Research

Latest research resources

Book

Graham Thornicroft & Vikram Patel
  • Presents clear and practical information about how to conduct mental health trials in low and medium resource countries
  • Brings together the expertise of the world's leading researchers in randomised controlled trials
  • International author team provides a truly global perspective

Global mental health is a dynamic field of global health; a core aspect of the story which has led to its emergence has been the conduct of randomised controlled trials (RCTs) evaluating innovative delivery systems of packages of care for mental disorders in low-resource settings. Global Mental Health Trials brings together many of the world's leading researchers active in the fields of RCTs in low- and medium-resource countries and settings related to improving mental health care. It presents clear and practical information about how to conduct such trials in these settings, along with critical methodological and ethical issues related to such trials, learning from the positive and negative experiences of expert scientists in many countries worldwide who have completed such trials. This book serves as a valuable resource for practitioners in mental health - psychiatrists, psychiatric nurses nursing, psychologists, social workers, and occupational therapists - as well as researchers in the areas of psycho-social treatments in mental health, mental health services research, and programme and systems evaluation.

Readership: Practitioners in mental health: psychiatrists, psychiatric nurses nursing, psychologists, social workers, and occupational therapists, as well as researchers in the areas of psycho-social treatments in mental health, mental health services research, and programme and systems evaluation.

Prof. David Musyimi Ndetei


Acrodile Publishing Ltd is pleased to announce the release of the 2nd revised edition of 'Your A-Z On Mental Health'.The book covers a wide range of topics. It includes mental health disorders and how they are generally recognized and managed, covering the whole spectrum of life. It also includes description of subjects of interest in relation to mental disorders.

 

Besides describing those common situations, the book also addresses various approaches to the management of various mental health disorders and situations, by mental health workers but most importantly what they can do for themselves in their

homes and in mitigations against the costs and stigma of mental illness.

 

It is hoped this book will serve to demystify mental disorders, and in the process significantly destigmatize people with mental disorders and in the process allow them together with their relatives, to come forward and demand for equal treatment, services and rights from the health professionals, policy makers, and medical insurers.

 

This book is a must-read for everybody who cares for their mental well-being  and that of others.

You can order your hard copy by email to sales@acrodile.co.ke  or the E-Book on Amazon and Barnes & Noble.

 

Prof. David Musyimi Ndetei

Acrodile Publishing Ltd is pleased to announce the release of the 2nd revised edition of 'Your A-Z On Mental Health'.The book covers a wide range of topics. It includes mental health disorders and how they are generally recognized and managed, covering the whole spectrum of life. It also includes description of subjects of interest in relation to mental disorders.

 

Besides describing those common situations, the book also addresses various approaches to the management of various mental health disorders and situations, by mental health workers but most importantly what they can do for themselves in their

homes and in mitigations against the costs and stigma of mental illness.

 

It is hoped this book will serve to demystify mental disorders, and in the process significantly destigmatize people with mental disorders and in the process allow them together with their relatives, to come forward and demand for equal treatment, services and rights from the health professionals, policy makers, and medical insurers.

 

This book is a must-read for everybody who cares for their mental well-being health and that of others.

You can order your hard by email to sales@acrodile.co.ke  or the E-Book on Amazon, Barnes & Noble and www.ekitabu.com .

 

Prof. David Musyimi Ndetei


Acrodile Publishing Ltd is pleased to announce the release of the 2nd revised edition of 'Your A-Z On Mental Health'.The book covers a wide range of topics. It includes mental health disorders and how they are generally recognized and managed, covering the whole spectrum of life. It also includes description of subjects of interest in relation to mental disorders.

 

Besides describing those common situations, the book also addresses various approaches to the management of various mental health disorders and situations, by mental health workers but most importantly what they can do for themselves in their

homes and in mitigations against the costs and stigma of mental illness.

 

It is hoped this book will serve to demystify mental disorders, and in the process significantly destigmatize people with mental disorders and in the process allow them together with their relatives, to come forward and demand for equal treatment, services and rights from the health professionals, policy makers, and medical insurers.

 

This book is a must-read for everybody who cares for their mental well-being health and that of others.

You can order your hard copy by email to sales@acrodile.co.ke  or the E-Book on Amazon and Barnes & Noble.

