Gratitude for Health

With Thanksgiving just around the corner, there will inevitably be a lot of talk about thankfulness and appreciation of life and all they have to offer. Aside from the goodness of gratitude on a personal, social, and at times economic level, rarely do we talk about the healing power of #gratitude. This Thanksgiving and each day forward, let’s focus on thankfulness and gratitude as a tool we can use to help each of us feel better from the inside out.

Living in a world where individuals across cultures are mired with stress from every direction, the very idea of existing with a sound mind and body is fast becoming a distant dream for many. In fact, an estimated 90 percent of all doctor visits are for stress-related aliments and today’s biggest health challenges are cardiovascular disease, mental disorders, cancer, diabetes, and obesity — all conditions that are often linked to living in a state of constant stress (Yakel, 2014).

However, evidence now shows that if we lived each day as though it were Thanksgiving, then, the major causes of stress and imbalance in life would not be allowed to spiral out of our control. Actually, the idea of ‘practicing gratitude’ is gaining traction in the world as an effective means to tackle stress and its negative effects like #depression, #anxiety and others. “Changing worry to gratitude dramatically affects the way our body responds to stress,”Yakel discusses, drawing on a recent research finding.

To further quote Yakel’s article, The Healing Power of Gratitude, he states,Robert Emmons, Ph.D., and professor at the University of California, Davis, has written the first major scientific study on gratitude, its causes, and potential impact on human health. In his work entitled Thanks! How the New Science of Gratitude Can Make You Happier, Dr. Emmons concluded that ‘grateful people experience higher levels of positive emotions such as joy, enthusiasm, love, happiness, and optimism, and the practice of gratitude as a discipline protects a person from the destructive impulses of envy, resentment, greed, and bitterness’.”

Gratitude-Schools for Hope Program

Students list what they are grateful for on classroom whiteboard as part of Schools for Hope curriculum.

Undoubtedly, an ability to morph worry and despair into gratitude will breed #hope as well. Many articles which hone in on the power of gratitude in healing, inform us that focusing on what one has, as opposed to what one doesn’t have, is the key to gratitude. This may indeed also be the key to planting seeds of hope;  in essence, it requires one to be able to place focus on the positive over the negative.  One of the tools we teach in our Schools for Hope program is the importance of gratitude and how it aids in our mental health.  Here are some helpful suggestions and ways a person may develop and express gratitude.

  • Writing in a gratitude journal
  • Thanking at least one person a day
  • Spending one minute a day thinking about and/or listing all of the things in life for which you are thankful.

Of course, each person will have their own way of understanding and practicing gratitude, but it is central to remember that it does have the power to heal and if we can be grateful, then we’re likely to be happier, which means we will naturally be healthier as well. As such, the relevance of gratitude then in cases of #depression and #anxiety also cannot be overlooked. The way in which to addresses these illnesses too is rooted in the perpetuation of a sense of positive energy and #hopefulness. So this Thanksgiving, let’s not just #givethanks, but accept and internalize the healing power of gratitude!

 

A new blog by Bidushi Dhungel 

10 years of #GrandChallenges, #innovativesolutions and its significance for #globalmentalhealth

Last week, from the 6th to the 10th of October, I got the opportunity to attend the #GrandChallenges in #globalhealth annual meeting in Seattle. This year’s anniversary event, attended by over 1000 scientists and researchers, celebrated a decade of progress since the Bill and Melinda Gates Foundation launched the initiative in 2003. It was exciting to be part of this celebration, especially because, for a change, #mentalhealth was on the agenda—albeit still woefully on the fringe.

 

Coinciding with the 10th anniversary of #GrandChallenges, a group of international partners announced three new initiatives aimed at creating breakthroughs in science and #innovativesolutions. A consortium of partners including Brazil, Canada, India, Norway, South Africa, the United Kingdom and the United States will fund a new phase of Grand Challenge initiatives. The three new initiatives announced in Seattle are: 1. All Children Thriving, 2. Putting Women and Girls at the Centre of Development, and 3. Creating New Interventions for Global Health.

