Effective and humane care for all with mental, neurological,

Slides:



Advertisements
Similar presentations
DISABLING BARRIERS – BREAK TO INCLUDE WORLD REPORT ON DISABILITY.
Advertisements

Asia Maselko and Kristen Shirey 01 October
Salford Primary Care Trust – your leader for health IN Salford Salford Primary Care Trust 5-year Strategic Plan 2009 – 2014 Briefing to the Salford Strategic.
Exploring Alcohol Use, Gender- based Violence and HIV/AIDS: Can Community Mental Health Care Address Alcohol, Gender-based Violence and HIV/AIDS ? Atalay.
MENTAL HEALTH in Bristol. The economic case  Mental illness is the largest single burden of disease in the UK, with direct and indirect costs estimated.
Mental Well-being and Disability: Toward Accessible and Inclusive Sustainable Development Goals Harry Minas Head, Global and Cultural Mental Health Unit.
WHO GLOBAL ALCOHOL STRATEGY
Dr Pamela Smith – Fall  Definition = development of resources necessary to provide mental health care within a given setting or community  Function.
Mental Health Care: International Perspective Afzal Javed President World Association for Psychosocial Rehabilitation
Epilepsy in Europe 26th of August Dr. Mat Muijen -Regional Adviser Mental Health.
Overview of Mental Health Worldwide Pamela Smith, MD Fall
Mental Health Services and Long Term Care
WHO views on and commitments towards epilepsy Tarun Dua.
Our Plans for 2015/16 We want to make sure that people in our area are able to live long and healthy lives, both now and in the future, and our plans set.
DISABLING BARRIERS – BREAK TO INCLUDE WORLD REPORT ON DISABILITY.
Global Alliance against Chronic Respiratory Diseases GARD/NCD Action Plan & 2011 UN Summit on NCDs Niels H. Chavannes MD PhD Associate.
Epilepsy and WHO | 17 Oct |1 | WHO's six-point agenda The overarching health needs 1.Promoting development 2.Fostering health security The strategic.
Week one. Global Mental Health  Vikram Patel Clip: Video Clip: Mental Health for All, By All URL: AKrBk.
WHO/OMS Improving and increasing investments in the health outcomes of the poor Macroeconomics and Health in context Dr. Sergio Spinaci, WHO Senegal, February.
XVII INTERNATIONAL AIDS CONFERENCE PANCAP Satellite Meeting Hon Douglas Slater, Minister of Health, St. Vincent and the Grenadines.
Mental Health, Well-being & Disability A New Priority in SDGs Takashi Izutsu, Ph.D. The University of Tokyo.
VIET NAM COUNTRY OFFICE The Sustainable Development Goals (SDGs) From the MDGs to the SDGs.
WHO activities related to WHA58.26 | 11. August |1 | WHA resolution on alcohol (2005): background and follow up activities by the WHO Secretariat.
Mental Health Care in Nepal: Current Situation and Challenges for Development of a District Mental Health Care Plan Nagendra P Luitel Transcultural Psychosocial.
The Bank’s Regional HIV/AIDS Strategies An Overview.
World Mental Health Day, |1 | Invest in Mental Health Mental Health Gap Action Programme Scaling up care for mental, neurological and substance.
ICIUM Working Together for Mental Health: the Nouadhibou Pilot Experience D. Gérard, A. Ould Hamady, R. Sebbag, F. Bompart ICIUM 2011, Antalya,
World Health Day Objectives Increase awareness about the rise in diabetes, and its staggering burden and consequences, in particular in low- and.
Bedford Borough Health and Wellbeing Development Event for Key Stakeholders 11 July 2012 Professor Patrick Geoghegan OBE Chief Executive.
Nick Banatvala & Pascal Bovet
19th Asia Pacific Regional Conference of ADI
San Diego County Suicide Prevention Council (SPC) Working Together to End Suicide OCTOBER
Operational Plan 2017/18 and 2018/19
Components of a National Action Plan Ala Alwan Assistant Director-General World Health Organization 1.
INCEPTION Beginning Present Outlook
World Health Organization
Outlines towards National NCDs Prevention and Control Strategy
Call for Action & International Initiative
Global and national approaches to reducing the harmful use of alcohol
National and local context
Strengthening the Focus of Municipal HIV Responses on Key Populations
How does teamwork improve value. Dr Nils E
GARD/NCD Action Plan & 2011 UN Summit on NCDs
MENTAL HEALTH and SUBSTANCE MISUSE
Gary Mendell, Founder and CEO
DR MARWA EL MISSIRY A.PROFESSOR OF PSYCHIATRY AIN SHAMS UNIVERSITY
Contribution to closing the financial gap:
Sheffield Mental Health Strategy
Scotland – Mental Health data and metrics
GENDER BASED VIOLENCE PROGRAMME SPECIALIST
Worldwide, one in 120 children are born with a congenital heart defect, and 90 percent of these children live where there is inadequate medical care. Children’s.
European Strategy for the Prevention and Control of Noncommunicable Diseases & Strategies for Promotion of Healthy Lifestyles St Petersburg. Russian Federation.
‘Up close and personal’: working together to enable personalised support Becki Hemming Mental Health Programme, NHS England.
Targeting the intolerable
Nuzhat Ali, National Lead MSK Health
Mental Health and Psychosocial Health Programs
Worldwide, one in 120 children are born with a congenital heart defect, and 90 percent of these children live where there is inadequate medical care. Children’s.
January 2019 ROSC Seminar.
IMPROVING SCOTLAND’S HEALTH Rights, Respect and Recovery
Operational Plan 2017/18 and 2018/19
The STOP TB Strategy – 2009 VISION: A TB-free world
How will the NHS Long Term Plan work in our community?
Mental Health & Well Being
A Time of Commitments and Actions to accelerate action to End TB
Dr Ruitai Shao Programme Management Adviser
Certified Community Behavioral Health Clinic
Ingredients of a Sustainable healthcare SYSTEM– the Cayman islands experience Lizzette Yearwood.
Targeting the intolerable
How are programmes specifically designed using collected data?
Global Mental Health and mhGAP Paul Myres, Chair Dolen Cymru
Presentation transcript:

