In this essay, I discuss the evolving notion of the Global South. These considerations point to the need to understand and embrace the emerging characteristics of the Global south that I define as syncretism, conviviality, and porosity. Syncretism is the practice of different religious traditions such as Catholicism and Afro-Brazilian candomblé side by side to create new syntheses of belief and practice. I am applying this more generally to the capacity in the Global south to embrace plurality and difference to create more a more harmonious and inclusive syncretic culture. Conviviality is a similar term invoked by Ivan Illich, emphasizing interdependence. Porosity is an idea I adopted from the work of Walter Benjamin in my work in Brazil and Haiti to soften borders and boundaries in the daily work of culture. What these three notions have in common is a more fluid, less categorical approach to culture, medicine and politics.

1. Dear Colleagues and Friends,
Welcome to the spring/summer issue of our Newsletter…!
We are very pleased to welcome new contributions from Africa. Dr. Munyaradzi Madhom-
biro presents an informative rendition of the Zimbabwean College of Psychiatrists, that
facilitates our links with Africa and possibly work together to develop the Africa Global
Mental Health Institute as discussed at our conference in Cape Town in November 2016.
Professors Lolas and Di Nicola challenge our imagination with thought provoking contri-
butions on Global Bioethics, Global Mental Health, and the Global South, while Doctors
Gray and Chaves generously share their insightful perspectives on the 1st
CLM Mind Games
event.
Professors Kallivayalil and Huang are bringing us up to date with the latest Asia projects
on Family, Career Program and Adolescent Health in India, as well as the groundbreaking
research on mental health and disability in China.
Professor Ivbijaro and Dr. Elaine Flores engage us in their innovative initiatives at the hori-
zon,the HealthforAllconferenceinMaltacomingupinDecember2018,thatresonateswell
with the World Bank #Healthforall project, and the Platform for Social Research on Mental
Health in Latina America (PLASMA).
Delighted to share the news on our Career, Leadership, Mentorship project’s 10th
anniversa-
ry celebration with Doctor Anita Everett, the American Psychiatric Association President as
our keynote speaker who focused on Leadership, Ethics and Healthcare Systems. The joyous
anniversary took place at the Cosmos Club in Washington, DC and was a great success. We
are also pleased that our CLM leaders, Doctors Madeline Teisberg and Cristina Secarea
were honored with the 1st
Residents and Fellows Merit Fellowship Award by Area 3 Council
of the APA.
Eliot Sorel, MD
Editor-in-Chief & CLM
Founder
CLM/WPS
Global Mental Health & Psychiatry Newsletter
Newsletter
Volume IV, No. 2
Spring/Summer 2018
Career, Leadership
and Mentorship Program
Eliot Sorel, MD, Editor-in-Chief, CLM Founder
ZONAL EDITORS:
AFRICA:
Prof. David M. Ndetei, Kenya
Prof. Solomon Rataemane, South Africa
ASIA/PACIFIC:
Prof. Yueqin Huang, China
Prof. Roy Kallivayalil, India
THE AMERICAS:
Prof. Fernando Lolas, Chile
Prof. Vincenzo Di Nicola, Canada
EUROPE:
Prof. Gabriel Ivbijaro, United Kingdom
Dr. Mariana Pinto da Costa, Portugal
ASSOCIATE EDITORS:
Miguel Alampay, MD
John Chaves, MD
Kyle Gray, MD, MA
Madeline Teisberg, DO, MS
Mona Thapa, MD
Layan Zhang, MD
CLM 2008-2018, Cosmos Club Celebration February 24, 2018

2. TABLE OF CONTENTS
Career, Leadership and
Mentorship (CLM)
is a program of the
Washington Psychiatric
Society for Residents
Members and
Early Career Psychiatrists.
Founded by Eliot Sorel,
MD, with the generous
support of the Washington
Psychiatric Society, the Area
3 Council, and the
American Psychiatric
Association. Started in 2008,
CLM generates educational,
research, leadership and
mentoring opportunities for
our young colleagues
to enhance the career
development and leadership
skills of the next generation of
health leaders.
AFRICA ZONE:
The Zimbabwe College of Psychiatrists (ZCP) .................................................3
Dr. Munyaradzi Madhombiro
the AMERICAS ZONE:
Global Bioethics, Global Mental Health .............................................................4
Fernando Lolas, MD
The Global South ......................................................................................................5
Vincenzo Di Nicola, MPhil, MD, PhD, DFAPA
Lessons Learned from the First Career, Leadership, Mentorship Mind Games
JohnChaves,MDandKyle Gray, MD, MA ................................................................7
ASIA/PACIFIC ZONE:
Family and Carers Program, Tiruvalla, India Adolescence Need Urgent
Attention ...................................................................................................................8
Professor Roy Abraham Kallivayalil
China data presented at European Congress .................................................................9
Professor Yueqin Huang, MD, MPH, PhD
EUROPE ZONE:
PLASMA Workshop: .............................................................................................10
Elaine Flores, MD
Universal Health And Mental Health For All – Connecting People And
Sharing Perspectives, Valletta Malta .................................................................11
Professor Gabriel Ivbijaro, MBE
Washington Psychiatric Society
Volume IV, No. 2 • Spring/Summer 2018
Eliot Sorel, MD, Editor-in-Chief, CLM Founder
CELEBRATING
10 CLM YEARS
2008–2018

3. GLOBAL MENTAL HEALTH & PSYCHIATRY NEWSLETTER of the Career, Leadership and Mentorship, Washington Psychiatric Society 3
AFRICA
The Zimbabwe College of Psychiatrists is the professional body
governing psychiatrist’s practice in Zimbabwe. It is affiliated to
the Zimbabwe Medical Association. The Medical and Dental
Practitioners Council of Zimbabwe govern ZCP activities1
.
