Datasets:

electricsheepafrica
/

africa-synth-mental-health-mental-health-treatment-gap-all

id int64	age_years int64	sex string	education string	employment_status string	marital_status string	primary_diagnosis string	comorbid_physical int64	comorbid_substance int64	hiv_positive int64	suicidal_ideation int64	suicide_attempt_history int64	severity string	symptom_score int64	duration_months int64	treatment_status string	in_treatment_gap int64	barrier_cost int64	barrier_stigma int64	barrier_availability int64	barrier_awareness int64	barrier_distance int64	consulted_traditional_healer int64	consulted_religious_leader int64	phq9_screened int64	service_contact string	psychotropic_medication int64	medication_type string	medication_adherence string	psychotherapy int64	psychotherapy_type string	whodas_score int64	functional_impairment string	days_unable_to_work_30d int64
1	58	F	secondary	employed	widowed	bipolar_disorder	0	1	0	0	0	severe	-1	31	adequately_treated	0	0	0	0	0	0	1	1	0	phc_mhgap	1	lithium	moderate	0	none	41	moderate	7
2	53	F	primary	unemployed	married	depression	1	0	0	0	0	moderate	10	19	untreated	1	0	0	1	1	0	1	1	1	none	0	none	not_applicable	0	none	61	severe	14
3	61	F	secondary	employed	single	substance_use_disorder	0	0	0	0	0	severe	-1	37	partially_treated	1	0	1	1	0	1	1	0	0	phc_general	1	amitriptyline	good	0	none	54	moderate	13
4	36	M	none	employed	married	psychosis_schizophrenia	1	0	0	0	0	moderate	-1	5	untreated	1	0	1	1	1	0	0	0	0	none	0	none	not_applicable	0	none	53	moderate	12
5	27	M	tertiary	informal_sector	single	depression	0	0	0	0	0	severe	23	3	adequately_treated	0	0	0	0	0	0	0	1	0	phc_mhgap	0	none	not_applicable	0	none	49	moderate	7
6	71	F	secondary	employed	married	psychosis_schizophrenia	0	0	0	0	0	moderate	-1	11	untreated	1	0	0	1	0	1	0	1	0	none	0	none	not_applicable	0	none	53	moderate	12
7	25	M	none	informal_sector	married	ptsd	0	0	0	0	0	moderate	14	10	adequately_treated	0	0	0	0	0	0	1	1	0	phc_mhgap	0	none	not_applicable	0	none	43	moderate	11
8	18	M	primary	informal_sector	divorced_separated	depression	1	0	0	0	0	mild	9	1	untreated	1	1	0	1	0	0	0	1	0	none	0	none	not_applicable	0	none	53	moderate	12
9	24	M	primary	informal_sector	married	childhood_behavioural	1	0	1	0	0	moderate	-1	23	untreated	1	1	1	0	0	0	0	0	0	none	0	none	not_applicable	0	none	50	moderate	7
10	43	F	secondary	unemployed	married	psychosis_schizophrenia	0	0	0	0	0	mild	-1	9	adequately_treated	0	0	0	0	0	0	1	1	0	phc_mhgap	1	risperidone	moderate	0	none	19	none	0
11	19	M	none	employed	single	depression	1	0	0	0	0	moderate	11	3	adequately_treated	0	0	0	0	0	0	0	1	0	phc_mhgap	1	fluoxetine	moderate	1	interpersonal	36	mild	4
12	61	F	tertiary	student	married	bipolar_disorder	1	0	0	0	0	moderate	-1	6	partially_treated	1	1	1	1	0	1	1	0	0	phc_general	1	carbamazepine	good	0	none	54	moderate	10
13	43	F	secondary	student	married	anxiety_disorder	1	0	0	0	0	severe	21	1	adequately_treated	0	0	0	0	0	0	1	0	1	psychologist	1	diazepam	poor	0	none	60	severe	9
14	16	F	primary	student	married	psychosis_schizophrenia	0	0	0	0	0	moderate	-1	12	untreated	1	1	1	0	0	0	0	0	0	none	0	none	not_applicable	0	none	52	moderate	13
15	24	M	none	retired	married	psychosis_schizophrenia	0	0	0	0	0	moderate	-1	11	adequately_treated	0	0	0	0	0	0	0	0	0	phc_mhgap	0	none	not_applicable	0	none	0	none	0
16	34	F	none	informal_sector	divorced_separated	depression	0	0	0	0	0	severe	22	7	adequately_treated	0	0	0	0	0	0	1	0	0	psychiatric_clinic	1	diazepam	good	0	none	42	moderate	5