 

In 2002, when Bill Gates first heard about the Grand Challenges in Mathematics to solve complex global issues on mathematics, it sparked something in him to apply the notion of #GrandChallenges to Global Health, with the aim to bring together the world’s most talented scientists and researchers to find solutions to serious health problems in developing countries — ranging from HIV/AIDS, tuberculosis, malaria, and neuroscience to maternal and child health. The use of science and technology to #innovatesolutions to the global health crisis has remained at the heart of #GrandChallenges since then. In the span of a decade, the #GrandChallengesmovement is evolving into a leading global platform fostering innovation to solve key global health and development agendas.

 

The announcement of the new initiative “Putting Women and girls at the Center of Development” by Melinda Gates is evidence that the goals of the #GrandChallenges have transformed over a decade. Addressing the Grand Challenges meeting, Melinda said, “Development needs to be more serious about gender inequities and women’s empowerment. By ignoring gender inequities, many development projects fail to achieve their objective. And when development organizations do not focus on women’s empowerment, they neglect the fact that empowered women have the potential to transform their societies”. According to Gates, if we really want to transform societies, there is no other alternative to women empowerment. This got me thinking about mental health and its role in global development.

 

Before going to take part in this grand consortium, I was pretty confident that mental health was going to feature predominantly, as a signal that change was in the air, and in the same way that women and girls were being brought to the centre, so would mental health. I envisioned a consortium where mental health was a leading public health and development challenge for the world’s best minds to recognize and work hard to solve this challenge in tandem with other health and development issues. However, the reality was quite the opposite. In fact, the ignorance of mental health in the #GrandChallenges consortium undermines its own central mission, which is to improve lives and spread #hope in developing countries. The reality is that mental illness kills more people globally than heart disease. Suicide is a leading cause of death among women of a reproductive age in the developing world. The World Health Organisation has already established that one-third of the global population suffers from a mental health problem. But even as this is the case, it is puzzling to see mental health not included as a “grand challenge” in health.

 

It would, nonetheless, be unjust to claim that all partners of the Grand Challenges have overlooked this global challenge. The Global Mental Health initiative of Grand Challenges Canada has continuously championed the issue on the international platform as a #lonelywarrior. While announcing the new Grand Challenges Canada initiatives at the #Grand Challenge meeting, the Chief Executive Officer of the GCC, Peter A. Singer reaffirmed its commitment to continue support to find #innovativesolutions in #globalmentalhealth. The growing #globalmentalhealth scientific and civil society community cheered Dr. Singer’s announcement. While it is already urgently necessary for #globalmentalhealth to be recognized as a priority development agenda across the #grandchallenges consortium, there is #hope that the coming years will bear good news. In the same way that the role of women and girls has slowly been recognized as a core issue in development, I am sure that sometime in the not-to-distant future, we will be hearing Melinda Gates talking about the core role that mental health plays in global development as well.

Bill & Melinda

A new article written by:  Jagannath Lamichhane

 

 

 

Community care in mental health

#communitycare

#communitymentalhealth

#globalinnovations2014

If ever there was a need for innovation in mental health, it is now. Perhaps that is why we see growing global commitment to develop, evaluate, and scale up promotion, prevention and treatment innovations for mental disorders around the world. Under that premise, the idea of #communitycare in mental health is also gaining momentum. After centuries of the institutionalization of those who suffer from mental health problems, #communitycare in mental health is a refreshing change in the right direction, based on the notion that mental health problems can be dealt with at the community level. In fact, in many ways, the work that iFred does, with projects such as Schools for Hope and Fields for Hope, are also based on the fundamental belief of #communitycare in mental health.

MH innovation

A few months ago, at the London School of Hygiene and Tropical Medicine with support from the Grand Challenge Canada, the Mental Health Innovation Network was created comprising of a global community of mental health innovators: researchers, practitioners, policy-makers, service user advocates. The central aim of this network is to share innovative resources and ideas to promote mental health and improve the lives of people with mental, neurological and substance use disorders. Fundamentally, the network promotes the idea of #communitycare interventions by enabling learning, building partnerships, synthesizing and disseminating knowledge and crucially, by leveraging resources. There are other major initiatives as well like Grand Challenges in Global Mental Health, the World Innovation Summit on Health 2013 (WISH) and the Movement for Global Mental Health which champion the idea of the #communitycare model of intervention.

