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January 22, 2020

Policy Makers’ Tough Choices for Psychological Interventions in Global Mental Health: Learning From Multisite Studies

Author Affiliations
  • 1Department of Psychiatry and Behavioral Sciences, The George Washington University, Washington, DC
  • 2National Mental Health Programme, Ministry of Public Health, Beirut, Lebanon
  • 3Department of Psychiatry, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
  • 4Liberia Mental Health Program, The Carter Center, Monrovia, Liberia
JAMA Psychiatry. 2020;77(5):452-454. doi:10.1001/jamapsychiatry.2019.4267

More governments around the world are recognizing the importance of mental health in their national health, social welfare, development, and education plans. At the 2019 second global interministerial meeting held in Amsterdam, the Netherlands, 35 countries and organizations signed a declaration to integrate mental health and psychosocial support services in crisis situations.1 However, policy makers are left with the challenge of what psychological services to select and how to implement them. There is a growing range of psychological treatments, implementation modalities, and options to use nonspecialist paraprofessionals (eg, community health workers, teachers, peers). The study by Dorsey and colleagues2 exemplifies the promise and challenge facing policy makers needing to select from among these options.

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