Integrating mental health into primary care A global perspective

Technical information concerning this publication can be obtained from: ..... 171. United Kingdom of Great Britain and Northern Ireland: Primary care for mental ...... care to help patients with mental disorders access the educational, social and.
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Integrating mental health into primary care A global perspective

Integrating mental health into primary care A global perspective

Technical information concerning this publication can be obtained from: WHO Dr Michelle Funk Department of Mental Health and Substance Abuse World Health Organization 20 Avenue Appia CH-1211 Geneva 27 Switzerland Tel: +41 22 791 3855 Fax: +41 22 791 4160 e-mail: [email protected]

Wonca Dr Gabriel Ivbijaro Wonca Working Party on Mental Health The Wood Street Health Centre 6 Linford Road, Walthamstow London E17 3LA United Kingdom Tel: +44 208 430 7712 Fax: +44 208 430 7711 e-mail: [email protected]

WHO Library Cataloguing-in-Publication Data Integrating mental health into primary care : a global perspective. 1. Mental disorders. 2. Mental health services. 3. Primary health care. I. World Health Organization. II. World Organization of Family Doctors. ISBN 978 92 4 156368 0

(NLM classification: WM 140)

© World Health Organization and World Organization of Family Doctors (Wonca) 2008 All rights reserved. Copies of this publication can be obtained from WHO Press, World Health ­Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: [email protected]) or from Wonca Press, The World Organization of Family Doctors (Wonca), College of Medicine Building, 16 College Road #01-02, Singapore 169854 (e-mail: [email protected]; fax: +65 6324 2029) Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press, at the above address (fax: +41 22 791 4806; e-mail: [email protected]). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization or the World Organization of Family Doctors (Wonca) concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization or the World Organization of Family Doctors (Wonca) in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization or the World Organization of Family Doctors (Wonca) to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization or the World Organization of Family Doctors (Wonca) be liable for damages arising from its use. Photo credits: Front cover, first photo; back cover, top right; and page 49: WHO/Marko Kokic Front cover, third photo; and page 13: WHO/Henrietta Allen Printed in Singapore.

contents Acknowledgements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i Abbreviations and acronyms used in this report.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v Message from WHO and Wonca. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Executive summary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Key messages of this report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .