4. Global Mental Health
The health of populations in a global context and transcends the perspectives
and concerns of individual nations. It tackles the most important health
problems globally based on the concept of health equity and ethics of health
as a human right access. Mental health, has become an important part of
global health that led to the development of the concept of Global Mental
Health. According to the Movement for Global Mental Health website, the
initiative started a “network of individuals and organizations that aim to
improve services for people living with mental health problems and
psychosocial disabilities worldwide, especially in low- and middle-income
countries where effective services are often scarce.” This has now expanded to
include all countries that has mental illnesses as a problem needing better,
prevention, detection and treatment at the population level.
5. Traditionally, mental health issues have received less attention or support in
the medical setting in general and in low resources countries in specific. This is
not surprising given the lack of clear physical signs of the disease or
biomarkers to document mental illness compared to other physical diseases.
However, the link between physical and mental health has been formally
supported through empirical evidence as recently as 2007 (Patel, 2012). The
World Health Organization (WHO) endorses this perspective with the
phrase: “no health without mental health” (Prince, et al, 2007). The
organization advocates for strengthened delivery of mental health treatments
particularly in low- and middle-income countries, and implemented the WHO
Mental Health Gap Action Program (mhGap) in 2008. This project aims
to scale up services for the 75% percent of people worldwide who do not
receive services for their mental health issues. Further, 14% of the global
burden of disease includes mental illnesses.
6. According to global health and development goals and policies on adolescents,
suicide is the third most important cause of death among adolescents and
depression is the number one cause of morbidity among those 10-14 years of age
(WHO 2012).
There was almost a 38 per cent increase in the global burden for depressive
disorders between 1990 and 2010 (Ferrari et al 2013). The authors report that
“This has important implications for global health, especially in developing
countries where increased life expectancy due to better reproductive health, nutrition,
and control of childhood infectious diseases means more of the population are
living to the age where depressive disorders are prevalent”.
However, it is important to note the research findings on mental illnesses was based
on the rate at which people were diagnosed with clinical mental illnesses, rather
than actual rates of such illnesses. In other words, people who live in countries
where there is greater access to mental health services are obviously more likely to be
diagnosed at a higher rate.
7. Our initiative takes seriously the call of health
organizations and researchers to prioritize global mental
health.
“Global health emphasizes global learning; thus, while
international health was built on the tradition of what the
‘developed world’ could teach those in the ‘developing
world,’ global health emphasizes what all countries can
learn from each other and do together to address the health
of all the people who must share our planet.”(Patel, 2014)
8. Mental health in Philippines
The Filipino people today scored another victory with the signing of Republic Act 11036 or
the Philippine Mental Health Law by President Rodrigo R. Duterte.
The said law seeks to establish a national mental health policy directed towards improving
the health of the population. It also underscores the basic right of all Filipinos to mental
health care while shaping the structural and attitudinal challenges to achieving positive
mental health.
Specifically, it aims to provide mental health services at the barangay level, and integrate
mental health and wellness programs in the grassroots level so that interventions will be felt
by the communities. It also seeks to improve mental health facilities and to promote mental
health education in schools and workplaces. Mechanisms for suicide intervention, prevention,
and response strategies, with particular attention to the concerns of the youth, will be part of
the national mental health program.
9. “The DOH thanks President Duterte for signing this law and all the
members of both Houses of Congress for facilitating the whole process, and
the mental health professional groups who labored tirelessly for decades to have
this law passed. This demonstrates the seriousness of the government and its
partners to uplift the mental health of the population and ensure the welfare
and rights of those with mental, neurological and substance use disorders,”
Health Secretary Francisco T. Duque III said.
The measures contained in the Mental Health Law are anchored on the
Fourmula One Plus strategy, namely: Governance, Health Financing, Service
Delivery, Regulations, and Performance Accountability.
10. Foremost, this law will provide for the creation of the Philippine Council for
Mental Health (PCMH) composed of the following: Secretary of DOH as
Chairperson; Secretary of DepEd; Secretary of DOLE; Secretary of the
Department of the Interior and Local Government (DILG); Chairperson of
CHR; Chairperson of CHED; one representative from the
academe/research; one representative from medical or health professional
organizations; and one representative from non-government organizations
(NGOs) involved in mental health issues. The Council will be responsible for
developing and providing oversight functions in the implementation of a
national mental health plan.
The budget to be used for its operation will be taken initially from the 2018
DOH budget. For succeeding years, funds will come from the National
Expenditure Program be based on the General Appropriation Bill
11. Beneficiaries of this law include persons experiencing any mental
health condition, their families, careers and other appointed legal
representatives.
This law is otherwise known as “An Act Establishing a National
Mental Health Policy for the purpose of Enhancing the Delivery
of Integrated Mental Health Services, Promoting and Protecting
the Rights of Persons Utilizing Psychiatric, Neurologic and
Psychosocial Health Services, Appropriating Funds therefor, and
for Other Purposes.”