17	10	F	tertiary	student	divorced_separated	depression	0	0	0	0	0	severe	20	14	untreated	1	0	0	0	0	1	0	1	0	none	0	none	not_applicable	0	none	79	severe	7
18	10	F	secondary	student	single	depression	0	0	0	0	0	moderate	12	58	untreated	1	0	0	0	0	1	0	0	0	none	0	none	not_applicable	0	none	74	severe	9
19	19	M	secondary	informal_sector	married	psychosis_schizophrenia	1	0	0	1	0	moderate	-1	1	partially_treated	1	0	0	0	0	0	0	0	0	phc_general	0	none	not_applicable	0	none	50	moderate	15
20	34	M	tertiary	informal_sector	single	depression	0	1	0	0	0	mild	8	11	adequately_treated	0	0	0	0	0	0	1	0	0	phc_mhgap	1	fluoxetine	good	0	none	8	none	0
21	71	M	secondary	informal_sector	married	dementia	1	0	0	0	0	mild	-1	4	adequately_treated	0	0	0	0	0	0	0	0	0	psychologist	1	diazepam	moderate	1	problem_solving	21	mild	0
22	41	M	primary	retired	single	depression	1	0	0	0	0	mild	6	60	partially_treated	1	0	0	0	1	0	0	0	0	phc_general	0	none	not_applicable	0	none	31	mild	7
23	68	F	primary	unemployed	single	depression	0	0	0	1	0	severe	21	26	adequately_treated	0	0	0	0	0	0	0	0	0	psychiatric_clinic	0	none	not_applicable	0	none	32	mild	9
24	25	M	none	student	married	dementia	0	0	0	0	0	severe	-1	1	partially_treated	1	0	0	0	1	0	1	1	0	phc_mhgap	0	none	not_applicable	0	none	50	moderate	12
25	17	F	tertiary	student	married	substance_use_disorder	1	0	0	0	0	severe	-1	43	untreated	1	0	1	0	1	0	1	1	0	none	0	none	not_applicable	0	none	75	severe	11
26	20	F	tertiary	retired	single	psychosis_schizophrenia	1	0	0	0	0	moderate	-1	7	adequately_treated	0	0	0	0	0	0	0	1	0	phc_mhgap	1	chlorpromazine	good	0	none	35	mild	10
27	49	F	primary	unemployed	single	depression	0	0	0	0	0	severe	22	3	partially_treated	1	0	0	0	0	0	1	0	1	phc_mhgap	0	none	not_applicable	0	none	57	moderate	6
28	24	F	secondary	unemployed	single	depression	0	1	0	0	0	moderate	10	10	untreated	1	1	1	0	1	0	0	0	0	none	0	none	not_applicable	0	none	50	moderate	14
29	25	F	secondary	unemployed	single	epilepsy_with_psychiatric	1	0	0	0	0	mild	-1	1	untreated	1	0	1	1	1	1	0	1	0	none	0	none	not_applicable	0	none	57	moderate	12
30	11	F	secondary	student	divorced_separated	ptsd	1	0	0	0	0	severe	16	36	untreated	1	0	0	1	0	0	1	1	0	none	0	none	not_applicable	0	none	56	moderate	13
31	52	M	tertiary	informal_sector	single	depression	0	0	0	0	0	mild	9	35	untreated	1	0	0	0	0	1	1	0	0	none	0	none	not_applicable	0	none	39	mild	5
32	30	F	primary	informal_sector	married	anxiety_disorder	0	0	0	0	0	moderate	14	21	partially_treated	1	1	1	0	0	0	1	0	0	phc_general	0	none	not_applicable	0	none	26	mild	0
33	30	F	tertiary	unemployed	married	substance_use_disorder	0	0	0	0	0	moderate	-1	2	adequately_treated	0	0	0	0	0	0	0	0	0	phc_mhgap	1	chlorpromazine	good	0	none	25	mild	0
34	63	M	primary	informal_sector	married	psychosis_schizophrenia	0	0	0	0	0	moderate	-1	8	untreated	1	1	0	1	0	1	1	0	0	none	0	none	not_applicable	0	none	51	moderate	8
35	28	F	secondary	unemployed	single	psychosis_schizophrenia	0	0	0	0	0	mild	-1	11	partially_treated	1	0	0	0	0	0	1	1	0	phc_general	0	none	not_applicable	1	group_therapy	15	none	0
36	37	M	primary	student	married	substance_use_disorder	1	0	0	0	0	moderate	-1	24	partially_treated	1	1	0	1	0	1	1	0	0	phc_general	0	none	not_applicable	0	none	40	moderate	11
37	32	F	secondary	unemployed	single	depression	0	0	0	1	0	mild	5	1	untreated	1	0	1	0	0	0	0	1	0	none	0	none	not_applicable	0	none	39	mild	5