 

various

Just Posted: Currently there are at least five GMH edited volumes, full of materials useful for practice, policy, health systems, advocacy, training, etc. These are:  GMH: Trauma and Recovery (2011, edited by Richard Mollica); 21st Century GMH (2012, edited by Eliot Sorel); and GMH: Principles and Practice (2013, edited by Vikram Patel, Harry Minas, Alex Cohen, and Martin Prince), Public Mental Health: Global Perspectives (2013, edited by Lee Knifton and Neil Quinn), and Improving Mental Health Care: The Global Challenge  (2013, edited by Graham Thornicroft, Mirella Rugeri, and David Goldberg)

Two important questions:

1. If you are aware of additional GMH compilations--texts, please let me/us know. 

2. If you have any ideas for how people can access more affordable versions of these texts, please let us all know.

Thanks

Kelly

Kelly O'Donnell, PsyD; Consulting Psychologist; GMH-Map Project

https://sites.google.com/site/gmhmap/

Prof.David Musyimi Ndetei and Prof. Christopher Paul Szabo

Acrodile Publishing  in conjunction with Africa Mental Health Foundation (AMHF) wish to announce  a new book ‘Contemporary Psychiatry in Africa:A Review of Theory, Research and Practice' by Prof. David Musyimi Ndetei and Prof. Christopher Paul Szabo .You can preview this book by clicking on the link above.
   This book is recommended for
1.Researchers and practitioners in different areas of mental health
2.Academicians
3.Postgraduate students pursuing various aspects of mental health
4.undergraduate medical students
5.Diploma medical students

6.Mental Health Organizations


Hard copies of this book can be ordered from publisher at sales@acrodile.co.ke

Digital edition is available at Amazon.com, Barnes and Noble, Kobo, Fnac, iBookstore, e-kitabu.com, Casa del libro, e-sentral, Flipkart, Sony, T-Mobile and Vodafone.


Leslie Swartz


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: lswartz@sun.ac.za

BasicNeeds Ghana
This book presents pictures of the living conditions and conditions of care of people living with mental illness or epilepsy in Ghana.

Policy

Abdallah S. Daar, Marian Jacobs, Stig Wall, Johann Groenewald, Julian Eaton, Vikram Patel,, Palmira dos Santos, Ashraf Kagee, Anik Gevers, Charlene Sunkel, Gail Andrews,Ingrid Daniels and David Ndetei

Urgent action is needed to address mental health issues globally. In Africa, where mental health disorders

account for a huge burden of disease and disability, and where in general less than 1% of the already small

health budgets are spent on these disorders, the need for action is acute and urgent. Members of the World

Health Organization, including African countries, have adopted a Comprehensive Mental Health Action

Plan. Africa now has an historic opportunity to improve the mental health and wellbeing of its citizens,

beginning with provision of basic mental health services and development of national mental health strategic

plans (roadmaps). There is need to integrate mental health into primary health care and address stigma and

violations of human rights. We advocate for inclusion of mental health into the post-2015 Sustainable

Development Goals, and for the convening of a special UN General Assembly High Level Meeting on Mental

Health within three years.

Pamela Y. Collins, Thomas R. Insel, Arun Chockalingam, Abdallah Daar, Yvonne T. Maddox

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

Summary Points

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.

eLearning

Grand Challenges Canada

There is a tremendous opportunity for  innovative solutions to increase the number of people who have access to quality care and to ensure the greatest outcome for each person reached. We support bold ideas to improve treatments and expand access to care for mental disorders through transformational, a­ffordable and cost-eff­ective innovations which have the potential to be sustainable at scale

As of September 2012, the London School of Hygiene and Tropical Medicine, in collaboration with King’s College London Institute of Psychiatry will launch an MSc in Global Mental Health. This is a face-to-face taught course and may be taken full-time for one year or part-time for two years. Teaching faculty from the two institutions include many of the leaders in the new discipline of Global Mental Health, including Prof Vikram Patel (LSHTM) and Prof Martin Prince (King’s IoP).

Journal

G. Thornicroft and M. Tansella

We have recently argued, based upon a thorough review of the literature, that in low, middle and high income countries and settings a balance is required between investment in community-based and hospitalbased mental health services (Thornicroft & Tansella,2009, 2013a, b, Thornicroft et al. 2013, 2011a, 2011b). Is this view supported by leading mental health experts  working in those low-income settings, where over three-quarters of the world’s population lives? In this issue of Epidemiology and Psychiatric Sciences, two papers examine this proposition both from the perspective of clinicians and as researchers.

R. Thara, S. John and S. Chatterjee

The dearth of trained mental health professionals and the huge gap in providing accessible services in many low- and

middle-income countries have led to the identification of alternate providers of care in these countries. Community

mental health teams seem to fill this lacuna in some of these places. This editorial addresses issues of the need for

such teams, their composition, responsibilities and limitations. With adequate training, these teams are able to carry

out a broad array of tasks such a case identification, referrals, elementary counselling, family support and psychosocial

interventions. While these teams are generally found to be enthusiastic, they require periodic monitoring and support

with which they can well be a critical element of the mental health care team.

F. Kigozi* and J. Ssebunnya

Mental health care is receiving increased attention in low-income countries with the availability of a wide range

of effective evidence-based treatments for acute and chronic mental disorders amidst scarce resources. Availability of

these treatments and competent human resources enables the use of a variety of interventions at several levels of

care for persons with mental illness and makes it feasible to ensure observance of quality in the treatment approaches

that go beyond institutionalisation. However, unlike developed countries which are endowed with many and relatively

well-paid mental health specialists, low-income countries face a dire shortage of highly trained mental health professionals

in addition to several other challenges. In light of this, there is need to re-assess the role of the few available

psychiatrists, with a shift to new core tasks such as designing mental health care programmes that can be delivered

by non-specialists, building their health system’s capacity for delivering care, including supporting front-line health

workers through support supervision, raising awareness on mental health and patients’ rights in addition to promoting

essential research. This requires a fundamental paradigm shift from the current training for mental health specialists to a

public health oriented approach and providing incentives for community engagement

Report

McPin Foundation & Mind

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.

