Minas nimh leadership and capacity building 2011.03.24
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Paper presented at the NIMH workshop on capacity building for global mental health development in March 2011

Paper presented at the NIMH workshop on capacity building for global mental health development in March 2011

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Minas nimh leadership and capacity building 2011.03.24 Presentation Transcript

  • 1. Leadership Training and Mental Health System Capacity Building Harry Minas Director, Centre for International Mental Health Melbourne School of Population Health Presented at “Building Research Capacity and Collaboration in Global Mental Health” NIMH, Bethesda, Maryland, 24-25 March 2011| Minas: Leadership training and mental health system capacity building NIMH, Washington 24 March 2011 CIMH Collaborating Centre
  • 2. Mental Health systems in low and middle-income countries Context and ‘Governance’ Poorly developed and Outputs and outcomes disconnected system elements Governments, educators,   Weak investment. Shortage of   Narrow population coverage researchers everything – skilled workers,   Very wide gap between best and   Low capacity in policy facilities, drugs, etc. worst MH services development and   Undeveloped information   Low access (geographic, implementation (services, systems to support planning economic, linguistic, cultural) training, research)   Geographic maldistribution of   Stigma, discrimination, social   MH is a low priority - weak available workforce exclusion drive for MH system   Disciplinary imbalance: doctor development   Mental health training is and nurse dominated unattractive for most disciplines Population   Hospital-centred   Inadequate protection of rights   Low ‘mental health literacy’   Poorly organised and   Lack of locally relevant evidence for   Low demand for mental marginalised consumers, carers, policy and practice health services civil society| Minas: Leadership training and mental health system capacity building NIMH, Washington 24 March 2011 CIMH Collaborating Centre
  • 3. 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| Minas: Leadership training and mental health system capacity building NIMH, Washington 24 March 2011 CIMH Collaborating Centre
  • 4. Leadership Training   There is no sustained development without effective leadership   Leadership perspectives and skills are best taught alongside teaching on mental health system development / capacity building   Effective leadership is learned by doing, with continuing support and mentoring   Collaborative programs of activity (in policy development, service design and implementation, research - particularly mental health system research, education and training, and consumer, carer and civil society engagement) are the most effective way to develop effective leadership skills.   Leadership training without sustained and productive engagement is probably of doubtful value| Minas: Leadership training and mental health system capacity building NIMH, Washington 24 March 2011 CIMH Collaborating Centre
  • 5. International Mental Health Leadership Program TEACHING AND COLLABORATIVE KNOWLEDGE OUTCOMES LEARNING ACTION EXCHANGE   Commenced in 2001   Initiative of CIMH and Department of Social Medicine, Harvard Medical School   Sustained input from London School of Hygiene and Tropical Medicine, University of Queensland and University of Sydney   Intended to contribute to leadership for mental health system development, primarily in low and middle-income and post-conflict countries   >140 graduates from 18 countries   iMHLP alumni are our key collaborators in:   research and mental health system development programs in Asia and   the establishment of the International Observatory on Mental Health Systems| Minas: Leadership training and mental health system capacity building NIMH, Washington 24 March 2011 CIMH Collaborating Centre
  • 6. International Mental Health Leadership Program Week 1 Week 2 Week 3 Week 4 Mental Health Human Resources Mental Health Mental Health Legislation, Policy for Mental Health Advocacy and System Design and Financing Human Rights Leadership for Mental Health System Development: Theory and skills Mental health project development   Held in Melbourne annually   iMHLP 2011: 5-30 September   International faculty (changes from year to year)   Usually about 15 participants from several countries   Most participants are active in a collaborative MHS development project with CIMH| Minas: Leadership training and mental health system capacity building NIMH, Washington 24 March 2011 CIMH Collaborating Centre
  • 7. International Mental Health Leadership Program TEACHING AND COLLABORATIVE KNOWLEDGE OUTCOMES LEARNING ACTION EXCHANGE INDONESIA iMHLP alumni 2001-2010   Largest number of alumni   Most extensive program of collaboration   Active program of mental health system development   National Taskforce on Mental Health System Development in Indonesia   Leadership for Mental Health System Development In Indonesia training program   New Indonesian Association for Mental Health (Consumer and carer association)   Active mental health and human rights program of activity (esp. in Aceh)   Most of those who are leading MH system development programs in Indonesia are iMHLP alumni   Leadership training produces results| Minas: Leadership training and mental health system capacity building NIMH, Washington 24 March 2011 CIMH Collaborating Centre