38	21	F	secondary	student	divorced_separated	depression	0	0	0	1	0	mild	9	8	untreated	1	1	0	1	0	0	0	0	0	none	0	none	not_applicable	0	none	17	none	0
39	30	F	primary	employed	married	ptsd	1	0	0	0	0	severe	20	56	untreated	1	0	1	0	0	0	0	0	0	none	0	none	not_applicable	0	none	79	severe	14
40	24	M	primary	employed	single	substance_use_disorder	0	0	0	0	0	mild	-1	9	untreated	1	0	0	1	0	1	1	1	0	none	0	none	not_applicable	0	none	42	moderate	13
41	40	F	primary	retired	divorced_separated	depression	0	0	0	0	0	mild	9	40	adequately_treated	0	0	0	0	0	0	0	0	0	psychiatric_clinic	0	none	not_applicable	0	none	0	none	0
42	25	M	primary	informal_sector	married	depression	0	0	0	1	0	severe	23	30	untreated	1	0	1	1	0	1	1	0	0	none	0	none	not_applicable	0	none	62	severe	14
43	56	M	secondary	informal_sector	married	substance_use_disorder	0	0	0	0	0	moderate	-1	1	partially_treated	1	0	1	1	0	1	0	0	0	pharmacy_only	0	none	not_applicable	0	none	55	moderate	9
44	48	F	tertiary	employed	divorced_separated	depression	1	0	0	1	1	moderate	14	2	adequately_treated	0	0	0	0	0	0	0	1	1	psychologist	0	none	not_applicable	0	none	24	mild	0
45	16	M	secondary	student	divorced_separated	anxiety_disorder	0	0	0	0	0	mild	8	24	untreated	1	1	1	1	0	0	0	1	0	none	0	none	not_applicable	0	none	43	moderate	12
46	11	M	secondary	student	single	psychosis_schizophrenia	0	0	0	0	0	mild	-1	19	untreated	1	0	0	1	1	1	0	0	0	none	0	none	not_applicable	0	none	42	moderate	7
47	30	M	primary	unemployed	single	depression	0	0	0	1	0	mild	6	11	untreated	1	0	0	1	1	1	0	1	0	none	0	none	not_applicable	0	none	34	mild	5
48	66	F	primary	retired	married	psychosis_schizophrenia	0	0	0	0	0	moderate	-1	6	untreated	1	0	0	1	0	0	0	0	0	none	0	none	not_applicable	0	none	28	mild	0
49	24	M	secondary	informal_sector	married	substance_use_disorder	0	0	0	0	0	moderate	-1	28	untreated	1	1	0	1	1	0	0	1	0	none	0	none	not_applicable	0	none	39	mild	8
50	17	F	none	student	divorced_separated	psychosis_schizophrenia	0	1	0	0	0	severe	-1	22	partially_treated	1	1	1	0	0	0	0	0	0	pharmacy_only	1	haloperidol	poor	0	none	34	mild	8
51	58	F	primary	unemployed	divorced_separated	depression	0	0	0	1	0	moderate	13	1	partially_treated	1	0	1	1	1	0	1	0	0	pharmacy_only	0	none	not_applicable	1	problem_solving	72	severe	15
52	39	M	secondary	retired	widowed	depression	0	0	0	1	0	severe	26	2	adequately_treated	0	0	0	0	0	0	1	0	0	phc_mhgap	1	fluoxetine	good	0	none	55	moderate	7
53	66	M	tertiary	informal_sector	divorced_separated	childhood_behavioural	0	1	0	0	0	moderate	-1	9	adequately_treated	0	0	0	0	0	0	0	0	0	phc_mhgap	0	none	not_applicable	0	none	8	none	0
54	19	M	secondary	unemployed	widowed	anxiety_disorder	1	0	0	0	0	severe	16	6	partially_treated	1	0	0	1	1	1	1	1	0	pharmacy_only	0	none	not_applicable	0	none	74	severe	18
55	57	M	none	unemployed	married	epilepsy_with_psychiatric	0	0	0	0	0	mild	-1	19	partially_treated	1	0	1	1	0	1	0	1	0	phc_general	0	none	not_applicable	0	none	23	mild	0
56	44	F	secondary	informal_sector	married	depression	0	0	0	1	0	moderate	12	31	untreated	1	0	0	0	0	0	0	0	0	none	0	none	not_applicable	0	none	54	moderate	9
57	62	F	secondary	informal_sector	single	substance_use_disorder	1	0	0	0	0	moderate	-1	34	partially_treated	1	1	1	0	1	1	1	0	0	pharmacy_only	0	none	not_applicable	0	none	38	mild	5
58	42	M	secondary	student	married	bipolar_disorder	0	0	0	0	0	mild	-1	5	untreated	1	1	0	1	1	1	1	0	0	none	0	none	not_applicable	0	none	11	none	0