Our membership consists of psychiatrists working in Zimba-
bwe. Our membership is steadily increasing and in 2018 we
are happy to have 3 new members joining. This will bring our
membership up to 17.
The ZCP is responsible for organizing continuing psychia-
try medical education (CME) activities for its members and
other medical professionals. On the last Friday of each month
the ZCP has a meeting where members take turns to present
clinical cases and medical advances in psychiatry. The ZCP
also organizes 2 psychiatry seminars each year in collaboration
with the Department of Psychiatry at the University of Zimba-
bwe. The purpose of these seminars is to facilitate discussions
on ways to improve psychiatry training in the University and
practice of the qualified psychiatrists.
Each year the ZCP has organizes 2 big CME days. One is held
in the capital city - Harare and the other is held in Bulawayo.
Professionals from different medical fields are invited to attend.
In the last year we have had over 100 attendees to our CME
days. Increasingly we organize the CME days in collaboration
with other medical specialties such as Obstetrics and Gyne-
cology. This has brought about increased clinical collaboration
with our colleagues.
While sub-specialty training is not available in Zimbabwe –
our members have taken to pursue increased work in different
niches so as to improve our clinical service. To mention a few
of our current members activities: Dr. Chagwedera is a qual-
ified child psychiatrist. Drs. Muchirahondo and Khan have
also been pursing specialization in child psychiatry and have
opened a child psychiatry clinic at Parirenyatwa. Drs. Mhaka,
Mawere and Mangezi are providing forensic psychiatry service.
Dr. Chibanda has tirelessly worked at developing community
based mental health care service and is the originator of the
Friendship bench – a novel and successful psychological in-
tervention for depression which can be delivered by lay health
workers Dr. Dube is currently involved in increasing mental
health provision in the community clinics by task sharing2
. Drs.
Madhombiro, Rwafa, Chirisa are very involved in developing
and providing treatment for substance use disorders. In an
effort to increase research output in ZCP, Dr Madhombiro,
Chibanda and Dube have been involved in developing inter-
ventions for alcohol use in HIV infected individuals3
.
As the number of psychiatrists is still quite low, all our mem-
bers are involved in all areas of clinical service provision and
teaching of students from departments such as medicine,
rehabilitation and nursing. Our members are often invited to
lecture and examine at state universities such as University of
Zimbabwe, National University of Science and Technology and
Midlands State University.
Munyaradzi Madhombiro
Dr. Munyaradzi Madhombiro
Zimbabwe
The Zimbabwe College of Psychiatrists
(ZCP)
REFERENCES
1. Zimbabwe MaDPCo. Policies and Guidelines. Guidelines on
Continuing Professional Development.
2. Chibanda D, Weiss HA, Verhey R, et al. Effect of a Primary
Care–Based Psychological Intervention on Symptoms of Common
Mental Disorders in Zimbabwe. Jama. 2016;316(24).
3. Madhombiro M, Dube-Marimbe B, Dube M, et al. A cluster
randomised controlled trial protocol of an adapted intervention for
alcohol use disorders in people living with HIV and AIDS: impact on
alcohol use, general functional ability, quality of life and adherence to
HAART. BMC Psychiatry. 2017;17(1):44.

4. GLOBAL MENTAL HEALTH & PSYCHIATRY NEWSLETTER of the Career, Leadership and Mentorship, Washington Psychiatric Society4
the AMERICAS
The “Fritz Jahr Award” was established to recognize the contri-
bution of a person or institution to Bioethics, with emphasis on
its European foundations, represented by the work of the Lu-
theran theologian who coined the term BIO-ETHIK in 19261
.
The acceptance of this award implies the appointment as Lec-
turer at the University of Rijeka, Croatia. The Croatian School
of Bioethics has made substantial contributions to the estab-
lishment and development of a European bioethics that can
be differentiated from the neo-bioethical movement started
in the USA in the 1970’s. The uninterrupted publication of the
journal “Jahr”, the active involvement of scholars in the Losinj
Bioethics Days, and the original contributions presented each
year in seminars and conferences attest to its leadership.
The beginnings of bioethics in the US were marked by med-
icalization, to the point where bioethics came to be seen as
a branch of medical ethics. This was the reason why the US
re-discoverer of bioethics, Van Rensselaer Potter, preferred the
term “Global Bioethics” in his later writings. Going back to the
spirit of Jahr, Potter recognized in this new paradigm a form of
reflection on the challenges posed by the solidarity of the hu-
man species with the biosphere. His main contribution consists
in having observed that, because of the fascination provoked
by technocience, “knowledge on how to use knowledge” was
necessary.
The development of the bioethical discourse has implications
for the discourse on mental health. It serves as a heuristic tool
for uncovering implications and connotations of terms fre-
quently used and for drawing attention to the ethical underpin-
ning and quandaries associated with the use of any technical or
pseudo-technical term. In the context of global concerns, one
of its versions, the “differential ethics” of Hans-Martin Sass, is a
great aid in transcultural considerations2
,3
.
