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Mental health

The unheard voices of women caregivers for people with mental illness

Varalakshmi Vemuru's picture
SHG meeting of people with mental illness and caregivers. (Photo: TNMHP)

Thirty-year old Vijaya (name changed) spent 10 years of her life not talking to anybody. Her parents were daily wage laborers, scraping together a sparse living in India’s southern state of Tamil Nadu. Unaware of any treatment, and afraid of being stigmatized or shunned by their community, they did not disclose their daughter’s illness to anyone. Instead, Vijaya suffered in silence, confined to the house, and hidden from public view.
 
It was only when the Tamil Nadu government’s Mental Health Program (TNMHP) reached out to their community that Vijaya’s life underwent a dramatic change. After six months of working with the program’s community facilitators, Vijaya’s parents took her for treatment, and within a year, the young woman began interacting with others more frequently.
 
Poor mental health places a huge burden on individuals, families, and society. From developed countries to emerging market economies, mental disability – ranging from common mental disorders such as depression to severe mental illnesses and retardation – has profound impacts on people’s economic and social well-being.
 
As cited in “Out of the Shadows: Making mental health a global development priority” in 2010 alone, depression cost an estimated US$800 billion in lost economic output. What’s worse, these costs are expected to double by 2030.
 

On World Health Day, why I'm choosing to talk about depression

Patricio V. Marquez's picture
Also available in: Español | Français
photo: WHO


This year’s World Health Day carries a particular significance for me and for many others. The theme, “Depression: Let’s Talk,” shines a light upon a problem that oftentimes remains hidden in a dark corner of our minds, trapping us in a painful agony of sadness, loss of interest, and fear. 

Campaign Art: #LetsTalk

Darejani Markozashvili's picture

People, Spaces, Deliberation bloggers present exceptional campaign art from all over the world. These examples are meant to inspire.

According to the World Health Organization (WHO), globally more than 300 million people suffer from depression. However, less than half of these affected seek and get help. In addition to stigma surrounding depression, one of the biggest barriers why people are unable to seek and get help is the lack of government spending worldwide for mental health services. “According to WHO’s “Mental Health Atlas 2014” survey, governments spend on average 3% of their health budgets on mental health, ranging from less than 1% in low-income countries to 5% in high-income countries.”  

Mental health needs to be at the forefront of the humanitarian and development agenda, in order to achieve the set Sustainable Development Goals (SDGs). Governments around the world must scale up their investment in mental health services, as the current commitments are inadequate. The study published by “The Lancet Psychiatry” calls for greater investment in mental health services. “We know that treatment of depression and anxiety makes good sense for health and wellbeing; this new study confirms that it makes sound economic sense too,” said Dr Margaret Chan, Director-General of WHO. “We must now find ways to make sure that access to mental health services becomes a reality for all men, women and children, wherever they live.”

Mental health and intimate partner violence in Kenya

Photo Credit: World Vision Kenya


Mental health has a crucial role in the prevention of sexual and gender-based violence. However, to date most research and practice has focused on the role of mental health post-violence, and intimate partner violence (IPV) prevention is relying on public health models that do not explicitly include mental health. Yet, key concepts, processes, and competencies in the mental health field appear essential to successful IPV primary prevention.

Dawa-Dua: How medical treatment complements prayer for people with mental illness in India

Varalakshmi Vemuru's picture
Devotees at Erwadi Dargah (Photo by DMPH Erwadi)
Devotees at the Erwadi Dargah in Tamil Nadu, India. (Photo: DMPH Erwadi)
Last month I blogged about how mental illness is curable, treatable, and preventable. Today, let me take you to a town in Tamil Nadu called Erwadi, where faith and medicine now go hand in hand to address mental illness.
 
