Driving Change is a report based on interviews with mental health Non-Governmental Organisations (NGOs) around the world written by the McPin Foundation in partnership with Mind. The focus was on mental health organisations that were user- or carer-led in countries across the globe working locally to raise awareness and improve services for people living with mental illness.
"Mental health and well-being are fundamental to our collective and individual ability as humans to think, emote, interact with each other, earn a living and enjoy life. Yet currently the formation of individual and collective mental capital – especially in the earlier stages of life – is being held back by a range of avoidable risks to mental health, while individuals with mental health problems are shunned, discriminated against and denied basic rights, including access to essential care.
In this report, potential reasons for this apparent contradiction between cherished human values and observed social actions are explored with a view to better formulating concrete steps that governments and other stakeholders can take to reshape social attitudes and public policy around mental health."
It has been widely documented that the legal, social and financial impacts of being a refugee can be complex and deleterious. It is now coming to the fore that much the same can be said for the psychological impact of being a refugee or internally displaced person. This evaluation reports on how well UNHCR considers and provides for the well-being and mental health of the Persons of Concern to this agency. A perspective on the Mental Health and Psycho-Social Support (MHPSS) to Persons of Concern offers a new way to look at humanitarian assistance. It calls into question the appropriateness, sensitivity, and empathy of humanitarian interventions and demands that humanitarian agencies support avenues for displaced people to address and heal their own trauma. These demands pose a significant challenge for humanitarian organizations since many of the countries we work in do not have well developed mental health infrastructures and therapeutic solutions need to be resourced or developed within the displaced community. In some cases, addressing mental health also requires a technical expertise that has not always been present in the usual roster of humanitarian responders. Yet despite these challenges, the field based staff surveyed for this evaluation overwhelmingly agreed that “MHPSS programs contribute toward the protection of Persons of Concern”.
Nevertheless, MHPSS is an emerging and sometimes ambiguous perspective for UNHCR as well as for many other humanitarian actors. Thus, the evaluation begins with definitions of psycho-social support and examples. As this evaluation discovered, MHPSS activities in UNHCR may exist as an adjunct to other programmes or by another name. Many thanks to Sarah Meyer, the author of this global review, for her expertise and up to date overview on the field of MHPSS in humanitarian interventions. Through her knowledge, sensitivity and persistence she was able to discern UNHCR’s level of engagement in providing MHPSS programmes to Persons of Concern. Sarah was also assisted by Nora McGann, Research Assistant from the School of Foreign Service at Georgetown University. Sincere thanks to the Steering Committee members of this review: Sabine Rakotomalala of Terre des Hommes - Switzerland, Dr. Mark Van Ommeren from the World Health Organization, and Marian Schilperoord and Stefanie Krause of UNHCR. Their advice and guidance were invaluable to this document. Most generous thanks to field based colleagues who informed the review by reporting on the importance and realities of providing MHPSS activities to Persons of Concern. For it stands to reason that a truly durable solution can only be present for an individual who has found a way to cope and create a viable support network in displacement.
Senior Policy & Evaluation Officer
© United Nations High Commissioner for Refugees Policy Development & Evaluation Service
Geneve, June 2013
TRANSFORMING LIVES, ENHANCING COMMUNITIES: INNOVATIONS IN MENTAL HEALTH
A report on Mental Health Working Groups by Vikram Patel ,Shekhar Saxena, Mary De Silva and Chiara Samele as part of The Wolrd Innovation Summit for Health(WISH)
The World Innovation Summit for Health (WISH) is a high-profile initiative that aims to promote and facilitate innovation in the delivery of healthcare around the globe.
- See more at: http://www.wish-qatar.org
WHO MiNDbank is an online platform which brings together a range of country and international resources, covering mental health, substance abuse, disability, general health, human rights and development. These include policies, strategies, laws, and service standards. MiNDbank aims to facilitate debate, dialogue, advocacy and research in order to promote national reform in these areas, in line with international human rights standards and best practice. MiNDbank has been made possible thanks to the collective efforts of WHO Member States in sharing their national resources, with a view to achieving better health and human rights outcomes for all.
List of 30 funding or grant organizations, from the very small funding initiatives to the big global donors, from conventional funding to innovative online fundraising and loans.
