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Innovations in Global Mental Health pp 1–26Cite as

Mental Health Reform in Peru: Innovations, Challenges, and Sustainability

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Abstract

In recent years, South American countries have implemented models to better care for people with mental illness emphasizing the role of the community. Starting in 2004, the Peruvian government along with increasing support from civil society has taken a series of steps that have allowed to initiate the Peruvian mental health reform. Legal, policy, and fiscal changes have been proposed with the ultimate goal to implement a community mental health model (CMHM). Increasing expenditure in mental health, legislation changes to improve access to mental health care, and the development of CMHM guidelines are crucial aspects of mental health reform (Int J Health Policy Manag. 6, 501–508, 2017).

The Peruvian Ministry of Health (MoH) partnered with academic institutions and non-governmental organizations (NGOs) to obtain expertise in different aspects of implementation strategies. The Community Mental Health Center (CMHC) has been proposed to be a cornerstone to articulate and integrate the Peruvian mental health network across the country and to offer outpatient mental health services in the community (Lancet Psychiatry. 4, 90–92, 2017). Expansion of inpatient and outpatient mental health services in general hospitals and strengthening of mental health care in primary care clinics (PCCs), along with the implementation of protected homes and residencies and rehabilitation centers, also complement the mental health network proposed in the Peruvian CMHM (Salud Mental Comunitaria: Nuevo Modelo de Atencion, 2016b).

This chapter aims to review key aspects of the Peruvian mental health reform, challenges to implementation, and strategies that would contribute to ensure sustainability as well as country characteristics, burden of mental health, and health-care services before and during the ongoing mental health reform in Peru.

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References

  • Alcalde-Rabanal JE, Lazo-González O, Nigenda G. The health system of Peru. Salud Publica Mex. 2011;53(Suppl 2):s243–54.

    PubMed  Google Scholar 

  • Aprueban el Documento Técnico. Plan Nacional de Fortalecimiento de Servicios de Salud Mental Comunitaria 2018–2021. Peru. 2018.

    Google Scholar 

  • Aprueban el Reglamento de la Ley No 29889, Ley que modifica el artículo 11 de la Ley 26842, Ley General de Salud, y garantiza los derechos de las personas con problemas de salud mental – DECRETO SUPREMO No 033-2015-SA. Peru. 2015.

    Google Scholar 

  • Cavero V, Diez-Canseco F, Toyama M, Flórez Salcedo G, Ipince A, Araya R, Miranda JJ. Provision of mental health care within primary care in Peru: a qualitative study exploring the perspectives of psychologists, primary health care providers, and patients. Wellcome Open Res. 2018;3:9. https://doi.org/10.12688/wellcomeopenres.13746.2.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cierran Manicomio de Iquitos. El Encierro es Parte del Pasado en el Tratmiento de la Salud Mental. Instituto Nacional de Salud Mental Honorio Delgado – Hideyo Noguchi. 2015.

    Google Scholar 

  • Congreso de la Republica. Ley que Desactiva el Instituto de Gestion de Servicios de Salud. Peru. 2016.

    Google Scholar 

  • Diario Oficial El Peruano. LEY N° 29889 – Norma Legal. 2012.

    Google Scholar 

  • Diez-Canseco F, Ipince A, Toyama M, Benate-Galvez Y, Galán-Rodas E, Medina-Verástegui JC, Sánchez-Moreno D, Araya R, Miranda JJ. Atendiendo la salud mental de las personas con enfermedades crónicas no transmisibles en el Perú: retos y oportunidades para la integración de cuidados en el primer nivel de atención. Rev Peru Med Exp Salud Pública. 2014;31 https://doi.org/10.17843/rpmesp.2014.311.19.

  • Direccion General de Epidemiologia – Ministerio de Salud. Carga de Enfermedad en el Peru – Estimacion de los años de vida saludables perdidos 2012. 2014.

    Google Scholar 

  • Ministerio de Salud. Direccion General de Gestion del Desarrollo de Recursos Humanos. Recursos Humanos en Salud al 2011. Evidencias para la toma de decisiones. Peru. 2011

    Google Scholar 

  • Fiestas F, Piazza M. Lifetime prevalence and age of onset of mental disorders in Peru: results of the world mental health study, 2005. Rev Peru Med Exp Salud Publica. 2014;31:39–47.