United Nations High Commission for Refugees

Introduction

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.

Gratefully,

MaryBeth Morand

Senior Policy & Evaluation Officer

© United Nations High Commissioner for Refugees Policy Development & Evaluation Service

Geneve, June 2013

Online article

Boris Budosan, Katherine P. O'Hanlon, Sabah Aziz

Introduction: The psychological and social impacts of disasters can undermine the long term well-being of the affected population. Well integrated and community-based mental health / psychosocial support (MHPSS) interventions can improve emotional, social and mental aspects of well-being.  Professional understanding of effects of disasters, paired with post-emergency mental health (MH) awareness, can provide opportunity for improving community MH services. Problem statement: This prospective, semi-quantitative study evaluated the effectiveness of a community-based integrated MHPSS intervention by the Dutch international non-governmental organization (INGO) Cordaid in post-earthquake Haiti.  Methods: Training on MHPSS issues was delivered to 115 non-specialized healthcare providers and 190 community psychosocial workers. The community-based MHPSS intervention was delivered to 115,191 direct beneficiaries. Data collection methods included quantitative community surveys with well-being, distress and resilience scales; a survey on satisfaction of training participants and multiple-choice knowledge tests. Results: MHPSS training reinforced the knowledge base of community psychosocial workers and non-specialized healthcare providers; a necessary prerequisite to the delivery of the community-based MHPSS intervention.  The community-based MHPSS intervention resulted in improved well-being and resilience and reduced distress in targeted communities. Conclusions: The community based and integrated MHPSS intervention in Haiti was a feasible and much appreciated intervention that was relatively effective in a difficult disaster context. The intervention improved access to community MH care; psychosocial services; and general well-being of the affected population. This type of intervention may be reproducible in other post disaster environments, especially resource poor settings with neglected MH sectors.

Article

Etheldreda Nakimuli-Mpungu, James Okello, Eugene Kinyanda, Stephen Alderman, Juliet Nakku, Jeffrey S. Alderman , Alison Pavia, Alex Adaku, Kathleen Allden, Seggane Musisi

Assessing the impact of group counseling intervention on depression, post-traumatic stress and function outcomes among adults attending the Peter C. Alderman Foundation (PCAF) trauma clinics in northern Uganda.

Etheldreda Nakimuli-Mpungu mail, Stephen Alderman, Eugene Kinyanda, Kathleen Allden, Theresa S. Betancourt, Jeffrey S. Alderman, Alison Pavia, James Okello, Juliet Nakku, Alex Adaku, Seggane Musisi

A case-study of the Peter C. Alderman Foundation's public-private partnership in northern Uganda

Jan-Paul Kwasik

The Global Burden of Disease 2010 (GBD2010) Study reported that mental and substance use disorders were responsible for 184 million disability-adjusted life years (DALYs) worldwide in 2010 and were the leading cause of disability, in terms of years of life-lived with disability (YLDs) (Whiteford et al, 2013: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61611-6/fulltext).

Whilst these estimates were based on the best available epidemiological data, there were substantial gaps in the available information (see Baxter et al, 2013: http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0065514) particularly for populations in Central and Eastern Europe, and many parts of Asia and Sub-Saharan Africa.

Lack of information resulted in considerable uncertainty around population burden estimates.

Prof Whiteford's team are currently revising these burden estimates for the next GBD report and are seeking epidemiological data to inform new calculations.

If you or your group have data for mental or illicit substance use disorders for your country we encourage you to contact Harvey Whiteford (h.whiteford@uq.edu.au) or Amanda Baxter (amanda_baxter@qcmhr.uq.edu.au).

Disorders and inclusion criteria for GBD 2013 will be posted on the Burden of Disease section of the QCMHR website (http://qcmhr.uq.edu.au/research/policy-and-epidemiology/peabod/burden-of-disease/)

 
Harvey Whiteford
Kratzmann Professor of Psychiatry and Population Health
The University of Queensland, Australia

Becker, A. & Kleinman, A.

When the World Health Organization (WHO) European Ministerial Conference on Mental Health endorsed the statement “No health without mental health” in 2005,1 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.2 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.3 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.4,5 Advances in efforts to alleviate the human and social costs of mental disorders have been both too slow and too few.

Armstrong, G., Nuken, A., Samson, L., Singh, S., Jorm, A., Kermode, M.

Abstract

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. 

