Physical Comorbidities in People Suffering from Severe Mental Disorders Living in Low- and Medium-Income Countries

Approximately 80% of people suffering from severe mental disorders live in low- and middle-income regions (LMICs), and in almost 50% of cases, they suffer from comorbid physical disorders. People living in LMICs and suffering from mental disorders with a comorbid physical condition report a significant burden due to the healthcare system fragmentation, the limited healthcare infrastructure and financial capacity, the poor integration of mental healthcare into primary healthcare, and the stigma attached to mental disorders. It is necessary to adopt an integrated approach to manage such a complex condition. Strategies that should be put in place include the integration of health services, de-stigmatization of mental disorders, strengthening health infrastructure, and collaboration between primary healthcare workers and mental health specialists. These programs must aim to reduce the gap between the care needed and the care actually provided, thus improving health outcomes for the most vulnerable populations.