It is a challenge for all sectors in Global Mental Health to get or safeguard finance. Think of anti-stigma campaigns, advocacy agencies, rehabilitation/housing projects, mental health care facilities, educations and research.
This list is a attempt to help people and organizations in the field to 'see the wood for the trees'.
Comments and additions are welcome.
Acrodile in conjunction with Africa Mental Health Foundation (AMHF) wish to announce a new book (African editions) :‘Contemporary Psychiatry in Africa’ by David Musyimi Ndetei and Christopher Paul Szabo .
This book is recommended for
1.Researchers and practitioners in different areas of mental health
3.Postgraduate students pursuing various aspects of mental health
4.undergraduate medical students
5.Diploma medical students
This price is valid for Australia. Change location to view local pricing and availability.
What types of mental health care are right for the 21st century—in all countries, around the world? What is the best balance of primary care and specialist mental health care for people with mental illness? What is the best evidence for effective treatments and services? Which methods are most suitable for answering these questions? These are the tough issues addressed by this book. Leading experts from across the world bring their experience to bear in a series of chapters that set out the very best evidence in this field. They present clear accounts of what is known, extensively referenced, with critical appraisals of the strength of the evidence and the robustness of the conclusions that can be drawn.
This book was inspired by the work of Michele Tansella on the development of community care globally. It comprises four sections, identifying the challenges associated with providing mental health services in high-, middle- and low-income countries, then describing ways to meet these challenges. A section on new research methods to produce practical evidence is a novel aspect of the book. The final section addresses how best to deliver new forms of care, bearing in mind the human resources available. The chapters extensively cite specific studies to enhance the practical relevance. Much of the cited research involves service users so their voice is heard throughout the text.
Mental health is rapidly becoming recognised as one of the leading global health challenges. This book adds to our knowledge of the challenge and the solutions and stands to make a significant contribution to global mental health.
A large Wagnerian grandmother. A great-aunt known as 'the Buchenwald chicken'. Shame and misery on the sports field. A club-footed father who disappeared to the golf course every weekend. How do these experiences lead to a career in psychology? Able-Bodied is a unique account of how being the son of a disabled man and the product of an eccentric family brought Leslie Swartz to a professional life working with disability issues. At the heart of this tale is a moving account of a complex, troubled, but loving father-son relationship, a relationship that spurred a lifetime of trying to understand and come to grips with what different bodies and different abilities mean for us all. With wit, compassion, frankness and irreverence, Swartz considers the challenges faced by families, academics, institutions and everyone trying to make a positive difference to society. Poignant and often hilarious, Able-Bodied is a tale of conflict, achievement, pain and triumph. It is a fascinating blend of personal narrative, anecdote and reflection on society, medicine and ethics.
For more information, or to attain a copy, please contact the author at: firstname.lastname@example.org
Please join with us all in celebrating the launch of the Federal Ministry of Health’s (FMOH) National Mental Health Strategy (2012/13 – 2015/16). This is a critical milestone in our journey towards the development of accessible, affordable and acceptable mental health care for all Ethiopians. The Strategy was developed with extensive input from a wide range of stakeholders. As a result, this is a Strategy for action which is workable in our setting and has the support of those who will play a critical part in its implementation. Therefore, a heart-felt appreciation is in order to all who graciously gave their time and input to the development of the Strategy.
For more information please contact:
Dr. Tedla W. Giorgis, Mental Health Advisor to the Ministry of Health, Ethiopia
Mr. Kassahun Sime, Focal Person for Mental Health at the Ministry of Health, Ethiopia
When the World Health Organization (WHO) European Ministerial Conference on Mental Health endorsed the statement “No health without mental health” in 2005, it spoke to the intrinsic — and indispensable — role of mental health care in health care writ large. Yet mental health has long been treated in ways that reflect the opposite of that sentiment. This historical divide — in practice and in policy — between physical health and mental health has in turn perpetuated large gaps in resources across economic, social, and scientific domains. The upshot is a global tragedy: a legacy of the neglect and marginalization of mental health. The scale of the global impact of mental illness is substantial, with mental illness constituting an estimated 7.4% of the world's measurable burden of disease. The lack of access to mental health services of good quality is profound in populations with limited resources, for whom numerous social hazards exacerbate vulnerability to poor health. The human toll of mental disorders is further compounded by collateral adverse effects on health and social well-being, including exposure to stigma and human rights abuses, forestallment of educational and social opportunities, and entry into a pernicious cycle of social disenfranchisement and poverty. Advances in efforts to alleviate the human and social costs of mental disorders have been both too slow and too few.
