The Latin American treatment and innovation network in mental health h (LATINMH): rationale and scope

Paulo R Menezes, Ricardo Araya, Jaime Miranda, David C Mohr, LeShanwndra N Price


Over the past 60 years Latin American countries have been experiencing noticeable demographic and socioeconomic changes, with marked impact on the population health in the region. There is growing recognition of the co-morbidity among mental and physical health problems impacting heavily on health care systems.
These challenges open many opportunities for transformational change in the expanding field of global mental health. Given the growing evidence for the wide applicability and efficacy of specific components included in mental health treatment packages, research should focus more on improving the organization and efficiency with which we deliver these specific treatment components already proven to be efficacious. The Latin American Treatment and Innovation Network in Mental Health (LATIN-MH) is a research and training Hub based in Sao Paulo, Brazil, and Lima, Peru. It aims to address the co-morbidity between physical and mental chronic diseases, exploring the opportunity to use technology to support the treatment of these conditions.
LATIN-MH strives to move beyond specific single-disease approaches and research silos, whilst maximizing the opportunities to work collaboratively with various groups in the Latin American region, thus contributing
to fostering research and building capacity in mental health research.


Los países latinoamericanos han experimentado un cambio demográfico y socioeconómico notable en los últimos 60 años, los mismos que han tenido un efecto en la salud de las poblaciones de la región. Existe un creciente reconocimiento de la comorbilidad entre los problemas de salud físicos y mentales, que son los que más impactan a los sistemas de salud. Estos desafíos abren las posibilidades de lograr un cambio transformacional en el campo de salud mental global. Dada la amplia evidencia para la aplicabilidad y eficacia de los componentes específicos incluidos en los paquetes de tratamiento de salud mental, la investigación debe enfocarse más en mejorar la organización y eficacia con la cual proveemos estos componentes específicos que han demostrado ser eficaces. El Latin American Treatment and Innovation Network in Mental Health (LATIN-MH) es un nodo de investigación y entrenamiento basado en Sao Paulo, Brasil y Lima, Perú. Su meta es atacar la comorbilidad entre salud física y mental, explorando la oportunidad de usar tecnología para apoyar el tratamiento de estas condiciones. LATIN-MH busca ir más allá de estrategias de enfermedades únicas y silos de investigación, mientras se maximiza las oportunidades de trabajar en colaboración con varios grupos de la región latinoamericana para fomentar la investigación y crear capacidades en salud mental.

Palabras clave

salud mental; enfermedad crónica; creación de capacidad

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Collins PY, Patel V, Joestl SS, et al. Grand challenges

in global mental health. Nature 2011;475(7354):27-30.

Collins PY, Insel TR, Chockalingam A, Daar A,

Maddox YT. Grand challenges in global mental health:

integration in research, policy, and practice. PLoS medicine 2013;10(4): e1001434.

National Institute of Mental Health. Regional Network for Mental Health Research in Latin America — RedeAmerica. [cited; Available from:

National Institute of Mental Health. Latin America Treatment & Innovation Network in Mental Health — LATIN-MH. [cited; Available from:

Perel P, Casas JP, Ortiz Z, Miranda JJ. Noncommunicable diseases and injuries in Latin America and the Caribbean: time for action. PLoS medicine 2006 Sep;3(9): e344.

Dufour DL, Piperata BA. Rural-to-urban migration in Latin America: an update and thoughts on the model. American journal of human biology : the official journal of the Human Biology Council 2004 Jul-Aug;16(4): 395-404.

UNFPA. State of World Population 2007: Unleashing the Potential of Urban Growth. United Nations Population Fund New York, New York, USA; 2007.

Jacoby E. The obesity epidemic in the Americas: making healthy choices the easiest choices. Revista panamericana de salud publica = Pan American journal of public health 2004 Apr;15(4): 278-84.

Pan American Health Organization. Health Information and Analysis Project: Health Situation in the Americas: Basic Indicators 2009. United States of America Washington, DC; 2009.

Pan American Health Organization, Pan American Sanitary Bureau. Health in the Americas: Pan American Health Organization, Pan American Sanitary Bureau, Regional Office of the World Health Organization; 2002.

Prince M, Patel V, Saxena S, et al. No health without mental health. The Lancet //;370(9590): 859-77.

Time for action in New York on non-communicable diseases. Lancet 2011 Sep 10;378(9795): 961.

World Bank. Development Report: Investing in Health. New York; 1993.

Demyttenaere K, Bruffaerts R, Posada-Villa J, et al. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. Jama 2004 Jun 2;291(21): 2581-90.

Raviola G, Becker AE, Farmer P. A global scope for global health--including mental health. Lancet 2011 Nov 5;378(9803): 1613-5.

Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ. Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet 2006 May 27;367(9524): 1747-57.

