Poor countries neglect mentally ill – U.N. agency

GENEVA, (Reuters) – Hundreds of millions of people in  poor countries suffer from untreated mental health disorders  that could be helped with inexpensive care, the World Health  Organisation (WHO) said yesterday.

The United Nations agency launched guidelines for primary  care doctors and nurses to treat patients debilitated by  depression and psychosis as well as neurological ailments  including epilepsy, Alzheimer’s disease and other dementias.

“We face a misperception that mental health care is a luxury  item on the health agenda. But it costs $2 per person per year  — it is one of the best buys,” said WHO Director-General  Margaret Chan.

The $2 figure is the average cost of providing treatment in  developing countries, which WHO says account for 75 percent of  people with mental health and neurological problems worldwide.

Its 100-page clinical guidelines, the “Mental Health GAP  Intervention Guide,” aim to help health care workers to assess  and treat patients suffering from symptoms including anxiety,  delusions, memory loss, suicidal thoughts and seizures.

Patients can be treated through low-cost community services  or in smaller units staffed by medical assistants, rather than  in specialised hospitals, it says.

“We have been very free of commercial influence. It is easy  to fall in the trap of recommending drugs for every illness,”  said Shekhar Saxena, director of WHO’s department of mental  health. He led a team of 200 experts in drawing up the guide.
Mental health problems often go undiagnosed and victims  often endure stigma and discrimination, according to WHO.

“Human rights are abused in a large number of countries,  developed and developing. In fact it happens more often in  specialised care settings than in primary care,” Saxena said.