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Global Mental Health Perspectives on Rural and Remote Mental Health Provision

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Handbook of Rural, Remote, and very Remote Mental Health

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Abstract

Low- and middle-income countries (LMICs) are home to the vast majority of the world’s population. These countries tend to lack adequate resources to meet the mental health needs of their populations. The limited infrastructure for supporting mental health in LMIC tends to be concentrated in urban areas, with remote and rural areas fairing much worse. Particular challenges relate to a lack of highly skilled practitioners to deliver support. Drawing on insights from Global Mental Health, the chapter reflects on innovative and pragmatic strategies that can help to bolster mental health provision in remote and rural parts of LMICs. These include “task-sharing” initiatives which aim to train nonspecialist workers to assume responsibilities which have historically been undertaken by highly skilled practitioners. Issues relating to the training and supervision of nonspecialists are flagged as being central to the success of these initiatives. The chapter highlights the importance of attending to the social and cultural context in which people live their lives. Incorporating local language terms and local explanatory models for distress into interventions is presented as key to maximizing engagement with local communities. Case studies from Uganda and Bangladesh are used to illustrate key points. International collaborations are highlighted as an important vehicle for building capacity for remote and rural mental health provision in LMICs. However, such collaborations will necessitate attention to be allocated to how dynamics of power operate at the meeting space between different epistemologies and the risk that local ways of understanding could be subjugated in such collaborations. While acknowledging the importance of directly addressing distress experienced by people living in remote and rural areas of LMIC, the chapter also recognizes that resilience factors can serve to mitigate against the impact of adversity on these communities. Consideration is given to the importance of harnessing collective strengths, so that “community” can serve as a resource to promote mental health and well-being.

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References

  • Abbo C. Profiles and outcome of traditional healing practices for severe mental illnesses in two districts of Eastern Uganda. Glob Health Action. 2011:4. https://doi.org/10.3402/gha.v4i0.7117.

  • Acharya B, Tenpa J, Basnet M, Hirachan S, Rimal P, Choudhury N, et al. Developing a scalable training model in global mental health: pilot study of a video-assisted training Program for Generalist Clinicians in Rural Nepal. Glob Ment Health. 2017;4:e8.

    Google Scholar 

  • Angel R, Thoits P. The impact of culture on the cognitive structure of illness. Cult Med Psychiatry. 1987;11:465–94.

    Article  CAS  PubMed  Google Scholar 

  • Atif N, Lovell K, Husain N, Sikander S, Patel V, Rahman A. Barefoot therapists: barriers and facilitators to delivering maternal mental health care through peer volunteers in Pakistan: a qualitative study. Int J Ment Health Syst. 2016;10:24. https://doi.org/10.1186/s13033-016-0055-9.

    Article  PubMed  PubMed Central  Google Scholar 

  • Axinn W, Ghimire DG, Williams NE, Scott KM. Associations between social organisation of communities and psychiatric disorders in rural Asia. Soc Psychiatry Psychiatr Epidemiol. 2015;50:1537–45.

    Article  PubMed  PubMed Central  Google Scholar 

  • Babalola E, Noel P, White R. The biopsychosocial approach and global mental health: synergies and opportunities. Indian J Soc Psychiatry. 2017;33(4):291.

    Article  Google Scholar 

  • Barry MM, Dowling K. A review of the evidence on enhancing Psychosocial skills development in children and young people. Galway: HPRC, National University of Ireland; 2015. https://doi.org/10.13025/S8001V.

    Book  Google Scholar 

  • Beidas RS, Kendall PC. Training therapists in evidence-based practice: a critical review of studies from a systems-contextual perspective. Clin Psychol (N Y). 2010;17:1–30.

    Google Scholar 

  • Bhola P, Chaturvedi SK. Through a glass, darkly: ethics of mental health practitioner-patient relationships in traditional societies. Int J Cult Ment Health. 2017;10(3):285–97. https://doi.org/10.1080/17542863.2017.1301975.

