Beck Depression Inventory

This study supports SDG 3 and 10 by highlighting an overrepresentation of Black children and adolescents in involuntary psychiatric hospitalisations, which may establish potentially lifelong negative mental health treatment trajectories and contribute to cycles of health inequality that persist in later life.
Background Although structured psychological treatments are recommended as first-line interventions for depression, only a small fraction of people globally receive these treatments because of poor access in routine primary care. We assessed the effectiveness and cost-effectiveness of a brief psychological treatment (Healthy Activity Program [HAP]) for delivery by lay counsellors to patients with moderately severe to severe depression in primary health-care settings.