  • 8. International Mental Health Leadership Program TEACHING AND COLLABORATIVE KNOWLEDGE OUTCOMES LEARNING ACTION EXCHANGE   Education programs following on from iMHLP   Master of International Mental Health, University of Melbourne   Other leadership training programs   International focus: In-country programs   Leadership for Mental Health, Goa, India   Leadership for Mental Health System Development in Indonesia, Jakarta, Indonesia   Leadership and Advocacy Training Program, Ibadan, Nigeria   Leadership for Mental Health System Development in Vietnam   Australian focus   Australian Mental Health Leadership Program   Leadership and Management Workshop for Advanced Psychiatry Trainees| Minas: Leadership training and mental health system capacity building NIMH, Washington 24 March 2011 CIMH Collaborating Centre
  • 9. 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 countries| Minas: Leadership training and mental health system capacity building NIMH, Washington 24 March 2011 CIMH Collaborating Centre
  • 10. Leadership for Mental Health System Development in Indonesia   Course Directors: Harry Minas, Vita Diatri   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 projects| Minas: Leadership training and mental health system capacity building NIMH, Washington 24 March 2011 CIMH Collaborating Centre
  • 11. MH Leadership and Advocacy Training Ibadan, Nigeria   Course Director, Oye Gureje   Collaborators   Department of Psychiatry, College of Medicine, Ibadan   CIMH   CBM   2 week program in Ibadan   30 participants each year from Nigeria, Sierra Leone, Ghana, Gambia   Funding from AusAID| Minas: Leadership training and mental health system capacity building NIMH, Washington 24 March 2011 CIMH Collaborating Centre
  • 12. Leadership for Mental Health System Development in VietnamLeadership for Mental Health System   Course Directors: Tran Huong Development in Vietnam (HMU), Ritz Kakuma (CIMH)   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| Minas: Leadership training and mental health system capacity building NIMH, Washington 24 March 2011 CIMH Collaborating Centre
  • 13. Australian Mental Health Leadership Program Melbourne, Sydney, Brisbane, Geelong   Program Director: Harry Minas   Commenced in 2005   Four 3-day seminars, over 6 months, and completion seminar   Collaborators   CIMH, University of Melbourne   Deakin University, Geelong   University of Sydney   University of Queensland   University of the Sunshine Coast   Focus: Australian mental health system reform| Minas: Leadership training and mental health system capacity building NIMH, Washington 24 March 2011 CIMH Collaborating Centre
  • 14. International Mental Health Leadership Program TEACHING AND COLLABORATIVE KNOWLEDGE OUTCOMES LEARNING ACTION EXCHANGE   Collaborative action   Mental health system development and research projects in Indonesia, Malaysia, Sri Lanka, Vietnam, ….   International Observatory on Mental Health Systems will be the main platform for collaborative research and development action   Focus on Asia and the Pacific   Expansion to Central and Southeast Europe| Minas: Leadership training and mental health system capacity building NIMH, Washington 24 March 2011 CIMH Collaborating Centre
  • 15. International Mental Health Leadership Program TEACHING AND COLLABORATIVE KNOWLEDGE OUTCOMES LEARNING ACTION EXCHANGE   Information dissemination   Commenced publication in 2007   Distinguished International Advisory Board   Peer reviewed, open access   Authors from Africa, Asia, Australia, Europe, Middle East, North and South America   www.ijmhs.com| Minas: Leadership training and mental health system capacity building NIMH, Washington 24 March 2011 CIMH Collaborating Centre
  • 16. International Mental Health Leadership Program TEACHING AND COLLABORATIVE KNOWLEDGE OUTCOMES LEARNING ACTION EXCHANGE   7th International Mental Health System Development Conference “Mental Health in Sri Lanka” Melbourne, October 2010   Review of progress, planning of Mental Health for the North project   Previous conferences held in Beijing, Hong Kong, Thailand, etc.| Minas: Leadership training and mental health system capacity building NIMH, Washington 24 March 2011 CIMH Collaborating Centre
  • 17. Mental health System Capacity Building Mental Health for the South: Sri Lanka New NIMH Colombo iMHLP 2006-2009 Child mental health project Key participants from SL MoH, Suicide prevention project College of Psychiatrists Impact of CSOs project and from Southern ProvinceServices information system Learning with iMHLP participants Mental Health from many countries Southern Province Research Sri Lanka 2005: No mental health service except inpatient Education •  Collaboration Leadership •  Partnerships unit in Galle city. MoH SL There is now a WHO SL functioning community- WVA focused mental health Knowledge CIMH service with good population coverage in all Exchange 7th International Mental Health System three districts Development Conference: Mental Health CSOs in Sri Lanka (Melbourne Oct 2010) MOMHs Sri Lanka College of Psychiatrists conference, March 2011 Diploma in Psychiatry Journal papers from evaluation, 2011 Community Mental Health Nurses Mental Health for the North, Sri Lanka| Minas: Leadership training and mental health system capacity building NIMH, Washington 24 March 2011 CIMH Collaborating Centre
  • 18. Sri Lanka| Minas: Leadership training and mental health system capacity building NIMH, Washington 24 March 2011 CIMH Collaborating Centre
  • 19. Sri Lanka| Minas: Leadership training and mental health system capacity building NIMH, Washington 24 March 2011 CIMH Collaborating Centre
  • 20. Dili, East Timor Thank you for your attention h.minas@unimelb.edu.au www.cimh.unimelb.edu.au| Minas: Leadership training and mental health system capacity building NIMH, Washington 24 March 2011 CIMH Collaborating Centre