Showing posts with label mhGAP. Show all posts
Showing posts with label mhGAP. Show all posts

Tuesday, 15 November 2011

MC-MH: Global Integration—8

Climbing or Confining:
Three Commitments for GI
We are sharing some thoughts on future directions for integration. Integration is a field of study which brings together the disciplines of mental health and theology in order to better understand and help humans and thus glorify God. The ongoing/additional links between member care (MC) and mental health (MH) are highly relevant for the global development of integration—global integration (GI). And GI is potentially very relevant for the global development of mission/aid and human health.
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Climb traveller, or stiffen slowly on the plain.
Irish proverb

The current and future course of integration, like that for member care, lies in its global connections and contributions—going global. Climb globally traveler, or stiffen slowly on the familiar plain. Here are three items---suggested commitments--to support you in your “global climb”.

1. Commitment to staying current. These three links track developments in global mental health (GMH). They can help you access resources that are relevant for member care and integration.
2. Commitment to reviewing resources. The latest MCA website focuses on orienting people to GMH. It is called GMH-Map. Here are five resources (in the areas of research, practice, declarations) from the What’s New! section. These resources are also relevant for member care and integration.
3. Commitment to pursuing active involvement. These quotes below are from the October 2011 issue of Psychology International 22(3). They are likewise relevant for member care and integration. For example, where the word psychology or psychologist(s) occur, exchange it with a similar term for member care or integration.
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"International cross-pollination among scientists and practitioners is important if we are to develop better models, methodologies, and perspectives. [The American Psychological Association, APA] may be the largest association of psychologists in the world but because of the psychological, geographical, and political boundaries in the United States and more generally in the west, we may become isolated in our thinking without exposure to perspectives from elsewhere. We as psychologists and members of APA must try to avoid tunnel vision and bias by bringing psychologists with other nationalities, cultures and practices to our table….
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If we cannot invite and support bringing our fellow psychologists from other places to meet with the large numbers of psychologists who attend our Annual Convention, then we fail to educate, inform, and grow the many specialty areas in our discipline in the broadest and deepest ways. And we fail as U.S. psychologists because we do not have the international perspectives that allow us to be relevant in the largest sense. We must come out of our ivory towers by bringing our international psychologists to the Convention and to other meetings. Otherwise, we remain provincial and woefully out of step with the rest of the world." (Julie Meranze Levitt, pp. 2-3)
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"Attendance at psychology world-congresses has been rising, the number of regional conferences that draw across multiple countries is growing, and associations are becoming more active in pursuing international interaction….
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Now that doors are open, how do we move psychology from a tradition of individual exchange and international outreach to being an international discipline? Some suggestions from regional developments are to create structures for cross-country consensus and to ask, as a discipline, what it would take to realize a world in which psychologists can easily gather information about the work, ideas, and plans of colleagues around the world; can easily know how to find colleagues with mutual interests around the world; can be sufficiently mobile to be a psychologist around the world?....
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What can individual psychologists do? From where I sit, the most important way to encourage internationalization is to tell each other about our work, our teaching, and our ideas. The most direct way is face-to-face at international conferences and congresses, or, if your travel budget is strained, by seeking out international attendees at domestic conferences or international colleagues in your own institution. Equally important is seeking out and reading about international work." (Merry Bullock, p. 4)
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So climb...and jump too--ha!

Reflection and Discussion
**Which of the items in the “Saying Current” and “Reviewing Resources” sections above are you aware of already?

**List a few ways that GI can relevantly connect and contribute to GMH (section 3 above)?

**How would you apply the “climb traveler” proverb to your own life as well as to member care and/or integration?

Saturday, 20 March 2010

Culture and Diversity in Member Care—Part 4

Well-Being for All

 Would you tell me the way to Somewhere…
There’s room from for us all in Somewhere…
The Somewhere meant for me.
Walter de la Mare

“Mental health is defined as a state of well-being
in which every individual realizes his or her own potential,
can cope with the normal stresses of life,
can work productively and fruitfully,
and is able to make a contribution to her or his community.”
World Health Organization, October 2009
http://www.who.int/features/factfiles/mental_health/en/index.html
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Promoting the well-being of mission/aid workers is the major focus of member care. As we support workers with our services/resources we also vicariously support the people with whom they work. Some of these people, along with their friends, relatives, communities, and indeed nations are seriously affected by mental, neurological, and substance use disorders.