In February this year, an article appeared in the New England Journal of Medicine, called Transforming Lives, Enhancing Communities – Innovations in Global Mental Health, which highlights not only the need for innovation in global mental health at the community level, but the potential that exists for #collaborativecare and #communitymentalhealth. The article highlights that “despite the robust evidence testifying to the effectiveness of a range of pharmacologic, psychological, and social interventions that can transform lives and enhance communities, the majority of the world’s population has no access to these interventions.” Further, the authors, Vikram Patel and Shekhar Saxena, show that the human rights abuses faced by those who suffer from mental health problems are the worst of modern times. Yet the resource allocation for global mental health remains staggeringly low.

They point to new and innovative measures to tackle the global mental health crisis, in which community care is at the heart of all interventions. In fact, through the Mental Health Innovation Network, these up and coming innovative interventions which can be scaled-up, are being chronicled and discussed and made available for public access. Among some of these innovative interventions, we see the appearance of prevention programs targeted toward youth such as iFred’s Schools for Hope program.

According to the authors of a report drafted (upon which the article is based) in the wake of the World Innovation Summit on Health, on mental health, “at the heart of these innovations lies the health care delivery model of integrated collaborative care. Collaborative care must incorporate an active role for patients and their families and must integrate mental health care with social and economic interventions.”

The authors go on to argue that such care models must focus on the detection and treatment of mental disorders as early in the course of life as possible, since most mental disorders begin before adulthood. They say that “mental health care should be delivered in diverse settings; indeed, most care would be expected to occur outside traditional specialist delivery venues — for instance, in schools, primary health care facilities, the workplace, and patients’ homes.” This is why the focus on #communitymentalhealth is so vital, and also a wonderful example of the importance of iFred’s work in implementing innovative measures to tackle what is a truly global crisis.

A new blog written by Bidushi Dhungel

Health and Hope Can Prevent Suicide

SuicidePrevention#stopsuicide #globalcrisis #hope #suicideprevention

Every 40 seconds, an individual life is lost to suicide. The World Health Organization (WHO) calls it a #globalcrisis and estimates that the global suicide figure reaches almost one million every year. In every corner of the world, the number of people taking their own life is increasing. It is a known fact that suicidal thoughts are usually linked to mental disorders and the feeling of helplessness. Experts say that the expression of hopelessness in conjunction with a mental disorder — such as depression — represents a very dangerous warning sign.

September is Suicide Prevention Month. We must continue to shed light on the importance of talking about this link between mental health, hopelessness and suicide; and develop and discuss innovative ways to #stopsuicide and #preventsuicide globally.

Fundamentally, hopelessness is a feeling that life’s conditions can’t improve and that there is simply no solution to a problem. For many, that means that dying by suicide would indeed be better than living. But the fact is that most people who feel hopeless have depression, and untreated depression is the number one cause for suicide. In fact, numerous studies have shown that feelings of hopelessness, in conjunction with a mental disorder, can lead to suicide.

At the University of Pennsylvania’s School of Medicine, two separate studies were conducted– one which tracked close to 200 psychiatric outpatients deemed to be at risk for suicide, and another which tracked about 168 hospitalized psychiatric patients deemed to be at risk for suicide – both found that significantly more suicides occurred in the group of individuals who exhibited the highest levels of hopelessness. Researcher Jager- Hyman stated, “To prevent suicides, therapists would benefit from directly targeting patients’ thoughts of hopelessness in clinical interventions.”

What is often left out of public access, and often even advocacy, is that there is indeed #hope and #suicideprevention is possible. In fact, effective treatment of mental disorders, most often depression, can eliminate or substantially reduce feelings of hopelessness, and as a result, reduce the occurrence of suicide. Depression is highly treatable and the vast majority of people who receive treatment get better.

