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The World Health Report of 2001 and other studies 5 report that mental illnesses form a considerable proportion of the diseases causing disability and that many of these illnesses are underdiagnosed and inadequately treated. It is clear from the World Health Report 2001 Atlas of Resources that resources to treat these disorders are limited and extremely unevenly distributed. What is also highlighted in the report is the existence of effective psychopharmacological and psychosocial treatments for these disorders. In an ideal world, people with mental disorders can be effectively treated and integrated into their communities, but is this realisable anywhere in the world, even in the best-resourced countries? It is certainly a far and distant dream for many.

Mental health service policy, implementation and research in South Africa - are we making progress?