According to the World Health Organization (WHO) these disorders “are common in all regions of the world, affecting every community and age group across all income countries. While 14% of the global burden of disease is attributed to these disorders, most of the people affected—75% in many low-income countries—do not have access to the treatment they need.” (WHO, launch of the mhGAP program, http://www.who.int/mental_health/mhgap/en/index.html) In addition, “people with these disorders are often subjected to social isolation, poor quality of life and increased mortality. These disorders are the cause of staggering economic and social costs.” (WHO Department of mental health, The Bare Facts http://www.who.int/mental_health/en/index.html)

Making Connnections
Is there a connection between member care, the international mental health field, and the emphasis on human diversity/cultural variation? You bet! One way to better support mission/aid workers via member care is by equipping all of us to better understand: a) how mental health issues affect the diversity of people with whom we all work and b) how a particular culture understands/deals with mental health issues. Sadly, in many cases there will be major misinformation, stigma, and lack of resources to help those who struggle with mental health. Mental health per se may also not be an important component of discipleship, church growth, relief care, human rights, or other emphases in mission/aid. It could be and should be. 

One practical way for those in member care to help is to connect with some of the core materials from organizations like WHO. For example, have a look through the WHO web site in the mental health area section. Much of it is designed to give people a quick grasp of the worldwide mental health situation.

Some suggestions:
1. Begin with these two multimedia items:
**Watch the five minute video about WHO’s 2008 mhGap program. This video gives a good overview of international mental health needs and makes a plea to work together to help people to promote mental health for all. There is no health without mental health! http://www.who.int/mental_health/mhgap/en/

2. Then have a look at:
**The Bare Facts is a  fact sheet on mental health statistics (e.g., an estimated 877,000 people commit suicide each year). http://www.who.int/mental_health/en/index.html
**Some core reflections on human rights, law, and mental health.
http://www.who.int/mental_health/policy/fact_sheet_mnh_hr_leg_2105.pdf

3. For more detailed reviews and information:
**Links to special articles that review global mental health in the Lancet journal from the UK (2007).
**The Mental Health Atlas from 2005 which “provides essential information on mental health for 192 countries includes including epidemiology, mental health policy, substance abuse policy, national mental health programme…mental health facilities…and other relevant information.”
 http://www.who.int/mental_health/evidence/atlas/

One need not be a mental health professional to benefit from the information and resources listed on the WHO site! You will likely find the material to be practical for your own life and work in member care and mission/aid. Remember: an important part of respecting human diversity involves respecting people from all cultures who struggle with mental disorders. They especially are vulnerable and have rights to adequate care, opportunities, and well-being.

More Thoughts on Mental Health/Member Care
“Hundreds of millions of people worldwide are affected by mental, behavioural, neurological and substance use disorders. For example, estimates made by WHO in 2002 showed that 154 million people globally suffer from depression and 25 million people from schizophrenia; 91 million people are affected by alcohol use disorders and 15 million by drug use disorders. A recently published WHO report shows that 50 million people suffer from epilepsy and 24 million from Alzheimer and other dementias.” (WHO, The Bare Facts, http://www.who.int/mental_health/en/index.html)

Mission/aid personnel are often in influential places where they can help make a difference. Greater awareness and some basic training about mental health issues especially in their setting/cultural context can be a great way to support their work with others. Member care workers themselves can also consider ways—new ways—to use their training to help make a difference in the diverse settings where mission/aid workers are located. There are plenty of national Christian workers (12 million) along with “foreign” mission workers (4000,000) who could be better supported and further trained to consider mental health issues in the ministry/work that they are doing. (stas from Johnson, Barrett, an Crossing, January 2010, International Bulletin of Missionary Research).

Reflection and Discussion--And Leave A Comment!
1. Respond to the rationale above that advocates for the increased involvement of the member care field in international mental health issues. For instance, is this a distraction, a specialized focus, a responsibility, an opportunity, etc? Are there any other rationales that are impportant to mention?

2. Briefly describe how linking member care and international mental health relates to respecting human diversity/cultural variation.

3. An emphasis on respecting human diversity and cultural variation may not always have a positive impact on the quality of member care that we provide mission/aid workers. How is this so? Give a couple examples.

4. What are some possible ways that you and your organizations could get better informed and practically involved in mental health as described above? What would you specifically like to do?

5. Which of the mental health materials on the WHO web site were the most helpful for you? How could you share these materials with others?