    Article  Google Scholar 

  • Fundacion Manantial. Primera asociación de familiares y usuarios de salud mental en Perú [WWW Document]. 2017. https://www.fundacionmanantial.org/sala-de-prensa/primera-asociacin-de-familiares-y-usuarios-de-salud-mental-en-per/?lang=en. Accessed 11 Mar 2019.

  • Fundacion Manantial. Plan de Formacion y Capacitacion en salud mental comunitaria – Peru (PFCSMC – Peru) – Memoria de Actividad 2016–2017, n.d..

    Google Scholar 

  • Gallup JL, Gaviria A, Lora E. Is geography destiny? Lessons from Latin America, Latin American development forum. Palo Alto/Washington, DC: Stanford University Press/World Bank; 2003.

    Book  Google Scholar 

  • Ministerio de Salud. Guia Tecnica para la Atencion de Salud Mental a Mujeres en Situation de Violencia ocasionada por la Pareja o Ex-pareja. Peru. 2017.

    Google Scholar 

  • Herrera-Lopez V, Aguilar N, Valdivieso J, Cutipé Y, Arellano C. Implementación y funcionamiento de hogares protegidos para personas con trastornos mentales graves en Iquitos, Perú (2013–2016). Rev Panam Salud Pública. 2018;42 https://doi.org/10.26633/RPSP.2018.141.

  • Ministerio de Salud. Implementacion en Salud – Presupuesto por Resultados (PpR). Peru. 2011.

    Google Scholar 

  • Instituto Nacional de Salud Mental. Estudio Epidemiológico Metropolitano en Salud Mental 2002. Peru. 2002.

    Google Scholar 

  • Instituto Nacional de Salud Mental. Estudio Epidemiológico de Salud Mental en la Selva Peruana 2005. Peru. 2005.

    Google Scholar 

  • Instituto Nacional de Salud Mental. Estudio Epidemiológico de Salud Mental en Lima Rural 2007. Peru. 2008.

    Google Scholar 

  • Instituto Nacional de Salud Mental “Honorio Delgado – Hideyo Noguchi”. Estudio Epidemiologico de Salud Mental en la Costa Peruana 2006. 2007.

    Google Scholar 

  • Instituto Nacional de Salud Mental “Honorio Delgado – Hideyo Noguchi”. Estudio Epidemiolgico de Salud Mental en la Sierra Rural 2008. 2008.

    Google Scholar 

  • Instituto Nacional de Salud Mental “Honorio Delgado – Hideyo Noguchi”. Estudio Epidemiologico de Salud Mental en la Selva Rural 2009. 2009.

    Google Scholar 

  • Instituto Nacional de Salud Mental “Honorio Delgado – Hideyo Noguchi”. Estudio Epidemiologico de Salud Mental en Lima Metropolitana y Callao – Replicacion 2012. 2013.

    Google Scholar 

  • Instituto Nacional de Salud Mental “Honorio Delgado – Hideyo Nogushi”. Guia Tecnica de Continuidad de Cuidados Intensivos Dirigido a Personas con Esquizofrenia. n.d..

    Google Scholar 

  • Kohn R, Ali AA, Puac-Polanco V, Figueroa C, López-Soto V, Morgan K, Saldivia S, Vicente B. Mental health in the Americas: an overview of the treatment gap. Rev Panam Salud Pública. 2018;42 https://doi.org/10.26633/RPSP.2018.165.

  • Lund C, De Silva M, Plagerson S, Cooper S, Chisholm D, Das J, Knapp M, Patel V. Poverty and mental disorders: breaking the cycle in low-income and middle-income countries. Lancet. 2011;378:1502–14. https://doi.org/10.1016/S0140-6736(11)60754-X.

    Article  PubMed  Google Scholar 

  • Mascayano F, Tapia T, Schilling S, Alvarado R, Tapia E, Lips W, Yang LH. Stigma toward mental illness in Latin America and the Caribbean: a systematic review. Rev Bras Psiquiatr. 2016;38:73–85. https://doi.org/10.1590/1516-4446-2015-1652.

    Article  PubMed  Google Scholar 

  • Ministerio de Economia y Finanzas. Programa Presupuestal 0131 – Control y Prevencion en Salud Mental, Peru. 2017.

    Google Scholar 

  • Ministerio de Economía y Finanzas. Consulta Amigable – Consulta de Ejecución del Gasto [WWW Document]. n.d.. http://apps5.mineco.gob.pe/transparencia/Navegador/. Accessed 28 Sept 2018.

