The mental health funding cuts and the block grant shift of the last decade have placed an increased emphasis on fee-generating services. In already underserved rural areas, this has generated immense challenges for mental health professionals on how to provide services to persons other than those with chronic mental illness. This chapter has discussed alternatives and innovations that have pro...

BACKGROUND Collaborative, culturally safe services that integrate clinical approaches with traditional Aboriginal healing have been hailed as promising approaches to ameliorate the high rates of mental health problems in Aboriginal communities in Canada. Overcoming significant financial and human resources barriers, a mental health team in northern Ontario is beginning to realize this ideal. We...

Objectives Designing and analysing pragmatic clinical trials involving complex interventions is becoming increasingly complex, particularly in the field of mental health. This paper will describe a variety of challenges encountered during the design of a complex intervention mental health trial and the decisions made on how to overcome these challenges. The objectives are to share knowledge gai...

Despite recent efforts to increase access to appropriate mental health care for veterans returning from conflicts in Iraq and Afghanistan, many challenges remain. These include veterans' reluctance to seek care, insufficient mental health workforce capacity and competency in evidence-based practice, and inadequate systems support for improving care. These broad challenges must be addressed acro...

1 Centre for Global Mental Health, London School of Hygiene & Tropical Medicine, United Kingdom, 2 Sangath, Goa, India, 3 Centre for Mental Health, Public Health Foundation of India, India, 4 Program in Global Mental Health, New York University School of Medicine, New York, United States of America, 5 New York City Health and Hospitals Corporation, New York, United States of America, 6 Simon Fr...

Diabetes mellitus is a common childhood illness, and its management is often complicated by mental health challenges. Psychiatric comorbidities are common, including anxiety, depression, and eating disorders. The illness can profoundly affect the developing brain and family functioning and have lifelong consequences. The child mental health provider can provide valuable assistance to support th...

This manuscript outlines the challenges and opportunities associated with rural mental health practice, and provides descriptive data on the scope of care, area of competence, and clinical training of a group of practitioners providing services in rural central Appalachia. Thematic content analysis reveals ethical challenges encountered, job satisfaction, and the pinnacles and pitfalls of menta...

We describe an initiative to bring mental health researchers, computer scientists, human-computer interaction researchers, and other communities together to address the challenges of the global mental ill health epidemic. Two face-to-face events and one special issue of the Journal of Medical Internet Research were organized. The works presented in these events and publication reflect key state...

Community mental health is a neglected field in many developing countries including Pakistan. Common mental disorders are high in prevalence, particularly in women. Community mental health services are lacking in Peshawar, which faces a number of challenges owing to sociopolitical instability. The aim of this literature review is to evaluate and interpret current research relevant to community ...

is a collection of previously published articles by well-known contributors, edited by Professor Scheff. Articles by social scientists and psychiatrists illustrate various facets of the 'societal approach' to mental illness, which Scheff defines as the study of the community's reaction to mental illness. The study of societal reactions challenges medical concepts of mental illness and seems to ...