Rodríguez JJ, Kohn R, Aguilar-Gaxiola S. Epidemiología de los trastornos mentales en América Latina y el Caribe: Organización Panamericana de la Salud; 2009.

Kohn R, Levav I, de Almeida JM, et al. [Mental disorders in Latin America and the Caribbean: a public health priority]. Revista panamericana de salud publica = Pan American journal of public health 2005 Oct-Nov;18(4-5): 229-40.

Ferrari AJ, Charlson FJ, Norman RE, et al. Burden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010. PLoS medicine 2013 Nov;10(11): e1001547.

Moussavi S, Chatterji S, Verdes E, Tandon A, Patel V, Ustun B. Depression, chronic diseases, and decrements in health: results from the World Health Surveys. Lancet 2007 Sep 8;370(9590): 851-8.

Andrade L, Walters EE, Gentil V, Laurenti R. Prevalence of ICD-10 mental disorders in a catchment area in the city of Sao Paulo, Brazil. Social psychiatry and psychiatric epidemiology 2002 Jul;37(7): 316-25.

Vorcaro CM, Lima-Costa MF, Barreto SM, Uchoa E. Unexpected high prevalence of 1-month depression in a small Brazilian community: the Bambui Study. Acta psychiatrica Scandinavica 2001 Oct;104(4): 257-63.

Lima MC, Menezes PR, Carandina L, Cesar CL, Barros MB, Goldbaum M. [Common mental disorders and the use of psychoactive drugs: the impact of socioeconomic conditions]. Revista de saude publica 2008 Aug;42(4): 717-23.

De Lima MS, Hotopf M, Mari JJ, Beria JU, De Bastos AB, Mann A. Psychiatric disorder and the use of benzodiazepines: an example of the inverse care law from Brazil. Social psychiatry and psychiatric epidemiology 1999 Jun;34(6): 316-22.

Ludermir AB, Lewis G. Informal work and common mental disorders. Social psychiatry and psychiatric epidemiology 2003 Sep;38(9): 485-9.

Loret de Mola C, Stanojevic S, Ruiz P, Gilman RH, Smeeth L, Miranda JJ. The effect of rural-to-urban migration on social capital and common mental disorders: PERU MIGRANT study. Social psychiatry and psychiatric epidemiology 2012 Jun;47(6): 967-73.

Wang PS, Angermeyer M, Borges G, et al. Delay and failure in treatment seeking after first onset of mental disorders in the World Health Organization's World Mental Health Survey Initiative. World psychiatry : official journal of the World Psychiatric Association 2007 Oct;6(3): 177-85.

Wang PS, Aguilar-Gaxiola S, Alonso J, et al. Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. Lancet 2007 Sep 8;370(9590): 841-50.

Patel V, Araya R, Chatterjee S, et al. Treatment and prevention of mental disorders in low-income and middle-income countries. Lancet 2007 Sep 15;370(9591): 991-1005.

Araya R, Gaete J, Rojas G, Fritsch R, Lewis G. Smoking and common mental disorders: a population-based survey in Santiago, Chile. Social psychiatry and psychiatric epidemiology 2007 Nov;42(11): 874-80.

Haynes JC, Farrell M, Singleton N, et al. Alcohol

consumption as a risk factor for non-recovery from common

mental disorder: results from the longitudinal followup

of the National Psychiatric Morbidity Survey. Psychological

medicine 2008 Mar;38(3): 451-5.

Scott KM, Bruffaerts R, Simon GE, et al. Obesity

and mental disorders in the general population: results

from the world mental health surveys. International journal

of obesity 2008 Jan;32(1): 192-200.

Simon GE, Arterburn D, Rohde P, et al. Obesity,

depression, and health services costs among middleaged

women. Journal of general internal medicine 2011

Nov;26(11): 1284-90.

Lund C, Breen A, Flisher AJ, et al. Poverty and

common mental disorders in low and middle income

countries: A systematic review. Social science & medicine

Aug;71(3): 517-28.

Diez-Canseco F, Ipince A, Toyama M, et al. [Integration

of mental health and chronic non-communicable

diseases in Peru: challenges and opportunities for primary

care settings]. Revista peruana de medicina experimental

y salud publica 2014;31(1): 131-6.

Jacob KS, Sharan P, Mirza I, et al. Mental health

systems in countries: where are we now? Lancet 2007

Sep 22;370(9592): 1061-77.

Araya R, Rojas G, Fritsch R, Frank R, Lewis G.

Inequities in mental health care after health care system

reform in Chile. American journal of public health

;96(1): 109.

Munoz RF. Using evidence-based internet interventions

to reduce health disparities worldwide. Journal

of medical Internet research 2010;12(5): e60.

Van't Hof E, Cuijpers P, Stein DJ. Self-help and

Internet-guided interventions in depression and anxiety

disorders: a systematic review of meta-analyses. CNS

spectrums 2009 Feb;14(2 Suppl 3): 34-40.