  • Ministerio de Salud. Lineamientos para la acción en salud mental. Lima, Peru. 2004a.

    Google Scholar 

  • Ministerio de Salud. Estrategia Sanitaria Nacional de Salud Mental y Cultura de Paz. Lima, Peru. 2004b.

    Google Scholar 

  • Ministerio de Salud. Plan Nacional de Salud Mental. Lima, Peru. 2006.

    Google Scholar 

  • Ministerio de Salud. Decreto Legislativo que crea el Instituto de Gestion de Servicios de Salud. Lima, Peru. 2013.

    Google Scholar 

  • Ministerio de Salud. Lineamientos para la Atencion en Salud Mental a Personas Afectadas por la Violencia durante el periodo 1980–2000. Lima, Peru. 2016a.

    Google Scholar 

  • Ministerio de Salud. Salud Mental Comunitaria: Nuevo Modelo de Atencion. Lima, Peru. 2016b.

    Google Scholar 

  • Ministerio de Salud. Resolucion Ministerial N° 701–2018/MINSA: Aprueban Norma Técnica de Salud de Hogares Protegidos. Lima, Peru. 2018a.

    Google Scholar 

  • Ministerio de Salud. Aprueban el Documento Técnico: Lineamientos de Política Sectorial en Salud Mental. Lima, Peru. 2018b.

    Google Scholar 

  • Ministerio de Salud. Documento Tecnico: Lineamientos de Politica Sectorial en Salud Mental. Lima, Peru. 2018c.

    Google Scholar 

  • Ministerio de Salud. Norma Tecnica de Salud de Centros de Salud Mental comunitarios, NTS 001. Lima, Peru. 2017

    Google Scholar 

  • Ministerio de Salud. Plan Nacional de Fortalecimiento de Servicios de Salud Mental Comunitaria 2018–2021 – Resolucion Ministerial. Lima, Peru. 2018d.

    Google Scholar 

  • Ministerio de Salud – Instituto Nacional de Salud. Aprobación y publicación de Prioridades Nacionales de Investigación en Salud en el Perú 2016–2021. 2016.

    Google Scholar 

  • Minoletti A, Galea S, Ezra S. Community mental health services in Latin America for people with severe mental disorders. Public Health Rev. 2012a;34(2):529–51.

    Article  Google Scholar 

  • Minoletti A, Sepúlveda R, Horvitz-Lennon M. Twenty years of mental health policies in Chile: lessons and challenges. Int J Ment Health. 2012b;41:21–37. https://doi.org/10.2753/IMH0020-7411410102.

    Article  Google Scholar 

  • Miranda JJ, Diez-Canseco F, Araya R, Cutipe Y, Castillo H, Herrera V, Galea J, Brandt LR, Toyama M, Cavero V. Transitioning mental health into primary care. Lancet Psychiatry. 2017;4:90–2. https://doi.org/10.1016/S2215-0366(16)30350-9.

