scholarly journals Global mental health and sustainable development 2018

2019 ◽  
Vol 16 (02) ◽  
pp. 34-37 ◽  
Author(s):  
Rachel Jenkins
Keyword(s):  
Mental Health ◽  
Sustainable Development ◽  
Global Mental Health ◽  
Scientific Understanding ◽  
Social Sector ◽  
Sector Reform ◽  
Recent Developments ◽  
History Of ◽  
Health Concepts ◽  
Health Programmes

The Lancet Commission summarises some of the history of mental health concepts, recent developments in scientific understanding, mental health programmes and threats to progress, and proposes a way forward. Although ostensibly aiming to reframe global mental health within the paradigm of sustainable development, in practice it has taken a narrower academic perspective rather than a generic approach to health and social sector reform, leading to much less of an integrated implementation focus than would have been useful.

scholarly journals Mental health legislation in Egypt

2012 ◽  
Vol 9 (3) ◽  
pp. 64-66 ◽  
Author(s):  
Nasser Loza ◽  
Mohamed El Nawawi
Keyword(s):  
Mental Health ◽  
Psychiatric Services ◽  
Code Of Practice ◽  
Mental Health Act ◽  
Mental Health Legislation ◽  
Recent Developments ◽  
History Of ◽  
Health Legislation

This paper first briefly reviews the history of psychiatric services in Egypt. It then details the legislation in place during the last years of the Mubarak regime and goes on to set out recent developments, in particular the Code of Practice introduced for the Mental Health Act of 2009.

Advocacy, Ethics, and Values in Mental Health

2014 ◽  
Author(s):  
Jakki Cowley
Keyword(s):  
Mental Health ◽  
Conflicts Of Interest ◽  
Information Support ◽  
England And Wales ◽  
Professional Obligations ◽  
Mental Capacity Act 2005 ◽  
Recent Developments ◽  
History Of ◽  
Mental Capacity Act ◽  
The Uk

This chapter discusses mental health advocacy in the UK and how the history of mental health care has influenced current practice, as well as how the advocacy sector in general has shaped government policy and legislation. The emphasis is on England and Wales, although advocacy delivery in Scotland and Northern Ireland is also considered. The chapter first defines advocacy and outlines its history in the UK before analyzing recent developments in the country. It then examines the principles of advocacy (independence; empowerment; representation, information, support; accountability; confidentiality), together with different forms of advocacy in the UK and key legislation, including the Mental Capacity Act 2005 and the Mental Health Act 1983 in England and Wales. Finally, it looks at issues and challenges faced by mental health advocates with regard to ethics and values, such as conflicts of interest and duty, the nature of professional obligations and neutrality, and social justice.

scholarly journals Anxiety and Depression in Patients Who Undergo a Cerebrovascular Procedure

2020 ◽  
Author(s):  
Lauren Lombardo ◽  
Richard Shaw ◽  
Kathleen Sayles ◽  
Dorothea Altschul
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Physical Health ◽  
Global Mental Health ◽  
Anxiety And Depression ◽  
Life Outcomes ◽  
Quality Of Life Outcomes ◽  
Significant Difference ◽  
History Of

Abstract Background: Observe the relationship of anxiety and depression on quality of life outcomes after open and endovascular cerebrovascular procedures. Methods: We retrospectively analyzed 349 patients who underwent a procedure for aneurysm, arteriovenous malformation, intraparenchymal hemorrhage, carotid stenosis, acute stroke, and conventional catheter angiogram over three years at a community hospital. We correlated pre-procedural anxiety and depression with Global Physical Health, Global Mental Health, and Modified Rankin Scale scores. We performed univariate and multivariate linear and logistic regression analyses adjusting for past medical history and sociodemographic factors. Results: Anxiety or depression occurred in eighteen percent of patients. Patients with anxiety or depression were more likely to be female (81% vs 60.8%; p=0.002) and younger (54 vs. 59 years old; p=0.025). The groups did not differ in type or urgency of procedure, smoking or history of diabetes, or cardiovascular disease. Patients with anxiety or depression reported lower mental health scores at 30 days (45.1 vs 48.2; p=0.002) post-procedure. In multivariate analyses, anxious or depressed patients had worse mental health scores at 30 days (t=-2.893; p=0.008) than those who did not have a history of anxiety or depression. There was no difference between groups in length of stay, mortality, physical health t-scores, functionality scores, or six month quality of life outcomes. Conclusions: Patients undergoing cerebrovascular procedures who self-reported anxiety or depression showed a significant difference in mental health outcomes at 30 days, but six month mental health and other medical and functional outcomes measures were similar to patients without these diagnoses.

The importance of trials for global mental health

2015 ◽  
Author(s):  
Graham Thornicroft ◽  
Vikram Patel
Keyword(s):  
Mental Health ◽  
Global Mental Health ◽  
Mental Health Research ◽  
Middle Income ◽  
Middle Income Countries ◽  
Randomized Controlled ◽  
History Of ◽  
Research Continuum ◽  
Key Terms

This chapter sets the scene for the book as a whole by defining key terms, giving a brief history of randomized controlled trails (RCTs) in mental health research, explaining why RCTs can produce strong forms of evidence, and by locating trials within the translational research continuum. The authors describe criteria with which to judge the quality of pragmatic RCTs. Finally the authors discuss how the results of trials can be used to inform policy, investment, and service delivery decisions in low and middle income countries.

scholarly journals Global Mental Health: sharing and synthesizing knowledge for sustainable development