And yet, suicide rates are increasing globally. This means that this #globalcrisis persists because we are failing to educate on treatment and instill hope in the lives of the millions of people who are lost each year to suicide. Not only are we failing to educate and ensure access to healthcare and treatment for various mental illnesses, but we are also failing in providing hope to the millions of people who feel isolated and alone—to the extent that they choose death over life.

If suicide is to be prevented, we need to address the treatment gap in mental health globally and also stress the importance of promoting mental health and well-being throughout life. It is known that global suicide rates are highest in people aged 70 years and above. But suicide also is amongst our youth. Suicide is already the second leading cause of death in 15 to 29 year-olds globally.

A study by Professor Vikram Patel at the London School of Hygiene and Tropical Medicine shows that by promoting access to health care services, mental health education and addressing the social determinants of mental disorders, up to 80 percent of mental illness and risk to suicidal factors can be addressed amongst those under 29 years of age. This percentage does not even account for the health interventions put into place later in life should serious mental illnesses develop. Therefore, the evidence supports we must care for mental health at every stage of life.

It is in this spirit that the WHO has published its most recent report entitled, “Preventing suicide: A global imperative”, in conjunction with this year’s International Suicide Prevention Day. The WHO report claims that suicide is largely preventable. WHO recommends that “countries involve a range of government departments in developing a comprehensive coordinated response. High-level commitment is needed not just within the health sector, but also within education, employment, social welfare and judicial departments”. In summary, a multi-sectoral approach which seeks to address the healthcare concerns linked to suicide, alongside a rigorous social intervention programme which seeks to #teachhope, is the best strategy for reducing the fast-growing rates of suicide globally.

The good news is that in the WHO Mental Health Action Plan 2013-2020, WHO Member States have committed themselves to work toward the global target of reducing suicide rate in countries by 10% by 2020. Putting in place a new global advocacy strategy that examines and seeks to address suicide as a systemic health and social crisis will indeed give our nations and people #hope.

A new blog written by Bidushi Dhungel

Take Global Action Today for World Suicide Prevention Day – #FundamentalSDG

No Health Without Mental Health

Photo Credit: MHaPP-UCT

The International Foundation for Research and Education on Depression (iFred) announces today, World Suicide Prevention Day, it joins to support the #FundaMentalSDG initiative to advocate adding clear, measurable mental health targets to the United Nations’ Post-2015 Sustainable Development Goals about to be negotiated by the UN member states following the UN High-level Stocktaking Event on the Post-2015 Development Agenda in New York on 11 – 12 September 2014. The initiative takes up on the Preventing Suicide, A Global Imperative report, which was publicly released by the World Health Organization (WHO) last week at a mental health leaders and advocates gathering in Geneva, Switzerland, just a year after the WHO launched implementation discussions of the Global Mental Health Action Plan adopted by the United Nations 66th assembly.  Ifred asks you to take action by joining the global movement at http://www.fundamentalsdg.org/act-now.html.

According to the report by WHO, suicide is preventable, mental health disorders are treatable, and yet because we don’t significantly address it we lose over 800,000 lives annually, it is the second leading cause of death globally for youth ages 15-29, and is estimated to cost the United States alone over 100 billion dollars every year. iFred invites other organizations to support #FundaMentalSDG to join in the effort, asking the United Nations to include a specific mental health target and two indicators in this critical post-millennium agenda.

FundaMentalSDG (www.fundamentalsdg.org) needs your help and is asking you to join in solidarity for mental health on an issue we all must support.  Mental health is not covered in the 2015 Post Millennium Development Goals, and as we all know there really can be no sustainable development unless we include mental health and its inclusion impacts all of our organizations work.  There is a very important meeting this week discussing these goals, so please act quickly and join in this unified global coalition to advocate positive change.