59	26	F	tertiary	informal_sector	married	ptsd	0	0	0	0	0	severe	19	2	untreated	1	0	1	1	0	0	0	1	0	none	0	none	not_applicable	0	none	58	moderate	16
60	36	M	secondary	retired	single	anxiety_disorder	1	0	0	0	0	mild	8	5	adequately_treated	0	0	0	0	0	0	0	1	0	psychiatric_clinic	1	diazepam	good	0	none	4	none	0
61	29	M	tertiary	unemployed	married	psychosis_schizophrenia	1	0	0	0	0	severe	-1	5	untreated	1	0	0	1	1	0	0	1	0	none	0	none	not_applicable	0	none	76	severe	18
62	24	F	tertiary	informal_sector	married	dementia	0	0	0	0	0	mild	-1	18	adequately_treated	0	0	0	0	0	0	1	0	0	phc_mhgap	1	diazepam	good	0	none	7	none	0
63	53	M	primary	unemployed	single	epilepsy_with_psychiatric	0	0	0	0	0	moderate	-1	1	untreated	1	0	0	1	0	0	0	1	0	none	0	none	not_applicable	0	none	54	moderate	14
64	38	M	secondary	retired	married	psychosis_schizophrenia	0	0	0	0	0	severe	-1	12	untreated	1	1	1	0	0	0	0	0	0	none	0	none	not_applicable	0	none	85	severe	20
65	27	F	tertiary	informal_sector	widowed	dementia	0	0	0	0	0	severe	-1	6	partially_treated	1	0	1	0	0	0	0	0	0	pharmacy_only	1	diazepam	moderate	0	none	56	moderate	8
66	39	M	primary	student	single	psychosis_schizophrenia	0	1	0	0	0	severe	-1	28	adequately_treated	0	0	0	0	0	0	1	0	0	psychiatric_clinic	1	chlorpromazine	good	0	none	44	moderate	11
67	72	F	tertiary	unemployed	single	dementia	1	1	0	0	0	mild	-1	1	adequately_treated	0	0	0	0	0	0	0	0	0	psychiatric_clinic	0	none	not_applicable	0	none	20	mild	0
68	53	M	secondary	employed	divorced_separated	depression	1	0	0	0	0	severe	20	33	untreated	1	0	1	1	0	0	1	0	0	none	0	none	not_applicable	0	none	85	severe	18
69	43	F	secondary	informal_sector	single	psychosis_schizophrenia	0	1	0	0	0	severe	-1	11	adequately_treated	0	0	0	0	0	0	0	0	0	phc_mhgap	0	none	not_applicable	0	none	53	moderate	10
70	32	F	none	informal_sector	married	epilepsy_with_psychiatric	0	0	0	0	0	moderate	-1	3	untreated	1	1	1	1	0	0	1	0	0	none	0	none	not_applicable	0	none	48	moderate	13
71	22	M	secondary	retired	widowed	anxiety_disorder	0	0	0	0	0	mild	6	19	adequately_treated	0	0	0	0	0	0	1	0	0	psychologist	0	none	not_applicable	0	none	10	none	0
72	25	F	secondary	informal_sector	married	substance_use_disorder	1	0	0	0	0	mild	-1	1	partially_treated	1	1	1	0	0	1	1	1	0	phc_mhgap	1	amitriptyline	good	0	none	30	mild	0
73	55	M	secondary	unemployed	married	depression	0	0	1	1	0	moderate	13	3	partially_treated	1	0	0	0	0	0	0	0	0	phc_general	1	imipramine	good	0	none	43	moderate	8
74	19	F	primary	employed	divorced_separated	epilepsy_with_psychiatric	1	0	1	0	0	severe	-1	86	untreated	1	0	0	0	0	0	1	0	0	none	0	none	not_applicable	0	none	92	severe	19
75	37	F	none	informal_sector	divorced_separated	psychosis_schizophrenia	0	0	0	0	0	moderate	-1	6	untreated	1	0	0	0	1	0	1	0	0	none	0	none	not_applicable	0	none	41	moderate	8
76	11	F	secondary	student	single	ptsd	0	0	0	0	0	severe	17	31	partially_treated	1	1	1	0	1	1	1	0	0	phc_general	0	none	not_applicable	0	none	61	severe	13
77	31	M	none	unemployed	married	psychosis_schizophrenia	0	0	0	0	0	mild	-1	17	untreated	1	1	1	0	0	1	0	0	0	none	0	none	not_applicable	0	none	39	mild	7
78	19	M	secondary	student	single	psychosis_schizophrenia	0	0	0	1	0	mild	-1	34	untreated	1	1	0	0	0	1	0	0	0	none	0	none	not_applicable	0	none	17	none	0
79	29	F	primary	informal_sector	widowed	depression	1	1	0	0	0	severe	21	74	untreated	1	1	1	0	0	0	0	0	0	none	0	none	not_applicable	0	none	84	severe	14