Andersson G, Cuijpers P. Internet-based and

other computerized psychological treatments for adult

depression: a meta-analysis. Cognitive behaviour therapy

;38(4): 196-205.

Van Voorhees BW, Mahoney N, Mazo R, et

al. Internet-based depression prevention over the life

course: a call for behavioral vaccines. The Psychiatric

clinics of North America 2011 Mar;34(1): 167-83.

Free C, Knight R, Robertson S, et al. Smoking

cessation support delivered via mobile phone text messaging

(txt2stop): a single-blind, randomised trial. Lancet

Jul 2;378(9785): 49-55.

Riper H, Kramer J, Smit F, Conijn B, Schippers

G, Cuijpers P. Web-based self-help for problem drinkers:

a pragmatic randomized trial. Addiction 2008 Feb;103(2):


Torres LD, Barrera AZ, Delucchi K, Penilla C,

Perez-Stable EJ, Munoz RF. Quitting smoking does not

increase the risk of major depressive episodes among

users of Internet smoking cessation interventions. Psychological

medicine 2010 Mar;40(3): 441-9.

World Health Organization. Taking stock: Health

worker shortages and the response to AIDS. 2006.

World Health Organization. Taking Stock: Task

Shifting to Tackle Health Worker Shortages. 2006.

World Health Organization. Task shifting: Global

recommendations and guidelines. 2007. Geneva. World

Health Organization 2011.

Huicho L, Scherpbier RW, Nkowane AM, Victora

CG. How much does quality of child care vary between

health workers with differing durations of training?

An observational multicountry study. Lancet 2008 Sep

;372(9642): 910-6.

Lewin S, Munabi‐Babigumira S, Glenton C, et

al. Lay health workers in primary and community health

care for maternal and child health and the management

of infectious diseases. The Cochrane Library 2010.

Beaglehole R, Epping-Jordan J, Patel V, et al.

Improving the prevention and management of chronic

disease in low-income and middle-income countries:

a priority for primary health care. Lancet 2008 Sep

;372(9642): 940-9.

Lekoubou A, Awah P, Fezeu L, Sobngwi E,

Kengne AP. Hypertension, diabetes mellitus and task

shifting in their management in sub-Saharan Africa. International

journal of environmental research and public

health 2010 Feb;7(2): 353-63.

Horrocks S, Anderson E, Salisbury C. Systematic

review of whether nurse practitioners working in primary

care can provide equivalent care to doctors. BMJ

(Clinical research ed) 2002 Apr 6;324(7341): 819-23.

Laurant M, Reeves D, Hermens R, Braspenning

J, Grol R, Sibbald B. Substitution of doctors by nurses

in primary care. The Cochrane database of systematic

reviews 2005(2): CD001271.

Keleher H, Parker R, Abdulwadud O, Francis K.

Systematic review of the effectiveness of primary care

nursing. International journal of nursing practice 2009

Feb;15(1): 16-24.

Rahman A, Malik A, Sikander S, Roberts C,

Creed F. Cognitive behaviour therapy-based intervention

by community health workers for mothers with depression

and their infants in rural Pakistan: a cluster-randomised

controlled trial. Lancet 2008 Sep 13;372(9642):902-9.

Araya R, Rojas G, Fritsch R, et al. Treating depression

in primary care in low-income women in Santiago,

Chile: a randomised controlled trial. Lancet 2003

Mar 22;361(9362): 995-1000.

Rojas G, Fritsch R, Solis J, et al. Treatment of

postnatal depression in low-income mothers in primarycare

clinics in Santiago, Chile: a randomised controlled

trial. Lancet 2007 Nov 10;370(9599): 1629-37.

Bolton P, Bass J, Neugebauer R, et al. Group

interpersonal psychotherapy for depression in rural

Uganda: a randomized controlled trial. Jama 2003 Jun

;289(23): 3117-24.

Bass J, Neugebauer R, Clougherty KF, et al. Group interpersonal psychotherapy for depression in rural Uganda: 6-month outcomes: randomised controlled trial. The British journal of psychiatry : the journal of mental science 2006 Jun;188: 567-73.

Patel V, Weiss HA, Chowdhary N, et al. Effectiveness of an intervention led by lay health counsellors for depressive and anxiety disorders in primary care in Goa, India (MANAS): a cluster randomised controlled trial. Lancet 2010 Dec 18;376(9758): 2086-95.

Richards D, Richardson T. Computer-based psychological treatments for depression: a systematic review and meta-analysis. Clin Psychol Rev 2012 Jun;32(4): 329-42.

Christensen CM, Grossman JH, Hwang J. The innovator's prescription: a disruptive solution for health care: McGraw-Hill New York; 2009.


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