Joseph Ana, Tracey Koehlmoos, Richard Smith, Lijing L. Yan

Research misconduct is a global problem as research is a global activity. Wherever there is human activity there is misconduct. But we lack reliable data on the extent and distribution of research misconduct, and few countries have mounted a comprehensive response to misconduct that includes programmes of prevention, investigation, punishment, and correction. The United States, the Scandinavian countries, and Germany have formal programmes [1], but even a country like the United Kingdom that has a long research tradition and has for years been debating research misconduct has failed to mount an adequate response [2]. But what of low- and middle-income countries (LMICs), many of which are investing heavily in research? There are some high profile cases of misconduct from these countries, but little has been published on research misconduct in LMICs. This article provides what might best be described as an initial sketch of research misconduct in LMICs. (Research misconduct has a specific definition, in the United States [see below], but we, like many others, use the term broadly in this paper to cover every kind of misconduct—major or minor and intentional or not.)

Summary Points

All human activity is associated with misconduct, and as scientific research is a global activity, research misconduct is a global problem.
Studies conducted mostly in high-income countries suggest that 2%–14% of scientists may have fabricated or falsified data and that a third to three-quarters may be guilty of “questionable research practices.”
The few data available from low- and middle-income countries (LMICs) suggest that research misconduct is as common there as in high-income countries, and there have been high profile cases of misconduct from LMICs.
A comprehensive response to misconduct should include programmes of prevention, investigation, punishment, and correction, and arguably no country has a comprehensive response, although the US, the Scandinavian Countries, and Germany have formal programmes.
China has created an Office of Scientific Research Integrity Construction and begun a comprehensive response to research misconduct, but most LMICs have yet to mount a response.

Citation: Ana J, Koehlmoos T, Smith R, Yan LL (2013) Research Misconduct in Low- and Middle-Income Countries. PLoS Med 10(3): e1001315. doi:10.1371/journal.pmed.1001315

Published: March 26, 2013

Copyright: © 2013 Ana et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Funding: No specific funding was received for writing this article.

Competing interests: RS was, as described in the article, much involved in the Singh case. He is also a trustee of the UK Research Integrity Office. All other authors have declared that no competing interests exist.

Abbreviations: LMIC, low- and middle-income country

Provenance: Commissioned; externally peer reviewed.

Susan Meffert, Solvig Ekblad

Global mental health intervention research and mass trauma

Open Access Journal of Clinical Trials 2013:5 61–69

Susan Meffert, Solvig Ekblad


The impact of mass trauma on mental health and the treatment of resulting disorders has been a major focus of global mental health work since the inauguration of the field. Descriptive studies in the 1990s provided convincing evidence of the importance of addressing global mental health needs in the aftermath of mass trauma. Nonetheless, despite calls to move ahead with interventional research, few studies have tested the effectiveness of the treatments for survivors of mass trauma. In this study, we use a translational science model to review the status of intervention research for adult survivors of mass trauma with the goal of identifying promising treatments, and presenting a logic model for using available data in a manner that is sensitive to community needs, and integrating with existing systems for capacity building.

Kolappa, Henderson, Kishore

 No Health Withoutt Mental Health: Lessons Unlearned

An article consisting of five cogent paragrpahs on MH and NCDs, 

Bulletin of the World Health Organization, January 2013--91: 3-3A

Daniel McLaughlin and Elisabeth Wickeri
I am pleased to announce the publication of our report Mental Health and Human Rights in Cambodia. The report represents an innovative application of human rights norms to the Cambodian mental health landscape based on extensive research and fieldwork, including more than 150 interviews. Please feel free to contact Daniel McLaughlin (dmclaughlin13@law.fordham.edu) with any questions or comments you may have about the report, as well as to circulate it to others.
The Programme for Improving Mental health care (PRIME) has recently produced a policy brief, “Poverty and Mental Disorders: Breaking the Cycle in Low-Income and Middle-Income Countries”. Based on the results from two systematic reviews, it was found that mental health interventions were associated with improved economic outcomes. At the same time, it was also found that poverty alleviation programmes can have mental health benefits, particularly for conditional cash transfers and asset promotion programmes. It is thus emphasized that interventions are needed that address both the social causes of mental illness and the disabilities and economic deprivation that are a consequence of mental illness. Policy recommendations are provided. See the attached.
Kelly O’Donnell