    Article  Google Scholar 

  • Bruckner TA, Scheffler RM, Shen G. Yoon J, Chisholm D, Morris J, Fulton BD, Dal Poz MR, Saxena S. The mental health workforce gap in low- and middle-income countries: a needs-based approach. B World Health Organ. 2011;89(3):184–194.

    Google Scholar 

  • Carey TA, Mansell W, Tai SJ. A biopsychosocial model based on negative feedback and control. Front Hum Neurosci. 2014;8:article 94. https://doi.org/10.3389/fnhum.2014.00094.

    Article  PubMed  Google Scholar 

  • Chatterjee S, Leese M, Koschorke M, McCrone P, Naik S, John S, Thornicroft G. Collaborative community based care for people and their families living with schizophrenia in India: protocol for a randomised controlled trial. Trials. 2011;12:12. https://doi.org/10.1186/1745-6215-12-12.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chorpita BF, Daleiden EL, Weisz JR. Identifying and selecting the common elements of evidence based interventions: a distillation and matching model. Ment Health Serv Res. 2005;7(1):5–20.

    Article  PubMed  Google Scholar 

  • Cooper S. Research on help-seeking for mental illness in Africa: dominant approaches and possible alternatives. Transcult Psychiatry. 2016;53(6):696–718.

    Article  PubMed  Google Scholar 

  • Czyzewski K. Colonialism as a broader social determinant of health. Int Indigenous Pol J. 2011;2(1). Retrieved from: http://ir.lib.uwo.ca/iipj/vol2/iss1/5

  • d’Ardene P. Counselling In transcultural settings. Priorities for a restless world. Los Angeles: Sage Publications Ltd; 2013.

    Book  Google Scholar 

  • Drake RE, Whitley R. Building behavioral health systems from the ground up. World Psychiatry. 2015;14(1):50–1.

    Article  PubMed  PubMed Central  Google Scholar 

  • Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977;196(4286):129–36.

    Google Scholar 

  • Fairburn CG, Cooper Z. Therapist competence, therapy quality, and therapist training. Behav Res Ther. 2011;49:373–8.

    Article  PubMed  PubMed Central  Google Scholar 

  • Freeman M, Motsei M. Planning health care in South Africa–is there a role for traditional healers?. Soc Sci Med. 1992;34(11):1183–90.

    Google Scholar 

  • Fried EI, Nesse RM. The impact of individual depressive symptoms on impairment of psychosocial functioning. PLoS One. 2014;9(2):e90311.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • George AS, Scott K, Sarriot E, Kanjilal B, Peters DH. Unlocking community capabilities across health systems in LMIC: lessons learned from research and reflective practice. BMC Health Serv Res. 2016;16:1859.

    Article  Google Scholar 

  • Ghaemi SN. The rise and fall of the biopsychosocial model. British J Psychiatry. 2009;195(1):3–4.

    Google Scholar 

  • Government of the People’s Republic of Bangladesh Ministry of Health and Family. Health bulletin 2016. Dhaka: Directorate General of Health Services; 2016.

    Google Scholar 

  • Greco G, Skordis-Worrall J, Mkandawire B, Mills A. What is a good life? Selecting capabilities to assess women’s quality of life in rural Malawi. Soc Sci Med. 2015;130:69–78.

    Article  PubMed  Google Scholar 

  • Groleau D, Young A, Kirmayer LJ. The McGill Illness Narrative Interview (MINI): an interview schedule to elicit meanings and modes of reasoning related to illness experience. Transcult Psychiatry. 2006;43:671–91.

    Article  PubMed  Google Scholar 

  • Hacking I. The looping effects of human kinds. In: Sperber D, Premack D, Premack AJ, editors. Causal cognition: a multidisciplinary approach. Oxford: Clarendon Press; 1995.

    Google Scholar 

  • Hagerty B, Williams RA, Coyne JC, Early MR. Sense of belonging and indicators of social and psychological functioning. Arch Psychiatr Nurs. 1996;10(4):235–44.

    Article  CAS  PubMed  Google Scholar 

  • Hamad R, Fernald LCH, Karlan DS, Zinman J. Social and economic correlates of depressive symptoms and perceived stress in South African adults. J Epidemiol Community Health. 2008;62(6):538–44. https://doi.org/10.1136/jech.2007.066191.

