Patterns of care and dropout rates from outpatient mental healthcare in low-, middle- and high-income countries from the World Health Organization's World Mental Health Survey Initiative.
Daniel FernándezDaniel VigoNancy A SampsonIrving HwangSergio Aguilar-GaxiolaAli O Al-HamzawiJordi AlonsoLaura Helena AndradeEvelyn J BrometGiovanni de GirolamoPeter de JongeSilvia FlorescuOye GurejeHristo HinkovChiyi HuElie G KaramGeorges KaramNorito KawakamiAndrzej KiejnaViviane Kovess-MasfetyMaria E Medina-MoraFernando Navarro-MateuAkin OjagbemiSiobhan O'NeillMarina PiazzaJose Posada-VillaCharlene RapseyDavid R WilliamsMiguel XavierYuval ZivRonald C KesslerJosep M HaroPublished in: Psychological medicine (2020)
Extending financial protection and coverage for mental disorders may reduce dropout. Efficiency can be improved by managing the milder clinical presentations at the entry point to the mental health system, providing adequate training, support and specialist supervision for non-specialists, and streamlining referral to psychiatrists for more severe cases.