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

International Health, an official journal of the Royal Society of Tropical Medicine and Hygiene, is looking for papers on the mental health issues faced by patients and professionals in both developed and lower income countries. They are welcoming original papers, short communications, reviews and commentaries on all aspects of mental health. Click on the follow link for more details.
Simone Honikman, Thandi van Heyningen, Sally Field, Emily Baron, Mark Tomlinson
Maternal mental health is largely neglected in low- and middle-income countries. There is no routine screening or treatment of maternal mental disorders in primary care settings in South Africa. The Perinatal Mental Health Project (PMHP) developed an intervention to deliver mental health care to pregnant women in a collaborative, step-wise manner making use of existing resources in primary care. Over a 3-year period, 90% of all women attending antenatal care in the maternity clinic were offered mental health screening with 95% uptake. Of those screened, 32% qualified for referral to counselling. Through routine screening and referral, the PMHP model demonstrates the feasibility and acceptability of a stepped care approach to provision of mental health care at the primary care level.
Prince, M. et al.
A population-based cohort study of all people aged 65 years and older living in urban sites in Cuba, the Dominican Republic, and Venezuela, and rural and urban sites in Peru, Mexico, and China, with ascertainment of incident 10/66 and DSM-IV dementia 3—5 years after cohort inception. The results provide evidence for the cognitive reserve hypothesis, showing that in middle-income countries as in high-income countries, education, literacy, verbal fluency, and motor sequencing confer substantial protection against the onset of dementia.
Siân, O., Stöckl, H., Busza, J., Howard, L., Zimmerman, C.
PloS Medicine has recently published a systematic review on the physical, mental, and sexual health problems associated with human trafficking. This paper suggests that trafficking is associated with serious health problems and that trafficked people are likely to require a coordinated response by healthcare providers and other support services. The reviewed studies found that women and girls who have been trafficked for sexual exploitation experienced high levels of physical and sexual violence. In addition, women and girls experienced high levels of physical, sexual and mental health problems: headaches, back pain, stomach pain and memory problems were common, as were anxiety, depression and post-traumatic stress disorder. Longer duration of exploitation may be linked to higher levels of mental distress.
Rebecca S. Hock, Flora Or, Kavitha Kolappa, Matthew D. Burkey, Pamela J. Surkan, William W. Eaton
Coordinated response needed to capitalize on WHO's mental health resolution.
Dan Chisholm
Part of a series published this week on BMJ.com on the cost-effectiveness of strategies for the prevention and control of NCDs and injuries in lower income settings, this article assesses the costs, effects and overall value for money of core interventions for addressing the burden of psychosis, affective disorders, epilepsy and hazardous alcohol use. Results indicate that the cost-effectiveness of strategies that could be undertaken varies widely. Reallocation of resources to cost-effective intervention strategies would increase health gain, save money and enable appropriate scaling-up of mental health services in low-resource settings.
Scholte WF, Verduin F, et al.
Background. War has serious and prolonged mental health consequences. It is argued that post-emergency mental health interventions should not only focus on psychological factors but also address the social environment. No controlled trials of such interventions exist. We studied the effect on mental health of a large scale psychosocial intervention primarily aimed at social bonding in post-genocide Rwanda. The programme is implemented at population level without diagnostic criteria for participation. It is open to any person older than 15 years, and enables participation of over 1500 individuals per year. We postulated that the mental health of programme participants would improve significantly relative to non-participants. Methods and Findings. We used a prospective quasi-experimental study design with measurement points pre and post intervention and at 8 months follow-up. 100 adults from both sexes in the experimental condition entered the study; follow-up measurements were taken from 81. We selected a control group of 100 respondents with similar age, sex and symptom score distribution from a random community sample in the same region; of these, 73 completed the study. Mental health was assessed by use of the Self Reporting Questionnaire (SRQ-20), a twenty item instrument to detect common mental disorders in primary health care settings. Mean SRQ-20 scores decreased by 2.3 points in the experimental group and 0.8 in the control group (p = 0.033). Women in the experimental group scoring above cut-off at baseline improved with 4.8 points to below cut-off (p<0.001). Men scoring above cut-off at baseline showed a similar trend which was statistically non-significant. No adverse events were observed. Conclusions. A large scale psychosocial intervention primarily aimed at social bonding caused a lasting improvement of mental health in survivors of mass violence in Rwanda. This approach may have a similar positive effect in other post-conflict settings.
Arthur Kleinman
"The American Psychiatric Association (APA), as recently reported in The New York Times and an article in World Psychiatry, is undergoing a controversy over listing grief as a mental illness in the forthcoming fifth edition of its influential Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Earlier editions of DSM have reasoned that after the death of a close relation, a psychiatrist should wait 1 year (DSM-III) or 2 months (DSM-IV) before labelling the sadness, disturbed sleep, loss of appetite and energy, agitation, difficulty concentrating, and other psychological and physiological sequelae of such profound loss, depression; and treating it with pharmacological agents and psychotherapy." (See link for continuation.)
Yu-Tao Xianga, Xin Yuc, Gabor S Ungvarid, Edwin HM Leea, Helen FK Chiu
Excerpt from the article: "On June 10, 2011, the draft of [China's] National Mental Health Law was finalised by the Legislative Affairs Office of the State Council and released for public comment. After public consultation, the Standing Committee of the National People's Congress further revised the draft on Oct 24, 2011 and released it on Oct 29, 2011,6 before final approval and formal implementation. In the absence of any national guidelines on compulsory psychiatric admission and discharge, the current daily practice in China is that individuals who are suspected of having mental disorders are often compulsorily admitted to psychiatric hospitals with the consent form signed only by family members. Usually only the person who signed the consent form for the admission is then allowed to apply for the patient's discharge from hospital.3 This common practice does not respect the human rights of patients with mental illness. The latest draft of the National Mental Health Law aims to promote mental health, improve the quality of mental health services, and protect the human rights of patients with mental disorders."
Zeinab Hijazi; Inka Weissbecker
This article addresses the ethics of conducting research on people in emergencies, illustrating the challenges with examples from the work of International Medical Corps in Iraq.

