Mhgap Humanitarian Intervention Guide Mhgap Hig Training Of Health Care Providers

The mhGAP Intervention Guide (IG) is a clinical guide on mental neurological and substance use disorders for general health care workers who work in non-specialized health care settings particularly in low- and middle-income countries. These health care workers include general physicians family physicians nurses and clinical officers. The mhGAP programme provides a range of tools to support the work of health care providers as well as health policy makers and planners The proposed guide is an adaptation of the mhGAP Intervention Guide to be used in humanitarian settings. These settings include a broad range of acute and chronic emergency situations arising from armed conflicts natural disasters and industrial disasters and may include mass displacement of populations (eg refugees and/or internally displaced people).

Uptake and implementation of WHO’s Mental Health Gap Action Programme Humanitarian Intervention Guide (mhGAP-HIG) has been limited in many settings despite interest and effort from humanitarian actors. According to global assessments, international agencies report a considerable need for further capacity development to implement the tool within their humanitarian health activities. In response, the mhGAP-HIG capacity-building project was initiated in 2018. This report partially assesses the impact of the mhGAP-HIG capacity-building project on individual programmes and at the organizational level through case studies that describe the work of agencies in four complex settings. In reviewing these four examples, the report also identifies key factors that support success in implementation, as well as challenges and lessons learned, which may be useful for informing future implementation of mhGAP-HIG by humanitarian actors working in emergency settings.

Key Features: Bridges the gap between existing academic literature on refugee health and guidelines for health management in humanitarian emergencies Helps to develop an integrated approach to healthcare provision, allowing healthcare professionals and humanitarians to adapt their specialist knowledge for use in forced migration contexts and with refugees. Recognizes the complex and interconnected needs in displacement scenarios and identifies holistic and systems-based approaches. Covers public health theory, applied public health and clinical aspects of forced migration.

Mental, neurological and substance use (MNS) disorders are highly prevalent, accounting for a substantial burden of disease and disability globally. In order to bridge the gap between available resources and the significant need for services, the World Health Organization launched the Mental Health Gap Action Programme (mhGAP). The objective of mhGAP is to scale-up care and services using evidence-based interventions for prevention and management of priority MNS conditions. The mhGAP Intervention Guide version 1.0 for MNS disorders for non-specialist health settings was developed in 2010 as a simple technical tool to allow for integrated management of priority MNS conditions using protocols for clinical decision-making. With uptake in over 90 countries, mhGAP-IG 1.0 version has had widespread success. It is our pleasure to present mhGAP version 2.0, with updates incorporating new evidence-based guidance, enhanced usability, and new sections to expand its use by both health care providers as well as programme managers. It is our hope that this guide will continue to provide the road-map to deliver care and services for people with MNS disorders around the world and lead us closer to achieving the goal of universal health coverage.

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 book addresses the psychosocial and medical issues of forced migration due to war, major disasters and political as well as climate changes. The topics are discussed in the context of public health and linked to organizational, legal and practical strategies that can offer guidance to professionals, as well as governmental and non-governmental organizations. Both internal and international displacement present substantial challenges that require new solutions and integrated approaches. Issues covered include an overview of current health challenges in the new refugee crises: medicine and mental health in disaster areas, long-term displacement and mental health, integration of legal, medical, social and health economic issues, children and unaccompanied minors, ethical challenges in service provision, short and long-term issues in host countries, models of crises intervention, critical issues, such as suicide prevention, new basic and “minimal” intervention models adapted to limited resources in psychosocial and mental health care, rebuilding of health care in post-disaster/conflict countries, training and burn-out prevention. The book was developed in collaboration with the World Psychiatric Association, and is endorsed by Fabio Grandi (UN High Commissioner for Refugees), Manfred Nowak (former UN Special Rapporteur for Torture), and Jorge Aroche (President of IRCT).

A practical, theoretical and inspiring guide for clinicians embarking on global mental health volunteering.