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Overview Learning objectives • Understand the mental health treatment gap in low-, middle- and high-income countries. • Understand the principles and aims of the ... Health Gap Action Programme. • Acquire an introduction to mhGAP Intervention Guide (mhGAP-IG). • Learn about mhGAP ToHP training methodology and what to expect from mhGAP ToHP training. • Prepare group training ground rules. • Know the common presentations of mental, neurological and substance abuse (MNS) conditions. more
Mental health is critically important to everyone, everywhere. All over the world, mental ... needs are high but responses are insufficient and inadequate. The World mental health report: transforming mental health for all is designed to inspire and inform better mental health for everyone everywhere. Drawing on the latest evidence available, showcasing examples of good practice from around the world, and voicing people’s lived experience, it highlights why and where change is most needed and how it can best be achieved. It calls on all stakeholders to work together to deepen the value and commitment given to mental health, reshape the environments that influence mental health, and strengthen the systems that care for mental health. more
Evidenced-based multidisciplinary collaborative strategies are required to improve global mental health and avert possible catastrophic effects of ... more
To test for ethnic discrimination in access to outpatient health ... services, we carry out an email-correspondence study in Germany. We approach 3,224 physician offices in the 79 largest cities in Germany with fictitious appointment requests and randomized patients’ characteristics. We find that patients’ ethnicity, as signaled by distinct Turkish versus Ger- man names, does not affect whether they receive an appointment or wait time. In contrast, patients with private insurance are 31 percent more likely to receive an appointment. Hold- ing a private insurance also increases the likelihood of receiving a response and reduces the wait time. This suggests that physicians use leeway to prioritize privately insured patients to enhance their earnings, but they do not discriminate persons of Turkish origin based on taste. Still, their behavior creates means-based barriers for economically disadvantaged groups. more
This document was designed to inform educators, amongst others, about enhancing the pre-service curriculum with mental health Gap Action Programme ... more
Mental health is critically important to everyone, everywhere. All over the world, mental ... needs are high but responses are insufficient and inadequate. The World mental health report: transforming mental health for all is designed to inspire and inform better mental health for everyone everywhere. Drawing on the latest evidence available, showcasing examples of good practice from around the world, and voicing people’s lived experience, it highlights why and where change is most needed and how it can best be achieved. It calls on all stakeholders to work together to deepen the value and commitment given to mental health, reshape the environments that influence mental health, and strengthen the systems that care for mental health. more
This Toolkit aims to support the understanding and implementation of integrated mental health programs in humanitarian settings. It provides a fram... more
This resource includes posters with key messages for older adults on how to take care of their well-being and how they can provide support to those... more
The mhGAP Humanitarian Intervention Guide (mhGAP-HIG) Training of Health-Care Providers manual is designed to guide facilitators in training non-sp... more
This handbook is intended primarily for front-line health care providers who are likely to see children (among other clients) in their day-...-day practice. These may include general practitioners, nurses, midwives, gynaecologists, paediatricians, mental health professionals, first responders and staff in emergency care. Other professionals who may find it useful include social workers, those working in social welfare institutions, providers of psychosocial support, and those working in child care facilities and the education system. Further, the content will benefit the work of policy-makers and managers to enable and support provision of clinical care to children experiencing, or who have experienced, child maltreatment. more
It highlights the numerous challenges to quality service provision, along with the organisation’s response to mental ... needs, and recommendations for international and regional decision-makers including: - Advocating and working towards mental health policies that support adequate funding for mental health care and government suppor - Legislation to protect the rights of people with mental disorders and vulnerable communities - Advocating for multi-year funding to support the sustainability of MHPSS programs - Creating capacity building opportunities consistent with the IASC guidelines and supported with continuous supervision more
Medical care for people caught up in armed conflict and other insecure environments saves lives and alleviates suffering. It is one of the most immediate and high priority needs of an affected population and is often the first type of response activ... more
This document presents an integrated strategy for mental health system development that will lead to enhanced service delivery, improved outcomes,... more
1. Provide treatment for mental disorders in primary care 2. Ensure wider accessibility to essential psychotropic drugs 3. Provide ... in the community 4. Educate the public 5. Involve communities, families and consumers 6. Establish national policies, programmes and legislation on mental health 7. Develop human resources 8. Link with other sectors 9. Monitor community mental health 10. Support relevant research. more
The world faces grave consequences from the lack of available mental health services and treatment. Mental illness impacts every country, culture a... more

Primary Health-Care Services

International Committee of the Red Cross International Committee of the Red Cross (2006) C1
In health emergencies as in periods of stability, restoring access to primary health-... services is a priority in so far as many health problems can be dealt with by means of preventive care and conventional therapy. Depending on the context, the ICRC must often take action in this area, taking into account the level of emergency, the involvement of other actors, the possible evolution of the situation and the organization's operational strategies. more
This document adopts a health determinants framework for examining the evidence related to women’s poor mental .... From this perspective, public policy including economic policy, socio-cultural and environmental factors, community and social support, stressors and life events, personal behaviour and skills, and availability and access to health services, are all seen to exercise a role in determining women’s mental health status. Similarly, when considering the differences between women and men, a gender approach has been used. While this does not exclude biological or sex differences, it considers the critical roles that social and cultural factors and unequal power relations between men and women play in promoting or impeding mental health. Such inequalities create, maintain and exacerbate exposure to risk factors that endanger women’s mental health, and are most graphically illustrated in the significantly different rates of depression between men and women, poverty and its impact, and the phenomenal prevalence of violence against women. more
The COVID-19 HEalth caRe wOrkErs Study (HEROES): Regional Report from the Americas is a multicenter prospective cohort study to assess the impact o... more

Mental Health in Haiti: Beyond Disaster Relief

Olivia Tiberi The Journal of Global Health (2016) C1
Haiti, one of the poorest countries in the world, was devastated by an earthquake in 2010. The disaster uncovered the realities of a non-existent mental health ... system with only ten psychiatrists nationwide. Attempts were made to assess the increased prevalence of mental illness, likely due to the trauma to which many were exposed. Several interventions were carried out with aims to integrate mental health into primary health care services. The interplay between socio-cultural beliefs and health (both mental and physical) in Haiti has been widely commented upon by both foreign aid and local caregivers. Observations frequently highlight barriers to the willingness of patients to seek care and to their acceptance of biomedicine over traditional Vodou beliefs. The perception of Haitian beliefs as barriers to the availability and acceptance of mental health care has intensified the difficulty in providing effective recommendations and interventions both before and after the earthquake. Argued in this review is the importance of considering the interactions between socio-cultural beliefs and mental health when developing models for the prevention, screening, classification and management of mental illness in Haiti. These interactions, especially relevant in mental health care and post-disaster contexts, need to be acknowledged in any healthcare setting. The successes and failures of Haiti’s situation provide an example for global consideration. more
The Asia-Pacific Community Mental Health Development (APCMHD) project has been established in 2005 to explore diverse leading models or approaches ... more