Documentos de Académico
Documentos de Profesional
Documentos de Cultura
Martin McKee European Centre on Health of Societies in Transition London School of Hygiene and Tropical Medicine
Prevalence of diabetes in people with schizophrenia is 5 times that in the general population
Maternal health
Mothers experiencing psychoses in pregnancy are twice as likely to have stillborn babies Maternal mental illness associated with:
Increased failure to thrive Increased infant mortality
Communicable disease
Up to 63% of HIV-positive people in low and Middle Income Countries also have depression People with co-morbid depression are 3 times less likely to comply with recommended treatment plans
Life chances
Mental illness afflicts many people at an early age As a consequence, those affected tend to:
gain fewer qualifications find it harder to obtain work and keep it have lower incomes be homeless or insecurely housed
Poverty
Mental Disorders
Crime
Up to 90% of prisoners in some countries have a diagnosable mental health problem or a substance misuse problem
An inadequate response
Median per capita spending on mental health in Low and Middle Income countries is US$ 0.30
Far below estimated 3-4 US $ needed for a cost effective package for the treatment of common mental disorders 33% of countries have no separate budget for mental health care.
Current mental health spending in low and middle-income countries is $ 0.30 per capita Depression treatment in primary care is as cost-effective as antiretroviral treatment for HIV/AIDS
What is needed?
Policy and infrastructure including legislation to protect human rights for people with mental illness Training and retention of mental health workers Funding by government, including a designated budget for mental health care Equitable allocation of financial resources including prepayment mechanisms that increase availability of mental health care by decreasing out-of-pocket expenses A mental health service that balances both community-based and inpatient care and integrates this into the Primary-Care setting Equitable access to affordable essential medications Non-Governmental Organisation support in the form of direct service provision, advocacy, mental health promotion, prevention, and mental health care in emergencies Indigenous, traditional and alternative health care Community-base rehabilitation and social services
2005
Helsinki
Brasilia
2007
2008
2009- 2010
2010 +
mhGAP: objectives
Reinforce the commitment of governments,
international organizations and other stakeholders to
mhGAP Vision
Effective and humane care for all with mental, neurological and substance use disorders
Child and Adolescent Mental Disorders Depression Developme ntal disorders Behavioural disorders
In summary
Mental illness has been ignored for far too long This has enormous consequences for society There are many things that can be done All that is required is the willingness to do so
How can we make this happen in Georgia?