Effective and humane care for all with mental, neurological, mhGAP MENTAL HEALTH GAP ACTION PROGRAMME SCALING UP CARE FOR MENTAL, NEUROLOGICAL, AND SUBSTANCE USE DISORDERS VISION Effective and humane care for all with mental, neurological, and substance use disorders. GOAL Closing the GAP between what is urgently needed and what is currently available to reduce the burden of mental, neurological, and substance use disorders worldwide by: Reinforcing the commitment of stakeholders to increase the allocation of financial and human resources; and Achieving higher coverage of key interventions especially in countries with low and lower middle incomes.

THE PROGRAMME Tackle priority conditions: depression, schizophrenia and other psychotic disorders, suicide, epilepsy, dementia, disorders due to use of alcohol and illicit drugs and mental disorders in children. Develop and implement an essential mental health package to improve service delivery and reduce inequity. Target countries for intensified support i.e. low- and lower middle-income countries with the maximum burden and a large resource gap. Identify and roll out a strategy to scale up care.

FACTS Mental, neurological, and substance use disorders are common in all regions of the world, affecting every community and age group across all income categories. 14% of the global burden of disease is attributable to mental, neurological, and substance use disorders. Depression is the fourth leading cause of disease burden globally and is projected to be the second leading cause in 2030. Epilepsy affects about 50 million people worldwide – 80% of whom live in low-income countries. Worldwide, suicide is the third leading cause of death in young people.

