Mental illness accounts directly for 14% of the global burden of disease and significantly more indirectly, and recent reports recognise the need to expand and improve mental health delivery on a global basis, especially in low and middle income countries. This text defines an approach to mental healthcare focused on the provision of evidence-based, cost-effective treatments, founded on the principles of sharing the best information about common problems and achieving international equity in coverage, options and outcomes. The coverage spans a diverse range of topics and defines five priority areas for the field. These embrace the domains of global advocacy, systems of development, research progress, capacity building, and monitoring. The book concludes by defining the steps to achieving equality of care globally. This is essential reading for policy makers, administrators, economists and mental health care professionals, and those from the allied professions of sociology, anthropology, international politics and foreign policy.
Samuel O. Okpaku is Executive Director of the Center for Health, Culture and Society, Nashville, USA.
Preface; Introduction; Part I. History and Background to Global Mental Health: 1. History of global mental health; 2. Burden of illness; 3. Trends and gaps in mental health disparities; 4. Global health and mental health as diplomacy; 5. Global mental health and the United Nations; Part II. Advocacy and Reduction of Stigma: 6. Voice of user survivor; 7. Lecture on internalized stigma; 8. Definition and process of stigma; 9. Stigmatization and exclusion; 10. Grassroots mental health movements; 11. The rise of consumerism and local advocacy; 12. Programs to reduce stigma in HIV/AIDS, mental illness and epilepsy; Part III. Systems of Development: 13. The challenges of human resources in low and middle income countries; 14. Integration of mental health services in primary care settings; 15. Collaboration between traditional and Western practitioners; 16. Setting up an integrated mental health system; Part IV. Systems of Development for Special Populations: 17. Poverty and perinatal morbidity as risk factors for mental illness; 18. Maternal mental health care: refining the components in a South African setting; 19. Screening for developmental disabilities in epidemiologic studies in low and middle income countries; 20. Child services; 21. Child abuse as a global mental health problem; 22. Child soldiers; 23. Mental health and intellectual disability: implications for global mental health; 24. Adolescent alcohol and substance abuse; 25. Developing intervention in low resource contexts; Part V. Gender and Equality: 26. Strategies to reduce women's mental illness and increase attention to women's mental health; 27. Violence against women; 28. Women and global mental health: vulnerability and empowerment; 29. Trafficking in persons; Part VI. Human Resources and Capacity Building: 30. Capacity building; 31. Use of allied professionals; 32. Mental health and illness in conflict areas; 33. Implications of disasters for global mental health; 34. International response to natural and manmade disasters; 35. Global health governance and international law, and mental health; 36. The role of NGOs; 37. Mental health, mass communication and media; Part VII. Suicide and Violence: 38. Suicide and depression; 39. Violence as a public health problem; 40. Setting up integrated mental health systems: the case of Cuba; 41. The war on drugs - the US, Mexico and Central American countries and Plan Colombia and Merida; Part VIII. Research and Monitoring Progress of Countries: 42. Medical education and global mental health; 43. Research priorities for mental health in low and middle income countries (LMIC); 44. Research infrastructure; 45. Monitoring progress of countries; Epilogue; Index.
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