (such as the Sehat Sahulat Program for universal health coverage), there is still a need to implement a cost-effective national digital model for mental healthcare such as the Agha Khan Development Network Digital Health Programme.</p>","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"20 3","pages":"54-56"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10387434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9929274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BOX Mind the gap T economic crisis of 2010 brought global inequalities to the surface more clearly, and over the years the gap between the rich and the poor has been increasing. The COVID pandemic has highlighted the socioeconomic disparities between and within countries and the major adverse effects these have on health and well-being for communities and individuals. This has been highlighted further with the recent major increase in the cost of living. Research has shown that levels of prosperity are relevant to brain development, and poverty can have an impact on our children, with longer-term effects on their ability to manage their economic status in adulthood. Without appropriate state policies aimed at improving people’s economic status, adversity and its effects repeat from generation to generation.
{"title":"Pandora's Box.","authors":"","doi":"10.1192/bji.2023.17","DOIUrl":"https://doi.org/10.1192/bji.2023.17","url":null,"abstract":"BOX Mind the gap T economic crisis of 2010 brought global inequalities to the surface more clearly, and over the years the gap between the rich and the poor has been increasing. The COVID pandemic has highlighted the socioeconomic disparities between and within countries and the major adverse effects these have on health and well-being for communities and individuals. This has been highlighted further with the recent major increase in the cost of living. Research has shown that levels of prosperity are relevant to brain development, and poverty can have an impact on our children, with longer-term effects on their ability to manage their economic status in adulthood. Without appropriate state policies aimed at improving people’s economic status, adversity and its effects repeat from generation to generation.","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"20 3","pages":"74-76"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10387438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9929276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The prevalence of attention-deficit hyperactivity disorder is consistent worldwide. Psychiatric comorbidities are common, although less is known about how those comorbidities affect utilisation of healthcare services. Access to paediatric mental healthcare is a challenge in many regions. However, access to care in the United Arab Emirates (UAE) is supported by a well-established healthcare infrastructure with widely available primary care physicians. A review of diagnosis codes suggests that a clear correlation exists between the number of comorbidities and increased utilisation of available mental health services. Infrastructure in the UAE may represent a successful model for paediatric mental healthcare.
{"title":"Healthcare utilisation in the United Arab Emirates for children with attention-deficit hyperactivity disorder and comorbidities.","authors":"Ahmad M Almai, Jay A Salpekar","doi":"10.1192/bji.2023.14","DOIUrl":"10.1192/bji.2023.14","url":null,"abstract":"<p><p>The prevalence of attention-deficit hyperactivity disorder is consistent worldwide. Psychiatric comorbidities are common, although less is known about how those comorbidities affect utilisation of healthcare services. Access to paediatric mental healthcare is a challenge in many regions. However, access to care in the United Arab Emirates (UAE) is supported by a well-established healthcare infrastructure with widely available primary care physicians. A review of diagnosis codes suggests that a clear correlation exists between the number of comorbidities and increased utilisation of available mental health services. Infrastructure in the UAE may represent a successful model for paediatric mental healthcare.</p>","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"20 3","pages":"61-63"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10387415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9935315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anne Aboaja, Prashant Pandurangi, Susana Almeida, Luca Castelletti, Guillermo Rivera-Arroyo, Annette Opitz-Welke, Justus Welke, Stephen Barlow
[This corrects the article DOI: 10.1192/bji.2022.16.].
[这更正了文章DOI: 10.1192/bji.2022.16.]。
{"title":"Erratum: Six Nations: a clinical scenario comparison of systems for prisoners with psychosis in Australia, Bolivia and four European nations - ERRATUM.","authors":"Anne Aboaja, Prashant Pandurangi, Susana Almeida, Luca Castelletti, Guillermo Rivera-Arroyo, Annette Opitz-Welke, Justus Welke, Stephen Barlow","doi":"10.1192/bji.2023.10","DOIUrl":"https://doi.org/10.1192/bji.2023.10","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1192/bji.2022.16.].</p>","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"20 3","pages":"76"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10387424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9935316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cyrine Ben Said, Hela Ben Abid, Mohammadreza Shalbafan, Mariana Pinto da Costa
The World Psychiatry Exchange Program in Iran is an academic experience we are delighted to share. As two participating early career psychiatrists, a local psychiatry faculty member manager, and the lead founder and international coordinator of the programme, we focus in this article on the unfolding of this new learning experience, the difficulties we encountered and the main lessons learned by the participants: commonalities and differences in training and practice in general adult psychiatry and child psychiatry in Tunisia and Iran, as well as in idioms of distress between the Arab and Persian cultures.
