Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Executive summary . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
The challenge and the need . . . . . . . . . . . . . . . . . . . . . . . 6
Mental Health Gap Action Programme . . . . . . . . . . . . . . . . 10
Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Strategies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Framework for country action . . . . . . . . . . . . . . . . . . . . . 15
Political commitment . . . . . . . . . . . . . . . . . . . . . . . . 15
Assessment of needs and resources . . . . . . . . . . . . . . . . 15
Development of a policy and legislative infrastructure . . . . . . . . 16
Delivery of the intervention package . . . . . . . . . . . . . . . . . 17
Strengthening of human resources . . . . . . . . . . . . . . . . . 18
Mobilization of financial resources . . . . . . . . . . . . . . . . . . 18
Monitoring and evaluation . . . . . . . . . . . . . . . . . . . . . . 21
Building partnerships . . . . . . . . . . . . . . . . . . . . . . . . . 22
UN agencies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Government ministries . . . . . . . . . . . . . . . . . . . . . . . . 23
Donors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
NGOs and WHO collaborating centres . . . . . . . . . . . . . . . .24
Civil society . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
The time to act is now! . . . . . . . . . . . . . . . . . . . . . . . . 27
Annex 1
Public health burden associated with priority conditions included in mhGAP . . . 28
Annex 2
Burden attributable to mental, neurological, and substance use disorders and the
available human resources in countries with low and lower middle incomes . . . . 32
Recommended reading . . . . . . . . . . . . . . . . . . . . . . . . 36




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