    Article  CAS  PubMed  Google Scholar 

  • Harvey AG, Watkins E, Mansell W, Shafran R. Cognitive behavioural processes across psychological disorders: a transdiagnostic approach to research and treatment. Oxford: Oxford University Press; 2004.

    Book  Google Scholar 

  • Herschell AD, Kolko DJ, Baumann BL, Davis AC. The role of therapist training in the implementation of psychosocial treatments: a review and critique with recommendations. Clin Psychol Rev. 2010;30:448–66.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hossain MD, Ahmed HU, Chowdhury WA, Niessen LW, Alam DS. Mental disorders in Bangladesh: a systematic review. BMC Psychiatry. 2014;14:216. https://doi.org/10.1186/s12888-014-0216-9.

    Article  PubMed  PubMed Central  Google Scholar 

  • Joshi R, Alim M, Kengne AP, Jan S, Maulik PK, Peiris D, Patel AA. Task shifting for non-communicable disease management in low and middle income countries – a systematic review. PLOS One. 2014;9:e103754.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Kagee A, Tsai AC, Lund C, Tomlinson M. Screening for common mental disorders in low resource settings: reasons for caution and a way forward. Int Health. 2013;5:11–4.

    Article  PubMed  Google Scholar 

  • Kakuma R, Minas H, van Ginneken N, Dal Poz MR, Desiraju K, Morris JE, et al. Human resources for mental health care: current situation and strategies for action. Lancet. 2011;378(9803):1654–63.

    Article  PubMed  Google Scholar 

  • Keyes E, Kane C. Belonging and adapting: mental health of Bosnian Refugees living in the United States. Issues Ment Health Nurs. 2009;25(8):809–31.

    Article  Google Scholar 

  • Kigozi F, et al. An overview of Uganda’s mental health care system: results from an assessment using the world health organization’s assessment instrument for mental health systems (WHOAIMS). Int J Ment Health Syst. 2010;4:1.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kirmayer LJ. Beyond the ‘new cross-cultural psychiatry’: cultural biology, discursive psychology and the ironies of globalization. Transcult Psychiatry. 2006;43(1):126–44.

    Google Scholar 

  • Kleinman A. Patients and healers in the context of culture: an exploration of the borderland between anthropology, medicine, and psychiatry. Berkeley: University of California Press; 1980.

    Book  Google Scholar 

  • Klinghardt D. The five levels of healing. Explore. 2005;14:15.

    Google Scholar 

  • Kohrt BA, Jordans MJD, Turner EL, Sikkema KJ, Luitel NP, Rai S, Patel V. Reducing stigma among healthcare providers to improve mental health services (RESHAPE): protocol for a pilot cluster randomized controlled trial of a stigma reduction intervention for training primary healthcare workers in Nepal. Pilot Feasibility Stud. 2018;4:36. https://doi.org/10.1186/s40814-018-0234-3.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kolb DA. Experiential learning: experience as the source of learning and development. Englewood Cliffs: Prentice-Hall; 1984.

    Google Scholar 

  • Lamblin M, Murawski C, Whittle S, Fornito A. Social connectedness, mental health and the adolescent brain. Neurosci Biobehav Rev. 2017;80:57–68.

    Google Scholar 

  • Lloyd KR, Jacob KS, Patel V, et al. The development of the short explanatory model interview (SEMI) and its use among primary-care attenders with common mental disorders. Psychol Med. 1998;28:1231–7.

    Article  CAS  PubMed  Google Scholar 

  • Lund C, Tomlinson M, De Silva M, Fekadu A, Shidhaye R, Jordans M, et al. PRIME: a programme to reduce the treatment gap for mental disorders in five low-and middle-income countries. PLoS Med. 2012;9(12):e1001359.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mendenhall E, De Silva MJ, Hanlon C, Petersen I, Shidhaye R, Jordans M, et al. Acceptability and feasibility of using non-specialist health workers to deliver mental health care: stakeholder perceptions from the PRIME district sites in Ethiopia, India, Nepal, South Africa, and Uganda. Soc Sci Med. 2014;118:33–42.

