Armed conflict and violence disrupt social support structures and exposes civilian populations to high levels of stress. The 2015 Global Burden of Disease study found a positive association between conflict and depression and anxiety disorders. While most of those exposed to emergencies suffer some form of psychological distress, accumulated evidence shows that 15-20% of crisis-affected populations develop mild-to moderate mental disorders such as depression, anxiety, and post-traumatic stress disorders (PTSD). And, 3-4% develop severe mental disorders, such as psychosis or debilitating depression and anxiety, which affect their ability to function and survive. If not effectively addressed, the long-term mental health and psychosocial well-being of the exposed population may be affected.
Do you have friends or people you follow on social media who always have a drink in their hand? Does that seem normal to you? Did you ever wonder if they might have a problem?
Meet Louise Delage. She’s beautiful, trendy, and seems to lead a very glamorous life. The only problem is she’s always drinking… and no one notices. In the span of a few months, she was able to cultivate over 16,000 followers and 50,000 likes, few of whom noticed she is a functional alcoholic. The overwhelming majority of her followers just saw a pretty woman having fun, failing to notice her alcohol problem.
This is all part of a social campaign from Paris agency BETC called "Like My Addiction" rolled out for Addict Aide, which sought to raise awareness of alcoholism among young people. According to the organization, one out of every five deaths of young people each year is from addiction. The World Health Organization also warns of the hazards of alcohol, declaring that harmful alcohol consumption has now become "one of the most important risks to health: it is the leading risk factor in developing countries with low mortality rates and ranks third in developed countries, according to the World Health Report 2002." Alcohol use contributes to a wide range of diseases, health conditions and high-risk behaviours, from mental disorders and road traffic injuries, to liver diseases and unsafe sexual behaviour.
The truth about Louise was revealed in a video published on Instagram and YouTube:
The plight of forcibly displaced people, who are fleeing conflict and violence, is best summed up by the lyrics of the plaintive 1970 classic by Argentine troubadour Facundo Cabral: "No soy de aquí ni soy de allá"("I'm not from here nor there").
Those lyrics convey both the sense of uprootedness felt by those displaced from their native lands and habitual routines, and the feeling of “otherness,” emotional detachment, and powerlessness when relocated to foreign surroundings and societies, which in some cases, are unwelcoming to outsiders.
The southern state of Tamil Nadu, for instance, has one million people living mental disorders—about 3-5 cases per village. Meanwhile, the country faces a severe shortage of psychiatrists and psychiatrist nurses, and clinical care is scarce in rural India. Due to deep social stigma related to mental illness, such serious issues are largely invisible at the community level.
That’s why, in 2012, we launched a comprehensive social and clinical care program with the government of Tamil Nadu to inform and educate local communities on mental health issues, as well as to encourage families and people affected by mental illness to seek treatment. Working with leading local health practitioners, we based the campaign on a core message that was simple, powerful, and resonated with the community:
These are some of the views and reports relevant to our readers that caught our attention this week.
The Syrian Civil War is entering its sixth year with no resolution in sight: Even February’s truce may be collapsing as the battle for Aleppo intensifies. There will be more refugees and casualties as civilians flee the violence. With its aerial bombings, car bombs, chemical warfare, the unparalleled brutality of Islamic State, and unrelenting trauma of urban warfare, Syria’s war has seen half a million deaths, over 4 million refugees, and some 7 million internally displaced peoples (IDPs).
Let me begin by saying how deeply sorry I am that I couldn't make it today. As you know, Mental Health is a cause very close to my heart and it would have meant so much to me to be here in person.
I personally felt mental health’s deep-rooted importance when I returned home to Rwanda in 1996, just after my people were traumatized by the 1994 Tutsi genocide. At a time when we needed mental health services the most, there was only one psychiatrist in the entire country.
Why are mental disorders and substance use disorders treated so much differently than other health conditions? This is just one of the many questions that the World Bank Group, World Health Organization and other international partners will pose at their upcoming event -- Out of the Shadows: Making Mental Health a Global Development Priority -- on April 13th -14th , as part of the 2016 WBG/IMF Spring Meetings.