About this Course


Many mental disorders can be prevented and treated effectively. But the treatment coverage is very low.


Studies show that more than 80% of people in low- and middle-income countries (LMICs) who suffer from severe mental disorders receive no treatment at all. And when people seek treatment, the quality is frequently poor. It is estimated, for example, that only 3.7% of people with a depressive disorder receive even minimally adequate treatment.


The WHO recommends psychosocial treatments as first-line treatments. So what are the challenges and barriers that make access to quality psychosocial services so difficult?


This webinar was part of Des Moines University's 2020 Virtual Lecture Series on Mental Health. mHub's Executive Director, Dr. Michael Grosspietsch, discusses universal and location-specific challenges and barriers together with mHub's leading East African clinicians, Yvonne Uwamahoro (Rwanda) and Esther Mbau (Kenya).


Their comparison of aspects such as capacity, infrastructure, political leadership and funding, and culture and society, uncovered highly surprising differences between the two East African countries. The conclusions offer widely applicable recommendations also for other LMICs.

This course enables you to:



  • Illustrate the importance of psychosocial therapies in the prevention and treatment of mental, neurological, and substance use disorders.


  • Recognize the immense gaps to access and quality to psychosocial therapies in low- and middle-income countries, with a key focus on Rwanda and Kenya as example countries.


  • Describe key lessons learned in the global efforts to overcome these gaps in low- and middle-income countries.


  • Discuss the solutions that a private network of mental health hubs is exploring in three countries in sub-Saharan Africa.


CE Credits


While we have not sought accreditation for this course ourselves, it is possible to obtain CE credits via Des Moines University at no extra cost. If you are interested in such credits, please watch the webinar at https://cme.dmu.edu/content/improving-access-psychosocial-services-low-and-middle-income-countries instead of here. You'll need to complete the viewing and pass an activity post-assessment with a pass score of 75%.


The following credits are available:

  • MD: 1.25 AMA PRA Category 1 Credits
  • DO: 1.25 AOA Category 2­B
  • Nurse: 1.25 CE Contact Hour(s)
  • Other healthcare professionals: 1.25 IBON

Course Content


  Improving access to psychosocial services in LMICs (original webinar on Nov 5, 2020)
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Improving Access to Psychosocial Services in LMICs (Self-Study)