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Resource utilisation for neuropsychiatric disorders in developing countries: a multinational Delphi consensus study.

Cleusa Ferri1, Dan Chisholm, Mark Van Ommeren

  • 1Section of Epidemiology, Institute of Psychiatry, King's College London, London, UK.

Social Psychiatry and Psychiatric Epidemiology
|March 5, 2004
PubMed
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Estimating mental health care needs in developing regions is crucial. This study used the Delphi technique to gather expert consensus on resource utilization, coverage, and adherence for key interventions, providing vital data for planning.

Area of Science:

  • Global Mental Health Research
  • Health Services Research
  • Psychiatry

Background:

  • Global and regional data on the burden of mental disorders are available.
  • International data on necessary resources for mental health care are lacking.

Purpose of the Study:

  • To develop consensus-driven estimates for resource utilization, coverage, and adherence.
  • To identify resource needs for interventions targeting major neuropsychiatric disorders.

Main Methods:

  • A resource utilization questionnaire was developed for interventions related to schizophrenia, affective and anxiety disorders, alcohol misuse, epilepsy, and Alzheimer's disease.
  • A Delphi approach involving expert opinion surveys was conducted in seven countries.
  • Two rounds of surveys were used to achieve consensus estimates.

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Main Results:

  • Resource utilization was highest for acute psychosis, mania, severe depression, and severe dementia.
  • Treatment coverage estimates varied widely, from under 20% for Alzheimer's disease to 60% for epilepsy.
  • Coverage and adherence for affective disorders were below 50%.

Conclusions:

  • The Delphi technique is effective for collecting data and generating consensus on mental health care resource utilization.
  • The study provides essential range estimates for mental health resource planning and evaluation in developing regions.