Any term employed in the field of mental health has several
layers of meaning. Some derive from the scientific rationality
and some inherited from an unreflected historical develop-
ment. For instance, the literature on “global mental health”
frequently oscillates between platitudes reminding the right to
care and the utopian aspiration of equitative access to West-
ern-style medical resources. The designation “international
health” can be traced back to the origins of anthropology with
its prejudices in relation to colonial peoples. Even the appar-
ently more neutral and scientific “public mental health” has
ethical implications not always reflected upon. For example,
the tension between the individual and the collective in terms
of rights and duties are sometimes forgotten in an apparently
technical jargon.
Knowledge on how to produce and use knowledge. The challenge
to-day is not so much to gather information or to repeat com-
monplaces. It is to select appropriate targets for research and
teaching. It has become fashionable to preach on global issues.
Even people with no field experience and no record of scien-
tific achievement feel no obstacles to speak about healthcare
services, policies, and recommendations.
To these misplaced pseudo-expertise, reflection upon the
integrative paradigm represented by bioethics, in its global and
globalized versions, could be an antidote. As the hermeneutics
of the scientific and technical literature uncovers, the hidden
meanings, intentions, and motivations, need to be constantly
reassessed in order to separate what is really relevant from
what it is not and to distinguish between scientific discourse
and repetition of platitudes.
Fernando Lolas
GLOBAL BIOETHICS,
GLOBAL MENTAL HEALTH
Fernando Lolas, MD1
University of Chile
1 -Lolas, F. Bioethics and animal research. A personal
perspective and a note on the contribution of Fritz Jahr.
Biological Research (Santiago) 41: 119-123, 2008.
2 Sass, H-M. Differentialethik. Anwendungen in Medizin,
Wirtschaft und Politik.Lit Verlga, Berlin, 2006.
3 Lolas, F. Differential ethics in global mental health.
Jahr (European Journal of Bioethics, Croatia), 6(2):247-
254,2015

5. GLOBAL MENTAL HEALTH & PSYCHIATRY NEWSLETTER of the Career, Leadership and Mentorship, Washington Psychiatric Society 5
the AMERICAS
El sur está aquí al lado.
The South is here, at our side.
– Boaventura de Sousa Santos in a 2011
interview in Spanish
In previous contributions to this newsletter, I have addressed how
we define GMH [Di Nicola, January 2016, I(2): 11], concerns about
the impact of globalization in Bulgaria and Brazil [Di Nicola, Sep-
tember 2017, III(3): 4-5] and trauma in Haiti [Di Nicola, September
2015, I(1): 8-11], as well as the question of where is the family in
GMH [Di Nicola, September 2016, II(3): 8].
In this essay, I would like to discuss the evolving notion of the
Global South.
Defining the Global South
Writing during the Viet Nam war, political activist Carl Oglesby
(1969) first used the term “the Global South” arguing that centu-
ries of US “dominance over the global south … have converged …
to produce an intolerable social order.” Since then, the term has
accrued many meanings and nuances and is now a touchstone in
transnational and postcolonial studies. Here are some of the histor-
ical associations with the Global south:
• A geographic designation
• Development studies – “Third World”
• Population shifts – from rural to urban, from North to
South
• The Non-Aligned Movement (1956) – Yugoslavia, India,
Indonesia, Egypt & Ghana
• The excluded & the invisible, sem terras in Brazil, the 99%
of Occupy Wall Street
• Cultural affirmations – Négritude (Martinique & Senegal)
• A political consciousness – “Liberation theology,” (Latin &
South America), “Pedagogy of the oppressed” (Brazil)
• Globalization – Global Mental Health
Meanings of the Global South
Inge Kaul (2013) describes some of the economic and policy im-
plications of this new reality. But this is to limit the Global south as
just another way of instrumentalizing culture into a set of needs and
services. I have a much broader view of the historical associations
and meanings of this term across a wide variety of domains of theory
and practice.
In culture, the négritude movement by Aimé Césaire in Martinique
and Léopold Senghor in Senegal created a sensation, prefiguring
the “Black is Beautiful” movement in the US. In Mexico, Ivan Illich
created a language and intercultural exchange center focused on his
key notion of “conviviality,” which he defined as “individual freedom
realized in personal interdependence.” The Global south is particu-
larly rich in the arts, with fresh new vistas provided by the “magical
realism” of Colombia’s Gabriel Garcia Marquez (Nobelist, 1982) and
Mexico’s Carlos Fuentes, along with the trenchant essays and poetry
of Mexican Octavio Paz (Nobelist, 1990) and Caribbean poet Derek
Walcott (St. Lucia, Nobelist, 1992). In music, Brazil’s “Tropicalismo”
movement by Gilberto Gil and Caetano Veloso suavely resisted the
military dictatorship there.
In a mix of history, education and politics, brilliant polemics on
négritude and colonialism by Martinicans Aimé Césaire and Frantz
Fanon, liberation theology by Peruvian Gustavo Gutiérrez and
Brazilian Leonardo Boff, and Uruguayan Eduardo Galeano’s light-
ning-rod jeremiad, Open Veins of Latin America, created powerful
grassroots resistance movements. Above all, it was this resistance
that Oglesby named “the Global south.” In education, Brazilian
Paolo Freire created a veritable revolution with his Pedagogy of the
Oppressed along with Ivan Illich’s critique of schooling.
With the election of Pope Francis, the first pope from the Americas
and the southern hemisphere, comes a compassionate voice for the
poor and marginalized, supported by all the progressive movements
of the Global south, whose contemporary emblem is Santos’ work
with the World Social Forum in Porto Alegre, Brazil.
