Applications of the epidemiological modelling outputs for targeted mental health planning in conflict-affected populations: the Syria case-study

Charlson, F. J., Lee, Y. Y., Diminic, S. and Whiteford, H. (2016) Applications of the epidemiological modelling outputs for targeted mental health planning in conflict-affected populations: the Syria case-study. Global Mental Health, 3 e8: e8.1-e8.13. doi:10.1017/gmh.2016.4


Author Charlson, F. J.
Lee, Y. Y.
Diminic, S.
Whiteford, H.
Title Applications of the epidemiological modelling outputs for targeted mental health planning in conflict-affected populations: the Syria case-study
Journal name Global Mental Health   Check publisher's open access policy
ISSN 2054-4251
Publication date 2016-03-07
Year available 2016
Sub-type Article (original research)
DOI 10.1017/gmh.2016.4
Open Access Status DOI
Volume 3
Issue e8
Start page e8.1
End page e8.13
Total pages 13
Place of publication Cambridge, United Kingdom
Publisher Cambridge University Press
Language eng
Abstract Background. Epidemiological models are frequently utilised to ascertain disease prevalence in a population; however, these estimates can have wider practical applications for informing targeted scale-up and optimisation of mental health services. We explore potential applications for a conflict-affected population, Syria.
Formatted abstract
Epidemiological models are frequently utilised to ascertain disease prevalence in a population; however, these estimates can have wider practical applications for informing targeted scale-up and optimisation of mental health services. We explore potential applications for a conflict-affected population, Syria.
We use prevalence estimates of major depression and post-traumatic stress disorder (PTSD) in conflict-affected populations as inputs for subsequent estimations. We use Global Burden of Disease (GBD) methodology to estimate years lived with a disability (YLDs) for depression and PTSD in Syrian populations. Human resource (HR) requirements to scale-up recommended packages of care for PTSD and depression in Syria over a 15-year period were modelled using the World Health Organisation mhGAP costing tool. Associated avertable burden was estimated using health benefit analyses.
The total number of cases of PTSD in Syria was estimated at approximately 2.2 million, and approximately 1.1 million for depression. An age-standardised major depression rate of 13.4 (95% UI 9.8–17.5) YLDs per 1000 Syrian population is estimated compared with the GBD 2010 global age-standardised YLD rate of 9.2 (95% UI 7.0–11.8). HR requirements to support a linear scale-up of services in Syria using the mhGAP costing tool demonstrates a steady increase from 0.3 FTE in at baseline to 7.6 FTE per 100 000 population after scale-up. Linear scale-up over 15 years could see 7–9% of disease burden being averted.
Epidemiological estimates of mental disorders are key inputs into determining disease burden and guiding optimal mental health service delivery and can be used in target populations such as conflict-affected populations.
Keyword Conflict
Depression
Global mental health
Policy & systems
Post-traumatic stress disorder
Service planning
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Public Health Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in Thomson Reuters Web of Science Article
Google Scholar Search Google Scholar
Created: Sat, 08 Oct 2016, 05:30:07 EST by System User on behalf of Learning and Research Services (UQ Library)