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Challenges and priorities for global mental health in the Sustainable Development Goals (SDG) era

ACADEMY OF MEDICAL SCIENCES
June 2018

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Published in 2011, the Grand Challenges in Global Mental Health initiative provided a framework to guide the research needed to improve treatment and prevention of mental health disorders and expand access to mental health services. At the Academy’s workshop on global mental health participants reflected on progress since 2011, focusing on specific life-course stages, and identified priorities for research in treatment and prevention, as well as enduring challenges and emerging opportunities

Improving mental health and related service environments and promoting community inclusion WHO QualityRights training to act, unite and empower for mental health (Pilot version)

FUNK, Michelle
DREW, Natalie
2017

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This document provides training and guidance on the key standards related to the physical and social environment within mental health and related services that need to be met to promote good outcomes, independent living and community inclusion. Service assessment and improvement tools are provided. Training tools (core and advanced) and guidance tools are introduced. Guidance is given for facilitators and learning objectives, resources and outcomes are provided for three topics: What makes a good environment?; The right to an adequate standard of living in mental health and related services; and Living independently and being included in your community.

Mental health and human rights : Report of the United Nations High Commissioner for Human Rights

OFFICE OF THE HIGH COMMISIONER FOR HUMAN RIGHTS
January 2017

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"The present report, mandated by the Human Rights Council in resolution 32/18, identifies some of the major challenges faced by users of mental health services, persons with mental health conditions and persons with psychosocial disabilities. These include stigma and discrimination, violations of economic, social and other rights and the denial of autonomy and legal capacity.

In the report, the High Commissioner recommends a number of policy shifts, which would support the full realisation of the human rights of those populations, such as the systematic inclusion of human rights in policy and the recognition of the individual’s autonomy, agency and dignity. Such changes cover measures to improve the quality of mental health service delivery, to put an end to involuntary treatment and institutionalisation and to create a legal and policy environment that is conducive to the realisation of the human rights of persons with mental health conditions and psychosocial disabilities"

A/HRC/34/32

Human Rights Council, Thirty-fourth session, 27 February-24 March 2017

Dignity in mental health : Psychology & mental health first aid for all

WORLD FEDERATION FOR MENTAL HEALTH (WFMH)
October 2016

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‘Dignity in Mental Health-Psychological & Mental Health First Aid for All’ is designed to enable us to contribute to the goal of taking mental health out of the shadows so that people in general feel more confident in tackling the stigma, isolation and discrimination that continues to plague people with mental health conditions, their families and carers. Key messages concerning Mental Health First Aid include: all members of the public can learn basic skills to help people with mental health problems; we need to aim to have large numbers of people trained throughout the world to be able to provide mental health first aid; parity is needed with the provision of physical first aid.

Mental health funding and the SDGs What now and who pays?

MACKENZIE, Jessica
KESNER, Christie
May 2016

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"This report provides an overview of who is currently funding mental health and who isn’t, but could be. It is a synthesis of research previously conducted in this field and analyses both existing and new funders. It highlights how little information there is on what donors are spending on mental health globally, what types of activities are funded and why funding mental health delivers a variety of benefits, and it suggests how to frame the issue to encourage more investment".

Community-based rehabilitation for people with disabilities - Systematic review summary

Valentina Iemmi
Hannah Kuper
Karl Blanchett
March 2016

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There are an estimated one billion people with disabilities globally, corresponding to about 15 per cent of the world’s population (WHO 2011). Among them, 80 per cent of people with disabilities live in low- and middle-income countries. People with disabilities include those who have long-term physical, mental, intellectual or sensory impairments, which in interaction with various barriers may hinder their full and effective participation in society on an equal basis with others (UN 2008; WHO 2011). People with disabilities are often excluded from education, health, employment and other aspects of daily life, and are generally poorer. It is therefore widely argued that the Millennium Development Goals and the post-2015 targets cannot be achieved without integrating disability issues into the agenda. We conducted a systematic search for evidence on the effects of community-based rehabilitation (CBR) on health, education, livelihoods, social and empowerment outcomes. 

Community-based rehabilitation for people with disabilities, 3ie Systematic Review Summary 4, is a summary of the full review, Community-based rehabilitation for people with disabilities in low- and middle-income countries: a systematic review, which is available with all of its appendixes on the 3ie website. 

