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Record W3210409384 · doi:10.1093/eurpub/ckab164.022

Magic bullet for public mental health: is cheap also cheerful?

2021· article· en· W3210409384 on OpenAlexaff
Shehzad Ali

Bibliographic record

VenueEuropean Journal of Public Health · 2021
Typearticle
Languageen
FieldPsychology
TopicMental Health Treatment and Access
Canadian institutionsWestern University
Fundersnot available
KeywordsMental healthMagic bulletPublic healthPandemicHealth carePsychiatryGlobal mental healthMental health lawMedicineHealth policyPsychologyPublic relationsDiseasePolitical scienceCoronavirus disease 2019 (COVID-19)NursingInfectious disease (medical specialty)Law

Abstract

fetched live from OpenAlex

Abstract The Global Burden of Disease studies have consistently shown that mental health challenges are among the leading causes of lost disability-adjusted life years (DALYs), and represent one of the biggest public health problems of our time. The World Health Organization (WHO) estimates that around 450 million people struggle with mental health issues at any one time - this is only exacerbated by the current pandemic. Now, more than ever, there is strong argument for WHO proposition of ‘no health without mental health'. The current weapon for tackling the mental health crisis is largely based on a medical model. After decades of medication-based treatments, this model has seen a significant shift towards ‘talking therapies'. More so, the last few years, particularly during the pandemic, virtual care has become the significant mechanism of providing mental health support. Our research has identified a number of challenges in the current approach that remain unaddressed: 1) recovery rates from talking therapies are low and inequitably distributed; 2) improvements in mental health depend more on individual-level factors and circumstances than the person providing therapy; and 3) most people who recover from mental health problems relapse within a year. In this session, we will discuss these findings and ask: are we approaching mental health with the right approach, or is this time to rewrite the vows between public health and primary care to tackle the mental health crisis?

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.010
metaresearch head score (Gemma)0.030
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.040
Threshold uncertainty score0.134

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0100.030
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0070.017
Scholarly communication0.0130.019
Open science0.0010.008
Research integrity0.0090.016
Insufficient payload (model declined to judge)0.0400.005

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.180
GPT teacher head0.410
Teacher spread0.230 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreCommentary

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2021
Admission routes1
Has abstractyes

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Same venueEuropean Journal of Public HealthSame topicMental Health Treatment and AccessFrench-language works237,207