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WHO: 3 “paths to transformation” for shifting attitudes to mental health
The World Health Organization (WHO) report sets three ‘paths to transformation’ that focus on shifting attitudes to mental health, addressing risks to mental health and strengthening systems of care for mental health.
The “World mental health report: transforming mental health for all” urges all countries to accelerate their implementation of the Comprehensive mental health action plan 2013–2030.
The three steps include “deepening the value and commitment we give to mental health.” This path calls for stepping up investments in mental health, not just by securing appropriate funds and human resources across health and other sectors to meet mental health needs, but also through committed leadership, pursuing evidence-based policies and practice, and establishing robust information and monitoring systems.
Including people with mental health conditions in all aspects of society and decision-making to overcome stigma and discrimination, reduce disparities and promote social justice.
The second path is “reshaping environments that influence mental health, including homes, communities, schools, workplaces, health care services, natural environments.” This requires intensifying engagement across sectors, including to understand the social and structural determinants of mental health and intervening in ways that reduce risks, build resilience and dismantle barriers that stop people with mental health conditions participating fully in society.
Implementing concrete actions to improve environments for mental health such as stepping up action against intimate partner violence and abuse and neglect of children and older people; enabling nurturing care for early childhood development, making available livelihood support for people with mental health conditions, introducing social and emotional learning programs while countering bullying in schools, shifting attitudes and strengthen rights in mental health care, increasing access to green spaces, and banning highly hazardous pesticides that are associated with one fifth of all suicides in the world.
The third step is “strengthening mental health care by changing where, how, and by whom mental health care is delivered and received.”
Building community-based networks of interconnected services that move away from custodial care in psychiatric hospitals and cover a spectrum of care and support through a combination of mental health services that are integrated in general health care; community mental health services; and services beyond the health sector.
Dévora Kestel, Director of WHO’s Mental Health and Substance Use Department called for change: “Every country has ample opportunity to make meaningful progress towards better mental health for its population. Whether developing stronger mental health policies and laws, covering mental health in insurance schemes, developing or strengthening community mental health services or integrating mental health into general health care, schools, and prisons, the many examples in this report show that the strategic changes can make a big difference.”
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