Barcelona snapshots

Prof. Sara Evans-Lacko

Sara Evans-Lacko psychiatrist Controversias Psiquiatry Barcelona
London School of Economics, United Kingdom
Talk Global mental health treatment disparities
Date Thursday, April 25th, 2019
Time 16:45 to 17:30
Round Table Generic aspects of resistance development


Dr. Evans-Lacko is an Associate Professorial Research Fellow in the Personal Social Services Research Unit at the London School of Economics and Political Science and has a visiting professor affiliation at the Federal University of Sao Paulo, Mackenzie University and the Institute of Psychiatry, Psychology & Neuroscience, King's College London. She has a longstanding interest and expertise in pathways to care and social support for people with mental illness and the evaluation of public health interventions, especially anti-stigma interventions, to improve access to care for people with mental illness. Stigma and its impact on help-seeking and access to care is a complex problem across countries. Thus, her research also aims to advance the development and understanding of these issues from a global perspective. Dr. Evans-Lacko has a PhD in Health Policy and Management, from the Johns Hopkins Bloomberg School of Public Health. To date she has authored or co-authored more than 110 peer reviewed publications.


Horizontal equity in mental healthcare, whereby access to high quality care depends on treatment need, rather than socio-economic characteristics is a major public health challenge. Lack of human and financial resources, universal health coverage, stigma and socioeconomic factors reinforce inequities in access to high quality, evidence-based care. Restricting access can further reinforce inequalities in healthcare and restrict participation in other life domains with significant personal and societal costs. Improving access requires a range of strategies to improve both supply and demand for mental healthcare and consideration of broader social context to target care on those who need it most. This talk will cover these themes in three parts: (i) Global context around access to mental healthcare; (ii) Factors which perpetuate low access and inequalities in mental healthcare and (iii) What we can do to improve access to care and reduce inequalities.


[PDF] Evans-Lacko S et al (2018). Socio-economic variations in the mental health treatment gap for people with anxiety, mood, and substance use disorders: results from the WHO World Mental Health (WMH) surveys.. Psychol Med. 2018 Jul;48(9):1560-1571. doi: 10.1017/S0033291717003336. Epub 2017 Nov 27.

[web] Thornicroft G, Chatterji S, Evans-Lacko S et al (2017). Undertreatment of people with major depressive disorder in 21 countries. Br J Psychiatry. 2017 Feb; 210(2): 119–124.doi: 10.1192/bjp.bp.116.188078.

[PDF] Ribeiro WS et al (2017). Income inequality and mental illness-related morbidity and resilience: a systematic review and meta-analysis.. Lancet Psychiatry. 2017 Jul;4(7):554-562. doi: 10.1016/S2215-0366(17)30159-1. Epub 2017 May 25.

[PDF] Lewer D, O'Reilly C, Mojtabai R, Evans-Lacko S (2015). Antidepressant use in 27 European countries: associations with sociodemographic, cultural and economic factors. Br J Psychiatry. 2015 Sep;207(3):221-6. doi: 10.1192/bjp.bp.114.156786. Epub 2015 Jul 9.