Valentina Iemmi

University of Essex · School of Health and Social Care

Mental disorders represent the leading cause of disability worldwide, yet they remain a low global health priority. This paper uses a case study methodology and different data sources (35 interviews and documents) to analyse factors that have shaped the generation of political priority for global mental health over the past three decades (1990–2020...

Collective action between international donors is central to the mobilisation of global solidarity in global health. This is especially important in mental health where resources remain extremely limited. In this paper I investigate global collective action in mental health financing, looking at the responsiveness of international donors to mental...

Mental disorders (including substance use disorders, dementia, and self-harm) account for a substantial burden of disease and economic costs in low-income and middle-income countries (LMICs), yet they attract little funding. External resources are urgently needed but evidence on investments is scarce. This Health Policy paper uses 35 elite intervie...

Over 1 billion people live with mental disorders globally. Three out of four of these live in low- and middle-income countries (LMICs) where mental disorders fail to attract enough resources to mitigate against the effects on opportunity, social inclusion and quality of life. In the context of increasing economic pressure brought by COVID-19 respon...

Background Mental disorders are the leading cause of years lived with disability worldwide. While over three-quarters of people with mental disorders live in low- and middle-income countries (LMICs) and effective low-cost interventions are available, resource commitments are extremely limited. This paper seeks to understand the role of philanthropy...

This chapter describes evidence-based mental health policy with the help of illustrative examples. After briefly setting the use of research evidence to inform mental health policy within the broader historical context, the second section of the chapter provides a brief description of evidence-based mental health policy and its rationale. The third...

This long-awaited second edition of Practical Psychiatric Epidemiology covers all of the considerable new developments in psychiatric epidemiology that have occurred since the first edition was published in 2003. It includes new content on key topics such as life course epidemiology, gene–environment interactions, bioethics, patient and public invo...

This chapter describes evidence-based mental health policy with the help of illustrative examples. After briefly setting the use of research evidence to inform mental health policy within the broader historical context, the second section of the chapter provides a brief description of evidence-based mental health policy and its rationale. The third...

Introduction Mental disorders account for a substantial burden of disease and costs in low-income and middle-income countries (LMICs), but attract few resources. With LMIC governments often under economic pressure, an understanding of the external funding landscape is urgently needed. This study develops a new typology of external actors in global...

An economic analysis of the cost of autism, with specific reference to Scotland, based on new meta-analyses of prevalence and of intellectual disability and on the key segments which constitute the autism spectrum.

This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To assess the effectiveness and cost-effectiveness of community-based rehabilitation for people with physical and mental disabilities in low- and middle-income countries. © 2017 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

Approximately 75% of suicides occur in low-and middle-income countries (LMICs) where rates of poverty are high. Evidence suggests a relationship between economic variables and suicidal behaviour. To plan effective suicide prevention interventions in LMICs we need to understand the relationship between poverty and suicidal behaviour and how contextu...

Purpose Positive behavioural support has been considered as a valuable alternative to residential care for children and adolescents with learning disabilities and behaviour that challenges. While recent evidence suggests it has a positive impact on behaviour and carer ability to cope, there is little evidence of its economic costs or benefits. The...

Suicide is the 15th leading cause of death worldwide, with over 75% of suicides occurring in low-income and middle-income countries. Nonetheless, evidence on the association between suicide and poverty in low-income and middle-income countries is scarce. We did a systematic review to understand the association between suicidal ideations and behavio...

Solutions to support older people to live independently and reduce the cost of an ageing population are high on the political agenda of most developed countries. Help-at-home schemes offer a mix of community support with the aim to address a range of well-being needs. However, not much is currently known about the costs, outcomes and economic conse...

Accessible summary The provision of care and support for people with learning disabilities and behaviour that challenges in England is mixed. Children and young people with learning disabilities and behaviour that challenges are likely to live within the community, while adults will be in residential care. Overall, supporting people with learning d...