    Article  PubMed  Google Scholar 

  • Murray CJL, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, Ezzati M, Shibuya K, Salomon JA, Abdalla S, Aboyans V, Abraham J, Ackerman I, Aggarwal R, Ahn SY, Ali MK, Alvarado M, Anderson HR, Anderson LM, Andrews KG, Atkinson C, Baddour LM, Bahalim AN, Barker-Collo S, Barrero LH, Bartels DH, Basáñez M-G, Baxter A, Bell ML, Benjamin EJ, Bennett D, Bernabé E, Bhalla K, Bhandari B, Bikbov B, Bin Abdulhak A, Birbeck G, Black JA, Blencowe H, Blore JD, Blyth F, Bolliger I, Bonaventure A, Boufous S, Bourne R, Boussinesq M, Braithwaite T, Brayne C, Bridgett L, Brooker S, Brooks P, Brugha TS, Bryan-Hancock C, Bucello C, Buchbinder R, Buckle G, Budke CM, Burch M, Burney P, Burstein R, Calabria B, Campbell B, Canter CE, Carabin H, Carapetis J, Carmona L, Cella C, Charlson F, Chen H, Cheng AT-A, Chou D, Chugh SS, Coffeng LE, Colan SD, Colquhoun S, Colson KE, Condon J, Connor MD, Cooper LT, Corriere M, Cortinovis M, de Vaccaro KC, Couser W, Cowie BC, Criqui MH, Cross M, Dabhadkar KC, Dahiya M, Dahodwala N, Damsere-Derry J, Danaei G, Davis A, De Leo D, Degenhardt L, Dellavalle R, Delossantos A, Denenberg J, Derrett S, Des Jarlais DC, Dharmaratne SD, Dherani M, Diaz-Torne C, Dolk H, Dorsey ER, Driscoll T, Duber H, Ebel B, Edmond K, Elbaz A, Ali SE, Erskine H, Erwin PJ, Espindola P, Ewoigbokhan SE, Farzadfar F, Feigin V, Felson DT, Ferrari A, Ferri CP, Fèvre EM, Finucane MM, Flaxman S, Flood L, Foreman K, Forouzanfar MH, Fowkes FGR, Fransen M, Freeman MK, Gabbe BJ, Gabriel SE, Gakidou E, Ganatra HA, Garcia B, Gaspari F, Gillum RF, Gmel G, Gonzalez-Medina D, Gosselin R, Grainger R, Grant B, Groeger J, Guillemin F, Gunnell D, Gupta R, Haagsma J, Hagan H, Halasa YA, Hall W, Haring D, Haro JM, Harrison JE, Havmoeller R, Hay RJ, Higashi H, Hill C, Hoen B, Hoffman H, Hotez PJ, Hoy D, Huang JJ, Ibeanusi SE, Jacobsen KH, James SL, Jarvis D, Jasrasaria R, Jayaraman S, Johns N, Jonas JB, Karthikeyan G, Kassebaum N, Kawakami N, Keren A, Khoo J-P, King CH, Knowlton LM, Kobusingye O, Koranteng A, Krishnamurthi R, Laden F, Lalloo R, Laslett LL, Lathlean T, Leasher JL, Lee YY, Leigh J, Levinson D, Lim SS, Limb E, Lin JK, Lipnick M, Lipshultz SE, Liu W, Loane M, Ohno SL, Lyons R, Mabweijano J, MacIntyre MF, Malekzadeh R, Mallinger L, Manivannan S, Marcenes W, March L, Margolis DJ, Marks GB, Marks R, Matsumori A, Matzopoulos R, Mayosi BM, McAnulty JH, McDermott MM, McGill N, McGrath J, Medina-Mora ME, Meltzer M, Mensah GA, Merriman TR, Meyer A-C, Miglioli V, Miller M, Miller TR, Mitchell PB, Mock C, Mocumbi AO, Moffitt TE, Mokdad AA, Monasta L, Montico M, Moradi-Lakeh M, Moran A, Morawska L, Mori R, Murdoch ME, Mwaniki MK, Naidoo K, Nair MN, Naldi L, Narayan KMV, Nelson PK, Nelson RG, Nevitt MC, Newton CR, Nolte S, Norman P, Norman R, O’Donnell M, O’Hanlon S, Olives C, Omer SB, Ortblad K, Osborne R, Ozgediz D, Page A, Pahari B, Pandian JD, Rivero AP, Patten SB, Pearce N, Padilla RP, Perez-Ruiz F, Perico N, Pesudovs K, Phillips D, Phillips MR, Pierce K, Pion S, Polanczyk GV, Polinder S, Pope CA, Popova S, Porrini E, Pourmalek F, Prince M, Pullan RL, Ramaiah KD, Ranganathan D, Razavi H, Regan M, Rehm JT, Rein DB, Remuzzi G, Richardson K, Rivara FP, Roberts T, Robinson C, De Leòn FR, Ronfani L, Room R, Rosenfeld LC, Rushton L, Sacco RL, Saha S, Sampson U, Sanchez-Riera L, Sanman E, Schwebel DC, Scott JG, Segui-Gomez M, Shahraz S, Shepard DS, Shin H, Shivakoti R, Singh D, Singh GM, Singh JA, Singleton J, Sleet DA, Sliwa K, Smith E, Smith JL, Stapelberg NJC, Steer A, Steiner T, Stolk WA, Stovner LJ, Sudfeld C, Syed S, Tamburlini G, Tavakkoli M, Taylor HR, Taylor JA, Taylor WJ, Thomas B, Thomson WM, Thurston GD, Tleyjeh IM, Tonelli M, Towbin JA, Truelsen T, Tsilimbaris MK, Ubeda C, Undurraga EA, van der Werf MJ, van Os J, Vavilala MS, Venketasubramanian N, Wang M, Wang W, Watt K, Weatherall DJ, Weinstock MA, Weintraub R, Weisskopf MG, Weissman MM, White RA, Whiteford H, Wiebe N, Wiersma ST, Wilkinson JD, Williams HC, Williams SRM, Witt E, Wolfe F, Woolf AD, Wulf S, Yeh P-H, Zaidi AKM, Zheng Z-J, Zonies D, Lopez AD, AlMazroa MA, Memish ZA. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380:2197–223. https://doi.org/10.1016/S0140-6736(12)61689-4.