80	32	M	primary	informal_sector	single	bipolar_disorder	0	0	0	0	0	severe	-1	7	untreated	1	0	1	1	0	1	0	1	0	none	0	none	not_applicable	0	none	65	severe	8
81	27	M	primary	unemployed	married	depression	1	1	1	0	0	severe	15	62	partially_treated	1	1	0	0	0	0	1	0	0	phc_general	0	none	not_applicable	1	group_therapy	76	severe	9
82	15	F	secondary	student	single	depression	0	1	0	0	0	moderate	13	10	adequately_treated	0	0	0	0	0	0	1	0	0	phc_mhgap	0	none	not_applicable	0	none	30	mild	0
83	30	M	secondary	unemployed	divorced_separated	depression	0	0	0	0	0	mild	5	2	untreated	1	0	0	1	0	1	0	0	1	none	0	none	not_applicable	0	none	23	mild	0
84	45	F	primary	informal_sector	single	epilepsy_with_psychiatric	0	0	0	0	0	moderate	-1	2	untreated	1	1	1	0	0	0	0	0	0	none	0	none	not_applicable	0	none	64	severe	19
85	18	F	primary	employed	divorced_separated	depression	0	1	1	0	0	moderate	12	1	adequately_treated	0	0	0	0	0	0	0	0	1	phc_mhgap	1	fluoxetine	good	1	interpersonal	30	mild	0
86	25	M	primary	informal_sector	married	depression	0	0	0	0	0	severe	18	74	adequately_treated	0	0	0	0	0	0	1	0	0	psychologist	0	none	not_applicable	1	problem_solving	45	moderate	14
87	24	M	secondary	unemployed	single	ptsd	0	0	0	0	0	severe	22	18	untreated	1	1	0	1	1	0	0	0	0	none	0	none	not_applicable	0	none	78	severe	15
88	25	F	primary	informal_sector	divorced_separated	dementia	1	0	0	0	0	moderate	-1	18	untreated	1	0	1	0	1	1	1	1	0	none	0	none	not_applicable	0	none	59	moderate	8
89	42	M	tertiary	employed	married	substance_use_disorder	0	0	0	0	0	moderate	-1	3	untreated	1	1	0	1	0	1	0	0	0	none	0	none	not_applicable	0	none	43	moderate	3
90	38	M	secondary	informal_sector	married	dementia	1	0	1	0	0	moderate	-1	43	partially_treated	1	0	1	1	0	0	0	0	0	phc_general	1	amitriptyline	good	0	none	65	severe	8
91	46	M	none	employed	divorced_separated	dementia	1	0	0	0	0	moderate	-1	17	untreated	1	1	0	0	1	1	1	0	0	none	0	none	not_applicable	0	none	65	severe	16
92	49	F	primary	informal_sector	single	depression	0	0	0	0	0	moderate	14	2	untreated	1	0	1	0	1	1	0	1	0	none	0	none	not_applicable	0	none	20	mild	0
93	13	F	secondary	student	divorced_separated	substance_use_disorder	0	0	0	0	0	severe	-1	65	partially_treated	1	0	1	0	0	1	1	0	0	phc_general	0	none	not_applicable	1	interpersonal	52	moderate	11
94	48	F	secondary	informal_sector	married	depression	1	0	0	0	0	mild	8	21	untreated	1	0	0	0	0	0	1	0	0	none	0	none	not_applicable	0	none	39	mild	3
95	29	F	primary	employed	single	bipolar_disorder	0	0	0	1	0	severe	-1	7	untreated	1	0	0	0	0	1	0	0	0	none	0	none	not_applicable	0	none	65	severe	17
96	17	F	tertiary	student	married	psychosis_schizophrenia	0	1	0	0	0	severe	-1	10	untreated	1	0	1	1	0	0	0	0	0	none	0	none	not_applicable	0	none	69	severe	17
97	37	M	tertiary	informal_sector	divorced_separated	psychosis_schizophrenia	1	0	0	0	0	moderate	-1	6	partially_treated	1	1	0	1	1	1	0	0	0	phc_mhgap	0	none	not_applicable	0	none	62	severe	12
98	40	F	secondary	informal_sector	married	psychosis_schizophrenia	1	1	0	0	0	mild	-1	14	partially_treated	1	0	1	0	0	0	1	0	0	phc_general	0	none	not_applicable	1	cbt	37	mild	8
99	26	M	primary	retired	widowed	psychosis_schizophrenia	0	0	0	1	1	moderate	-1	10	partially_treated	1	1	0	0	0	0	1	0	0	phc_general	0	none	not_applicable	0	none	44	moderate	10
100	43	F	secondary	informal_sector	married	psychosis_schizophrenia	1	0	0	0	0	severe	-1	6	adequately_treated	0	0	0	0	0	0	0	0	0	psychiatric_clinic	0	none	not_applicable	0	none	58	moderate	14