2016 ◽  
Vol 3 ◽  
Author(s):  
K. O'Donnell ◽  
M. Lewis O'Donnell
Keyword(s):  
Mental Health ◽  
Sustainable Development ◽  
Global Mental Health ◽  
Global Integration ◽  
Global Issues ◽  
Growing Domain ◽  
The World ◽  
Relevant Context

Global mental health (GMH) is a growing domain with an increasing capacity to positively impact the world community's efforts for sustainable development and wellbeing. Sharing and synthesizing GMH and multi-sectoral knowledge, the focus of this paper, is an important way to support these global efforts. This paper consolidates some of the most recent and relevant ‘context resources’ [global multi-sector (GMS) materials, emphasizing world reports on major issues] and ‘core resources’ (GMH materials, including newsletters, texts, conferences, training, etc.). In addition to offering a guided index of materials, it presents an orientation framework (global integration) to help make important information as accessible and useful as possible. Mental health colleagues are encouraged to stay current in GMH and global issues, to engage in the emerging agendas for sustainable development and wellbeing, and to intentionally connect and contribute across sectors. Colleagues in all sectors are encouraged to do likewise, and to take advantage of the wealth of shared and synthesized knowledge in the GMH domain, such as the materials featured in this paper.

Global mental health

2020 ◽  
pp. 12-22
Author(s):  
Crick Lund ◽  
Dörte Bemme ◽  
Judy Bass
Keyword(s):  
Mental Health ◽  
Implementation Science ◽  
Global Mental Health ◽  
Mental Health Policy ◽  
Global Burden ◽  
Health It ◽  
Future Directions ◽  
Research Implementation ◽  
Disciplinary Field ◽  
History Of

Global mental health has emerged in recent years as a field of research, advocacy, and practice that is concerned with improving the mental health of populations and reducing inequity in the global burden of mental illness. Because these challenges are multi-faceted, global mental health has been marked from its inception as a multi-disciplinary field, incorporating disciplines of psychiatry, psychology, epidemiology, health economics, anthropology, and implementation science. This chapter provides an overview of the emerging and dynamic field of global mental health. It starts with a brief history of the field, noting landmark publications and events. The chapter then introduces key areas of enquiry and action in global mental health, including epidemiology, mental health policy and services, intervention research, implementation science, qualitative research, instrument development, and economic evaluation. Finally, it concludes with reflections on critiques of the field and future directions.

Evaluation of interventions in the real world

2015 ◽  
Author(s):  
Mary J. De Silva ◽  
Alex Cohen ◽  
Vikram Patel
Keyword(s):  
Mental Health ◽  
Case Studies ◽  
Real World ◽  
Global Mental Health ◽  
Effect Sizes ◽  
Multiple Methods ◽  
The Real ◽  
Health Programmes ◽  
Key Questions

The goal of global mental health trials is to generate knowledge that can be implemented in the much messier ‘real world’. However, the effect of interventions in the real world may be different from, and most likely much smaller than, the effect sizes reported in trials. It is therefore essential that we evaluate their implementation and effect when they are ‘scaled-up’ as real programmes. The evaluation of scaled-up health programmes typically involves the use of multiple methods which are triangulated to address the key questions of the programme leaders or investigators. This chapter aims to describe what outcomes we might be interested in evaluating and the methods we might use to assess these outcomes, and presents selected case studies which demonstrate these methods in action.

scholarly journals Sustainable development for global mental health: a typology and systematic evidence mapping of external actors in low-income and middle-income countries

2019 ◽  
Vol 4 (6) ◽  
pp. e001826 ◽  
Author(s):  
Valentina Iemmi
Keyword(s):  
Mental Health ◽  
Sustainable Development ◽  
Mental Disorders ◽  
Global Health ◽  
Low Income ◽  
Global Mental Health ◽  
Middle Income ◽  
Evidence Mapping ◽  
Middle Income Countries ◽  
External Actors

IntroductionMental disorders account for a substantial burden of disease and costs in low-income and middle-income countries (LMICs), but attract few resources. With LMIC governments often under economic pressure, an understanding of the external funding landscape is urgently needed. This study develops a new typology of external actors in global health adapted for the sustainable development goals (SDGs) era and uses it to systematically map available evidence on external actors in global mental health.MethodsThe new typology was developed in line with conceptualisation in the literature and the SDGs to include 11 types of external actors for health in LMICs. Five databases (EconLit, Embase, Global Health, MEDLINE, PsycINFO) were searched for manuscripts published in peer-reviewed journals in English, French, Italian, Portuguese or Spanish between 1 January 2000 and 31 July 2018 and reporting information on external actors for mental disorders in LMICs. Records were screened by abstract, then full-text against inclusion criteria. Data were extracted and synthesised using narrative analysis.Results79 studies were included in the final review. Five were quantitative studies analysing the resource flow of development assistance for mental health globally over the last two decades. The remainder were qualitative studies providing a description of external actors: the majority of them were published in the last decade, focused on Africa, and on public sector (bilateral and multilateral governmental organisations) and third sector organisations (non-governmental organisations). Evidence was particularly scarce for for-profit organisations and individual households.ConclusionThis study reveals opportunities for unlocking additional funding for global mental health in the SDG-era from an ecosystem of external actors, and highlights the need to coordinate efforts and to use sustainable, ethical approaches to disbursements. Further research is needed to understand all external actors and the allocation of their contributions in different settings.

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