    Article  PubMed  Google Scholar 

  • Oficina de Comunicaciones – Instituto Nacional de Salud Mental. Alrededor del 84% de las personas con problemas de salud mental no lo aceptan y reconocen. Inst. Nac. Salud Ment. Honor. Delgado-Hideyo Noguchi. 2014.

    Google Scholar 

  • Organizacion Panamericana de la Salud. Encuentro de Representantes de Asociaciones de Usuarios de Servicios de Salud Mental y sus Familiares [WWW Document]. Noticias. 2017. https://www.paho.org/per/index.php?option=com_content&view=article&id=3763:encuentro-de-representantes-de-asociaciones-de-us uarios-de-servicios-de-salud-mental-y-sus-familiares&Itemid=900. Accessed 11 Mar 2019.

  • Pan American Health Organization, World Health Organisation. Plan of Action on Mental Health 2015–2020. 2014.

    Google Scholar 

  • Pedersen D, Tremblay J, Errázuriz C, Gamarra J. The sequelae of political violence: assessing trauma, suffering and dislocation in the Peruvian highlands. Soc Sci Med. 2008;67:205–17. https://doi.org/10.1016/j.socscimed.2008.03.040.

    Article  PubMed  Google Scholar 

  • Pedersen D, Kienzler H, Gamarra J. Llaki and Ñakary: idioms of distress and suffering among the Highland Quechua in the Peruvian Andes. Cult Med Psychiatry. 2010;34:279–300. https://doi.org/10.1007/s11013-010-9173-z.

    Article  PubMed  Google Scholar 

  • Policy maker 001: Member of the Directorate of Mental Health (Direccion Nacional de Salud), Ministry of Health, Lima, Peru. 2018.

    Google Scholar 

  • Policy maker 002: Past consultant and member of the Ministry of Health involved in the development of national mental health strategies. 2018.

    Google Scholar 

  • Razzouk D, Gregório G, Antunes R, Mari JDEJ. Lessons learned in developing community mental health care in Latin American and Caribbean countries. World Psychiatry Off J World Psychiatr Assoc (WPA). 2012;11:191–5.

    Google Scholar 

  • Rondon MB. Peru: mental health in a complex country. Int Psychiatry. 2009;6:12–4. https://doi.org/10.1192/S1749367600000230.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sánchez-Moreno F. The national health system in Peru. Rev Peru Med Exp Salud Publica. 2014;31:747–53.

    Article  Google Scholar 

  • Sandes LFF, Freitas DA, de Souza MFNS, de Sousa Leite KB. Atenção primária à saúde de indígenas sul-americanos: revisão integrativa da literatura. Rev Panam Salud Pública. 2018;42 https://doi.org/10.26633/RPSP.2018.163.

  • Sapag JC, Sena BF, Bustamante IV, Bobbili SJ, Velasco PR, Mascayano F, Alvarado R, Khenti A. Stigma towards mental illness and substance use issues in primary health care: challenges and opportunities for Latin America. Glob Public Health. 2018;13:1468–80. https://doi.org/10.1080/17441692.2017.1356347.

    Article  PubMed  Google Scholar 

  • Scorza P, Cutipe Y, Mendoza M, Arellano C, Galea JT, Wainberg ML. Lessons from rural Peru in integrating mental health into primary care. Psychiatr Serv. appi.ps.2018000. 2018; https://doi.org/10.1176/appi.ps.201800079.

  • The World Bank. GINI Index (World Bank Estimate) – Peru [WWW Document]. n.d.. https://data.worldbank.org/indicator/SI.POV.GINI?end=2016&locations=PE&start=1997&view=chart. Accessed 7 Jan 2019.