 Young Researchers Award


Young researchers are invited to join in the competition of the

Best article on a transcultural subject 2013


The winning article will be awarded by the honour of the young researchers award and a prize of €1,000. Articles have to be written on original research, whether based on clinical research, anthropological research, or literature review.

Researchers from LAMIC countries are specially invited.


Young researchers are defined as researchers who did not publish a peer reviewed article before 1.1.2009.

The six best articles will be offered publication, after peer review, in a 2014 special issue of Transcultural Psychiatry. There are also possibilities to publish a podcast.

The articles will be reviewed for the award by the board members of the WPA-TPS.


Responsible editors: Kamaldeep Bhui, M.D, Ph.D., Hans Rohlof, M.D.

If you are interested, contact: Hans Rohlof, +31715191500, h.rohlof@centrum45.nl

Deadline for first draft: October, 15th, 2013

MGMH

Calling All Members: MGMH Survey


MGMH wants you to have a say about the future of the Movement.

All MGMH Members should have an opportunity to contribute to decisions about the organisation and governance of the Movement. At the 3rd Global Mental Health Summit we will discuss the need to clarify the purpose, structure, and organisation of MGMH to ensure its viability and sustainability. We request that you please take a few minutes to complete the survey we've linked to below. The aggregate responses will be published, however any identifying information will be kept strictly confidential.

Complete Survey

Deadline: 21 July 2013


The future of the Movement is up to you, so let us know how it can better serve you!


alex.wright

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 admin@globalmentalhealth.org. 

NYGlobalMentalHealth

Panel 2: Global Mental Health & the Multifaceted Implications of Culture


Published on Jun 14, 2013

Second Panel Discussion on: 
Global Mental Health & the Multifaceted Implications of Culture, with:

• David Ndetei, MD- University of Nairobi, Kenya; Africa Mental Health Foundation
• Roberto Lewis-Fernandez, MD -- Columbia niversity, USA
• Milto Wainberg, MD-- Columbia University, USA
• Discussant: Lawrence Yang, PhD-- Columbia University, USA
• Facilitator: Uju Obi, MD, Columbia University, USA

Judith Bass et al

A randomized controlled trial to evaluate Cognitive Processing Therapy (CPT) for survivors of sexual violence in conflict-affected DRC

Video

Giuseppe Raviola

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?"

NYC Global Mental Health Forum

Published on Jun 14, 2013

Dr. Crick Lund from the University of Capetown, South Africa discusses Global Mental Health Research at the 2nd Annual NYC Global Mental Health Forum.

The Community Care for People with Schizophrenia in India (COPSI)

A new film, “Our Stories: Living and Coping with Schizophrenia” describes the CGMH Community care for people with schizophrenia in India (COPSI) project. Funded by the Wellcome Trust and led by CGMH co-director Vikram Patel and staff member Graham Thornicroft, COPSI is a randomized controlled trial comparing the clinical and cost effectiveness of facility based (usual) care and a collaborative community based care intervention for people with schizophrenia in three sites in India. The community intervention is developed by a team comprising the treating Psychiatrist, the Intervention Coordinator and lay community health workers and the majority of the service is delivered in home settings. A package of evidence based treatments has been selected for the community intervention that can be delivered by CHW’s with adequate training and close supervision.

The film provides a personal and moving account of people with schizophrenia who are taking part in this project.

Click here to view the film.

Part two continues here...

Cochrane Collaboration

The second installment in the Cochrane20 Video Series introduces a range of Cochrane contributors from low- and middle-income countries. This video focuses on the need for, achievements in, and challenges of producing, disseminating, and implementing systematic reviews in resource-challenged settings.

Manta Ray Media
Manta Ray Media is a digital media company that specialises in website design, development and consultancy for non-profit, development, health and research organisations striving to effectively engage with their audiences.

Blog Post

Sara Gorman

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...

...

James Militzer

Thursday, May 09, 2013

At Long Last: Is mental health poised to take its place on the global health agenda?

By James Militzer

A survey of 2,000 people across Britain asked which of the following things they'd be most uncomfortable admitting publicly:

  • having a drinking problem
  • going bankrupt
  • being gay
  • having a mental illness

The biggest taboo by far? Mental illness.

It's a stigma that's present in all countries - and that's often even stronger in the developing world. And it's one reason that mental health has traditionally been an afterthought in global health discussions. But there’s a growing sense that this may be changing.