Below are action steps for your organization and please pass / share as the more voices, the better:

  1. Send a letter on your organization’s letterhead in support of this initiative to leaders in the United Nations by downloading the template here:  http://www.fundamentalsdg.org/act-now.html.
  2. Show your support on our website: http://www.fundamentalsdg.org/show-your-support.html and / or end an e-mail to fundamentalsdg@gmail.com letting us know your organization is on board.
  3. Like the Facebook page, share with friends and family at www.facebook.com/fundamentalsdg.
  4. Tweet: “We must include mental health in United Nations Post Millennium Development Goals.  There is no #health without #mentalhealth @FundamentalSDG @UN #FundaMentalSDG  (note – if on September 10th, add #WSPD).”
  5. Send out your own organization’s release declaring your support of the initiative.

Kathryn Goetzke, Founder of iFred, is a strong supporter and encourages others to get on board. “Suicide is preventable, and depression is treatable. iFred stands in solidarity with #FundaMentalSDG, in support of the 450 million around the world needing mental health treatment today. There is no sustainable development without both mental and physical health, so we ask the United Nations to recognize this, to add relevant language in the new post-millennium goals, and for other organizations around the world to join us and unite for this global movement for mental health”.

To support the initiative, visit www.fundamentalsdg.org/show-your-support and take action today.

For more information, see www.fundamentalsdg.org, www.facebook.com/fundamentalsdg, and twitter.com/FundaMentalSDG and be sure to use hashtag #FundaMentalSDG in communication efforts.

 

 

Bridging the Mental Health Treatment Gap Must Be a Global Priority

 

 equal_treatment_closing_the_gap

Every year, the World Health Organization (WHO) organizes the mhGAP Forum as part of its annual partnership event on mental health. The mhGAP Forum is an informal group of Member States, intergovernmental and nongovernmental organizations, including UN agencies, international development agencies, philanthropic foundations, research institutes, universities and WHO collaborating centres, for coordinated action on the implementation of mhGAP. The mhGap is WHO’s flagship publication aimed at scaling up care for mental, neurological and substance use disorders.

 

WHO’s first global report on suicide prevention will be launched at this year’s annual event. This report will be the first of its kind with in-depth information about the global scenario of suicide, groups at risk of suicide and the ways in which the number of deaths from suicide can be prevented by action from the individual and collective levels. Along with the report, this year’s event is examining the ways to communicate mental health issues effectively and global strategies to advocate the implementation of WHO’s Comprehensive Mental Health Action Plan 2013 to 2020 through partnership.

 

Suicide is a leading global public health issue. Around the world, in every 40 seconds, there is one death because of suicide. In the last 45 years suicide rates have increased by 60% worldwide. According to WHO, “Suicide is now among the three leading causes of death among those aged 15 to 44 (male and female). Suicide attempts are up to 20 times more frequent than completed suicides”. Globally each year approximately one million people die from suicide. Although suicide rates have traditionally been highest amongst elderly males, rates among young people have been increasing to such an extent that they are now the group at highest risk in a third of all countries.

 

Mental health disorders (particularly depression and substance abuse) are associated with more than 90% of all cases of suicide. Kathryn Goetzke, the founder of the International Foundation for Research and Education on Depression (iFred) says, “over 350 million people around the world have depression, a treatable disease, yet less than 50% of those with depression are currently receiving treatment”. Ms. Goetzke stresses the importance of this year’s WHO mhGAP forum as being critical to draw global attention to the urgency in bridging the mental health treatment gap. Her organization iFred works to #endstigma, to ensure all those needing treatment feel comfortable getting help. She says, “iFred also believes that by rebranding with a focus on hope, business and individuals are going to be more inspired to donate and fund solutions for this debilitating disease”. With the goal of rebranding depression, iFred has started global campaigning using hashtags like #sharehope #rebranddepression #endstigma.

 

 

According to WHO research, the mental health treatment gap is unacceptably high across the world ranging from 50% to 98%. In rich countries as well, 50% to 60% of people who are believed to be in need of support do not seek any kind of help for their problem. This is a global shame that world governments must give attention. Right to quality mental health services is a fundamental human right. In this context, much work lies ahead for us towards creating #innovative mental health services which will attract and build the trust of users.