Our own field of mental health and psychiatry produced the pen-
etrating analyses of colonization by Martican psychiatrist Frantz
Fanon who later led the revolution against the French in Algeria,
the socially-engaged psychoanalysis of Erich Fromm working in
Mexico, and such pioneers as Nise da Silveira, a Brazilian psychiatrist
who used Jungian psychology to unlock the creative capacities of
chronic psychiatric patients in her care, and her student, my friend
and colleague, physician-actor-activist Vitor Pordeus, who founded
the “Madness Hotel” in Rio de Janeiro. Jamaica’s Frederick Hickling
documented the impact of colonialism and slavery with “Post-Slav-
ery Stress Disorder.”
For decades, I have been consulting and teaching in Brazil, from the
favelas of Rio de Janeiro and Salvador da Bahia to the progressive
clinics of colleagues in the southern state of Rio Grande do Sul. In
Porto Alegre, I consult with colleagues like psychologist Sandra
Fagundes and psychiatrist Abraham Turkenicz who are commit-
ted to social change. While all my friends there express their social
solidarity, few leave their comfortable urban practices and private
institutes to venture onto the streets like anthropologist Claudia Fon-
seca whose practice includes sex workers in Porto Alegre. To walk
the streets with her and her informants is to enter a parallel world
that is materially poor yet rich in narrative resources. She creates safe
The Global South1
Vincenzo Di Nicola, MPhil, MD, PhD, DFAPA2
2
Professor of Psychiatry, University of Montreal and The George Washington University
Vincenzo Di Nicola

6. GLOBAL MENTAL HEALTH & PSYCHIATRY NEWSLETTER of the Career, Leadership and Mentorship, Washington Psychiatric Society6
the AMERICAS
spaces and cultural security to advocate harm reduction for addicts
and basic salaries and access to health care for sex workers. This kind
of work is now the focus of a radical new program at the Federal
University of Rio Grande do Sul (UFRGS) called the Integrated
Multi-Professional Residency in Collective Mental Health. Trainees
in various professions from physiotherapy to teaching and social work
engage in community projects that are transdisciplinary in scope
and collective in their reach. Meeting such engaged professionals is a
bracing experience after my forty years of institution-based teaching
and clinical practice. Ironically, I invoke the conservative American
President Reagan in his plea to the Soviet President: “Mr. Gorbachov,
tear down this wall!” I plead with my colleagues North and South to
tear down the walls of the institution and get out onto the streets of
their communities. The students of UFRGS work all over the state in
communities large and small, in the capital and far afield.
Is There an Epistemic Gap?
GMH proposes the key concept of the treatment gap – the gap be-
tween a known health problem and access to care. The Global south
poses another more fundamental problem – of an epistemic gap –
between what we know and what we need to know.
Working in Brazil, Portuguese sociologist Boaventura de Souza
Santos proposes different epistemologies. Santos asks of the global
North – Is another epistemology possible? And he proposes alterna-
tive Epistemologies of the South (2016), which he defines as:
A set of inquiries into the construction and validation of
knowledge, born in struggle, of the ways of knowing devel-
oped by social groups as part of their resistance against the
systemic injustices and oppressions caused by capitalism,
colonialism, and patriarchy.
(Boaventura de Sousa Santos, 2016, p. x)
Towards a New Epistemology
Taken together, these considerations point to the need to understand
and embrace the emerging characteristics of the Global south that
I define as syncretism, conviviality, and porosity. Syncretism is the
practice of different religious traditions such as Catholicism and Af-
ro-Brazilian candomblé side by side to create new syntheses of belief
and practice. I am applying this more generally to the capacity in the
Global south to embrace plurality and difference to create more a
more harmonious and inclusive syncretic culture. Conviviality is a
similar term invoked by Ivan Illich, emphasizing interdependence.
Porosity is an idea I adopted from the work of Walter Benjamin in my
work in Brazil and Haiti to soften borders and boundaries in the daily
work of culture. What these three notions have in common is a more
fluid, less categorical approach to culture, medicine and politics.
As I shared in my essay on Haiti [Di Nicola, September 2015, I(1):
8-11], porosity is a quality that is evident everywhere in Port-au-
Prince. Everything is incomplete – either falling part or under con-
struction. Nothing is fixed, nothing is permanent. And the people
respond with breathtaking resourcefulness and unshakeable faith.
During my first visit, I participated in a workshop on post-disaster
planning with a group of ecumenical faith leaders. Although I had
privileged access to leaders in the business, political and medical
community, the pastors struck me as the most willing and capable
to engage and adapt. They were responsible for their parishes and
had created resilient and responsive networks of social and spiritual
support. True to their mission, what caught their attention was my
sharing of my own spiritual journey as much as my expertise as a
child psychiatrist. And this was reflected everywhere on the streets
of Port-au-Prince – every bus and truck has a religious sign: “Faith.
Hope. Trust in Jesus. God is Good.”
Tools for the New Epistemology of the Global South
How can we transform Northern epistemologies based on categories
and neo-liberalism to the new epistemologies of the Global south?
Santos argues for a radical departure: “the adequate recognition of
injustice and the possible overcoming of oppression can only be
achieved by means of an epistemological break.” The break is with a
Western – here we can say “Northern” – understanding and trans-
formation of the world as universal as opposed to local and particu-
lar. This Northern epistemology “sees itself as a vanguard that excels
in knowing about, explaining, and guiding rather than knowing with,
understanding, facilitating, sharing, and walking alongside.” In its
place, Santos proposes a teoria povera or “poor theory” which he
describes as “a rearguard theory based on the experience of large,
marginalized minorities and majorities that struggles against unjustly
imposed marginality and inferiority.” Santos rejects both radical
pessimism and radical hope, opting for a “tragic optimism.”
