Theories, Methods, Practice Flashcards
How did the current global mental health start?
Lancet series lead by Kings College Vikram Patel and Martin Prince.
Showed the barrier to entries and resources in lower and middle income families.
What is the goal for Global Mental Health?
To decrease the treatment gap. This gap is widest in Lmic where 10% of individuals needing treatment get it.
What are the advantages and disadvantages of faith healers?
Advantages:
They are community based
They understand cultural appropriateness
Disadvantages:
Lack of evidence
Lack of training
Expense of these types
What does the evidence say is the best option for mental health care?
A mixture of community based and individual based organisations with multidisciplinary approaches. Physiatrist wards to self love
Where are the majority of beds for mental health patients concentrated?
In urban areas worldwide, but particularly in higher income countries
Is it just beds that are lacking in lmic?
No, trained psychologists and mental health professionals are also lacking.
What is the treatment gap?
The difference between those who need help and those that receive it. LMICs are increasingly aware of the issue but are yet to find resources to train the workforce.
What method is useful for LMIC and why?
Task Sharing: The repurposing of existing structures to deliver mental health services.
Care delivered by non-specialists- all areas-diagnosis, management, and treatment with the support of specialists.
Good evidence of effectiveness -but feasibility and acceptability still an issue
What is the collaborative care model?
It is a version of Task Sharing that has had promising results in the west.
What is the mhGAP and is it effective?
mental health gap action plan,
Manualised training for primary caregivers to enable them to treat priority mental disorders in a community setting.
Currently being rolled out in LMIC and being evaluated.
What is the main argument and consensus about global mental health?
That the biomedical model is based on models that don’t represent all.
However, the consensus is that some constructs of distress are constant across cultures.
The need for cultural awareness is still important though
What did the early work suggest about LMIC prevalence of mental disorders?
Lower rates of prevalence and severity due to community settings and lack of labels.
However, it was later found that LMIC citizens were more isolated and had lower levels of participation.
What is the issue with satisfaction with traditional modalities?
The lack of options may conflate the issue.
What is seen to be the elephant in the room for global mental health?
The fact that poverty and social structures play a role in mental health. Therefore GMH needs to address non-clinical issues too.
Is there evidence that partnerships between Western and Southern countries can work and be equal?
Yes.
Western partners often come from the universities and represent the genus of MH categories and the concept of GMH