 

I believe this mhGAP Forum will build some #hope in this direction. As a participant at the Forum, Ms. Goetzke says that “iFred is thrilled to be participating in this year’s event at the World Health Organization, as this year’s focus directly fits to our new Schools for Hope program. We are inspired by the amount of work occurring globally in mental health, and admire Dr. Shekhar Saxena and his team in creation of the Global Mental Health Action Plan and its implementation advocacy around the world”. She further adds, “we are looking forward to hearing more from the WHO Director General Dr. Margaret Chan who plans to speak at the event this year.”

 

Mental health services are highly stigmatized—regardless of whether the country or society is rich or poor. As a result, people are demonized, and alienated from the entire social process. This is a major factor that discourages people from seeking help. We must aim to overcome this barrier, through shared learning, and move toward bridging the shocking mental health treatment gap.

 

A new article written by Jagannath Lamichhane

 

 

Mental health is a worthwhile goal for United Nations Sustainable Development Agenda

 

no-health-without-mental-health

The post-2015 development goals will, as we know, set out the world’s development agenda for the foreseeable future—in the same way that the Millennium Development Goals provided a framework for global development over the past couple of decades. The United Nations is now preparing to choose its new set of sustainable development goals and the Global Mental Health community must work hard to ensure these goals include mental health.

Professors Vikram Patel and Graham Thornicroft have recently published an article in the British Medical Journal, which outlines why the case for including mental health in the UN’s new development agenda is a compelling one.

Indeed their case is compelling. When we think about it logically, it makes sense: poor mental health is a precursor to reduced resilience to conflict, they argue. In the midst of conflict, hope is a scarce resource and instead of teaching hope, “in the aftermath of war people with mental illness are often accorded the lowest priority”. If we think about the seemingly intractable global conflicts of today, from Syria and Iraq to the massacre in Gaza, the call to address mental health concerns as a priority development agenda, and as a result, rebrand mental illness and teach hope to thousands, is most pertinent.

Including mental health in the new global development agenda will also go a long way towards ending the paralyzing stigma associated with all kinds of mental illness. Not least, the most common mental disorders like depression and anxiety would be well on their way to receiving a more hopeful image globally, recognized as issues which affect us all personally and as communities, cities and countries.

Thornicroft and Patel in fact argue that if mental health is included in the new development agenda and mental health systems are globally improved, that would also “have a decisive role in making cities and human settlements inclusive, safe, resilient, and sustainable”. For addressing mental health concerns of an individual is not only beneficial to the person suffering, but when the problems associated with mental illness are given importance by society and a collective effort to address them is taken, it will inevitably create a sense of common belonging, hope, equality and indeed resilience among communities.

This would then also require addressing the income and economic inequalities faced by people who suffer from mental health problems. They have far lower rates of employment, but also, in times of economic recession, a population’s mental health is worse, argue the two professors. If we can thus promote a principle of ‘sustained, inclusive and sustainable economic growth, full and productive employment and decent work for all,” again this too would benefit wider society as a whole.

The narrative which is understood by these arguments is that mental health problems are a global issue that impacts not only those who suffer, but wider society and large populations of human settlements. It is thus, for our collective benefit that we make treatment available to people who are suffering and in turn spread the message of hope globally.

The reasons that we need to push for the inclusion of mental health in the global development agenda are of course many, and only a few have been mentioned here.  But what is important to remember is that the proliferation of mental health problems is the result of collective ignorance of these issues over a long period of time. When we can talk freely about depression, anxiety and other mental illnesses, we can find and develop ways to tackle these issues whether it’s through modern medicine, community-building or teaching hope to young people. What we do know is that the conversation can become truly global if we can secure mental health in the Post-2015 development agenda. The BMG editorial rightly highlights that mental health is a worthwhile goal for sustainable development.

A new article written by Bidushi Dhungel

Young and Vulnerable: The biggest tragedy regarding youth mental illness is collective inaction

This year, United Nations International Youth Day (IYD), on August 12, has been designated to celebrate the importance of youth mental health with the slogan ‘Mental Health Matters’. This is an opportunity, particularly for low and middle-income countries, to highlight a vitally important—but utterly neglected—aspect of youth life. The neglect has occurred on many levels by both state and society. In a statement, UN Secretary-General Ban Ki-moon rightly highlighted the global urgency to address the stigma and discrimination of youth with mental health conditions.

