01839nas a2200313   4500000000100000008004100001653001000042653001800052653002500070653002100095653001100116653003100127653002100158653002700179653001200206653001200218653002300230653002700253100001200280700001700292700001500309700001400324245011800338856006900456300001100525490000700536520096800543022001401511       2015                            d10aBenin10aCote d'Ivoire10aDeveloping countries10aHomeless Persons10aHumans10aMedically Underserved Area10aMental Disorders10amental health services10aNigeria10aPoverty10aProgram evaluation10aVulnerable Populations1 aEaton J1 aDes Roches B1 aNwaubani K1 aWinters L00aMental Health Care for Vulnerable People With Complex Needs in Low-Income Countries: Two Services in West Africa.  uhttp://ps.psychiatryonline.org/doi/pdf/10.1176/appi.ps.201500066  a1015-70 v663 a<p>People with severe and enduring mental illnesses, such as schizophrenia, are among the most disabled, socially excluded, and underserved populations, especially in low- and middle-income countries. Some programs have been created to target this group. The current global development agenda emphasizes the need to provide care to vulnerable groups. This column compares two long-standing and successful programs for homeless people with mental illness in three West African countries--Nigeria, Côte d'Ivoire, and Bénin. The authors describe essential ingredients of these programs and their integration into existing systems, including funding and other resources, leadership models, and staff. The success of these programs provides support for initiatives to scale up services for people with severely disabling and complex needs, even as the focus is increasingly on cost-effectiveness of mental health integration into decentralized health services.</p>
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