  • Toyama M, Castillo H, Galea JT, Brandt LR, Mendoza M, Herrera V, Mitrani M, Cutipé Y, Cavero V, Diez-Canseco F, Miranda JJ. Peruvian mental health reform: a framework for scaling-up mental health services. Int J Health Policy Manag. 2017;6:501–8. https://doi.org/10.15171/ijhpm.2017.07.

    Article  PubMed  PubMed Central  Google Scholar 

  • Valencia K. SIS en emergencia: crisis financiera afecta a 16 millones de peruanos. D. Correo. 2017.

    Google Scholar 

  • Velásquez A. La carga de enfermedad y lesiones en el Perú y las prioridades del plan esencial de aseguramiento universal. Rev Peru Med Exp Salud Publica. 2009;26:222–31.

    Google Scholar 

  • Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, Shibuya K, Salomon JA, Abdalla S, Aboyans V, Abraham J, Ackerman I, Aggarwal R, Ahn SY, Ali MK, Alvarado M, Anderson HR, Anderson LM, Andrews KG, Atkinson C, Baddour LM, Bahalim AN, Barker-Collo S, Barrero LH, Bartels DH, Basáñez M-G, Baxter A, Bell ML, Benjamin EJ, Bennett D, Bernabé E, Bhalla K, Bhandari B, Bikbov B, Bin Abdulhak A, Birbeck G, Black JA, Blencowe H, Blore JD, Blyth F, Bolliger I, Bonaventure A, Boufous S, Bourne R, Boussinesq M, Braithwaite T, Brayne C, Bridgett L, Brooker S, Brooks P, Brugha TS, Bryan-Hancock C, Bucello C, Buchbinder R, Buckle G, Budke CM, Burch M, Burney P, Burstein R, Calabria B, Campbell B, Canter CE, Carabin H, Carapetis J, Carmona L, Cella C, Charlson F, Chen H, Cheng AT-A, Chou D, Chugh SS, Coffeng LE, Colan SD, Colquhoun S, Colson KE, Condon J, Connor MD, Cooper LT, Corriere M, Cortinovis M, de Vaccaro KC, Couser W, Cowie BC, Criqui MH, Cross M, Dabhadkar KC, Dahiya M, Dahodwala N, Damsere-Derry J, Danaei G, Davis A, De Leo D, Degenhardt L, Dellavalle R, Delossantos A, Denenberg J, Derrett S, Des Jarlais DC, Dharmaratne SD, Dherani M, Diaz-Torne C, Dolk H, Dorsey ER, Driscoll T, Duber H, Ebel B, Edmond K, Elbaz A, Ali SE, Erskine H, Erwin PJ, Espindola P, Ewoigbokhan SE, Farzadfar F, Feigin V, Felson DT, Ferrari A, Ferri CP, Fèvre EM, Finucane MM, Flaxman S, Flood L, Foreman K, Forouzanfar MH, Fowkes FGR, Franklin R, Fransen M, Freeman MK, Gabbe BJ, Gabriel SE, Gakidou E, Ganatra HA, Garcia B, Gaspari F, Gillum RF, Gmel G, Gosselin R, Grainger R, Groeger J, Guillemin F, Gunnell D, Gupta R, Haagsma J, Hagan H, Halasa YA, Hall W, Haring D, Haro JM, Harrison JE, Havmoeller R, Hay RJ, Higashi H, Hill C, Hoen B, Hoffman H, Hotez PJ, Hoy D, Huang JJ, Ibeanusi SE, Jacobsen KH, James SL, Jarvis D, Jasrasaria R, Jayaraman S, Johns N, Jonas JB, Karthikeyan G, Kassebaum N, Kawakami N, Keren A, Khoo J-P, King CH, Knowlton LM, Kobusingye O, Koranteng A, Krishnamurthi R, Lalloo R, Laslett LL, Lathlean T, Leasher JL, Lee YY, Leigh J, Lim SS, Limb E, Lin JK, Lipnick M, Lipshultz SE, Liu W, Loane M, Ohno SL, Lyons R, Ma J, Mabweijano J, MacIntyre MF, Malekzadeh R, Mallinger L, Manivannan S, Marcenes W, March L, Margolis DJ, Marks GB, Marks R, Matsumori A, Matzopoulos R, Mayosi BM, McAnulty JH, McDermott MM, McGill N, McGrath J, Medina-Mora ME, Meltzer M, Mensah GA, Merriman TR, Meyer A-C, Miglioli V, Miller M, Miller TR, Mitchell PB, Mocumbi AO, Moffitt TE, Mokdad AA, Monasta L, Montico M, Moradi-Lakeh M, Moran A, Morawska L, Mori R, Murdoch ME, Mwaniki MK, Naidoo K, Nair MN, Naldi L, Narayan KMV, Nelson PK, Nelson RG, Nevitt MC, Newton CR, Nolte S, Norman P, Norman R, O’Donnell M, O’Hanlon S, Olives C, Omer SB, Ortblad K, Osborne R, Ozgediz D, Page A, Pahari B, Pandian JD, Rivero AP, Patten SB, Pearce N, Padilla RP, Perez-Ruiz F, Perico N, Pesudovs K, Phillips D, Phillips MR, Pierce K, Pion S, Polanczyk GV, Polinder S, Pope CA, Popova S, Porrini E, Pourmalek F, Prince M, Pullan RL, Ramaiah KD, Ranganathan D, Razavi H, Regan M, Rehm JT, Rein DB, Remuzzi G, Richardson K, Rivara FP, Roberts T, Robinson C, De Leòn FR, Ronfani L, Room R, Rosenfeld LC, Rushton L, Sacco RL, Saha S, Sampson U, Sanchez-Riera L, Sanman E, Schwebel DC, Scott JG, Segui-Gomez M, Shahraz S, Shepard DS, Shin H, Shivakoti R, Singh D, Singh GM, Singh JA, Singleton J, Sleet DA, Sliwa K, Smith E, Smith JL, Stapelberg NJC, Steer A, Steiner T, Stolk WA, Stovner LJ, Sudfeld C, Syed S, Tamburlini G, Tavakkoli M, Taylor HR, Taylor JA, Taylor WJ, Thomas B, Thomson WM, Thurston GD, Tleyjeh IM, Tonelli M, Towbin JA, Truelsen T, Tsilimbaris MK, Ubeda C, Undurraga EA, van der Werf MJ, van Os J, Vavilala MS, Venketasubramanian N, Wang M, Wang W, Watt K, Weatherall DJ, Weinstock MA, Weintraub R, Weisskopf MG, Weissman MM, White RA, Whiteford H, Wiersma ST, Wilkinson JD, Williams HC, Williams SRM, Witt E, Wolfe F, Woolf AD, Wulf S, Yeh P-H, Zaidi AKM, Zheng Z-J, Zonies D, Lopez AD, Murray CJL, AlMazroa MA, Memish ZA. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the global burden of disease study 2010. Lancet. 2012;380:2163–96. https://doi.org/10.1016/S0140-6736(12)61729-2.

