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Bulletin of the World Health Organization 87: 438–446.  Patel V, Prince M. (2010) Global mental health: a new global health field comes of age. Journal of the American Medical Association 303: 1976–1977. The nature and scale of the global mental health challenge 11  Patel V. (2012) Global mental health: from science to action. Harvard Review of Psychiatry 20: 6–12.  Collins PY, Patel V, Joestl SS et al. (2011) Scientific Advisory Board and the Executive Committee of the Grand Challenges on Global Mental Health: grand challenges in global mental health.
10] Dua T, Barbui C, Clark N et al. (2011) Evidence based guidelines for mental, neurological and substance use disorders in low- and middle-income countries: summary of WHO recommendations. PLoS Medicine 8: 1–11. 10 The global challenge  Thornicroft G, Tansella M. (2004) Components of a modern mental health service: a pragmatica balance of community and hospital care: overview of systematic evidence. British Journal of Psychiatry 185: 283–290.  Thornicroft G, Tansella M. (2012) The balanced care model for global mental health.
1 Total number of human resources (per 100 000 population) working in the mental health sector by World Bank income group (Reproduced from Mental Health Atlas 2011 (, p. 55)). different income categories. This scarcity is exacerbated by inefficiency and inequitable distribution of resources. For example, many middle-income countries that have made substantial investments in large mental hospitals are reluctant to replace them with community-based and inpatient facilities in general hospitals, despite evidence that mental hospitals provide inadequate care and that community-based services are more effective.