Psychological health. In 2019, nearly 1 billion people were living with the disorder. They are the main cause of disability.” The World Health Organization warns governments against reversing this trend

Suicide was responsible for more than 1 in 100 deaths and 58% of suicides occurred before the age of 50. People with severe mental health conditions die an average of 10-20 years earlier than the general population, mostly from preventable physical illnesses. Social and economic inequalities, health emergencies, war and the climate crisis are among the global structural threats to mental health. Depression and anxiety increased by more than 25% in the first year of the epidemic alone. the report

June 17

The World Health Organization today published the largest review of mental health in the world since the turn of the century. The detailed work provides a blueprint for governments, academics, healthcare professionals, civil society and others with ambition to support the world in its mental health transformation.

In 2019, nearly 1 billion people – including 14% of the world’s teens – were living with a mental disorder. Suicide was responsible for more than 1 in 100 deaths and 58% of suicides occurred before the age of 50. Mental disorders are the main cause of disability, causing one in every six years. People with severe mental health conditions die an average of 10-20 years earlier than the general population, mostly from preventable physical illnesses. Child sexual abuse and bullying are major causes of depression. Social and economic inequalities, health emergencies, war and the climate crisis are among the global structural threats to mental health. Depression and anxiety increased by more than 25% in the first year of the epidemic alone.

The widespread stigmatization, discrimination and human rights violations of people with mental health problems throughout societies and care systems; 20 countries still criminalize attempted suicide. In all countries, the poorest and most disadvantaged people in society are most at risk of developing mental illness and least likely to receive appropriate services.

Even before the Covid pandemic, only a small fraction of people in need had access to effective, affordable, high-quality psychological care. For example, 71% of people with psychosis worldwide do not receive mental health services. While 70% of people with psychosis are treated in high-income countries, only 12% of people with psychosis receive psychiatric care in low-income countries. With regard to depression, the gaps in service coverage are significant across all countries: even in high-income countries, only a third of people with depression receive formal mental health care and treatment is estimated to be minimally adequate for depression. Depression ranges from 23% in high-income countries to 3% in low- and middle-income countries.

Drawing on the latest available evidence, showing examples of good practice and giving an opportunity to reflect on people’s lived experience, the comprehensive WHO report highlights why and where change is most needed and how it can best be achieved. Invite all stakeholders to work together to give greater value and commitment to mental health, reshape environments that affect mental health, and strengthen systems that deal with people’s mental health.

Director-General of the World Health Organization, Tedros Adhanom Ghebreyesushe said: “The life of every person touches a person with a mental health condition. Good mental health translates into good physical health and this new relationship is a compelling case for change. The inextricable links between mental health, public health, human rights, and social and economic development mean that Turn mental health policies and practices into real and substantial benefits for individuals, communities and countries everywhere. Investing in mental health means investing in a better life and future for all.”

All 194 Member States of the World Health Organization have signed the Global Mental Health Action Plan 2013-2030, which commits them to achieving the global goals of transforming mental health. The progress made over the past decade shows that change is possible. But change is not fast enough, and mental health remains a history of need and neglect, with $2 out of every 3 low government spending on mental health going to stand-alone psychiatric hospitals rather than community mental health services. The best service is provided to people. For decades, mental health has been one of the most neglected areas of public health, receiving a fraction of the attention and resources it needs and deserves.

Devora KestelDirector of the World Health Organization’s Department of Mental Health and Substance Abuse, called for a change: “Every country has a great opportunity to make significant progress toward improving the mental health of its population. Health care, to include mental health in insurance programmes, to develop or strengthen mental health services in communities, or Integrating mental health into public health care, schools, and prisons, the many examples in this report show that strategic changes can make a big difference.”

The report urges all countries to accelerate implementation of the Global Mental Health Action Plan 2013-2030. The report makes several recommendations for action, grouped into three “transformation pathways” focused on changing attitudes toward mental health, managing mental health risks and strengthening mental health care systems.

These procedures are:

1. Learn more about the value and commitment we place on mental health. For example:

Increase investment in mental health, not only by ensuring adequate funds and human resources across health care and other sectors to meet mental health needs, but also through committed leadership, evidence-based policies and practices, and the establishment of robust information and monitoring systems.

Involve people with mental health problems in all aspects of society and decision-making to overcome stigma and discrimination, reduce inequality and advance social justice.

2. Reshaping the environments that affect mental health, including homes, communities, schools, workplaces, health services, and natural environments. For example:

Intensify participation across all sectors, including understanding the social and structural determinants of mental health and taking action to reduce risk, build resilience, and dismantle barriers that prevent people with mental health problems from fully participating in society.

Implement concrete actions to improve the mental health environment, for example by stepping up actions against intimate partner violence, abuse and neglect of children and the elderly, enabling food assistance for early childhood development, providing livelihood support for people with mental health conditions, and providing social learning programmes. and emotional and tackling bullying in schools, changing attitudes and promoting rights to mental health care, increasing access to green spaces and banning highly hazardous pesticides linked to a fifth of the world’s suicides.

3. Strengthening mental health care by changing where, how, and who provides and receives mental health care.

Building interconnected community service networks that deviate from custodial care in psychiatric hospitals and cover a range of care and support through a range of mental health services integrated into general health care, community mental health services, and health services outside the health care sector.

Diversification and augmentation of treatment options for the most common mental health conditions, such as depression and anxiety, that have a 5-to-1 benefit/cost ratio. Tasks that extend evidence-based care to public health professionals and community service providers as well. It also includes the use of digital technologies to support guided and undirected self-help and to provide remote assistance.

June 17, 2022
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