Promoting Mental Health and Well-being Best practices and lessons - - PowerPoint PPT Presentation

promoting mental health and well being
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Promoting Mental Health and Well-being Best practices and lessons - - PowerPoint PPT Presentation

Promoting Mental Health and Well-being Best practices and lessons learned Workshop 2.1 Thursday, 19 October 2017; 16h30 18h30 Promoting Mental Health and Well-being Best practices and lessons learned Background: Shekhar Saxena, WHO Workshop


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Promoting Mental Health and Well-being

Best practices and lessons learned Workshop 2.1 Thursday, 19 October 2017; 16h30 – 18h30

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Promoting Mental Health and Well-being

Best practices and lessons learned Background: Shekhar Saxena, WHO Workshop 2.1 Thursday, 19 October 2017; 16h30 – 18h30

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Mental, l, neurolo logic ical l and su substance use se diso isorders

MNS Disorder Prevalent cases

Number % change

(2005-2015)

Schizophrenia 23 million 19% Bipolar disorder 44 million 15% Depression 311 million 18% Anxiety disorders 267 million 15% Alcohol use disorders 63 million 11% Drug use disorders 46 million 16% Dementia 46 million 38% Epilepsy 23 million 11%

Source: GBD 2015 study (Vos et al, Lancet 2016; Murray et al, Lancet 2016)

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Contribution to overall disease burden

YLD DALY

CMNN 28%

  • ther NCDs

50% Neurological disorders 4% Mental and substance use disorders 7% Injuries 11% CMNN 12%

  • ther NCDs

53% Neurological disorders 9% Mental and substance use disorders 19% Injuries 7%

Source: GBD 2016 Disease and Injury Incidence and Prevalence Collaborators, Lancet 2017; GBD 2016 DALYs and HALE Collaborators, Lancet 2017

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MNS Burden by age

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Over 800 000 people die by suicide every year More than deaths by malaria or breast cancer More than in wars, conflicts and disasters Leading cause of death among young adults

Suicide Facts

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Economic burden of mental disorders

(Source: WEF and HARVARD, 2011 – The Global Economic burden of NCDs)

In the year 2010

$ 2,500,000,000,000

In the year 2030

$ 6,000,000,000,000

Cost of illness- direct and indirect

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Burden and Budget: A large Gap

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Global health burden versus development assistance in LIC

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Return on Investment: Depression treatment

Chisholm et al 2016

Investment ($ 91 billion) Productivity ($ 230 billion) 2.5 : 1 Value of health ($ 258 billion) 2.8 : 1

Investment Return ROI

5.3 : 1 Total benefit ($ 488 billion) Total cost ($ 91 billion)

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Treatment coverage is low

Major Depressive Disorder 51,000 individuals from 21 countries World Mental Health Survey: Thornicroft et al (2016)

Treated Not treated Treated Not treated Treated Not treated

Minimally adequate treatment

– High income countries: 22.4 % – Middle income countries: 11.4 % – Low income countries: 3.7 %

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  • Target 3.4:

promote mental health and wellbeing

2030 Agenda for Sustainable Development

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WHO's Mental Health Action Plan 2013-2020

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1 2 3

To strengthen effective leadership and governance for mental health

To provide comprehensive, integrated and responsive mental health and social care services in community-based settings

To implement strategies for promotion and prevention in mental health

4

To strengthen information systems, evidence and research for mental health

Objectives

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Mental Health Services (WHO, 2003)

FREQUENCY OF NEED

COST

LOW HIGH HIGH LOW

SELF CARE INFORMAL COMMUNITY CARE Mental Health Services through PHC Community Mental Health Services Psychiatri c Services in General Hospitals Mental Hospitals & Specialist Services

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mental health Gap Action Programme

Scaling up care for mental, neurological and substance use disorders

mhGAP

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mhGAP App

Clinical decision support Alerts for critical information Links to additional mhGAP information

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Visible examples of WHO significantly contributing to building mental health systems in/after emergencies

 Guinea  Indonesia  Jordan  Kosovo  Lebanon  Liberia  Sri Lanka  Syria  Turkey  West Bank and Gaza Strip

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Depression: le let's talk lk

A campaig ign for r us s all ll

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  • Integration within health system
  • Enhanced financing for mental health
  • Increasing trained human resources
  • Improving human rights
  • Involving people with mental disorders

Much more to be done…..

Innovation is the key !