International Health, Volume 5 Issue 1 March 2013 - Global Mental Health Special Issue

Oxford Journals
Publication date: 
1 March 2013

  • Editorial
  • Mark Tomlinson

  • Global mental health: a sustainable post Millennium Development Goal?

The Journal International Health has recently featured a sepcial issue on global mental health, including an article on maternal depression in LMICs and mental health in humanitarian settings authored by CGMH staff members Dr. Charlotte Hanlon and Dr. Mark Jordans and others respectively.

The global lifetime prevalence of mental disorders is between 12.2% and 48.6 %,1 while the burden of disease attributable to neuropsychiatric disorders is more than 13%.2 Over 70% of this burden lies in low and middle-income countries (LAMICs)2 and is projected to increase by 2030.3 Traditionally, mental disorders are seen as contributing significantly to morbidity and less so to mortality. However, suicide is one of the leading causes of death globally for all ages,4 with nearly 900 000 people taking their own lives each year.5 Despite these staggering figures, it has been estimated that in LAMICs as many as four out of five people with a severe mental disorder will not receive any form of treatment—known as the ‘treatment gap’.6 In addition, mental disorders receive little global priority and have not received meaningful visibility, policy attention or funding.7 The World Economic Forum has estimated that the global impact of mental disorders in the next 20 years due to lost economic output is likely to exceed US$16 trillion.8

Low income countries spend about 0.5% of their total health spending on mental health, and while middle income countries spend four times as much on mental health (2.4%), the percentage remains pitiful.7 While the equivalent figure in high income countries (5.1%) is markedly higher, it does not come close to matching the actual burden of mental disorders in these countries.7 At the policy level, as many as 44% of African countries do not even have a mental health policy while 33% do not have a mental health plan.7 However, other regions have shown more progress, as described by Caldas de Almeida in this issue of International Health (p. 15).9 Caldas de Almeida argues that while significant progress has been made …

Statement from the Fourth Global Mental Health Summit

Nothing About Us, Without Us - Voices from the Global South

held on 28th-29th November 2015

The Tata Institute of Social Science (TISS), Mumbai hosted the 4th biannual Global Mental Health Summit (GMHS) between 28th and 29th November in collaboration with The Public Health Foundation of India, The Banyan and The Banyan Academy of Leadership in Mental Health (BALM) as a part of the Movement for Global Mental Health (MGMH). The MGMH was founded in 2008 to take forward the neglected agenda of mental health in the world, and has since been working to raise the profile of mental health through the global platform of an interactive website ( and the work of local activists in different countries. 

The biannual summits, held in different parts of the world for the past 4 years have presented an opportunity for multiple stakeholders from the mental health sector to come together, share experiences and learn from one and other.

The focus of this year’s two day Global Health Summit, themed “Nothing About Us, Without Us”, was driven mainly by persons living with mental health issues and disabilities, from different social, cultural and educational ecosystems. The summit was kick started by Prof Asha Banu, TISS who introduced the summit to the audience and put forward the agenda of the summit. Dr Manish Jha, Dean, School of Social Work, TISS extended a hearty welcome to all participants. Prof Vikram Patel, co-director, Centre for Chronic Conditions and Injuries, and adjunct professor at Public Health Foundation of India, India, took the stand next and spoke about the right to care and right to dignity for users of mental health and the need for users, caregivers and mental health professionals to come together and dialogue about the changes needed in the care and services globally. Dr Vikram Gupta, director, BALM addressed the audience and spoke at length about the need to cut across the many barriers faced in the care for mental health users.

Day 1 of the summit saw participation from users, service providers and mental health professionals who shared their experiences not only through dialogue but also using interactive mediums of dance, theatre, poetry and more. The day closed with the screening of the film Astu, which told the story of Mr Shastri, a retired Sanskrit professor who in due course suffers with Alzheimer's and goes missing. The second day of the summit started with a discussion on the film by veteran film and theatre actor Mohan Agashe and continued on to a panel discussion ‘Nothing About Us, Without Us’ moderated by Tasneem Raja and Ketki Ranade where users shared their experiences of living with mental health issues and Mental health policy group member Mr Akhileshwar Sahay spoke about the need to have a single voice regarding mental health in the country in order to exact policy change at the national level. The second day also saw posters being presented by various stakeholders elucidating the many achievements and challenges in the field of mental health.

After a session of academic presentations by mental health researchers and professionals, the day came to a close on a positive note with a short presentation by girls from The Cathedral and John Connon School, Mumbai who shared their experience of launching a school level peer-support group 'Reach Out' for students and adolescents dealing with stress, peer pressure, substance abuse, body image and more. It was followed by screening of the film ‘Come with me’.

The Way Forward:

This summit brought together a large number of users and caregivers who had previously no opportunity to attend or share in a summit of this magnitude. All organizers and participants unanimously agreed that this is only a first step in creating inclusive spaces in the mental health sector, and more such events and networking opportunities need to be organized by different stakeholders. In his valedictory session, Dr S Parasuraman, director, TISS also suggested that many such events should be organized across different regions by multiple stakeholders, in which TISS will be happy to participate. He emphasized the need for documentation of best practices and partnerships between academia and field to expand the human resources for mental health.

The participants were delighted to see new faces talk about mental health which was suggestive of wider participation. All in all the two day summit was a huge success and a truly global initiative that cut across borders and brought various stakeholders together for a common cause and saw involvement from across sectors, with participation from organizations working in sectors such as homelessness, trafficking, disability presented on mental health implications and relevance of mental health for their work.

On behalf of the MGMH: PHFI, The Banyan, The Banyan Academy of Leadership in Mental Health (BALM), & TISS