{"title":"The World Psychiatry Exchange Program in Iran: a unique academic and personal experience.","authors":"Cyrine Ben Said, Hela Ben Abid, Mohammadreza Shalbafan, Mariana Pinto da Costa","doi":"10.1192/bji.2023.11","DOIUrl":"https://doi.org/10.1192/bji.2023.11","url":null,"abstract":"The World Psychiatry Exchange Program in Iran is an academic experience we are delighted to share. As two participating early career psychiatrists, a local psychiatry faculty member manager, and the lead founder and international coordinator of the programme, we focus in this article on the unfolding of this new learning experience, the difficulties we encountered and the main lessons learned by the participants: commonalities and differences in training and practice in general adult psychiatry and child psychiatry in Tunisia and Iran, as well as in idioms of distress between the Arab and Persian cultures.","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"20 3","pages":"71-73"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10387435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9929273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The first article written about psychiatric services in Qatar was published in BJPsych International in 2006. Since then, the health system in Qatar has undergone significant transformation in the areas of service delivery, research and education. International accreditations are sought in all these fields to emphasise the standard achieved. In this article, we follow up on the mental health services currently available in Qatar, their strengths and the associated challenges.
{"title":"Psychiatry in Qatar","authors":"Mohammed Mohammed, Ibrahim Makki, Suhaila Ghuloum","doi":"10.1192/bji.2023.23","DOIUrl":"https://doi.org/10.1192/bji.2023.23","url":null,"abstract":"The first article written about psychiatric services in Qatar was published in BJPsych International in 2006. Since then, the health system in Qatar has undergone significant transformation in the areas of service delivery, research and education. International accreditations are sought in all these fields to emphasise the standard achieved. In this article, we follow up on the mental health services currently available in Qatar, their strengths and the associated challenges.","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"133 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135754660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Randa Ahmed Abdalrheem Altamih, Osman Kamal Osman Elmahi
From a cultural perspective, traditional healing has had a substantial impact on psychiatric management in rural African communities, but the services provided by traditional healers are not integrated with the mental health services provided by primary healthcare. In Sudan, modern psychiatry has seen minimal development beyond the capital city of Khartoum. In rural communities, traditional health practitioners (THPs) are the first point of entry to mental health services. Effective collaboration between THPs and consultant psychiatrists should be encouraged by the introduction of health education that targets THPs, especially in rural communities. This would facilitate the integration of mental health services into primary healthcare and help achieve universal health coverage for psychiatric disorders in Sudan.
{"title":"Social interactions within the Sudanese healthcare system: traditional healers and psychiatrists.","authors":"Randa Ahmed Abdalrheem Altamih, Osman Kamal Osman Elmahi","doi":"10.1192/bji.2022.27","DOIUrl":"10.1192/bji.2022.27","url":null,"abstract":"<p><p>From a cultural perspective, traditional healing has had a substantial impact on psychiatric management in rural African communities, but the services provided by traditional healers are not integrated with the mental health services provided by primary healthcare. In Sudan, modern psychiatry has seen minimal development beyond the capital city of Khartoum. In rural communities, traditional health practitioners (THPs) are the first point of entry to mental health services. Effective collaboration between THPs and consultant psychiatrists should be encouraged by the introduction of health education that targets THPs, especially in rural communities. This would facilitate the integration of mental health services into primary healthcare and help achieve universal health coverage for psychiatric disorders in Sudan.</p>","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"20 1","pages":"29-30"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10895484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44865290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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