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Submitted by Willy De Geyndt on

I fully agree with the previous comments. The WB is finally putting mental health on its development agenda. Allow me to cite two additional reference documents: (a)the WHO Mental Health Atlas 2011; and (b) World Health Organization Assessment Instrument for Mental health Systems (WHO-AIMS). The main messages of the Atlas are:
1. RESOURCES TO TREAT AND PREVENT MENTAL DISORDERS REMAIN INSUFFICIENT: Globally, spending on mental health is less than two US dollars per person, per year and
less than 25 cents in low income countries. Almost half of the world's population lives in a country where, on average, there is one psychiatrist or less to serve 200,000 people.
2. RESOURCES FOR MENTAL HEALTH ARE INEQUITABLY DISTRIBUTED: Only 36% of people living in low income countries are covered by mental health legislation.
In contrast, the corresponding rate for high income countries is 92%. Dedicated mental health legislation can help to legally reinforce the goals of policies and plans in line with international human rights and practice standards. Outpatient mental health facilities are 58 times more prevalent in high income compared
with low income countries. User / consumer organizations are present in 83% of high income countries in comparison to 49% of low income countries.
3. RESOURCES FOR MENTAL HEALTH ARE INEFFICIENTLY UTILIZED: Globally, 63% of psychiatric beds are located in mental hospitals, and 67% of mental
health spending is directed towards these institutions.
4. INSTITUTIONAL CARE FOR MENTAL DISORDERS MAY BE SLOWLY DECREASING WORLDWIDE: Though resources remain concentrated in mental hospitals, a modest decrease in mental hospital beds was found from 2005 to 2011 at the global level and in almost every income and regional group.