Module 4: Evidence-based Intervention

During the passing years, the awareness of the consequences caused by mental health disorders increased as well as the demand for interventions following internationally recognized guidelines. To address this demand, the mental health gap action program was launched, seeking to reinforce the commitment of health stakeholders and achieve higher coverage in developing countries.

The planification of strategies and policies to be used in mental health have to follow general principles such as applying efficient communication skills and promoting respect and dignity while assessing mental, neurological, and substance use conditions.

Another factor that must be reckoned with is the wide gap between people who could benefit from care and support for mental health conditions and those who are actually able to access evidence-based interventions. To prevent this, the community has an essential role in planning mental health services by presenting a wide range of resources that can be used to promote mental health, prevent mental health conditions, and support people with mental health conditions.

While implementing mental health interventions, economic limitations are bound to be encountered due to the massive scale-up of resources needed if global targets are to be met. Furthermore, there is the need for an accelerated transition towards the inclusion of psychiatric wards in general hospitals and taking into account additional considerations when working in the community. Another issue that may appear is emergencies that, despite their tragic nature and adverse effects on mental health, are also unparalleled opportunities to improve the lives of large numbers of people through mental health reform.

To generate a successful evidence-based intervention to improve mental health care in a communal context, effective leadership, ongoing training in early implementation phases, and ensuring retention of trained providers are required. The consequences on socio-ecological levels must be relevant while identifying strategies for sustainable change, policy reform, and support of healthcare-community partnerships.