    Article  PubMed  PubMed Central  Google Scholar 

  • World Bank. World development indicators. Washington, DC: World Bank; 2016.

    Google Scholar 

  • World Bank. Healing minds, changing lives: a movement for community-based mental health care in peru – delivery innovations in a low-income community, 2013–2016. Washington, DC: World Bank; 2018.

    Book  Google Scholar 

  • World Health Organization. Mental health atlas 2011. Country profile – Peru. Geneva, Switzerland: WHO (World Health Organization) Press; 2011a.

    Google Scholar 

  • World Health Organization. Mental health atlas 2011. Country profile – Brazil. Geneva, Switzerland: WHO (World Health Organization) Press; 2011b.

    Google Scholar 

  • World Health Organization (WHO). Investing in mental health: evidence for action. Geneva, Switzerland: WHO (World Health Organization) Press; 2013.

    Google Scholar 

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Authors and Affiliations

  1. Vanderbilt University Medical Center, Nashville, TN, USA

    Jose A. Arriola-Vigo

  2. CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru

    Francisco Diez-Canseco

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  1. Jose A. Arriola-Vigo
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  2. Francisco Diez-Canseco
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Correspondence to Jose A. Arriola-Vigo .

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  1. Center for Health, Culture and Society, Vanderbilt University Center for Health, Nashville, TN, USA

    Sam Okpaku

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Arriola-Vigo, J.A., Diez-Canseco, F. (2020). Mental Health Reform in Peru: Innovations, Challenges, and Sustainability. In: Okpaku, S. (eds) Innovations in Global Mental Health. Springer, Cham. https://doi.org/10.1007/978-3-319-70134-9_93-1

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  • DOI: https://doi.org/10.1007/978-3-319-70134-9_93-1

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  • Print ISBN: 978-3-319-70134-9

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