ABSTRACT
The World Health Organization (WHO) South-East Asia Region, which contributes one quarter of theworld’s population, has a significant burden due to mental illnesses. Mental health has been a low priorityin most countries of the region. Although most of these countries have national mental health policies,implementation at ground level remains a huge challenge. Many countries in the region lack mentalhealth legislation that can safeguard the rights of people with mental illnesses, and governments haveallocated low budgets for mental health services. It is imperative that concerned authorities work towardsscaling up both financial and human resources for effective delivery of mental health services. Policymakers should facilitate training in the field of mental health and aim towards integrating mental healthservices with primary health care, to reduce the treatment gap. Steps should also be taken to developa robust mental health information system that can provide baseline information and insight aboutexisting mental health services and help in prioritization of the mental health needs of the individualcountries. Although evidence-based management protocols such as the WHO Mental Health Gap ActionProgramme (mhGAP) guidelines facilitate training and scaling up of care in resource-limited countries,the identification of mental disorders like depression in such settings remains a challenge. Developmentand validation of brief psychiatric screening instruments should be prioritized to support such models ofcare. This paper illustrates an approach towards the development of a new culturally adapted instrumentto identify depression that has scope for wider use in the WHO South-East Asia Region.