For the majority of youth who suffer from mental illness, they are forced to live a life of rejection from friends, society and relatives. They are denied the status of ‘citizen’, social membership and basic human needs, robbing them of a dignified life. Around the world, mental illnesses play a significantly negative role in the development of hundreds of millions of youth and their social and economic inclusion and empowerment. In poor countries like Nepal, the young population with mental illness is in a particularly vulnerable position because of the lack of a public health approach in dealing with mental illness, the absence of basic support for their recovery from the state and the deeply entrenched stigma of their illness.

More at risk

Coinciding with the IYD 2014, the United Nations Division for Social Policy and Development, the Department of Economic and Social Affairs has published an insightful report, ‘Social Inclusion of Youth with Mental Health Conditions,’ targeting global actors involved in the field of youth empowerment. I would recommend that youth activists and development workers in Nepal and abroad read this report seriously.

While the young years of life are usually considered to be the most physically active, healthy and energetic of one’s life, this phase is also one when people are most susceptible to mental health problems. However, in many low and middle-income settings, the latter risk is entirely ignored. I do hope that the exposure the issue is getting this year will be instrumental in changing the outlook of mental health, particularly of youth mental health, across the globe.

Nearly one fifth of the global population is comprised of youth aged 14 to 24 years. Almost 90 percent of these live in low and middle-income countries. In a study carried out by Professor Vikram Patel and his team, it is estimated that approximately 20 percent of youth experience a mental health condition each year around the world. Because the youth years are a phase of emotional transition and a time to nurture and pursue childhood dreams, the pressure to study well, find jobs and opportunities is also high.

Drug use, emotional and learning difficulties and disappointment are common. In countries like Nepal, socio-economic disparities and practices of early marriage and strenuous labour can make the situation worse, leaving young people more at risk of experiencing mental health problems than anyone else. Many studies suggest that over 70 percent of mental disorders start before the age of 16. One in nine children attempt suicide before high school graduation and 40 percent of those are in grade school.This is clear evidence that mental health services must be developed to target young age groups.

Educating and collective action

OPRF School Planting, 2013

The prevention and promotion of mental health issues is the way to deal with the growth in mental health problems amongst the youth. Integrating mental health issues into school education is the most effective approach to prevent and promote mental well-being. With an ambition to institutionalise mental health education at the school level and teach hope from an early age, US-based entrepreneur Kathryn Goetzke and her team have just started a pioneering programme, Schools for Hope. This team strongly believes that we can teach our kids how to find pathways to hope, no matter what they experience and that ultimately, we can prevent suicide in youth and adulthood. If this programme is successful, it will be a revolutionary step forward in promoting and institutionalising emotional health and mental well-being.

The biggest tragedy regarding mental illness is collective inaction, which has perpetuated tremendous fear, uncertainty, helplessness, segregation, and hopelessness in the lives of those who suffer. Rather than the illness itself, a fear of social rejection and segregation leads almost a million people to commit suicide every year, with the majority of them young people. By promoting greater social inclusion and empowerment of youth living with mental illness in society, we can change this reality.

It is also vitally important to spread the message that effective services (both social and clinical) exist to manage all kinds of mental health problems. We need to build capacity and a knowledge base to address them. Now, we have to start demanding equitable investment for the mental well-being of the population by asking that the state make holistic mental health services available and accessible for all.

 A new article written by Jagannath Lamichhane

Lamichhane is global coordinator of the Movement for Global Mental Health

There is a strong need to transform the Movement for Global Mental Health into an inclusive movement

-Jagannath Lamichhane

Although some claim that The Movement for Global Mental Health (MGMH) is, essentially, the brainchild of the Western medical framework, a closer look at the work being done under the MGMH banner would prove contrary. I know that less powerful and low income countries and their citizenry are making important strides to define the problems and solutions related to mental health because of the work of the Movement.

against mental violence The MGMH is the first cross-continental effort to bring diverse expertise, resources and perspectives on to one platform with a common goal of addressing mental health both at the global and local level. Their representation of a global movement, rather than western brainchild, is particularly evident in the recent shift of the global secretariat of the movement from the West (Sydney, Australia) to New Delhi, India, as well as the transfer of the movement’s leadership from medical professionals to those with expertise in social and community based fields. These changes are working to accommodate the diverse concerns of civil society groups regarding the rights of the persons with psychosocial disability and mental health problems.