End of preview. Expand in Data Studio

⚠️ Synthetic dataset — Parameterized from published SSA literature, not real observations. Not suitable for empirical analysis or policy inference.

Mental Health Treatment Gap Dataset

Abstract

This dataset provides 30,000 synthetic records (10,000 per scenario) of people aged 10–80 years with mental health conditions in sub-Saharan African settings. Each record contains 40 variables including primary diagnosis (depression, psychosis, anxiety, substance use, bipolar, PTSD), severity, treatment gap status, barriers to care (stigma, cost, availability), service utilisation (traditional healer, PHC, specialist), psychotropic medication access, psychotherapy, WHODAS disability scores, and suicidal ideation. Three scenarios range from mhGAP-integrated facilities (60% treatment gap) to rural areas with no mental health services (84% treatment gap).

1. Introduction

SSA has 0.1 psychiatrists and 0.3 psychologists per 100,000 population (WHO Mental Health Atlas 2022). The treatment gap for serious mental disorders reaches 76–85% in LMICs (Demyttenaere et al., JAMA 2004), with 80% of people with mental disorders receiving no treatment (Patel et al., Lancet 2018). The psychosis treatment gap in SSA reaches 90% (Fekadu et al., Lancet Psychiatry 2019). WHO's mhGAP programme enables task-sharing with non-specialist health workers (Gureje et al., World Psychiatry 2015).

This dataset is entirely synthetic. It must not be used for clinical decision-making.

2. Methodology

2.1 Parameterization

Parameter	Value	Source
Treatment gap (serious MH, LMICs)	76–85%	Demyttenaere et al., JAMA 2004
Psychiatrists per 100K (SSA)	0.1	WHO Mental Health Atlas 2022
Depression treatment gap (LMICs)	56–78%	Thornicroft et al., Lancet 2017
Psychosis treatment gap (SSA)	~90%	Fekadu et al., Lancet Psychiatry 2019
Depression prevalence (PHC, SSA)	12–30%	Lund et al., PLoS Med 2012
Suicidal ideation (depression)	~20%	Multiple SSA studies

2.2 Scenario Design

Scenario	Setting	Treatment Gap	Psychotropic Access	Traditional Healer
mhGAP integrated	PHC with mhGAP	60%	41%	30%
District hospital	Occasional MH clinic	72%	23%	45%
Rural no MH services	No MH services	84%	5%	65%