In my work with children and culture, I have always held the notion
of “development” in reserve (Di Nicola, 1992). The time has now
come to broaden my critique of “developmental thinking.” We need
to redefine what we mean by two worn-out notions: “development”
and “change.” The epistemological break that Santos describes means
a departure from everything we associate with the notion of devel-
opment – from pediatrics and child psychiatry to economics and
politics and in health care. And since the core underlying thought of
development involves moving systematically through hierarchical
“ages and stages” of individuals and groups, cultures and econo-
mies, we must also radically interrogate what we mean by change.
“Change” in the Global south is almost always translated by interna-
tional agencies as economic growth rather than recognition of the
unique strengths and characteristics of the Global south – conviviali-
ty, porosity, and syncretism.
REFERENCES
1
Based on my Grand Rounds Presentation, Dept. of Psychiatry & Beha-
vioral Sciences, George Washington University, December 21, 2017.
Di Nicola, Vincenzo F. (1992). De l’enfant sauvage à l’enfant fou: A
prospectus for transcultural child psychiatry. In Grizenko, N., et al.
(eds.), Transcultural Issues in Child Psychiatry (pp. 7-53). Montréal,
QC: Éditions Douglas.
Kaul, Inge (2013). The Rise of the Global South: Implications for the Pro-
visioning of Global Public Goods. Occasional Paper 2013/08. New York:
United Nations Development Program.
Santos, Boaventura de Sousa (2016). Epistemologies of the South: Justice
Against Epistemicide. New York: Routledge.

7. GLOBAL MENTAL HEALTH & PSYCHIATRY NEWSLETTER of the Career, Leadership and Mentorship, Washington Psychiatric Society 7
the AMERICAS
In early December 2017, the Career, Leadership, and Mentorship
Program (CLM) of the Washington Psychiatric Society (WPS) held
the 1st
CLM Mind Games. In anticipation of celebrating the 10th
Anniversary of the CLM in February 2018, the group enjoyed the
successful execution (standing room only!) of an event that truly
exemplifies its mission. Our local Mind Games competition, mod-
eled after the American Psychiatric Association’s national version,
was first conceived during a small brainstorming meeting among
CLM leaders in spring 2017. Thanks to the leadership of CLM
Founder and Chair, Dr. Eliot Sorel, who brought in esteemed judg-
es, Drs. Roger Peele, Janice Hutchinson, and Robert Johnson to au-
thor questions and ensure teams followed the rules, as well as Dr.
Tristan Gorrindo, Director of Education at the APA, who advised
the group on the APA’s format for the games, the hardworking res-
ident team led by coordinators Kyle Gray and John Chaves, were
able to pull off their vision, bringing trainees and mentors together
to show off their psychiatry knowledge in a spirited and joyful com-
petition. Each of the five local psychiatry residencies were repre-
sented: George Washington University (GWU), Howard University
Hospital, MedStar Georgetown University Hospital (Georgetown),
St. Elizabeth’s Hospital/Department of Behavioral Health (St. Eliza-
beth),andWalterReed/NationalcapitalConsortium(WalterReed).
Looking forward to repeating and improving the event for Decem-
ber 2018, we recently reached out to the team captains. Dr. Caitlin
Elsenbeck, PGY-4 from Georgetown, said that she appreciated the
collaborative nature of the event. She said “it was very nice to meet
psychiatry residents from other programs in the area.” Dr. Christi-
na La Croix, PGY-3 and captain of Walter Reed team, echoed Dr.
Elsenbeck’s sentiment, saying “I enjoyed the event as it gave me the
opportunity to interact with residents of other programs and make
connections.” Dr. Jacqueline Posada, a PGY-3 from GWU, said that
she and her colleagues had fun and that this year GWU would work
to recruit more residents to participate in the event.
Upon that foundation of collegial spirit, Drs. Elsenbeck, La Croix,
andPosadaalsograciouslyprovidedrecommendationsforimprove-
mentforCLMMindGamesII,scheduledforDecember2018.Most
of these recommendations centered on the quiz game’s answering
system. All three team captains agreed that a more definitive, and
perhaps objective, selection process would improve the player and
audience experience. As a testament to their competitive spirit, the
captains noted that moments of ambiguity during the close compe-
tition were difficult to swallow. The planning team appreciates and
accepts these suggestions. We may consider implementing a buzz-
in system, working our way toward the model seen at the American
Psychiatric Association’s national Mind Games competition.
Besides an improved selection system, the captains offered other
guidance to improve the enthusiasm for and quality of the com-
petition. This year’s winning team from St. Elizabeth took home a
homemade trophy and bragging rights, and Dr. Posada posited that
perhaps an additional small cash prize would garner increased en-
thusiasm for the competition. Dr. Elsenbeck suggested that more
challenging questions could have improved the competition.
The CLM Mind Games planning committee intends to use this fo-
cused feedback to build on the success of this year. All attendees
appeared to enjoy the friendly competitive atmosphere with a focus
on learning. In fact, these types of educational games are thought
to enhance the trainee’s learning experience1,2
. The Washington
Psychiatric Society and the Career, Leadership, and Mentorship
program hope to welcome GMHPN readers all Washington DC
Residency training programs as well as those from Virginia and
Maryland to our CLM Mind Games II this December 2018!