In what the American Public Health Association describes as "a historic first," the American Journal of Public Health has devoted its May 2013 issue to covering the stigma against mental illness in the U.S. and internationally. And at the (packed) Global Mental Health sessions at Unite for Sight’s recent Global Health & Innovation Conference, every presenter commented on the sense of excitement and momentum in the field – as you can see in the videos below.


Kamaldeep Bhui

Global Mental Health, Public Health and Cultural Psychiatry

The recent series of Satander lectures on global mental health and cultural psychiatry held at the Wolfson Institute of Preventive Medicine, Queen Mary University of London, highlighted the synergies between cultural psychiatry and global movements to improve the mental health and wellbeing of all populations...

...

Kamaldeep Bhui MD FRCpsych

Public Health Lead, Royal College of Psychiatrists

President World Association of Cultural Psychiatry & Director of CCS at QMUL

Trustee of Careif

PAHO
MENTAL HEALTH BULLETIN, MAY - JUNE 2013
Subject:Mental Health Bulletin, May - June 2013
Send date:2013-06-20 20:16:17
Issue #:25
Content:
 
 
1

 

May-June 2013

WHO mental health Gap Action Programme assessment and monitoring in Panama

nullOn May 7-9, Tarun Dua, from the World Health Organization (WHO) Department of Mental Health and Substance Abuse in Geneva, and Dévora Kestel Regional Advisor on Mental Health of the Pan American Health Organization (PAHO/WHO), participated in various activities related to the implementation of WHO mental health Gap Action Programme (mhGAP) Pilot Project in Panama.

OAS 10th Hemispheric Forum of Civil Society and Social Actors

The Pan American Health Organization participated in the “10th Hemispheric Forum of Civil Society and Social Actors” held at OAS Headquarters in Washington, D.C., May 9

Read more...

Declaration of Antigua: “For a Comprehensive Policy against the World Drug Problem in the Americas”

The Pan American Health Organization provided technical support to the Organization of American States in the negotiation process of the Declaration of Antigua: “For a Comprehensive Policy against the World Drug Problem in the Americas,” adopted at the Forty-Third Regular Session of the OAS General Assembly, held in Antigua, Guatemala, from 4 to 6 June.

Read more...

Training of mhGAP facilitators in Nicaragua

nullOn 28 and 29 May, the Pan American Health Organization (PAHO/WHO), in coordination with the Nicaragua Department of Extension and Quality Assurance (DGECA, for its acronym in Spanish), organized a workshop for "Training primary care facilitators in the implementation of the mhGAP". The modules selected were those on depression, alcohol and suicide.

Read more...

Honduras: strengthening the mental health component in PHC

nullA project proposal on “Strengthening the mental health component in primary health care” was discussed at a meeting inHonduras, from April 23 to 24. This community mental health model to be implemented in the country is co-sponsored by the Pan American Health Organization and the Seventh-day AdventistChurch, with the participation of the Ministry of Health, the National University of Honduras, and Loma Linda University inCaliforniaUSA.

Read more...

Workshops on technical cooperation projects among countries in El Salvador 

nullFrom 18 to 21 March, two workshops were held in El Salvador Citywithin the framework of Technical Cooperation among Countries (TCC) in order to plan the implementation of two projects.

 

Training of trainers in epilepsy 

nullA workshop for training trainers in epilepsy was held at PAHO/WHO headquarters in Argentina, on April 26. It was jointly organized by the League against Epilepsy (LACE) and Hugo Cohen, PAHO Subregional Advisor on Mental Health for South America. LACE’s President, Roberto Caraballo, was present at the event together with specialists from the provinces of Buenos Aires,Santa FeMendoza and the City of Buenos. 

Read more...

Experts discuss tobacco products labeling and advertising in Panama 

nullPanama, March 5-7. Experts from all over the continent analyzed the current situation, progress and challenges of tobacco products packaging during the Second Regional Workshop "Packaging, labeling and regulation of tobacco products", according to the mandates of the World Health Organization Framework Convention on Tobacco Control (WHO FCTC). The event was organized by Panama Ministry of Health and the National Health Surveillance Agency of Brazil, with the technical cooperation of the Pan American Health Organization (PAHO/WHO) and Health Canada.

 

Read more...

Guatemala and Panama: workshops on reducing the demand for illicit drugs 

Two workshops on "Strengthening national capacities to manage public health responses in illicit psychoactive substances demand reduction” were held in Guatemala (April 3-5) and inPanama (April 17-18). 

Read more...

Mexico: mental health in Chiapas

nullChiapas, México, April 16 - A meeting for analyzing the situation of mental health in Chiapas was organized within the framework of the technical cooperation agreement between the Pan American Health Organization and Chiapas Health Secretariat. The meeting was opened by Chiapas Secretary of Health, Carlos Eugenio Ruiz Hernández; Dévora Kestel, PAHO/WHO Regional Advisor on Mental Health; and PAHO/WHO consultant in Mexico, Enrique Gil.

Read more...

State mental health week in Hermosillo, Mexico

nullHermosilloSonora, April 23 - A number of activities aimed at training mental health personnel of the Ministry of Health, were carried out as part of the “State Mental Health Week” inHermosillo.


