Global Mental Health Training And Practice

The enormous health and social burdens associated with mental disorders have global reach and persist in the setting of unmet needs. To address these, the pipeline of global mental health trainees must be expanded and nurtured as the next generation of practitioners, investigators, and educators advance innovation in mental health prevention, promotion, and health delivery. This book offers a much-needed introduction to the rapidly evolving field of global mental health. The editors bring their extensive expertise and experience in global mental health research, practice, and training, which includes working in academic and non-profit settings, building collaborations, and teaching hundreds of students and trainees. The volume’s 12 chapters— authored by over 60 contributors from multiple disciplines—offer a breadth of content that comprises an introductory framework. This volume is an essential read for learners and educators who seek to explore or deepen their interest in the field of global mental health. Its orientation to fundamentals of practice and training and contextualization with social science perspectives will also be invaluable to health professionals, social scientists, policymakers, and other professionals who are invested in training the next generation of global mental health practitioners.

This is the definitive textbook on global mental health, an emerging priority discipline within global health, which places priority on improving mental health and achieving equity in mental health for all people worldwide.

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. Low and middle income countries (LMIC) are home to over 80% of the global population, but command less than 20% of the share of the mental health resources. The consequent 'treatment gap' is in itself a contravention of basic human rights. Even where treatment is provided, far too often this falls far below minimum acceptable standards. Failure to provide basic necessities such as adequate nourishment, clothing, shelter, comfort and privacy, and the administration of unauthorized and unmonitored detention, shackling and chaining are all well documented abuses, described recently as a 'failure of humanity'. The emergence of the discipline of global mental health as one of the most dynamic fields of global health underscores the need for this textbook for students of the discipline. Global mental health was cited by the NIMH Director in his 2012 year-ending blog as one of the major advances in mental health in 2012 and by one of the most influential figures in psychiatry and anthropology, Arthur Kleinman, as the exciting future of academic psychiatry (Br J Psychiatry, December 2012). The scope of the book is to cover two major aspects of the field: its scientific foundations and its practice and opens with an original account charting the history of the field from antiquity to its most recent developments. The language and content is geared towards a wide audience of practitioners and students of global mental health, including those who do not have any previous training in a clinical mental health specialty. This textbook, edited by four of the field's most widely acknowledged champions, with 20 chapters authored by over 30 global leaders of the field from diverse institutions and countries, is aimed to be the definitive text of this dynamic new discipline.

Global Mental Health and Psychotherapy: Adapting Psychotherapy for Middle- and Low-Income Countries takes a detailed look at how psychotherapies can be adapted and implemented in low- and middle-income countries, while also illuminating the challenges and how to overcome them. The book addresses the conceptual framework underlying global mental health and psychotherapy, focusing on the importance of task-shifting, a common-elements approach, rigorous supervision, and the scaling up of psychotherapies. Specific psychotherapies, such as cognitive-behavioral therapy, interpersonal therapy and collaborative care are given in-depth coverage, as is working with special populations, such as children and adolescents, pregnant women, refugees, and the elderly. In addition, treatment strategies for common disorders, such as depression, anxiety and stress, and substance abuse are covered, as are strategies for more severe mental disorders, such as schizophrenia. Provides adapted psychotherapy strategies for low- and middle-income countries Looks at special considerations for particular disorders and populations Covers the treatment of both common and severe mental health problems Focuses on task-shifting, a common-elements approach and scaling of psychotherapies Addresses cognitive-behavioral therapy, interpersonal therapy and schema therapy

