A Brief Note On Mental Health And Health Care

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4. Reasons for Treatment Gap Barriers to mental health care, which increase the treatment gap, are originated both at the governmental and the individual level (Kohn 2013). Barriers to care at the individual level result from the individual’s attitudes, false beliefs about mental illness, stigmatization, and lack of compliance with medicines. Andrade et al., (2014), using data are from the WHO World Mental Health (WMH) Surveys found that for among those with a DSM-IV disorder in the past twelve months, the low perceived need was the most common reason for not initiating treatment and more common among moderate and milder than severe cases. Governmental barriers to care, as described in the Atlas (WHO) studies on mental health and the WHO-AIMS (Kohn 2013), emanate mostly from (i) the governments’ failure to have specific legislation to protect the mentally ill and to provide parity for mental illness with other medical conditions; (ii) the small amount of funds allocated to mental health in the health budget; and (iii) the type of health care coverage offered. Furthermore, the structure of the mental health system in the country, including the weight of mental hospitals in relation to general hospitals with psychiatry beds, and the availability of outpatient services, also contribute to the effectiveness and quality of the treatment. Deinstitutionalization of large mental hospitals and decentralization of mental health services located mainly in large urban centers
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