    Article  PubMed  PubMed Central  Google Scholar 

  • Metzler J, Savage K, Yamano M, Ager A. Evaluation of child friendly spaces: an inter-agency series of impact evaluations in humanitarian emergencies. New York/Geneva: Columbia University Mailman School of Public Health and World Vision International; 2015.

    Google Scholar 

  • Mills C. Decolonizing global mental health: the psychiatrization of the majority world. London/New York: Routledge; 2014.

    Book  Google Scholar 

  • Mills C, White RG. ‘Global mental health spreads like Bush fire in the Global South’: efforts to scale up mental health services in low-and middle-income countries. In: The Palgrave handbook of sociocultural perspectives on global mental health. London: Palgrave Macmillan; 2017. p. 187–209.

    Chapter  Google Scholar 

  • Murray L, Dorsay S, Bolton P, Jordans M, Rahman A, Bass J, Verdeli H. Building capacity in mental health interventions in low resources countries: an apprenticeship model for training local providers. Int J Ment Health Syst. 2011;5:30.

    Article  PubMed  PubMed Central  Google Scholar 

  • Nakimuli-Mpungu E, Bass JK, Alexandre P, Mills EJ, Musisi S, Ram M, Katabira E, Nachega JB. Depression, alcohol use and adherence to antiretroviral therapy in sub-Saharan Africa: a systematic review. AIDS Behav. 2012;16(8):2101–18. https://doi.org/10.1007/s10461-011-0087-8.

    Article  PubMed  Google Scholar 

  • Nakimuli-Mpungu E, Wamala K, Okello J, Alderman S, Odokonyero R, Musisi S, Mojtabai R. Developing a culturally sensitive group support intervention for depression among HIV infected and non-infected Ugandan adults: a qualitative study. J Affect Disord. 2014;163:10–7.

    Article  PubMed  Google Scholar 

  • Nakimuli-Mpungu E, Wamala K, Okello J, Alderman S, Odokonyero R, Mojtabai R, Mills E, Kanters S, Nachega J, Musisi S. Group support psychotherapy for depression treatment in people with HIV/AIDS in northern Uganda: a single-centre randomised controlled trial. Lancet HIV. 2015;2(5):e190–9. https://doi.org/10.1016/S2352-3018(15)00041-7.

    Article  PubMed  Google Scholar 

  • Nakimuli-Mpungu E, Musisi S, Wamala K, Okello J, Ndyanabangi S, Mojtabai R, et al. The effect of group support psychotherapy delivered by trained lay health workers for depression treatment among people with HIV in Uganda: protocol of a pragmatic, cluster randomized trial. JMIR Res Protoc. 2017a;6(12):e8.

    Google Scholar 

  • Nakimuli-Mpungu E, Wamala K, Okello J, Ndyanabangi S, Kanters S, Mojtabai R, Nachega J, Mills E, Musisi S. Process evaluation of a randomized controlled trial of group support psychotherapy for depression treatment among people with HIV/AIDS in Northern Uganda. Community Ment Health J. 2017b;53(8):991–1004.

    Article  PubMed  PubMed Central  Google Scholar 

  • Nortje G, Oladeji B, Gureje O, Seedat S. Effectiveness of traditional healers in treating mental disorders: a systematic review. Lancet Psychiatry. 2016;3(2):154–70.

    Google Scholar 

  • Nussbaum M. Capabilities and social justice. Int Stud Rev. 2002;4(2):123–35.

    Article  Google Scholar 

  • Okello E, Musisi S. Depression as a clan illness (eByekika): an indigenous model of psychotic depression among the Baganda of Uganda. J World Cult Psychiatry Res Rev. 2001;1:60–73.

    Google Scholar 

  • Padmanathan P, De Silva MJ. The acceptability and feasibility of task-sharing for mental healthcare in LMIC: a systematic review. Soc Sci Med. 2013;97:82–6.

    Article  PubMed  Google Scholar 

  • Patel V, Prince M. Global mental health: a new global health field comes of age. JAMA. 2010;303(19):1976–7.

