Book(electronic)2014

Essentials of global mental health

In: Cambridge medicine

Okpaku, Samuel O.

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Abstract

Mental illness accounts directly for 14% of the global burden of disease and significantly more indirectly, and recent reports recognise the need to expand and improve mental health delivery on a global basis, especially in low and middle income countries. This text defines an approach to mental healthcare focused on the provision of evidence-based, cost-effective treatments, founded on the principles of sharing the best information about common problems and achieving international equity in coverage, options and outcomes. The coverage spans a diverse range of topics and defines five priority areas for the field. These embrace the domains of global advocacy, systems of development, research progress, capacity building, and monitoring. The book concludes by defining the steps to achieving equality of care globally. This is essential reading for policy makers, administrators, economists and mental health care professionals, and those from the allied professions of sociology, anthropology, international politics and foreign policy

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Book(electronic)#12014

Essentials of Global Mental Health

Okpaku, Samuel O.

Cover -- Half title -- Title -- Copyright -- Dedication -- Contents -- Contributors -- Preface -- References -- Acknowledgments -- Introduction -- Section 1 History and background of global mental health -- Chapter 1 History of global mental health -- Introduction and background -- Globalization -- Global health and global mental health -- The history of global mental health: three epochs -- The first epoch -- Dorothea Dix (1802-1887) -- Clifford Beers (1876-1943) -- The second epoch -- Dr. George Brock Chisholm (1896-1971) -- Dr. John Rawlings Rees (1890-1969) -- Dr. Harry Stack Sullivan (1892-1949) -- World Federation for Mental Health (WFMH) -- World Health Organization (WHO) -- World Psychiatric Association (WPA) -- The third epoch -- The influence of the World Bank and World Health Organization -- Advocacy, humanitarianism, ethics, and mass media -- Human resources and brain drain, task shifting and sharing -- Commentary and criticism -- The future of global mental health -- Summary -- References -- Chapter 2 Burden of illness -- Introduction -- The World Mental Health (WMH) surveys initiative -- Study samples -- Diagnostic assessment -- Mental disorders -- Chronic physical conditions -- Outcome variables of burden of disease in the WMH surveys -- Educational attainment -- Marriage and divorce -- Household income and personal earnings -- Days out of role -- Perceived overall health -- Statistical analyses -- Prevalence of mental disorders and age of onset in the WMH surveys -- Lifetime prevalence -- Twelve-month prevalence -- Age of onset (AOO) -- Early mental disorders and key life-course outcomes in the WMH surveys -- Premature termination of education -- Early marriage, divorce, and marital violence -- Household income and personal earnings losses -- Impact of common mental disorders and physical conditions -- Productivity loss.