REFERENCES
1. Akl, E. A. (2010). Support for and aspects of use of educational games
in family medicine and internal medicine residency programs in the US:
A survey. BMC Medical Education, 10(26). Retrieved April 30, 2018,
from https://bmcmededuc.biomedcentral.com/articles/
10.1186/1472-6920-10-26.
2. Meterissian, S., Liberman, M., & McLeod, P. (2009) Games
as teaching tools in a surgical residency. Medical Teacher.
29:9-10, e258-e260, DOI: 10.1080/01421590701663295 Re-
treived April 30, 2018, from https://www.tandfonline.com/doi/
abs/10.1080/01421590701663295.
John Chaves, MD and Kyle Gray, MD, MA
Lessons Learned from the First
Career, Leadership, Mentorship
Mind Games
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GMHPNewsletter May 2018 Inbox x
Eliot Sorel Kyle, John, ​Hope all is well. ​ Just a friendly reminder. ​Did you interview...
Kyle Gray Dr. Sorel, Check, check and check! A few other slight changes were made, too....
Eliot Sorel <esorel@gmail.com>
to Kyle, John
Thank you for the excellent updated version.
It is usual an customary to identify the authors' affiliations and have a
Please send ASAP. Thank you.
John Chaves <johnfchaves@gmail.com>
to me, Kyle
Thanks Dr. Sorel!
Authors' affiliations are:
PGY-3, Walter Reed/National Capital Consortium Psychiatry
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DoctorsMadelineTeisbergandCristinaSecareawiththeWPSAssemblydele-
gationreceivingthe1stResidentsandFellowMembers(RFM)MeritFellowship
Award(MFA)attheAPAMeetinginNewYorkinMay2018.TheCLMleaders
developedtheRFMMFAimplementedbyArea3CounciloftheAPA.

8. ASIA/PACIFIC
GLOBAL MENTAL HEALTH & PSYCHIATRY NEWSLETTER of the Career, Leadership and Mentorship, Washington Psychiatric Society8
An “Easter- Vishu Family & Carers› Programme› was organised by
the Dept of Psychiatry, Pushpagiri Institute of Medical Sciences,
Thiruvalla, India on April 17, 2018, in association with the National
Alliance for Mental Health, India. Vishu is the harvest festival in
Kerala signifying prosperity and the message of Easter is peace for
the whole mankind. Hence it was appropriate to hold the pro-
gramme on this special occasion. Rev Fr Jose Kallumalickal (Chair-
man, Pushpagiri) was the Chief Guest and inaugurated the pro-
gramme. Prof Roy Abraham Kallivayalil (HOD Psychiatry) presided
and said, world wide there was a shift from mental hospital-based
care to community in which the family members and carers had a
very important role to play1
. In the developed countries, care giving
is given by trained people who are often not family members. But in
developing countries like India, where the family system has deep
roots, the families most often take up the burden of care2
. Hence it
was imperative on the society to care for the carers and families.
Fr Mathew Vadakkekuttu delivered the Easter message. Prof VP
Sasidharan (Former Principal, Medical College, Calicut) delivered
the ‘Message of Vishu’. Sri Vijayan Namboodiri (representing Carers
and Families) felicitated the meeting. Dr Joice Geo (Associate
Professor) and Dr Arushma MK spoke on the occasion. Easter/ Vi-
shu gifts were presented to the Carers and family members. A large
number of family members and carers participated, some of them
presenting cultural items.
Sincerely,
Prof Roy Abraham Kallivayalil
Professor & Head, Dept of Psychiatry,
Pushpagiri Institute of Medical Sciences,
Tiruvalla, Kerala- 689 101, India
REFERENCES
1. Subodh BN, Nebhinani N. Caring for the family caregivers.
Indian J Soc Psychiatry 2016;32:1-2.
2. Chadda RK. Caring for the family caregivers of persons with
mental illness. Indian J Psychiatry 2014;56:221-7.
FrJoseKallumalickal(CEO)inauguratingtheprogramme.AlsoseenareSriVijayanNamboodiri,ProfVPSasidharan,ProfRoyKallivayalilandDrJoiceGeo.
Roy Abraham Kallivayalil
Family and Carers Program, Tiruvalla,
IndiaAdolescence Need Urgent Attention
Professor Roy Abraham Kallivayalil
President, World Association of Social Psychiatry
National Vice-President, Indian Medical Association

9. GLOBAL MENTAL HEALTH & PSYCHIATRY NEWSLETTER of the Career, Leadership and Mentorship, Washington Psychiatric Society 9
ASIA/PACIFIC
Professor Yueqin Huang, MD, MPH, PhD
Beijing, China
ChinadatapresentedatEuropean Congress
Yueqin Huang
The 19th Congress EPA Section of Epidemiology and Social
Psychiatry was held in Vienna, Austria on April 4-7, 2018. Prof.
Yueqin Huang chaired the symposium on mental disability and
rehabilitation.
Prof. Huang from Institute of Mental Health, Peking
University reported her abstract entitled Prevalence of
disability attributable to mental disorder in China. The study
objectives were to describe the prevalence and characteristics
of disabilities attributable to mental disorders in China,
and to provide scientific evidence for preventing mental
disabilities and making welfare policy. The study methods:
using descriptive epidemiological method, the data of the
Second National Sample Survey on Disability were analyzed.
