Considering context: lessons from global mental health

Objective: The development of international mental health has been characterised by the globalisation of Western psychiatric nosology that is arguably ill-suited to developing countries. This piece highlights the limitations of our current classification systems and explores how we may seek to overcome these limitations by considering the context in which symptoms present. Conclusion: In developing a global model of psychiatric illnesses, it is important to emphasise contextual value judgements. Doing so welcomes integration of traditional models of care and encourages partnership across nations.

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Global psychiatry

Shorter Oxford Textbook of Psychiatry ◽

10.1093/med/9780198747437.003.0023 ◽

2017 ◽

pp. 674-680

Author(s):

Paul Harrison ◽

Philip Cowen ◽

Tom Burns ◽

Mina Fazel

Keyword(s):

Mental Health ◽

Health Care ◽

Health Workers ◽

Global Mental Health ◽

Scale Up ◽

Mental Health Workers ◽

Middle Income ◽

Humanitarian Emergencies ◽

Psychiatric Illnesses ◽

Aids Pandemic

‘Global psychiatry’ discusses the global mental health movement. Across the globe, and especially in low- and middle-income settings, there is a high prevalence of untreated psychiatric illness. In lower resourced settings there is often the need to address the added influence of poverty. The chapter discusses the question of how to scale up services and models, including using lay mental health workers and also integration of mental health care into primary health care settings to better meet the needs of those suffering from psychiatric illnesses across the globe. Four areas are discussed in more detail—the HIV/AIDS pandemic, perinatal mental illness, child and adolescent mental health, and humanitarian emergencies.

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Global mental health and psychiatric nosology: DSM-5, ICD-11, and RDoC

Brazilian Journal of Psychiatry ◽

10.1590/1516-4446-2018-4101 ◽

2019 ◽

Vol 41 (1) ◽

pp. 3-4 ◽

Cited By ~ 4

Author(s):

Dan J. Stein ◽

Geoffrey M. Reed

Keyword(s):

Mental Health ◽

Global Mental Health ◽

Psychiatric Nosology ◽

Dsm 5

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AN ASSESSMENT OF THE STIGMATIZATION OF SCHOOL COUNSELING SERVICES IN DEVELOPING COUNTRIES

Journal of Global Engagement and Transformation ◽

10.52553/10001e ◽

2017 ◽

Vol 1 (1) ◽

Author(s):

Yvonne Larrier ◽

Valerie Ratner

Keyword(s):

Mental Health ◽

Developing Countries ◽

Mental Health Services ◽

Health Services ◽

School Counseling ◽

Mental Health Problems ◽

Global Mental Health ◽

Counseling Services ◽

Counseling Training ◽

Training Resources

Developing countries are a primary focus in evaluating global mental health. The field of school counseling has the potential to act as the bridge between mental health needs and the delivery of evidence-based support. Research efforts to evaluate the underdevelopment and underutilization of mental health services in developing countries may assist in reducing stigmatization of counseling services, and subsequently promote the advocacy of culturally specific needs (Raney & Çinarbas, 2005). Stigmatization of mental health services is proposed as a hindrance in the development of school counseling programs. Researchers aim to decrease stigma in both community and school settings in the advocacy of students in developing countries. Efforts to investigate societal beliefs and stigmatization include analysis of general community, administrative, and teacher perspectives (Stockton & Güneri, 2011; Ibeziako, Omigbodun, & Bella, 2008). Ibeziako et al. (2008) argues that “despite evidence on the prevalence of child mental health problems and disorders in developing societies, there has been limited research on how these problems are perceived…”. The literature review at hand aims to provide an assessment of research on perceptions of mental health in developing countries in relation to school counseling services. The research collected places emphasis in analysis of developing countries’ counseling training resources, school counseling identity, perception of mental health issues, and implications in culturally-sensitive counseling development.

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