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Executive summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxiv Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxiv People with mental health conditions comprise a vulnerable group. . . . . . . . . . . xxv Other vulnerable groups have high rates of mental health conditions. . . . . . . . . xxv Improving development outcomes: principles and actions. . . . . . . . . . . . . . . . . . . xxvi All development stakeholders have important roles to play. . . . . . . . . . . . . . . . . . xxvii 1. Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2. People with mental health conditions comprise a vulnerable group. . . . 7 2.1 What makes groups vulnerable? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 2.2 People with mental health conditions are subject to stigma and discrimination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 2.3 People with mental health conditions are subject to violence and abuse. 10 2.4 People with mental health conditions experience restrictions in the exercise of their civil and political rights. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 2.5 People with mental health conditions are not allowed to participate fully in society. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 2.6 People with mental health conditions lack access to health and social services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 2.7 People with mental health conditions lack access to emergency relief services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 2.8 People with mental health conditions lack educational opportunities and have poorer educational outcomes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 2.9 People with mental health conditions are denied employment and other income-generating opportunities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 2.10 People with mental health conditions experience substantial disability and premature death . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 2.11 Summary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 3. Other vulnerable groups have high rates of mental health conditions . 27 4. Improving development outcomes: principles and actions. . . . . . . . . . . . . 33 4.1 General principles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 4.2 Specific actions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 4.2.1 Provide integrated mental and physical treatment and care through primary care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 4.2.2 Integrate mental health issues into broader health policies, programmes, and partnerships. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 4.2.3 Integrate mental health into services during and after emergencies. . . . . . 40 4.2.4 Include mental health issues within social services development, including housing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 4.2.5 Mainstream mental health issues into education . . . . . . . . . . . . . . . . . . . . . . . 43 4.2.6 Include people with mental health conditions in income generating programmes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 ii MentalHealthandDevelopment:Targetingpeoplewithmentalhealthconditionsasavulnerablegroup
Contents 4.2.7 Strengthen human rights protections for people with mental health conditions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 4.2.8 Build the capacity of people with mental health conditions to participate in public affairs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 5. All development stakeholders have important roles to play. . . . . . . . . . . . 55 5.1 Civil society. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 5.2 Government . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58 5.3 Academic and research institutions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 5.4 Bilateral agencies, global partnerships and private foundations. . . . . . . . . . 59 5.5 Multilateral agencies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 iii
Page 1: MENTAL HEALTH AND DEVELOPMENT: Targ
Page 4 and 5: WHOLibraryCataloguing-in-Publ
Page 8 and 9: This report on mental health and de
Page 10 and 11: Association for Mental Health and A
Page 12 and 13: Supporting statements H.R.H. Prince
Page 14 and 15: promotes a holistic approach to men
Page 16 and 17: affect them, including development
Page 18 and 19: event drives vulnerable individuals
Page 21 and 22: Supportingstatements response to
Page 23 and 24: Supportingstatements Gerard Quin
Page 25 and 26: Supportingstatements The Ministr
Page 27 and 28: Supportingstatements The report
Page 29 and 30: Executivesummary Two development
Page 31 and 32: Executivesummary opportunities a
Page 33 and 34: 1. Pan American Health Executive
Page 35 and 36: 1.Introduction People with menta
Page 37 and 38: 1.Introduction community, to ens
Page 39 and 40: 2. People with mental health condit
Page 41 and 42: assumed to be lazy, weak, unintelli
Page 43 and 44: Box 1 Prisons - unsuitable holding
Page 45 and 46: In many countries, people cannot co
Page 47 and 48: affected have had an important voic
Page 49 and 50: Some country examples: • In Argen
Page 51 and 52: health complications. Similar scena
Page 53 and 54: Of the several thousand letters I r
Page 55 and 56: People with mental health condition
Page 57 and 58:
health conditions, including diabet
Page 59 and 60:
3. Other vulnerable groups have hig
Page 61 and 62:
Box 3 How does vulnerability lead t
Page 63 and 64:
Some country examples: • In Austr
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4. Improving development outcomes:
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4.2 Specific actions Specific progr
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Box 5 Ten principles for the succes
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4.2.2 Integrate mental health issue
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Box 8 Mental health interventions f
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Box 10 AYouthLinkclient,21
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Figure 2 Cognitive: Increase presch
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Box 12 Employment opportunities for
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4.2.7 Strengthen human rights prote
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Box 16 Governments can also be enco
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The right to associate is important
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5. All development stakeholders hav
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ights. Organizations representing f
Page 91 and 92:
to pursue an education and ensure t
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Across a range of roles and activit
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Conclusion Conclusion Many people w
Page 97 and 98:
References References 1 Reducing po
Page 99 and 100:
References 46 South Central Somalia
Page 101 and 102:
References 93 Alonso J et al. Popul
Page 103 and 104:
References 144 Meade CS. Sexual ris
Page 105 and 106:
References 192 What works! Employme
Page 108:
PEOPLE WITH MENTAL HEALTH CONDITION
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