Vikram Patel|Dan Chisholm|Rachana Parikh|Fiona J Charlson|Louisa Degenhardt|Tarun Dua|Alize J. Ferrari|Steve Hyman|Ramanan Laxminarayan|Carol Levin|Crick Lund|María Elena Medina Mora|Inge Petersen|James G. Scott|Rahul Shidhaye|Lakshmi Vijayakumar|Graham Thornicroft|Harvey Whiteford
London School of Hygiene & Tropical Medicine|Public Health Foundation of India|Sangath|World Health Organization|Public Health Foundation of India|Queensland Centre for Mental Health Research|University of Queensland|Institute for Health Metrics and Evaluation|University of Washington|Institute for Health Metrics and Evaluation|University of Washington|UNSW Sydney|University of Melbourne|World Health Organization|Queensland Centre for Mental Health Research|University of Queensland|Institute for Health Metrics and Evaluation|University of Washington|Broad Institute|Harvard University|Center for Disease Dynamics, Economics & Policy|Public Health Foundation of India|Princeton University|University of Washington|University of Cape Town|King's College London|Instituto Nacional de Psiquiatría|University of KwaZulu-Natal|Royal Brisbane and Women's Hospital|University of Queensland|Maastricht University|Public Health Foundation of India|Society for Nutrition Education and Health Action|University of Melbourne|King's College London|University of Queensland|Institute for Health Metrics and Evaluation|University of Washington
burden mental neurological substance use mns disorders increased 41 1990 2010 accounts one every 10 lost years health globally sobering statistic take account substantial excess mortality associated disorders social economic consequences mns disorders affected persons caregivers society wide variety effective interventions including drugs psychological treatments social interventions prevent treat mns disorders populationlevel platform service delivery best practices include legislative measures restrict access means selfharm suicide reduce availability demand alcohol communitylevel platform best practices include lifeskills training schools build social emotional competencies healthcarelevel platform identify three delivery channels two delivery channels especially relevant public health perspective selfmanagement eg webbased psychological therapy depression anxiety disorders primary care community outreach eg nonspecialist health worker delivering psychological pharmacological management selected disorders third delivery channel hospital care includes specialist services mns disorders firstlevel hospitals providing types services general medicine hiv paediatric care play important part smaller proportion cases severe refractory emergency presentations integration mental health care healthcare channels respectively costs providing significantly scaled package specified costeffective interventions prioritised mns disorders lowincome lowermiddleincome countries estimated us34 per head population per year since substantial proportion mns disorders run chronic disabling course adversely affect household welfare intervention costs largely met government increased resource allocation financial protection measures rather leaving households pay outofpocket moreover policy moving towards universal public finance also expected lead far equitable allocation public health resources across income groups despite evidence less 1 development assistance health government spending health lowincome middleincome countries allocated care people disorders achieving health gains associated prioritised interventions require financial resources committed sustained efforts address range barriers paucity human resources weak governance stigma ultimately goal massively increase opportunities people mns disorders access services without prospect discrimination impoverishment hope attaining optimal health social outcomes