especially rare, with not one occupational therapist
working in the mental health system in at least 50% of
low-income countries. Psychiatrists were far more
prevalent in high-income countries, with the median
number 172 times greater than in low-income countries.
Figure 2 and table 1 show changes in human resources
for mental health over the years. Between Atlas 20053
and Atlas 2011,9 the median change in number of
psychiatrists was greatest in high-income countries,
with a median increase of 0·65 per 100 000 population,
whereas in low-income countries the number fell
by 0·01 per 100 000 population.