Background: Mental disorders such as depression, anxiety and suicide represent an important public health problem in India. Elsewhere in the world a high prevalence of symptoms of common mental disorders have been found among people who inject drugs (PWID). Research in India has largely overlooked symptoms of common mental disorders among this high risk group. This paper reports on the results of a survey examining quality of life, depression, anxiety and suicidal ideation among adult males who inject drugs living in Delhi.
Methods: Participants (n = 420) were recruited from needle and syringe programs using time location sampling and were interviewed using an interviewer-administered questionnaire. Self-report symptom scales were used to measure the severity of symptoms of depression (PHQ-9) and anxiety (GAD-2) within the preceding 2 weeks. We assessed the presence of suicidal thoughts and attempts within the past 12 months.
Results: The mean length of injecting career was 20.9 years indicating a sample of chronic injecting drug users, of whom only one-third (38%) were born in Delhi. The level of illiteracy was very high (62%), and just 2% had completed class 12. Scavenging / rag picking was the main form of income for 48%, and many were homeless (69%). One-third (33%) had been beaten up at least twice during the preceding 6 months, and many either never (45%) or rarely (27%) attended family events. We found a high prevalence of depressive (84%, cut-off ≥10) and anxiety (71%, cut-off score of ≥3) symptoms. Fifty-three percent thought about killing themselves in the past 12 months, and 36% had attempted to kill themselves.
Conclusions: Our findings revealed a socially excluded population of PWID in Delhi who have minimal education and are often homeless, leaving them vulnerable to physical violence, poverty, poor health, imprisonment and disconnection from family. The high prevalence of psychological distress found in this study has implications for programmes seeking to engage, treat and rehabilitate PWID in India.
The GETHealth Summit, 6-7 February 2013 in the United Nations, New York City, aimed ‘to bridge the health workforce gap in developing countries through new partnerships between innovators in Global Health Education and Information Technology. The Summit brought together leaders in health, education and IT to discuss and develop initiatives designed to empower providers in the most resource-limited communities in the world’. It were very inspiring and entertaining days: About 150 optimistic and dedicated people from around the World, a bulk of knowledge and experience and plenty of successes and recommendations (and a few failures). I would like to bring across the main messages from this summit in ’20 golden tips’.
An article consisting of five cogent paragrpahs on MH and NCDs,
Bulletin of the World Health Organization, January 2013--91: 3-3A
CEO of Member Care Associates and Coordinator of the Mental Health and Psychosocial Working Group of the Geneva-based NGO Forum for Health, Kelly O’Donnell, has recently written three resource articles on global mental health (GMH). The purpose of these articles is to provide user-friendly overviews of the field of global mental health, helping to orient people to this domain, especially students and practitioners in the mental health and overall health fields.
Resource 1. Global Mental Health: A Resource Map for Connecting and Contributing (Psychology International, July 2011).
This brief article provides a 60 minute overview of GMH via links to 10 written/multimedia resources on the web. It’s a great way to quickly see the big picture.
Click on this link to access the article: http://www.apa.org/international/pi/2011/07/global-health.aspx
Resource 2. Global Mental Health: Finding Your Niches and Networks (Psychology International, March 2012).
This brief article builds upon the first article. It identifies 10 overlapping areas of GMH (niche-nets) with links to current web resources for each area.
Click on this link to access the article: http://www.apa.org/international/pi/2012/03/global-health.aspx
Resource 3. Global Mental Health: A Resource Primer for Exploring the Domain (International Perspectives in Psychology: Research, Practice, Consultation, July 2012).
This is a major research article with an extensive listing of GMH resources, prioritizing those from the last 10 years. The resources are categorized into six areas: organizations, publications, conferences, training, human rights, and humanitarian. It is also foundational for the previous two articles as well as the new web site, GMH-Map—part of a collaborative project to identify and share GMH resources widely.
Click on this link to access the article: https://docs.google.com/viewer?a=v&pid=sites&srcid=ZGVmYXVsdGRvbWFpbnxnbWhtYXB8Z3g6ZjBmYTI4MTFmMDNhZWU4
Giuseppe "Bepi" Raviola is a psychiatrist with Partners In Health, Harvard Medical School and Boston Children's Hospital, working to integrate mental health services into global health care efforts.
