{"doi":"10.1192/bjb.2020.35","title":"The effectiveness and cost-effectiveness of integrating mental health services in primary care in low- and middle-income countries: systematic review","abstract":"AIMS AND METHOD: This systematic review examines the effectiveness and cost-effectiveness of behavioural health integration into primary healthcare in the management of depression and unhealthy alcohol use in low- and middle-income countries. Following PRISMA guidelines, this review included research that studied patients aged ≥18 years with unhealthy alcohol use and/or depression of any clinical severity. An exploration of the models of integration was used to characterise a typology of behavioural health integration specific for low- and middle-income countries. RESULTS: Fifty-eight articles met inclusion criteria. Studies evidenced increased effectiveness of integrated care over treatment as usual for both conditions. The economic evaluations found increased direct health costs but cost-effective estimates. The included studies used six distinct behavioural health integration models. CLINICAL IMPLICATIONS: Behavioural health integration may yield improved health outcomes, although it may require additional resources. The proposed typology can assist decision-makers to advance the implementation of integrated models.","journal":"BJPsych Bulletin","year":2020,"id":65517,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":57,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9368,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":347054,"name":"Sophia M. Bartels","orcid":"0000-0002-9431-8735","position":1,"is_corresponding":false},{"id":347055,"name":"William C. Torrey","orcid":"0000-0002-5801-8129","position":2,"is_corresponding":false},{"id":271965,"name":"John A. Naslund","orcid":"0000-0001-6777-0104","position":3,"is_corresponding":false},{"id":347056,"name":"José Miguel Uribe-Restrepo","orcid":"0000-0003-4284-7886","position":4,"is_corresponding":false},{"id":347057,"name":"Chelsea Gaviola","orcid":"0000-0002-1020-1098","position":5,"is_corresponding":false},{"id":347058,"name":"Sergio Castro","orcid":"0000-0001-6820-8711","position":6,"is_corresponding":false},{"id":349185,"name":"Deepak John","orcid":null,"position":7,"is_corresponding":false},{"id":347059,"name":"Makeda J. Williams","orcid":"0000-0001-8896-4637","position":8,"is_corresponding":false},{"id":347060,"name":"Magda Cepeda","orcid":"0000-0003-4579-6033","position":9,"is_corresponding":false},{"id":347061,"name":"Carlos Gómez–Restrepo","orcid":"0000-0002-9013-5384","position":10,"is_corresponding":false},{"id":281554,"name":"Lisa A. Marsch","orcid":"0000-0001-6429-0965","position":11,"is_corresponding":false},{"id":347053,"name":"Leonardo Cubillos","orcid":"0000-0003-1436-1854","position":0,"is_corresponding":true}],"reference_count":80,"raw_metadata":null,"created_at":"2026-07-18T21:13:43.728351Z","pmid":"32321610","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}