    Google Scholar 

  • Patel V. Traditional healers for mental health care in Africa. Glob Health Act. 2011;4. https://doi.org/10.3402/gha.v4i0.7956.

  • Rahman A, Sikander S, Malik A, Ahmed I, Tomenson B, Creed F. Effective treatment of perinatal depression for women in debt and lacking financial empowerment in a low-income country. Br J Psychiatry. 2012;201(6):451–7.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rathod S, Pinninti N, Irfan M, Gorczynski P, Rathod P, Gega L, Naeem F. Mental health service provision in low-and middle-income countries. Health Serv Insights. 2017; 10:1178632917694350.

    PubMed  PubMed Central  Google Scholar 

  • Ray ML, Wilson MM, Wandersman A, Meyers DC, Katz J. Using a training-of-trainers approach and proactive technical assistance to bring evidence based programs to scale: an operationalization of the interactive systems framework’s support system. Am J Community Psychol. 2012;50:415–27.

    Article  PubMed  Google Scholar 

  • Raymond CW. Epistemic brokering in the interpreter-mediated medical visit: negotiating ‘patient’s side’ and ‘doctor’s side’ knowledge. Res Lang Soc Interact. 2014;47(4):426–46.

    Article  Google Scholar 

  • Rüdell K, Bhui K, Priebe S. Concept, development and application of a new mixed method assessment of cultural variations in illness perceptions: barts explanatory model inventory. J Health Psychol. 2009;14(2):336–47.

    Google Scholar 

  • Said E. Orientalism. New York: Vintage Books; 1979.

    Google Scholar 

  • Saraceno B, Dua T. Global mental health: the role of psychiatry. Eur Arch Psychiatry Clin Neurosci. 2009;259:S109–17.

    Article  PubMed  Google Scholar 

  • Saraceno B, van Ommeren M, Batniji R, Cohen A, Gureje O, Mahoney J, et al. Barriers to improvement of mental health services in low-income and middle-income countries. The Lancet. 2007;370(9593):1164–74.

    Article  Google Scholar 

  • Saxena S, Thornicroft G, Knapp M, Whiteford H. Resources for mental health: scarcity, inequity, and inefficiency. The Lancet. 2007;370(9590):878–89.

    Article  Google Scholar 

  • Schoenwald SK, Sheidow AJ, Chapman JE. Clinical supervision in treatment transport: Effects on adherence and outcomes. J Consult Clin Psychol. 2009;77(3):410–21.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sen A. Commodities and capabilities: Amartya Sen. Delhi: Oxford University Press; 1999.

    Google Scholar 

  • Shah A, Wheeler L, Sessions K, Kuule Y, Agaba E, Merry SP. Community perceptions of mental illness in rural Uganda: an analysis of existing challenges facing the Bwindi Mental Health Programme. Afr J Prim Health Care Fam Med. 2017;9(1):1–9.

    Article  CAS  Google Scholar 

  • Shields-Zeeman L, Pathare S, Walters BH, et al. Promoting wellbeing and improving access to mental health care through community champions in rural India: the Atmiyata intervention approach. Int J Ment Health Syst. 2017;11:6. https://doi.org/10.1186/s13033-016-0113-3.

  • Sorsdahl K, Stein DJ, Grimsrud A, Seedat S, Flisher AJ, Williams DR, Myer L. Traditional healers in the treatment of common mental disorders in South Africa. J Nerv Ment Dis. 2009;197(6):434–41.

    Google Scholar 

  • Southwick SM, Bonanno GA, Masten AS, Panter-Brick C, Yehuda R. Resilience definitions, theory, and challenges: interdisciplinary perspectives. Eur J Psychotraumatol. 2014;5. https://doi.org/10.3402/ejpt.v5.25338.

  • Southwick SM, Charney DS. Resilience: the science of mastering life’s greatest challenges. New York: Cambridge University Press; 2012.

    Book  Google Scholar 

  • Stacey RD. Complex responsive processes in organizations: learning and knowledge creation. Routledge; 2001.

    Google Scholar 

  • Summerfield D. How scientifically valid is the knowledge base of global mental health? Br Med J. 2008;336(7651):992.

