Background Mental disorders are the leading cause of years lived with disability worldwide. While over three-quarters of people with mental disorders live in low- and middle-income countries (LMICs) and effective low-cost interventions are available, resource commitments are extremely limited. This paper seeks to understand the role of philanthropy in this area and to inform discussions about how to increase investments. Methods Novel analyses of a dataset on development assistance for health were conducted to study philanthropic development assistance for mental health (DAMH) in 156 countries between 2000 and 2015. Results Philanthropic contributions more than doubled over 16 years, accounting for one-third (US$364.1 million) of total DAMH 2000–2015. However, across health conditions, mental disorders received the lowest amount of philanthropic development assistance for health (0.5%). Thirty-seven of 156 LMICs received no philanthropic DAMH between 2000 and 2015 and just three LMICs (Antigua and Barbuda, Grenada, Saint Vincent and the Grenadines) received more than US$1 philanthropic DAMH per capita over the entire period. Eighty-one percent of philanthropic DAMH was disbursed to unspecified locations. Conclusions Philanthropic donors are potentially playing a critical role in DAMH, and the paper identifies challenges and opportunities for increasing their impact in sustainable financing for mental health.

中文翻译：

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2000-2015 年全球心理健康慈善事业

背景 精神障碍是世界范围内导致残疾多年的主要原因。虽然超过四分之三的精神障碍患者生活在低收入和中等收入国家 (LMICs)，并且有有效的低成本干预措施，但资源承诺极为有限。本文旨在了解慈善事业在这一领域的作用，并为有关如何增加投资的讨论提供信息。方法 对健康发展援助数据集进行了新的分析，以研究 2000 年至 2015 年间 156 个国家的心理健康慈善发展援助 (DAMH)。结果 慈善捐款在 16 年间翻了一番多，占三分之一（364.1 美元） 2000-2015 年 DAMH 总量的百万）。然而，在各种健康状况下，精神障碍获得的健康慈善发展援助最低（0.5%）。在 2000 年至 2015 年期间，156 个 LMIC 中的 37 个没有收到任何慈善 DAMH，只有三个 LMIC（安提瓜和巴布达、格林纳达、圣文森特和格林纳丁斯）在整个期间收到了人均超过 1 美元的慈善 DAMH。81% 的慈善 DAMH 被分配到未指定的地点。结论 慈善捐助者可能在 DAMH 中发挥关键作用，本文确定了挑战和机遇，以增加其在精神卫生可持续融资方面的影响。圣文森特和格林纳丁斯）在整个期间人均收到超过 1 美元的慈善 DAMH。81% 的慈善 DAMH 被分配到未指定的地点。结论 慈善捐助者可能在 DAMH 中发挥关键作用，本文确定了挑战和机遇，以增加其在精神卫生可持续融资方面的影响。圣文森特和格林纳丁斯）在整个期间人均收到超过 1 美元的慈善 DAMH。81% 的慈善 DAMH 被分配到未指定的地点。结论 慈善捐助者可能在 DAMH 中发挥关键作用，本文确定了挑战和机遇，以增加其在精神卫生可持续融资方面的影响。