Over the course of the last decade, political and mental entities at large have embraced global mental health: the idea that psychiatric health is vital to improved quality of life. Physicians globally have implemented guidelines recommended by the National Institute of Mental Health (NIMH) in 2007, thereby breaking down barriers to care and improving quality of life in areas where these practices have been implemented. Programs for training and education have expanded as a result. Clinicians benefit more from both local resources in some regions as well as in international collaboration and technological advancements. Even amidst all of these positive outcomes, clinicians still face some stumbling blocks. With worldwide statistics estimating that 450 million people struggle with mental, neuropsychiatric, and neurological disorders—25 percent of the world’s non-communicable disease burden—rising to these challenges prove to be no small feat, even in wealthy Western nations. Various articles and books have been published on global mental health, but few of them thoroughly cover the clinical, research, innovative, and social implications as they pertain to psychiatry; often, only one of these aspects is covered. A comprehensive text that can keep pace with the rapidly evolving literature grows more and more valuable each day as clinicians struggle to piece together the changes around the world that leave open the possibility for improved outcomes in care. This book seeks to boldly rectify this situation by identifying innovative models of service delivery, training, education, research funding, and payment systems that have proven to be exemplary in implementation and scalability or have potential for scalability. Chapters describe specific barriers and challenges, illuminating effective strategies for improved outcomes. This text is the first peer-reviewed resource to gather prestigious physicians in global mental health from around the world and disseminate their expertise in the medical community at large in a format that is updateable, making it a truly cutting-edge resource in a world constantly changed by medical, scientific, and technological advances. Innovations in Global Mental Health is the ultimate resource for psychiatrists, psychologists, primary care physicians, hospitalists, policy makers, and all medical professionals at the forefront of global mental health and its implications for the future.

Drawing on the authors’ experience in developing and implementing global mental health programs in crisis and development settings, A Guide to Global Mental Health Practice: Seeing the Unseen is designed for mental health, public health, and primary care professionals new to this emerging area. The guide is organized topically and divided into four sections that move from organizing and delivering global mental health services to clinical practice, and from various settings and populations likely to be encountered to special issues unique to global work. Case studies based around a central scene are threaded throughout the book to convey what global mental health work actually involves. Mental health professionals of all backgrounds, including social workers, nurses, nurse practitioners, psychologists, and psychiatrists, as well as public health professionals and community level medical professionals and mental health advocates will benefit from this engaging primer. It is the book for anyone committed to addressing mental health issues in a low resource or crisis-hit setting, whether international or domestic.

This international survey defines mental health as a basic human right, and tracks the emergence of mental health prevention and promotion as a global priority. Locating mental illness within a cycle of negative causes and effects affecting human quality of life, the editors identify modern policy barriers to promotion/prevention initiatives, particularly the favoring of the biomedical health model by major stakeholders. The book’s selection of successful programs from diverse countries displays a lifespan approach, emphasizing the centrality of interdisciplinary educational settings in providing primary and secondary prevention and promotion interventions, and the ongoing fight against missing financial investigations, discrimination and stigma. Together, these papers make a forceful argument for rights- based responses to worldwide mental health needs as part of the commitment toward global human rights and long-term development goals. Included in the coverage: · Mental health priorities around the world. · Social determinants of mental health. · Mental health and stigma: aspects of anti-stigma interventions. · Promoting social and emotional wellbeing and responding to mental health problems in schools. · The promotion and delivery of mental health services in primary care settings. · Economic evaluation of mental health promotion and mental illness prevention. Bringing to the fore public health concerns that are too often marginalized, Global Mental Health is necessary reading for health professionals, health and clinical psychologists, psychiatrists, medical sociologists, and policymakers.

Mental Health in a Digital World addresses mental health assessments and interventions using digital technology, including mobile phones, wearable devices and related technologies. Sections discuss mental health data collection and analysis for purposes of assessment and treatment, including the use of electronic medical records and information technologies to improve services and research, the use of digital technologies to enhance communication, psychoeducation, screening for mental disorders, the problematic use of the internet, including internet gambling and gaming, cybersex and cyberchondria, and internet interventions, ranging from online psychotherapy to mobile phone apps and virtual reality adjuncts to psychotherapy. Reviews research and applications of digital technology to mental health Includes digital technologies for assessment, intervention, communication and education Addresses data collection and analysis, service delivery and the therapeutic relationship Discusses the E-related disorders that complicate digital intervention