    Article  Google Scholar 

  • Summerfield D. Afterword: against ‘global mental health’. Transcult Psychiatry. 2012;49(3–4):519–30.

    Article  PubMed  Google Scholar 

  • Swartz L, Kilian S, Twesigye J, Attah D, Chiliza B. Language, culture, and task shifting–an emerging challenge for global mental health. Glob Health Action. 2014;7(1):23433.

    Google Scholar 

  • The Independent. 2015. http://www.independent.co.uk/news/world/africa/lra-war-crimes-trial-joseph-kony-general-abducted-into-lords-resistance-army-as-a-child-is-charged-with-crimes-against-humanity-10004053.html

  • The Lancet Series on Global Mental Health. The Lancet. 2007. http://www.thelancet.com/series/global-mental-health. Retrieved 29 Mar 2018

  • The Lancet Series on Global Mental Health. The Lancet. 2011. http://www.thelancet.com/series/global-mental-health-2011. Retrieved 29 Mar 2018

  • Tol W, Barbui C, Galappatti A, Silove D, Betancourt TS, Souza R, Golaz A, Van Ommeren M. Mental health and psychosocial support in humanitarian settings: linking practice and research. The Lancet. 2011;378(9802):1581–91.

    Article  Google Scholar 

  • U.S. Department of Health & Human Services. n.d.. Retrieved from: https://www.cdc.gov/nchhstp/socialdeterminants/docs/what_is_cultural_competency.pdf

  • Uganda Bureau of Statistics. The national population and housing census 2014 – main report, Kampala. 2016.

    Google Scholar 

  • UNFPA. Report on women and girl friendly spaces. 2015. https://www.unfpa.org/sites/default/files/resource-pdf/UNFPA%20UNFPA%20Women%20and%20Girls%20Safe%20Spaces%20Guidance%20%5B1%5D.pdf

  • Ungar M. Resilience across cultures. Br J Soc Work. 2008;38(2):218–35. https://doi.org/10.1093/bjsw/bcl343.

    Article  Google Scholar 

  • Ungar M. The social ecology of resilience: addressing contextual and cultural ambiguity of a nascent construct. Am J Orthopsychiatry. 2011;81(1):1–17.

    Article  PubMed  Google Scholar 

  • Ungar M. Social ecologies and their contribution to resilience. In: Ungar M, editor. The social ecology of resilience: a handbook of theory and practice. New York: Springer Science + Business Media; 2012. p. 13–31.

    Chapter  Google Scholar 

  • United Nations. 2014. https://esa.un.org/unpd/wup/publications/files/wup2014-highlights.pdf

  • Uthman OA, Magidson JF, Safren SA, Nachega JB. Depression and adherence to antiretroviral therapy in low-, middle-and high-income countries: a systematic review and meta-analysis. Curr HIV/AIDS Rep. 2014;11(3):291–307. https://doi.org/10.1007/s11904-014-0220-1.

    Article  PubMed  PubMed Central  Google Scholar 

  • van Ginneken N, Tharyan P, Lewin S, Rao GN, Meera SM, Pian J, et al. Non-specialist health worker interventions for the care of mental, neurological and substance- abuse disorders in LMIC. Cochrane Database Syst Rev. 2013;11:CD009149.

    Google Scholar 

  • Ventevogel P. Integration of mental health into primary healthcare in low-income countries: avoiding medicalization. Int Rev Psychiatry. 2014;26(6):669–79.

    Google Scholar 

  • Watters C. Three challenges to a life course approach in global mental health: epistemic violence, temporality and forced migration. In: White RG, Jain S, Orr DMR, Read UM, editors. The Palgrave handbook of sociocultural perspectives on global mental health. London: Palgrave Macmillan; 2017. p. 237–56.

    Chapter  Google Scholar 

  • Weine S, Danieli Y, Silove D, Ommeren MV, Fairbank JA, Saul J. Guidelines for international training in mental health and psychosocial interventions for trauma exposed populations in clinical and community settings. Psychiatry. 2002;65:156–64.