3. Schema

Column	Type	Description
id	int	Unique identifier
age_years	int	Patient age
sex	categorical	M / F
education	categorical	none / primary / secondary / tertiary
employment_status	categorical	employed / unemployed / informal_sector / student / retired
marital_status	categorical	single / married / divorced_separated / widowed
primary_diagnosis	categorical	depression / psychosis_schizophrenia / anxiety_disorder / substance_use_disorder / bipolar_disorder / ptsd / epilepsy_with_psychiatric / childhood_behavioural / dementia
comorbid_physical	binary	Physical health comorbidity
comorbid_substance	binary	Comorbid substance use
hiv_positive	binary	HIV-positive status
suicidal_ideation	binary	Current suicidal ideation
suicide_attempt_history	binary	Previous suicide attempt
severity	categorical	mild / moderate / severe
symptom_score	int	PHQ-9/GAD-7 equivalent (-1 if NA)
duration_months	int	Duration of illness
treatment_status	categorical	untreated / partially_treated / adequately_treated
in_treatment_gap	binary	Currently in treatment gap
barrier_cost	binary	Cost barrier
barrier_stigma	binary	Stigma barrier
barrier_availability	binary	Service availability barrier
barrier_awareness	binary	Awareness/knowledge barrier
barrier_distance	binary	Distance barrier
consulted_traditional_healer	binary	Consulted traditional healer
consulted_religious_leader	binary	Consulted religious leader
phq9_screened	binary	PHQ-9 screening done
service_contact	categorical	phc_mhgap / psychiatric_clinic / psychologist / phc_general / pharmacy_only / none
psychotropic_medication	binary	On psychotropic medication
medication_type	categorical	Various (amitriptyline, fluoxetine, chlorpromazine, haloperidol, etc.)
medication_adherence	categorical	good / moderate / poor / not_applicable
psychotherapy	binary	Receiving psychotherapy
psychotherapy_type	categorical	cbt / interpersonal / problem_solving / group_therapy / none
whodas_score	int	WHODAS 2.0 disability score (0–100)
functional_impairment	categorical	none / mild / moderate / severe
days_unable_to_work_30d	int	Days unable to work in past 30 days
human_rights_violation	binary	Chaining/confinement (severe psychosis)

4. Validation

Validation Report

Key validation checks:

Treatment gap gradient: mhGAP 60% → district 72% → rural 84% ✓
Stigma top barrier: 55% among untreated, consistent with literature ✓
Traditional healer use: Inverse to formal service access (30% → 65%) ✓
WHODAS scores: Untreated > partially treated > adequately treated ✓
Psychotropic access: 41% → 23% → 5% across scenarios ✓

5. Usage

from datasets import load_dataset
dataset = load_dataset("electricsheepafrica/mental-health-treatment-gap", "district_hospital")
df = dataset["train"].to_pandas()

python generate_dataset.py --all-scenarios --n 10000 --seed 42

6. Limitations

Synthetic: Not derived from real patient records.
No clinical interview: Diagnoses are assigned, not assessed via structured interview.
Simplified treatment model: Binary medication/psychotherapy, no dose/duration.
No longitudinal data: Single time-point, no treatment response trajectory.
No cultural context: Traditional healing practices simplified to binary variable.
WHODAS simplified: Score derived from diagnosis/severity, not from 36-item instrument.

7. References

WHO (2022). Mental Health Atlas 2022.
Demyttenaere K, et al. (2004). WMH Survey. JAMA, 291(21):2581–2590.
Lund C, et al. (2012). PRIME study. PLoS Med, 9(12):e1001359.
Patel V, et al. (2018). Lancet Commission on global mental health. Lancet, 392(10157):1553–1598.
Gureje O, et al. (2015). mhGAP implementation in Nigeria. World Psychiatry, 14(1):107–108.
Fekadu A, et al. (2019). PRIME Ethiopia. Lancet Psychiatry, 6(10):848–858.
Thornicroft G, et al. (2017). Under-treatment of mental disorders. Lancet, 370(9590):807–808.
Jack H, et al. (2014). Mental health in SSA. Epidemiol Psychiatr Sci, 23(3):285–295.

Citation

@dataset{esa_mental_health_2025,
  title={Mental Health Treatment Gap Dataset},
  author={Electric Sheep Africa},
  year={2025},
  publisher={Hugging Face},
  url={https://huggingface.co/datasets/electricsheepafrica/mental-health-treatment-gap}
}

License

CC-BY-4.0

Downloads last month: 54