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Global mental health is a dynamic field of global health; a core aspect of the story which has led to its emergence has been the conduct of randomised controlled trials (RCTs) evaluating innovative delivery systems of packages of care for mental disorders in low-resource settings. Global Mental Health Trials brings together many of the world's leading researchers active in the fields of RCTs in low- and medium-resource countries and settings related to improving mental health care. It presents clear and practical information about how to conduct such trials in these settings, along with critical methodological and ethical issues related to such trials, learning from the positive and negative experiences of expert scientists in many countries worldwide who have completed such trials. This book serves as a valuable resource for practitioners in mental health - psychiatrists, psychiatric nurses nursing, psychologists, social workers, and occupational therapists - as well as researchers in the areas of psycho-social treatments in mental health, mental health services research, and programme and systems evaluation

Front Cover -- Global Mental Health and Neuroethics -- Copyright -- Contents -- Contributors -- Foreword -- 1 Introduction -- Section A: Conceptual issues -- 2 Moving beyond scientism and skepticism -- Introduction -- Global mental health and neuroethics -- What is psychiatric disorder? -- What causes mental illness? -- Interventions for mental disorders and well-being -- Conclusion -- References -- 3 Finding a word for it: An ordinary language philosophical perspective on the role of values-based practice as a partner ... -- Values-based practice and ordinary language philosophy

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.

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

Global health is an area for study, research and practice that places a priority on improving health and achieving equity in health for all people worldwide. Global mental health is the application of these principles to the domain of mental ill-health. The most striking inequity is that concerning the disparities in provision of care and respect for human rights of people living with mental health problems (MHP) between rich and poor countries

Global Mental Health is a field of research and practice that addresses the expansion of universal and equitable mental health care worldwide. This article explores the ways the concept of culture is employed in Global Mental Health literature. Global Mental Health advocates and critics assume an ontological separation between 'nature' and 'culture' to typify mental illness, linking it predominantly to one or the other of these two categories. Advocates of Global Mental Health view mental disorders as a nature–culture hybrid, while critics see them as typically cultural phenomena. The cultural critique of Global Mental Health can be strengthened by a sociological approach to both the role of critique and the uses of the concept of culture within social sciences. As an alternative to the ontologization of culture, we propose a different theoretical approach to the social issues involved in the expansion of international public health care in mental health: Arthur Kleinman's and Didier Fassin's moral anthropological approaches.

The field of Global Mental Health (GMH) aims to influence mental health policy and practice worldwide, with a focus on human rights and access to care. There have been important achievements, but GMH has also been the focus of scholarly controversies arising from political, cultural, and pragmatic critiques. These debates have become increasingly polarized, giving rise to a need for more dialogue and experience-near research to inform theorizing. Ethnography has much to offer in this respect. This paper frames and introduces five articles in this issue of Transcultural Psychiatry that illustrate the role of ethnographic methods in understanding the effects and implications of the field of global mental health on mental health policy and practice. The papers include ethnographies from South Africa, India, and Tonga that show the potential for ethnographic evidence to inform GMH projects. These studies provide nuanced conceptualizations of GMH's varied manifestations across different settings, the diverse ways that GMH's achievements can be evaluated, and the connections that can be drawn between locally observed experiences and wider historical, political, and social phenomena. Ethnography can provide a basis for constructive dialogue between those engaged in developing and implementing GMH interventions and those critical of some of its approaches.