Crick Lund, BA (Hons), MA, MSocSci (Clinical Psychology) and PhD, is Professor and Director of the Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town. He is currently CEO of the PRogramme for Improving Mental health carE (PRIME), a DFID funded research consortium focusing on the integration of mental health into primary care in low resource settings in Ethiopia, India, Nepal, South Africa and Uganda, and Principal Investigator of the AFrica Focus on Intervention Research for Mental health (AFFIRM) U19 NIMH Collaborative Hub. He trained as a clinical psychologist at the University of Cape Town and was subsequently involved in developing post-apartheid norms for mental health services for the national Department of Health. He has also worked for the World Health Organization (WHO) on the development of the WHO Mental Health Policy and Service Guidance Package, and consulted in Lesotho, Namibia, Indonesia, South Africa and Zimbabwe on mental health policy and planning. His research interests lie in mental health policy, service planning and the relationship between poverty and mental health in low- and middle-income countries.
The nature and scale of the problem Depression is a mental disorder characterised by low mood, loss of interest or enjoyment, and reduced energy, leading to increased fatigue, reduced activity, and marked functional impairment (WHO, 1990). Other common symptoms are reduced concentration, reduced self-esteem, ideas of guilt or unworthiness, pessimistic views of the future, ideas… Read more