FACTS Harmful use of alcohol is the fifth leading risk factor for premature death and disability in the world. More than 75% of patients with mental, neurological, and substance use disorders in many low-income countries do not have access to treatment. The associated stigma and violations of human rights hasten the decline into poverty and hinder care and rehabilitation. Most countries allocate a small fraction of the resources that are needed to be able to adequately respond to mental, neurological, and substance use disorders. One in three countries does not have a specific budget for mental health.

TREATMENT IS FEASIBLE Non-specialist health providers can deliver mental health interventions. In low-income countries, scaling up a package of essential interventions for three mental disorders –schizophrenia, bipolar disorder and depression- and for one risk factor – hazardous alcohol use- requires an additional investment as low as $0.20 per person per year.

PROVIDING EFFECTIVE AND AFFORDABLE TREATMENTS THROUGH PRIMARY CARE Depression can be treated effectively in all countries with low-cost antidepressants and psychological interventions. It is effective and feasible to treat people with epilepsy using inexpensive antiepileptic medicines at primary care level. Community-based models of care together with first-generation antipsychotic drugs for schizophrenia are effective, locally feasible, and affordable. Brief interventions delivered by primary care workers are effective in reducing hazardous alcohol use. Community-based rehabilitation provides low-cost, integrative care of children and adults with chronic mental disabilities. Mental health interventions and psychosocial support need to be available during and after emergencies.

SCALING UP STRATEGY FOR COUNTRY ACTION ASSESSMENT OF NEEDS AND RESOURCES SUPPORTIVE POLICY ENVIRONMENT POLITICAL COMMITMENT SCALING UP STRATEGY DEVELOP THE INTERVENTION PACKAGE ESTABLISH A PLAN FOR MONITORING AND EVALUATION DELIVERING THE INTERVENTION PACKAGE STRENGTHEN HUMAN RESOURCES MOBILIZE FINANCIAL RESOURCES REDUCTION OF TREATMENT GAP

WHAT RESULTS ARE EXPECTED? A comprehensive and result-oriented programme for mental health implemented in targeted countries. Greater investment in care for mental, neurological, and substance use disorders. Increase in the proportion of expenditure on community-based services. Increase in the proportion of primary health facilities that have trained health professionals for diagnosis and treatment of mental, neurological, and substance use disorders. Enhanced implementation of human rights standards in care facilities for mental, neurological, and substance use disorders. Greater coverage of services of MNS disorders with essential interventions.

THE WAY FORWARD The essence of mhGAP is to build innovative partnerships and alliances; to reinforce commitments with existing partners; and to attract and energize new partners. Scaling up MH is a process that engages many contributors of government ministries, health professionals, nongovernmental organizations and donors in the international community but also civil society, communities10 and families. The goal of WHO is to ensure that mental health is integrated into health care systems across the globe. THE TIME TO ACT IS NOW!

Mental Health Budget

Prevalence / Treatment Gap Disorder Average prevalence Previous year (x100 adult population) Treatment gap (%) Non-affective Psychosis 1,0 37,4 Major Depression 4,9 58,9 Dysthimia 1,7 58,8 Bipolar Disorder 0,8 64,0 Generalized Anxiety Disorder 3,4 63,1 Panic Disorder 52,9 Obsessive Compulsive Disorder 1,4 59,9 Alcohol Abuse or Dependency 5,7 71,4

Psychiatrists per 100,000 population Region Median Number per 100.000 population Africa 0.04 America 2.00 Europe 9.80 World 1.20

THE SECRETARY - GENERAL MESSAGE ON WORLD MENTAL HEALTH DAY 10 October 2008 More broadly, we must do more to integrate mental health awareness into all aspects of health and social policy, health-system planning, and primary and secondary general health care. Mental health is important for personal well-being, family relationships and an individual’s ability to contribute to society. On this World Mental Health Day, let us recognize that there can be no health without mental health.

Working for the right of health in the Americas! Gracias Thanks! Working for the right of health in the Americas! Gracias Merci Obrigada Thanks