Erwadi is known for its 550-year-old Badusha Nayagam Dargah—“Erwadi Dargah,” one of the biggest shrines in India. Every day, numerous devotees of different faiths visit the shrine from surrounding villages, states, and countries. Among these visitors is a large number of people who suffer from mental illness and have come to pray for a cure. Some of them see the Dargah as their first and only hope—guided by the magico-religious belief that illness is caused by the possession of evil spirits or the performance of wicked magic—while others have turned to the shrine as a last resort after receiving ineffective treatment.
 
When I visited Erwadi Dargah in 2013 and met with a team working on a local program called District Mental Health Project (DMHP), an important partner of the World Bank-supported Tamil Nadu Mental Health Project, they expressed an urgent need to help the devotees affected by mental illness. Their subsequent discussions with representatives of the shrine revealed a lack of information on potential treatment options and strong resistance to medical interventions among the devotees. At that time, the team knew of a similar circumstance in another part of India—the state of Gujarat—so they invited the representatives of Erwadi’s religious community to learn from peers in Gujarat about complementing religious rituals with medical treatment.
 
And thus started a unique experiment called “Dawa-Dua,” or prayer-treatment.

Mental health services in situations of conflict, fragility and violence: What to do?

Patricio V. Marquez's picture
France: Refugees trying to reach the UK from The Jungle in Calais
© UNHCR/Joel van Houdt

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.    

Campaign art: Addiction may not be obvious but its effects are real

Roxanne Bauer's picture
People, Spaces, Deliberation bloggers present exceptional campaign art from all over the world. These examples are meant to inspire.

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:
 
Like my Addiction

Invisible wounds: Mental health among displaced people and refugees

Patricio V. Marquez's picture

Mural of Emiliano Zapata and Displaced Mexican Campesinos by Diego Rivera, Palacio de Cortés, Cuernavaca, Mexico

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.

Mental illness is curable, treatable, and preventable: a story of hope from India

Varalakshmi Vemuru's picture
On World Mental Health Day, here’s a fact to reflect on: people with mental illness are among the socially excluded and marginalized groups in society. They are often misunderstood, ignored, or simply invisible.
 
In India alone, an estimated 70 million people—or 5% of the population—suffer from mental illness. 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:
   
Through a poster on do’s and don’ts of addressing mental illness, the campaign advised the community to
1) seek help from a psychiatrist, 2) start medication, 3) attend counseling sessions, and 4) join self-help groups. (Image: TNEPRP / World Bank)

Weekly wire: The global forum

Roxanne Bauer's picture

World of NewsThese are some of the views and reports relevant to our readers that caught our attention this week.

Boston Review
The power to accuse someone of a grave crime on the basis of hearsay is a heady one. I have done it, and I faced the consequences of being wrong. Twenty years ago in the Nuba Mountains of central Sudan, I met a man, Chief Hussein Karbus, whose murder I had reported three years earlier. He was introduced to me by the man I had accused of ordering his death, a leader of the Sudan People’s Liberation Army. The mistake had appeared in a report I authored for Human Rights Watch; it was the kind of error that human rights researchers sometimes make and rarely admit. The three of us sat together and laughed about it. Not all such missteps turn out so well.
 
Foreign Policy
They call it “the Internet of Things” — the rapidly growing network of everyday objects equipped with sensors, tiny power supplies, and internet addresses. Within a few years, we will be immersed in a world of these connected devices. The best estimates suggest that there will be about 60 billion of them by the year 2020. We’ve already seen internet-accessible sensors implanted in dolls, cars, and cows. Currently, the biggest users of these sensor arrays are in cities, where city governments use them to collect large amounts of policy-relevant data. In Los Angeles, the crowdsourced traffic and navigation app Waze collects data that helps residents navigate the city’s choked highway networks. In Chicago, an ambitious program makes public data available to startups eager to build apps for residents. The city’s 49th ward has been experimenting with participatory budgeting and online voting to take the pulse of the community on policy issues. Chicago has also been developing the “Array of Things,” a network of sensors that track, among other things, the urban conditions that affect bronchitis.
 

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