"Did you know that in 15 years depression alone will be the number one cause of disability globally, above heart disease, cancer and HIV?"
The July Newsletter from MGMH has been released! Please click this link to view the July newsletter.
If you didn't receive the newsletter and want to be subscribed, please send us an email at email@example.com.
In response to the realization that between 16% and 49% of people in the world have psychiatric and neurological disorders and that most of these individuals live in low- and middle-income countries, the World Health Organization (WHO) launched the Mental Health Gap Action Programme to provide services for priority mental health disorders in 2008. This focus on services is essential, but the WHO ran into a significant problem when confronting mental health disorders in the developing world: lack of research made it difficult to understand which mental health disorders should be prioritized and how best to reach individuals in need of care...
PLOS Medicine Policy Forum
articles provide a platform for health policy makers from around the world to discuss the challenges and opportunities in improving health care to their constituencies.
Grand Challenges in Global Mental Health: Integration in Research, Policy, and Practice
Citation: Collins PY, Insel TR, Chockalingam A, Daar A, Maddox YT (2013) Grand Challenges in Global Mental Health: Integration in Research, Policy, and Practice. PLoS Med 10(4): e1001434. doi:10.1371/journal.pmed.1001434
Published: April 30, 2013
Mental illnesses frequently co-occur with peripartum conditions, HIV-related disease, and non-communicable diseases. Care for mental disorders should be integrated into primary care and other global health priority programs.
Integration of care for mental, neurological, and substance use (MNS) disorders should (1) occur through intersectoral collaboration and health system-wide approaches; (2) use evidence-based interventions; (3) be implemented with sensitivity to environmental influences; and (4) attend to prevention and treatment across the life course.
Integration of care for MNS disorders with care for other conditions can occur through assimilation of activities, policies, or organizational structures at local, national, and global levels.
Plans for health-related development targets post-2015 should consider the tremendous burden of disability associated with MNS disorders and co-morbid conditions.
This paper is the first in a series of five articles providing a global perspective on integrating mental health.
This is an open-access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.
Funding: No funding sources were used for preparation of this manuscript.
Competing interests: The authors have declared that no competing interests exist.
Abbreviations: DALY, disability adjusted life year; GBD, global burden of disease; GCGMH, Grand Challenges in Global Mental Health; LMIC, low- and middle-income country; MNS, mental, neurological, and substance use; mhGAP, Mental Health Gap Action Programme; MDG, Millennium Development Goal; NCD, non-communicable disease; NIMH, National Institute of Mental Health; NGO, non-governmental organization; WHO, World Health Organization
Provenance: Not commissioned; externally peer reviewed.
Content: Brief country profile Kenya, overview mental health care Kenya, report on meetings with USPKenya, Mathari State Mental Hospital, BasicNeeds Kenya, Outspan hospital counseling services, AMHF (Africa Mental Health Foundation), mental health activist Sitawa Wafula, Tawakal psycho-trauma clinic for people from Somalia, Peter C. Alderman trauma project, and more. Info, links, few pictures, conclusions.
In January 2013, I had the opportunity to extent my stay in Kenya, after providing a MSF (Médecins Sans Frontières, Doctors Without Borders) mental health and basic counseling training for a group of Somali nurses in Nairobi. After these 2 weeks training I arranged a couple of visits and interviews with people working in, or using/surviving, mental health services in Kenya. I wanted to meet the people I knew for quite a while via internet (Facebook, Twitter, LinkedIn, my blog) and I wanted to satisfy my curiosity. I wanted to get some insight into the mechanisms and contexts in mental health care Kenya. Find positive vibes, plans and developments. Fostering hope, but also knowing where one must start and invest, in order to achieve improvements.
A third of all countries in the world have no mental health policy or plan. In the African region, this proportion is nearly half. Moreover, nearly 40% of countries that do have policies have not revised them since 1990 (Lancet series on global mental health, 2007).
Policies are strengthened by laws that back them; but 31% of the world’s population live in a country with no mental health law. Even having a mental health act is not enough, since discrimination against people with mental disorders is sometimes codified in law.
To learn more about the status of mental health policies and legislation in low- and middle-income countries and guidelines for reform, browse these pages.