The study results: among 2526145 respondents in the survey,
15928 respondents were diagnosed as disabilities attributable to
mental disorders. The prevalence rate of disability attributable
to mental disorders was 6.3‰. The prevalence rate of disability
attributable to mental disorders without multiple disabilities
was 4.7‰, accounting for 74.0% of all disabilities attributable
to mental disorders. Of the disabilities attributable to mental
disorders without multiple disabilities, there were 64.58%
of disability attributable to schizophrenia, schizotypal and
delusional disorders, 6.28% mood disorder, and 6.27% epilepsy
disability, following by neurotic, stress-related and somatoform
disorder (5.95%), dementia (5.19%), and other disorders
disability (less than 11.74%). The disability attributable to
schizophrenia, schizotypal and delusional disorders caused
severest impairments of functions in daily and social activities,
following by disabilities attributable to dementia, non-dementia
organic mental disorder and epilepsy disability. Dementia
caused the severest grade of disability, constituting 44.89%. It
also showed that the disabilities attributable to mood disorder
and neurotic, stress-related and somatoform disorder had more
impairments among mental disabilities. The study concluded
that schizophrenia caused the most mental disabilities;
however, dementia caused the severest disability. As main
causes of mental disabilities, neurosis and anxiety disorders
should be paid attention, too.
Associate professor Zhaorui Liu from Institute of Mental
Health, Peking University reported her abstract entitled A
single blind randomized clinical trial on Cognitive Stimulation
Therapy among dementia patients in China. The study objective
was to evaluate the effect of Cognitive Stimulation Therapy
(CST) among mild or moderate dementia patients. The study
methods: a single blind randomized clinical trial was carried
out in Beijing China from 2014 to 2016. The intervention
group received CST for seven weeks, while the control group
received treatment as usual (TAU). The carers of those in
the intervention group also received the ‘Helping Carers
to Care’ intervention for five weeks. Outcome evaluations
were conducted at baseline, three weeks, seven weeks, and
three months. The study findings suggest evidence of delayed
deterioration of cognitive function during CST. Caregiver strain
also decreased in carers of those receiving CST. However, at the
three month follow-up, these improvements were not detected.
The findings of the trial suggest the current Chinese version
CST is effective during the treatment period, and it is feasible
and acceptable.
REFERENCES
(1) Liu Yuntao, Huang Yueqin, MaYating, Li Heng, Liu Zhaorui,
Dong Wentian, Liu Jing, Yao Guizhong. Descriptive
epidemological study on mental disablilities in China.
Chinese Journal of Epidemiology, 2014, 35(2): 124-128
(2) http://www.ucl.ac.uk/international-cognitive-stimulation-
therapy

10. GLOBAL MENTAL HEALTH & PSYCHIATRY NEWSLETTER of the Career, Leadership and Mentorship, Washington Psychiatric Society10
EUROPE
The collaborative initiative
“Platform for Social Re-
search on Mental Health
in Latin America” (PLAS-
MA) was born in 2016.
Led by a group of eight
multi-disciplinary doctor-
al students* interested in
mental health issues re-
search in Latin America,
based in different universi-
tiesinUKandFrance.
This collaboration surged by the necessity to highlight how po-
litical, cultural and social processes express and affect the men-
tal health issues in the Latin American region as well as their
description and intervention. The singularities and diverse
concerns of this region (i.e. its particular modernisation and
urbanization processes, political violence, inequality and social
conflicts) are still somehow out of the focus of the psychiatry
globalisation and the Global Mental Health movement fields.
Also, the suffering related to mental health have been marginally
studied within the social sciences scope. Finally, epistemological
and political questions have been hardly considered in the main
calls for action and research in these fields (1, 2).
The outcome of these internal deliberations, was the desire to
emphasize the complexity of Latin America in the mental health
debate and extend & enrich the conversation among research-
ers of the topic. And so, the PLASMA group 1st
International
Workshop: “Mapping new voices. Towards a Latin American
perspective in Global Mental Health” was held at the Maison
de Sciences de l’Homme in Paris on the 26-27 of June 2017.
The presentations in both days of the workshop brought out
the value of local experiences and epistemologies on mental
health, according to their different historical, political, cultural
and economic backgrounds, revealing the existence of common
elements at the level of policy and practice despite the marked
differences of the region.
Taking into account that inequality, instability and vulnerability are
engrained in the contemporary Latin America context and shape the
day-to-daylifeofitsindividuals,wecanexpectthatthe‘mentalhealth’
field will also be the political locus of new concerns and demands. In
response to this, a 2nd
International Workshop is being organized by
the PLASMA group, entitled “Cartographies of Suffering and Mental
Health in Latin America. A Century of the ‘Social Question’”.
It will be held on 5-6th
October 2018 in London, UK, with the sup-
port of diverse institutions and individuals as: the Center for Global
Mental Health, London School of Hygiene and Tropical Medicine,
King’sCollegeLondon,theMillenniumInstituteforResearchinDe-
pression and Personality (MIDAP), the Economic & Social Research
Council (E.S.R.C) and the London Interdisciplinary Social Science
Doctoral Training Partnership (LISS DTP). This workshop aims to
map and study the boundaries between social suffering and mental
health from a historical, sociocultural and political perspective.
We expect that this discussion will contribute to the develop-
ment of an integrated view on the region’s challenges in the field
of mental health.
The current Call for Papers has been extended until May 15th
2018.
