Presentation at the regional congress of the World Association for Psychosocial Rehabilitation, Manila, 29 July 2011.

1. Global Mental Health:
Initiatives and
Prospects
Harry Minas
Director, Centre for International Mental Health,
Melbourne School of Population Health
Head of Secretariat,
Movement for Global Mental Health
World Association for Psychosocial Rehabilitation Regional Congress
Manila, 29 July 2011
1| Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

2. Mental Health in low-income countries!
Context ! Poorly developed and Outcomes!
disconnected system
elements!
 MH as a public health,  Weak investment.  Narrow population coverage!
social and economic Shortage of everything –  Very wide gap between best
development issue! skilled workers, facilities, and worst MH services!
 Effective and affordable drugs, etc.!
interventions and  Low access (geographic,
 Undeveloped information economic, linguistic, cultural)!
service models are systems to support
available! planning!  Stigma, discrimination,
 MH is a low political social exclusion!
and social priority!  Geographic maldistribution
of available workforce!  Mental health training is
 Weak investment! unattractive for most
 Low skill in policy  Disciplinary imbalance: disciplines!
development and doctor and nurse
 Lack of locally relevant
implementation! dominated!
evidence for policy and
 Weak governance !  Hospital-centred! practice!
 Low MH literacy!
 Poorly organised and  Widespread and systematic
 Low demand for mental
marginalised consumers, abuse of human rights !
health services !
carers, civil society!
!
!
2| Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

3. Lancet Series on Global Mental Health: 2007
 5 papers examining the current mental health
situation and paper 6: “Scale up services for
mental disorders: a call for action”
 Editorial:
Launching a new movement for global mental
health
3| Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

4. Lancet Series & Movement for Global Mental Health
Melbourne Launch, Sept 2007
The Lancet Series and the
beginnings of the Movement
for Global Mental Health
were simultaneously
launched in London,
Melbourne and Washington
in September 2007
2nd Lancet series will be
launched at the 2nd Global
Mental Health Summit in
Cape Town, October 2011
4| Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

5. Movement for Global Mental Health
5| Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

6. World Health Organisation
6| Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

7. Global Alliance for Chronic Disease
7| Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

8. Grand Challenges in Global Mental Health
 National Institute
of Mental Health
 Wellcome Trust
 McLaughlin-
Rotman Centre for
Global Health
 London School of
Hygiene and
Tropical Medicine
8| Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

9. Research Agenda for Global Mental Health
 Research agenda
published in Nature
in July 2011
9| Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

10. International Observatory on Mental Health Systems
A mental health systems research and education for development network
 In February 2009 The Hon Bob McMullan launched the
International Observatory on Mental Health Systems
 IOMHS
Secretariat:
Melbourne
 Collabora1ng
Centres
 India
 IHBAS,
New
Delhi
 Indonesia
 University
of
Indonesia
and
 Pacific
Gadjah
Mada
University
 Pakistan
 University
of
the
Philippines
 Philippines
 NaOonal
University
of
Malaysia
 Sri
Lanka
 School
of
Public
Health
Bucharest
 Vietnam
 Research
and
Training
Centre
__________
for
Community
Development,
Hanoi
 UK
 Romania
(Central
and
Southeast
Europe
Hub)
The
core
is
training
in
leadership
for
mental
health
system
development
and
building
capacity
for
mental
health
systems
research
10 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

11. International Journal of Mental Health Systems
Editorial Board
 Members from
27 Countries
 Africa
 Asia
 Europe
 North & South
America
 Australia and
New Zealand
11 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

12. Mental Health and Human Rights Progress
 A substantial mental health
and human rights success
story in Aceh and, potentially,
nationally in Indonesia
12 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

13. Demonstrably Effective Mental Health System
Development Projects
 Recent evaluation of the Mental
Health for the South project in Sri
Lanka
 Where there were virtually no mental
health services in 2006 there is now
an integrated hospital an community
mental health service in each of the
three districts of Southern Province,
with more than 30,000 people with
mental illness receiving treatment
and care
 This work is now being extended to
the Northern and Eastern Provinces
13 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

14. International Commitment to Increase Development Aid
 UN General Assembly
 Explicit acknowledgement of
the importance of global
health as part of foreign
policy (2008)
 High-level meeting of the
UN General Assembly on
non-communicable diseases
(Sept 2011)
 British, Australian and US
quarantining of aid
budgets despite
continuing financial
problems
 Australian aim: 0.5% of GNI
14 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

15. Australian Aid Budget - Dollars
15 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

16. NIMH focus on Global Mental Health
16 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

17. Grand Challenges Canada
 Announcement in
July 2011
 $20 million for
research capacity
building projects in
low and middle
income countries
17 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

18. New Hope for Global Mental Health
 The momentum for global mental health system
development is building
 Resources for development are more available
 What is needed now:
 Imagination and planning: clear ideas about what
is possible and what is desirable
 Strong collaborations and partnerships
 Strong networks for knowledge exchange
 Full engagement of MH professionals, people with
mental illness and their families, governments and
civil society organisations
18 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

19. CIMH Approach to Mental health System Capacity Building
Mental Health
Research System Capacity
Building
• Governance
• Legislation
Education • Collaboration • Policy
Leadership • Partnerships • Financing
• Workforce
• MH system design
• Advocacy
Knowledge • Human Rights
Exchange • Research
• Communication
19 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

20. Leadership for Mental Health
Goa, India
 Course Director, Vikram Patel
 Collaborators
 Sangath (Mental Health NGO Goa)
 London School of Hygiene and Tropical
Medicine
 SCARF (Schizophrenia Research
Foundation, Chennai)
 CIMH, University of Melbourne
 2-week program in Goa
 Participants from developing and
developed countries
20 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

21. Leadership for Mental Health System
Development in Indonesia
 Course Directors: Harry Minas, Vita Diatri
Centre for International Mental Health &
University of Indonesia
 2-week seminar, Jakarta, March 2009
 Partners: National Taskforce on Mental
Health System Development, CIMH, MoH,
WHO, Universitas Indonesia
 Funded by AusAID, CBM
 30 participants from 8 provinces, all MH
disciplines, and Indonesian Human Rights
Commission
 15 projects will be completed by the end of
2009, supervision by program faculty:
 Research, medical school curriculum, and
service development projects
21 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

22. MH Leadership and Advocacy Training
Ibadan, Nigeria
 Course Director, Oye Gureje
 Collaborators
 Department of Psychiatry, College of
Medicine, Ibadan
 Centre for International Mental Health
 CBM
 2 week program in Ibadan
 30 participants each year from
Nigeria, Sierra Leone, Ghana,
Gambia
 Funding from AusAID
22 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

23. Leadership for Mental Health System
Development in Vietnam
Leadership for Mental Health  Course Directors: Harry Minas and
System Development in Vietnam Ritz Kakuma (Centre for International
Mental Health)
 2-week seminar, Da Nang, 2011
 Partners: National Taskforce on
Mental Health System Development
in Vietnam, CIMH, Hanoi Medical
University, MoH, WHO
 Funded by Atlantic Philanthropies
 30 participants per year from all parts
of Vietnam
23 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre

24. Dili, Timor Leste
Thank you for your attention
h.minas@unimelb.edu.au
www.cimh.unimelb.edu.au
24 | Global Mental Health: Initiatives and prospects. WAPR, Manila, 28/7/2011 Centre for International
Mental Health Collaborating Centre