Global priorities and possibilities.

Steven M Albert, Offer E Edelstein, Stewart J. Anderson, Mary Amanda Dew, Charles F. Reynolds

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

1 Scopus citations


The high prevalence of poor mental health at later ages is a central challenge for all countries; however, it is a greater challenge for low- and middle-income countries (LMICs). Recognizing this challenge, WHO and other organizations have launched several global initiatives to address disparities in access to mental health clinical specialists in LMICs. Greater educational efforts are needed lo ensure proper identification of late-life depression and reduce stigma and discrimination associated with mental illness. Efforts should be invested in developing more accurate and brief diagnostic tools. The shortage of mental health specialists requires task sharing using non-clinicians to triage symptoms and therapies and support adherence to pharmacotherapy. Diagnosis and treatment of depressive disorders in primary care settings in LMICs is feasible, cost-effective, and likely to reduce 'spillover'' morbidity (i.e., effect of mental illness on family members). Research on the experience of mental illness and treatment among LMIC populations is required to guide these efforts. (PsycInfo Database Record (c) 2020 APA, all rights reserved)
Original languageEnglish GB
Title of host publicationPrevention of late-life depression
Subtitle of host publicationCurrent clinical challenges and priorities.
EditorsOlivia I. Okereke
Place of PublicationNew York, NY
PublisherSpringer Science + Business Media
Number of pages13
ISBN (Electronic)9783319160443, 9783319160450
ISBN (Print)9783319160443
StatePublished - 1 Jan 2015
Externally publishedYes

Publication series

NameAging medicine


  • Costs and Cost Analysis
  • Income Level
  • Major Depression
  • Prevention
  • Treatment
  • Mental Health
  • Onset (Disorders)
  • Morbidity


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