Read more...

 


Interesting Links  


  • Credits

    Editorial Committee: Jorge Rodríguez, Hugo Cohen, Claudina Cayetano, Dévora Kestel, Maristela Monteiro, Luis Alfonzo, Maria Florencia Di Masi y Martha Koev.

    PAHO’s Mental Health Bulletin is published bimonthly in English and Spanish.

    Visit our Web Page

    Website

    MQ

     Transforming Mental Health is a major new initiative focused on identifying and funding research key to solving global issues in mental health.

    Gulbenkian

    Reports about the Republic of Moldova

     Posted by Gulbenkian

    Reports about the Republic of Moldova

    This series of document characterizes the reality of mental health in the Republic of Moldova.

    The series comprises reports on the organization of mental health services and on the ongoing reform, which aims to integrate mental health into primary healthcare and to shift care towards community mental health centers. Jana Chihai is also sharing with us an epidemiological morbidity study and a review of education and training of staff in mental health in the country.

    Please check the documents below:

    Republic of Moldova Mental Health System Review.

    Review of the Mental Health Graduate and Residential Syllabus in the Republic of Moldova.

    Assessing Primary Healthcare Services in the Republic of Moldova as to the integration of mental health services into PHC.

    Community Mental Health Services in the Republic of Moldova Assessment Report.

    Review of mental and behavior disorders morbidity in the Republic of Moldova, 2007-2011.

    Assessment of psychiatric hospital care services in the Republic of Moldova subordinate to the MoH.

    Defining the package of mental health services appropriate for being integrated into primary health care.

    in2mentalhealth Roos Korste

    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.

    WHO
    Coinciding with the International Day against Drug Abuse and Illicit Trafficking, the WHO launched its Global Health Observatory Database – Resources for the Prevention and Treatment of Substance Use Disorders. This global information system maps and monitors health system resources at the country level to respond to the health problems due to substance use. The system provides data for each of the assessed countries, such as funding, staff and services, and thereby complements already available information on the scope and associated harms of substance use disorders. The country profiles included in the new system cover 147 countries, which is 88 per cent of the world’s population. Current estimates indicate that worldwide, about 230 million adults aged 15-64 – or five per cent of the world’s adult population – used an illicit drug at least once in 2010, including about 27 million people with severe drug problems. Click on the following link to find out more about the system, and also to access its data repository, map gallery, country statistics and reports: http://www.who.int/gho/substance_abuse/en/index.html
    Mary De Silva
    The Centre for Global Mental Health is very pleased to announce the launch of our new website today, at the same URL: http://www.centreforglobalmentalhealth.org/. We hope as collaborators with our centre you will find the site useful. New features include: 1. An interactive map where you can click on countries to see descriptions of the projects we are working on there, or search for projects by classification. All our joint projects with you are listed there. 2. Regularly updated news and events feeds, including featured new publications and grants from members of the centre. 3. A twitter account regularly tweeting about global mental health issues and promoting the work of centre members and our collaborators (@GMentalHealth) 4. A people section with links to the profiles of all our members, research degree students, management group and steering committee. 5. A complete list of all centre publications since its' inception in 2009. 6. A resources section with links to our collaborators website, key global mental health publications, podcasts of centre seminars and global mental health videos. 7. A new quarterly newsletter that our collaborators can sign up to receive (http://www.centreforglobalmentalhealth.org/sign)
    A special series on global mental health was released in the Harvard Review of Psychiatry. Titles include: - Introduction An Agenda for Closing Resource Gaps in Global Mental Health: Innovation, Capacity Building, and Partnerships - Global Mental Health: From Science to Action - Capacity Building in Global Mental Health Research - Relevance or Excellence? Setting Research Priorities for Mental Health and Psychosocial Support in Humanitarian Settings - The Centre for International Mental Health Approach to Mental Health System Development - Capacity Building in Global Mental Health: Professional Training - Implementing Evidence-Based Alcohol Interventions in a Resource-Limited Setting: Novel Delivery Strategies in Tomsk, Russia - Mental Health Response in Haiti in the Aftermath of the 2010 Earthquake: A Case Study for Building Long-Term Solutions. All articles are open access so you can view/download the articles for free at: http://informahealthcare.com/toc/hrp/20/1
    The Global Health Network is a collection of websites that are aiming to support research by sharing knowledge and methods. Each has been established to create a subject specific online community of researchers who can build collaborations, develop documents, share resources and exchange information.
    International Journal of Mental Health Systems

    About Research

    At the time of the first Lancet series on global mental health in 2007, only 1% of all clinical trials in mental health came from low- or middle-income countries, despite that these areas represent 80% of the world’s population. Moreover, three-quarters of this research was of limited generalizability because the samples studied were fewer than 100 people in size.

    This section of the website describes important new research -- both qualitative and quantiative, and not only clinical trials -- about mental health in low- and middle-income countries.