Contrary to traditional approaches of addressing mental health, in which ‘professionals’ thrust ‘treatment’ onto ‘patients’, the MGMH promotes the role of people with psychosocial disabilities and mental health problems as equal partners in every endeavor from the health care setting, to the community and in efforts to promote human rights, fighting stigma and discriminations. Also, the MGMH advocates greater human rights along with affordable and accessible mental health care for all by putting greater emphasis on the UN Convention on the Rights of Persons with Disabilities (CRPD).

The MGMH believes in building an international civil society that can speak out and stand for the cause, and mobilise direct actions in order to overcome mental health challenges ranging from stigma, inequitable health services, social discrimination and others. This international community looks like a consolidated effort among the various stakeholder and creative partnerships among stakeholders around the world.

There are already some effective examples of partnership in promoting human rights and mental health. For example, the EMPOWER project brought together civil society groups representing all kinds of professionals working in the fields of medicine, research and human rights and together they worked not only to generate a new knowledge, but have set an example to advocate mental health in low and middle-income countries.

Towards creating a leadership community across the globe, the movement offers training and short courses like the Leadership in Mental Health, which is an annual two-week leadership course in mental health for all kinds of people interested and affected by mental health issues. The tutors in the course range from activists to researchers and psychosocial disabilities.

However, the future of MGMH is not straightforward. The divide among the stakeholders in the mental health community — some of whom prioritize the human rights elements over the medical elements and vice versa — is the greatest obstacle to fulfilling the goals of the movement.

The tussle over where the emphasis needs to be within the mental health domain has been at the centre of this divide. In fact, there is a misconstrued understanding among some stakeholders– largely non-professional groups– that the MGMH is a banner through which the medical model of psychiatry and mental health is being promoted. On the other hand, many professional groups believe that the non-professional activists and their associated movements in the realm of mental health reject the very idea of the possibilities of modern medicine in addressing mental health concerns. Some individuals and opinion makers have even labeled the MGMH as a neo-colonial project.

But these polarized views are untrue to the genuine efforts and initiatives being made across the board — by professionals and activists, and civil society groups in the field. That’s why although the major barrier for the Movement is this divide among stakeholders, I believe that these initial days of the Movement’s efforts can in fact be used to create a sense of belonging among all of those concerned. We can also hammer out the differences –among professionals, activists, researchers and psychosocial disability community – in order to come to a consensus which would benefit the hundreds of thousands of people living with mental health problems and psychosocial disability globally today.

There is no doubt in my mind that all groups are working tirelessly to find sustainable ways through which the needs of one of the most vulnerable groups in the world can be met –medically, socially, politically and economically. While making an effort to find solution, it is urgent among stakeholders to understand each other’s work and promote respect for each other.

(With support from Bidushi Dhungel)

 

Hidden Pictures and the World Health Organization: A Journey to Uncover Global Stories of Mental Health

Hidden Pictures Film

Here is a video we are all about right now at iFred. It’s a summary of the film Hidden Pictures by filmmaker and physician Delaney Ruston. Ruston’s work highlights both the serious need for global mental health resources and the power our personal stories can have

iFred joined global leaders to support the World Health Organization in crafting the Mental Health Global Action Plan by in 2012, that was then adopted by the United Nations in 2013.  Countries around the world convened to discuss implementation of the action plan for Global Mental Health Day in October, 2013, and, with policy highlighted in Ruston’s film. Have you browsed the document yet? You can read an mhGAP summery here or the entire document here. on creating social change.

Watch the WHO and Ruston’s video here and tell us what you think:

Hidden Pictures