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Reinventing depression among Rio de Janeiro urban dwellers
Leandro David Wenceslau
Francisco Ortega

cent received only pharmacological treatments. Access to care is scarce and above all unequal, with poor people and those living in low-resource areas having less access to mental health care than other people (Lopes et al., 2016 ). Beyond the problem of access, there are several reasons for the limited engagement with mental health care among low-income populations. These include the failure to acknowledge that one has a significant problem, the belief that the disorder will resolve itself spontaneously, a desire to deal with the problem by oneself or not knowing

in Urban transformations and public health in the emergent city
Nikolas Rose

preventive intervention especially in families and schools, repeating the familiar argument that earlier is almost always better, and early intervention services are key. ‘Close treatment gaps’ by providing mental health care provisions locally in every community and thus improving access and impact, although a lot of the specific actions concern homelessness and opioid addiction. ‘Partner with communities’, embracing the wisdom and strength of local communities, to create effective and culturally competent solutions, which seems to amount to trying to create

in Urban transformations and public health in the emergent city