 

Global assessment report on disaster risk reduction 2015

UNITED NATIONS OFFICE FOR DISASTER RISK REDUCTION (UNISDR)
2015

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This report assesses current trends in global Disaster Risk Management (DRM) including strategies adopted by different countries and associated costs/risks. The report concludes by advising that global DRM is strengthened in a number of areas, including improvements in the global governance structure surrounding DRM, a deepening of the global knowledge about DRM techniques and practices, and the development of more robust accountability and assessment methodologies

Disability in humanitarian context : views from affected people and field organisations

HANDICAP INTERNATIONAL
July 2015

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This report is based on the results of a global consultation carried out in 2015 as a contribution to the World Humanitarian Summit and is intended to better identify the changes needed for a disability inclusive humanitarian response. A total of 769 responses were collected through 3 online surveys targeting persons with disabilities, disabled people's organisations (DPOs) and humanitarian actors. The results demonstrate that while most humanitarian actors pledge to target vulnerable persons in crisis time, few of them are putting in place specific mechanisms and procedures to effectively reach to, and taking into account, persons with disabilities in their programmes. Addressing these challenges is a human right imperative and has also to do with an effective implementation of principled humanitarian aid. This ambition requires changes in policies and practices within the humanitarian community as a whole

State of the world’s emergencies : a briefing for new UK parliamentarians

BOND HUMANITARIAN GROUP
BOND CONFLICT POLICY GROUP
July 2015

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“The briefing is designed to give incoming members of parliament a rapid overview of some of the world’s most fragile situations and highlight actions which key influencers can take to ensure the UK government most effectively delivers on its moral and political responsibilities. Beginning with summaries of key issues we face as agencies working in humanitarian crisis and conflict settings, the briefing then focuses on short summaries of 10 fragile situations and emergencies”

Note: the information is accurate to the middle of April 2015

The use of explosive weapons in Syria : a time bomb in the making. Analysis of weapons contamination in Syria.

HANDICAP INTERNATIONAL
May 2015

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Details are given of the use of explosive weapons in Syria since 2011 and its effects on the population highlighted. The density of explosive weapons use (2013 - 2015) in Syria is mapped and the numbers of affected population by Syrian governorate are provided. Between December 2012 and March 2015, 77,645 incidents were recorded following conventional weapons and IEDs use in Syria. Explosive weapons represent 83.73% of recorded incidents and the distribution of type of weapons use per rural and urban areas is given. The higher risk of developing permanent impairments by people injured by explosive weapons and the long-term impact of explosive remnants of war on services and infrastructure are highlighted.

Sendai framework for disaster risk reduction 2015 - 2030

UNITED NATIONS OFFICE FOR DISASTER RISK REDUCTION (UNISDR)
2015

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The Sendai Framework is the UN framework/action plan governing Disaster Risk Reduction for the period 2015-2030. It "is built on elements which ensure continuity with the work done by States and other stakeholders under the (Hyogo Framework for Action 2005-2015) HFA and introduces a number of innovations as called for during the consultations and negotiations…The Sendai Framework also articulates the following: the need for improved understanding of disaster risk in all its dimensions of exposure, vulnerability and hazard characteristics; the strengthening of disaster risk governance, including national platforms; accountability for disaster risk management; preparedness to “Build Back Better”; recognition of stakeholders and their roles; mobilization of risk-sensitive investment to avoid the creation of new risk; resilience of health infrastructure, cultural heritage and work-places; strengthening of international cooperation and global partnership, and risk-informed donor policies and programs, including financial support and loans from international financial institutions. There is also clear recognition of the Global Platform for Disaster Risk Reduction and the regional platforms for disaster risk reduction as mechanisms for coherence across agendas, monitoring and periodic reviews in support of UN Governance bodies”

The Sendai Framework for Disaster Risk Reduction 2015-2030, Third UN World Conference
Sendai, Japan
18 March 2015

Mobile for development : transforming global healthcare through mobile technology

THEVATHASAN, Vanessa
GRADZEWICZ, Agnes
RUETZEL, Sonja
2015

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This paper outlines the need for greater connectivity & accessibility in less developed countries. Following this, the authors present the benefits of various different ‘mHealth’ solutions, presented through case studies. The report concludes by outlining some of the constraints holding back greater ‘mHealth’ innovation, including financing and sustainability issues

