PLoS Medicine Series: Global Studies of “Practice-Based Evidence”


The Public Library of Science calls for “case studies that can help broaden our understanding of global mental health in ‘real-life’ contexts.” The series intends to “emphasize the importance of ‘practice-based evidence,’ by placing value on the experiences and impact of interventions in real-world settings as evidence for implementation.” The first two, “Stepped Care for Maternal Mental Health” and “Improving Access to Mental Health Care and Psychosocial Support within a Fragile Context: A Case Study from Afghanistan“, are published this week.

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Kermit Cole
Kermit Cole, MFT, founding editor of Mad in America, works in Santa Fe, New Mexico as a couples and family therapist. Inspired by Open Dialogue, he works as part of a team and consults with couples and families that have members identified as patients. His work in residential treatment — largely with severely traumatized and/or "psychotic" clients — led to an appreciation of the power and beauty of systemic philosophy and practice, as the alternative to the prevailing focus on individual pathology. A former film-maker, he has undergraduate and master's degrees in psychology from Harvard University, as well as an MFT degree from the Council for Relationships in Philadelphia. He is a doctoral candidate with the Taos Institute and the Free University of Brussels. You can reach him at [email protected].


  1. Providing counseling to pregnant women who are distressed — what a revolutionary idea.

    Only .3% of the 6347 total population or 2.4% of those who received counseling went on to see a psychiatrist. One would hope some number of these were not put on medications.

    These are much better statistics than in the US, where upwards of 2% of all pregnant women are on antidepressants and 27% of pregnant women on Medicaid

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