Minas 2011.07.28 manila wapr global mental health.ppt

Global Mental Health: Initiatives and Prospects Harry Minas Director, Centre for International Mental Health, Melbourne School of Population Health Head of Secretariat, Movement for Global Mental Health World Association for Psychosocial Rehabilitation Regional Congress Manila, 29 July 20111| Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

Mental Health in low-income countries!Context ! Poorly developed and Outcomes! disconnected system elements!  MH as a public health,   Weak investment.   Narrow population coverage! social and economic Shortage of everything –   Very wide gap between best development issue! skilled workers, facilities, and worst MH services!  Effective and affordable drugs, etc.! interventions and   Low access (geographic,   Undeveloped information economic, linguistic, cultural)! service models are systems to support available! planning!   Stigma, discrimination,  MH is a low political social exclusion! and social priority!   Geographic maldistribution of available workforce!   Mental health training is  Weak investment! unattractive for most  Low skill in policy   Disciplinary imbalance: disciplines! development and doctor and nurse   Lack of locally relevant implementation! dominated! evidence for policy and  Weak governance !   Hospital-centred! practice!  Low MH literacy!   Poorly organised and   Widespread and systematic  Low demand for mental marginalised consumers, abuse of human rights ! health services ! carers, civil society! ! ! 2| Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

Lancet Series on Global Mental Health: 2007  5 papers examining the current mental health situation and paper 6: “Scale up services for mental disorders: a call for action”  Editorial: Launching a new movement for global mental health 3| Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

Lancet Series & Movement for Global Mental Health Melbourne Launch, Sept 2007 The Lancet Series and the beginnings of the Movement for Global Mental Health were simultaneously launched in London, Melbourne and Washington in September 2007 2nd Lancet series will be launched at the 2nd Global Mental Health Summit in Cape Town, October 2011 4| Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

Movement for Global Mental Health5| Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

World Health Organisation6| Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

Global Alliance for Chronic Disease7| Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

Grand Challenges in Global Mental Health   National Institute of Mental Health   Wellcome Trust   McLaughlin- Rotman Centre for Global Health   London School of Hygiene and Tropical Medicine8| Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

Research Agenda for Global Mental Health   Research agenda published in Nature in July 20119| Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

International Observatory on Mental Health Systems A mental health systems research and education for development network   In February 2009 The Hon Bob McMullan launched the International Observatory on Mental Health Systems   IOMHS Secretariat: Melbourne   Collabora1ng Centres   India   IHBAS, New Delhi   Indonesia   University of Indonesia and   Paciﬁc Gadjah Mada University   Pakistan   University of the Philippines   Philippines   NaOonal University of Malaysia   Sri Lanka   School of Public Health Bucharest   Vietnam   Research and Training Centre __________ for Community Development, Hanoi   UK   Romania (Central and Southeast Europe Hub) The core is training in leadership for mental health system development and building capacity for mental health systems research 10 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

International Journal of Mental Health Systems Editorial Board   Members from 27 Countries   Africa   Asia   Europe   North & South America   Australia and New Zealand 11 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

Mental Health and Human Rights Progress   A substantial mental health and human rights success story in Aceh and, potentially, nationally in Indonesia12 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

Demonstrably Effective Mental Health System Development Projects   Recent evaluation of the Mental Health for the South project in Sri Lanka   Where there were virtually no mental health services in 2006 there is now an integrated hospital an community mental health service in each of the three districts of Southern Province, with more than 30,000 people with mental illness receiving treatment and care   This work is now being extended to the Northern and Eastern Provinces 13 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

International Commitment to Increase Development Aid   UN General Assembly   Explicit acknowledgement of the importance of global health as part of foreign policy (2008)   High-level meeting of the UN General Assembly on non-communicable diseases (Sept 2011)   British, Australian and US quarantining of aid budgets despite continuing financial problems   Australian aim: 0.5% of GNI 14 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

Australian Aid Budget - Dollars15 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

NIMH focus on Global Mental Health16 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

Grand Challenges Canada   Announcement in July 2011   $20 million for research capacity building projects in low and middle income countries17 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

New Hope for Global Mental Health  The momentum for global mental health system development is building  Resources for development are more available  What is needed now:   Imagination and planning: clear ideas about what is possible and what is desirable   Strong collaborations and partnerships   Strong networks for knowledge exchange   Full engagement of MH professionals, people with mental illness and their families, governments and civil society organisations 18 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

CIMH Approach to Mental health System Capacity Building Mental Health Research System Capacity Building •  Governance •  Legislation Education •  Collaboration •  Policy Leadership •  Partnerships •  Financing •  Workforce •  MH system design •  Advocacy Knowledge •  Human Rights Exchange •  Research •  Communication 19 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

Leadership for Mental Health Goa, India   Course Director, Vikram Patel   Collaborators   Sangath (Mental Health NGO Goa)   London School of Hygiene and Tropical Medicine   SCARF (Schizophrenia Research Foundation, Chennai)   CIMH, University of Melbourne   2-week program in Goa   Participants from developing and developed countries20 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

Leadership for Mental Health System Development in Indonesia   Course Directors: Harry Minas, Vita Diatri Centre for International Mental Health & University of Indonesia   2-week seminar, Jakarta, March 2009   Partners: National Taskforce on Mental Health System Development, CIMH, MoH, WHO, Universitas Indonesia   Funded by AusAID, CBM   30 participants from 8 provinces, all MH disciplines, and Indonesian Human Rights Commission   15 projects will be completed by the end of 2009, supervision by program faculty:   Research, medical school curriculum, and service development projects21 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

MH Leadership and Advocacy Training Ibadan, Nigeria   Course Director, Oye Gureje   Collaborators   Department of Psychiatry, College of Medicine, Ibadan   Centre for International Mental Health   CBM   2 week program in Ibadan   30 participants each year from Nigeria, Sierra Leone, Ghana, Gambia   Funding from AusAID 22 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

Leadership for Mental Health System Development in Vietnam Leadership for Mental Health   Course Directors: Harry Minas andSystem Development in Vietnam Ritz Kakuma (Centre for International Mental Health)   2-week seminar, Da Nang, 2011   Partners: National Taskforce on Mental Health System Development in Vietnam, CIMH, Hanoi Medical University, MoH, WHO   Funded by Atlantic Philanthropies   30 participants per year from all parts of Vietnam 23 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

Dili, Timor Leste Thank you for your attention h.minas@unimelb.edu.au www.cimh.unimelb.edu.au24 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International Mental Health Collaborating Centre

Minas 2011.07.28 manila wapr global mental health.ppt

by Harry Minas

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