World report on ageing and health

WORLD HEALTH ORGANIZATION (WHO)
2015

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This report lays out framework for the development of new strategies to bring the right programmes, information, and services to an ageing international community. The report focuses on policy development, healthy ageing and health in old age, health systems and long – term care systems.  The report concludes by presenting a series of recommended next steps to realising the vision of a world that is more friendly to an ageing population

United Nations expert group meeting on mental well-being, disability and disaster risk reduction

UNITED NATIONS UNIVERSITY
et al
2014

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This report presents information from the Expert Group Meeting on Mental Well-being, Disability and Disaster Risk Reduction and highlights "to achieve sustainable human development that leaves no one behind, it is necessary to prioritise the mental health and psychosocial well-being of all people, including persons with physical, mental, intellectual or sensory impairments. It is also imperative to make DRR measures that are inclusive of disability and do not neglect persons with mental or intellectual disabilities. In this regard, the expert group adopted the recommendations indicated below for outcomes and follow-up with respect to (1) the Post-2015 Framework for Disaster Risk Reduction at the World Conference on Disaster Risk Reduction in 2015, (2) follow-up of the Third High-level Meeting on Disability and Development, (3) the Post-2015 Development Agenda/Sustainable Development Goals, which will be adopted in 2015, and other relevant international and national frameworks"

Expert Group Meeting on Mental Well-being, Disability and Disaster Reduction

Tokyo, Japan

November 2014

An evidence review of research on health interventions in humanitarian crises

BLANCHET, Karl
et al
November 2013

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This report presents a review of the evidence base of public health interventions in humanitarian crises by assessing the quantity and quality of intervention studies, rather than measuring the actual effectiveness of the intervention itself.  It notes an increase in quality and volume of evidence on health interventions in humanitarian crises and recognises that evidence remains too limited, particularly for gender-based violence (GBV) and water, sanitation and hygiene (WASH). This report identifies a number of common needs across all areas, namely more evidence for the effectiveness of systems and delivery, better developed research methods, and more evidence on dispersed, urban and rural populations, on ensuring continuity of care and measuring and addressing health care needs in middle-income settings (particularly NCDs)

Note: Use links on the left hand side of the webpage to access either the full report, the executive summary, or the individual chapters arranged by health topic

The global status report on road safety 2013 : supporting a decade of action

WORLD HEALTH ORGANIZATION (WHO)
2013

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"This report presents information on road safety from 182 countries, accounting for almost 99% of the world’s population. The report indicates that worldwide the total number of road traffic deaths remains unacceptably high at 1.24 million per year. Only 28 countries, covering 7% of the world’s population, have comprehensive road safety laws on five key risk factors: drinking and driving, speeding, and failing to use motorcycle helmets, seat-belts, and child restraints. This report serves as a baseline for the Decade of Action for Road Safety 2011-2020, declared by the UN General Assembly. This is the second in a Global status report series"

UNHCR mental health and psychosocial support for persons of concern

MEYER, Sarah
2013

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"This evaluation reports on how well the United Nations High Commission for Refugees considers and provides for the well-being and mental health of persons of concern to the agency. Through a survey of UNHCR field staff, extensive literature and policy review, and key informant interviews with MHPSS experts from academic institutions, international agencies and non-governmental organizations, this review provides insight into how UNHCR’s current activities contribute towards improved mental health and psychosocial well-being of displaced persons and how UNHCR’s current policy frameworks relate to established practices and frameworks in the MHPSS field"

Mapping exclusion

KOZMA, Agnes
PETRI, Gabor
November 2012

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This is a comprehensive report on the state of deinstitutionalization from institution-based services towards community-based services in the mental health field in Europe. The report consists of a comparative analysis of trends and policy changes in Europe based on a survey, and 32 country reports are presented in the annex covering issues crucial in the context of community care, such as data about institutional and community-based services, national mental health and deinstitutionalization strategies, information on guardianship and involuntary admission policies
Note: The report is in English, summaries are available in Dutch, French, Hungarian, Polish, Spanish, Romanian and Swedish

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