    Google Scholar 

  • Weiss M. Explanatory model interview catalogue (EMIC): framework for comparative study of illness. Transcult Psychiatry. 1997;34:235–63.

    Article  Google Scholar 

  • Weisz JR, Ugueto AM, Herren J, Afienko SR, Rutt C. Kernels vs. ears, and other questions for a science of treatment dissemination. Clin Psychol: Publ Div Clin Psychol Am Psychol Assoc. 2011;18(1):41–6. https://doi.org/10.1111/j.1468-2850.2010.01233.x.

    Article  Google Scholar 

  • White RG, Imperiale MG, Perera E. The capabilities approach: fostering contexts for enhancing mental health and wellbeing across the globe. Glob Health. 2016;12(1):16.

    Article  Google Scholar 

  • White RG, Orr DM, Read UM, Jain S. Situating global mental health: sociocultural perspectives. In: The Palgrave handbook of sociocultural perspectives on global mental health. London: Palgrave Macmillan; 2017. p. 1–27.

    Chapter  Google Scholar 

  • White RG, Fay R, Chiumento A, Phipps A. Multi-language communication about wellbeing and distress: epistemic and ethical considerations. Transcult Psychiatry. 2020; in press.

    Google Scholar 

  • WHO. WHO policy perspective on medicines traditional medicine – growing needs and potentials. Geneva: World Health Organization; 2002.

    Google Scholar 

  • WHO. WHO Technical Brief No.3 – DRAFT 3: scaling up health services: challenges and choices. 2008. http://www.who.int/healthsystems/topics/delivery/technical_brief_scale-up_june12.pdf. Retrieved 30 Mar 2018.

  • World Bank. Country Profile – Uganda http://www.worldbank.org/en/country/uganda/overview. Retrieved 8 Jan 2018.

  • World Health Organization. Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection: recommendations for a public health approach. Geneva: World Health Organization; 2016.

    Google Scholar 

  • World Health Organization, Ministry of Health & Family Welfare Bangladesh. WHO-AIMS Report on Mental Health System in Bangladesh. In A report of the assessment of the mental health system in Bangladesh using the World Health Organization – Assessment Instrument for Mental Health Systems (WHO-AIMS). 2007. http://www.who.int/mental_health/bangladesh_who_aims_report.pdf

  • World Health Organization, World Organization of National Colleges, Academies, & Academic Associations of General Practitioners/Family Physicians. Integrating mental health into primary care: a global perspective. Geneva: World Health Organization; 2008.

    Google Scholar 

  • World Health Organization. Mental Health Atlas – Uganda Country Profile. 2014. https://www.who.int/mental_health/evidence/atlas/profiles-2014/uga.pdf?ua=1. Retrieved 8 Jan 2018.

  • World Health Organization. Regional Office for the Western Pacific. Bangladesh health system review. Manila: WHO Regional Office for the Western Pacific; 2015.

    Google Scholar 

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Authors and Affiliations

  1. Institute of Population Health, University of Liverpool, Liverpool, UK

    Ross G. White

  2. Independent Academic and Clinical Psychologist, Oxford, UK

    Nargis Islam

  3. Department of Mental Health and Community Psychology, Makerere University, Kampala, Uganda

    Rosco Kasujja

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  1. Ross G. White
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  2. Nargis Islam
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  3. Rosco Kasujja
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Correspondence to Ross G. White .

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Editors and Affiliations

  1. Institute of Global Health Equity Research, University of Global Health Equity, Kigali, Rwanda

    Timothy A. Carey

  2. Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, VIC, Australia

    Judith Gullifer

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White, R.G., Islam, N., Kasujja, R. (2021). Global Mental Health Perspectives on Rural and Remote Mental Health Provision. In: Carey, T.A., Gullifer, J. (eds) Handbook of Rural, Remote, and very Remote Mental Health. Springer, Singapore. https://doi.org/10.1007/978-981-15-6631-8_3

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  • DOI: https://doi.org/10.1007/978-981-15-6631-8_3

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  • Print ISBN: 978-981-15-6630-1

  • Online ISBN: 978-981-15-6631-8

  • eBook Packages: MedicineReference Module Medicine

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