We conducted a systematic review to assess the effectiveness of community-based rehabilitation (CBR) for people with physical and mental disabilities in low- and middle-income countries, and/or their family/carers and community. We identified 15 eligible studies, 10 of which were randomised controlled studies. Overall, the studies suggested that CB...

Mental health issues can emerge at any age, with incidence particularly common in childhood and young adulthood. The personal and economic consequences can last the life-course, and spillover into family and wider community impacts. Mental health issues are among the most challenging of all illnesses because of the breadth, durability, and complexi...

Decision-makers with limited budgets want to know the economic consequences of their decisions. Is there an economic case for positive behavioural support (PBS)? A small before-after study assessing the impact of PBS on challenging behaviours and positive social and communication skills in children and adolescents with intellectual disabilities and...

We conducted a systematic review to assess the effectiveness of Community Based Rehabilitation (CBR) for people with physical and mental disabilities in low- and middle-income countries, and/or their family/carers, and community. We identified 15 eligible studies, 10 of which were randomised controlled studies. Overall, the studies suggested that C...

There are an estimated one billion people with disabilities globally, corresponding to about 15 per cent of the world’s population (WHO 2011). Among them, 80 per cent of people with disabilities live in low- and middle-income countries. People with disabilities include those who have long-term physical, mental, intellectual or sensory impairments,...

Review question We reviewed the evidence about the impact of community-based rehabilitation on the lives of people with disabilities and their carers in low- and middle-income countries. Background People with disabilities include those who have long-term physical, mental, intellectual or sensory impairments, which in interaction with various barr...

AimThis study aims to evaluate the outcomes and economic case for a UK innovative youth-specific mental health service for 16–25 year olds.MethodsA pre-, during- and post-treatment comparative design for 20 young people at high risk of developing psychosis who received 2 years' treatment with the service, using outcomes that concurred with the serv...

Since the closure of long-stay hospitals, positive behavioural support and person centred approaches have been recognised and encouraged to support people with intellectual disabilities in the community. Method and materials: A small before-after study was conducted to explore the economic case for a positive behavioural support service for five a...

Purpose We evaluated the effectiveness and cost-effectiveness of a peer-led self-management intervention for people with severe mental disorders. Design/methodology/approach This is a one-arm longitudinal study without control group. 262 adults with (self-reported) severe mental disorders, who have used secondary mental health services and were li...

Purpose This evaluation aimed to establish the effectiveness of self-management training as an intervention for people using secondary mental health services. Design/methodology/approach A self-management and peer support intervention was developed and delivered by secondary mental health service users to 262 people with psychiatric diagnoses livi...

Mental disorders have large economic impacts that are often spread well beyond health care systems into employment, criminal justice, income support, and other systems. There are multiple, complex, two-way links between mental disorders and both employment difficulties, debt and poverty. Efforts are already being made to break, weaken, or respond t...

The costs of perinatal mental health problems PSSRU Personal Social Services Research Unit

This is the protocol for a review and there is no abstract. The objectives are as follows: To assess the effectiveness and cost-effectiveness of community-based rehabilitation for people with physical and mental disabilities in low- and middle-income countries.

Objective: We reviewed evidence on the cost-effectiveness of prevention, care and treatment strategies in relation to dementia. Methods: We performed a systematic review of available literature on economic evaluations of dementia care, searching key databases and websites in medicine, social care and economics. Literature reviews were privileged...

This is the protocol for a review and there is no abstract. The objectives are as follows: To assess the effectiveness and cost-effectiveness of community-based rehabilitation for people with physical and mental disabilities in low- and middle-income countries.

The global burden of maternal and infant deaths falls disproportionately on low income countries (LICs) and lower middle income countries (LMCs) and among the poorest within these countries. Urban growth is changing population health, particularly among the urban poor. The number of births taking place in urban areas in LICs and LMCs is increasing;...

A multi-region consultation process designed to generate locally produced regional and global research priorities on mental and neurological health in low- and middle-income countries. Between 2003 and 2005, priority setting exercises on MNH research, using the systematic combined approach matrix (CAM) were held in the six regions of the developing...