Detailedinstructionstosendyourabstractforreviewcanbefoundin:
https://blogplasma.wordpress.com/workshop-2018/. Attendance to
this event is free, upon registration: https://www.eventbrite.co.uk/e/
cartographies-of-suffering-and-mental-health-in-latin-america-tick-
ets-44573059220
We expect to see you there!
*PLASMA members: Gabriel Abarca, Sofía Bowen and Norha
Vera (King’s College London), Elaine C. Flores (London School of
Hygiene and Tropical Medicine), Álvaro Jiménez (Millennium In-
stitute for Research in Depression and Personality), Cristián Mon-
tenegro (London School of Economics and Political Science), Clau-
dio Maino (Université Paris Descartes), Felipe Szabzon (École des
Hautes Études en Sciences Sociales).
PLASMA Workshop
ElaineFlores,MD
London School of Hygiene and Tropical Medicine,
London,UnitedKingdom
REFERENCES
1. Lancet T. Global Mental Health 2007 UK2007 [cited 2018
01May2018]. Available from: https://www.thelancet.com/series/
global-mental-health.
2. Saxena S, Funk M, Chisholm D. World Health Assembly adopts
Comprehensive Mental Health Action Plan 2013&#x2013;2020.
The Lancet. 2013;381(9882):1970-1.
Elaine Flores

11. GLOBAL MENTAL HEALTH & PSYCHIATRY NEWSLETTER of the Career, Leadership and Mentorship, Washington Psychiatric Society 11
EUROPE
Professor Gabriel Ivbijaro, MBE
United Kingdom
Universal Health And Mental Health For
All – Connecting People And Sharing
Perspectives, Valletta Malta
12th – 14th December 2018 http://www.uhmhcongress2018.net
Dear Friends and colleagues
Please come to join us in Malta to ensure that mental health is not
forgotten in Universal Health Coverage.
It is my great pleasure to write to you as the Joint President of this
International Congress that takes place in Malta from 12th
– 14th
De-
cember 2018. We have brought together a collaboration of partners
including individuals and institutions that focus on health including
the World Organization of Family Doctors, the World Association
of Social Psychiatry, the World Dignity Project the World Psychiatric
Association, leading mental health NGO’s and a variety of interna-
tional experts in the field. Some of our key speakers include David
Goldberg, Shekhar Saxena, Michelle Riba, Chris Dowrick, Helen
Herrman, Claire Brooks, Amanda Howe, Afzal Javed, Eliot Sorel, Al-
berto Trimboli, Dan Chisholm, Tarun Dua, John Oldham, Jean-Luc
Roelandt, Rahn Bailey, Pierre Thomas just to mention a few.
Why Universal Health and Mental Health for All?
The United Nations has reaffirmed the right of every human being
to the enjoyment of the highest attainable standard of physical and
mental health without distinction as to race, religion, political belief,
economic or social condition, and to the full range of factors that sup-
port well-being.
Attaining this goal requires social integration and mental health
access to all.
Mental health stigma and discrimination continues to be a barrier to
access to good health for many people with a mental health condition
because they do not have access to effective, evidence based health
care. Public attitudes to people with mental health conditions are of-
ten negative. This affects how people engage with health care services
and contributes to poor outcomes resulting from poor engagement
with physical and mental health care interventions, delayed physical
and mental health diagnosis and poor ongoing engagement with lon-
ger term treatment interventions.
For many people with long-term physical health conditions co-mor-
bid mental ill health is becoming increasing common. In order to ob-
tain the best outcomes in long-term physical health conditions there
is a need to address the mental health co-morbidity using a range of
interventions including addressing the wider determinants of health.
Thiscongressbuildsonthesuccessofour2015InternationalCongress
in Lille ‘Mental Health for All – Connecting People and Sharing Ex-
perience’ and endorses the values of the United Nations Declaration
about Universal Health Coverage. It will bring together stakeholders
with an interest in health, mental health, wellbeing and social care.
Please come to showcase your work and also spread the news.
Click on this link http://www.uhmhcongress2018.net/abstracts.
html to submit your abstracts.
Please help us to publicise this congress using the details below:
• htps://www.facebook.com/UHMHCongress2018/
• https://twitter.com/UHMHCongress18
• https://www.instagram.com/uhmhcongress18/
Feel free to use the congress logo
Professor Gabriel Ivbijaro MBE
Congress Joint Chair
MBBS, FRCGP, FWACPsych, MMedSci, MA, IDFAPA
Medical Director, The Wood Street Medical Centre, 6 Linford Road,
London E17 3LA UK
Professor, NOVA University, Lisbon Portugal
Chair, The World Dignity Project
Past President World Federation for Mental Health (WFMH)
REFERENCES
1. G. Ivbijaro (Ed). Companion to Primary Care Mental Health. Rad-
cliffe Publishing, 2012 (ISBN: 13: 978 184619 9769)
2. Ivbijaro G, Patel V, Chisholm D, Goldberg D, Khoja TAM, Ed-
wards TM, Enum Y, Kolkiewicz LA (2015). Informing mental
health policies and services in the EMR: cost-effective deploy-
ment of human resources to deliver integrated community based
care. WHO Eastern Mediterranean Health Journal (supplement).
21(7): 486-492
Gabriel Ivbijaro

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SAVE THE DATE: www.perinatal2018international.org June 27-30, 2018 Sinaia, Romania
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ATE: www.perinatal2018international.org June 27-30, 2018 Sinaia, Romania
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