Time for hard choices: A new global order for mental health

Article

Persaud, A., Valsraj, K., Gnanapragasam, S. and Tribe, R. 2023. Time for hard choices: A new global order for mental health. International Journal of Social Psychiatry. 69 (1), p. 227 –228. https://doi.org/10.1177/00207640221112538
AuthorsPersaud, A., Valsraj, K., Gnanapragasam, S. and Tribe, R.
Abstract

The World Health Organisation (WHO, 2021) Mental Health Atlas published every 3 years helps to monitor progress of the WHO Comprehensive Mental Health Action Plan. It reports on mental health policies, legislation, human resources, availability and utilisation of services, financing and data collection systems. The latest Atlas published covers the 2017 to 2020 period. Whilst a small time period in the analysis overlaps with the COVID-19 pandemic, results overall are unlikely to be attributable to the pandemic.

The findings are stark – only one of the six targets set by global leaders has been achieved (reducing suicides by 10% between 2013 and 2020). Unfortunately, none of the targets for effective governance, community-based services, promotion and prevention, financing (investment in mental health remains below 2%) and strengthening of information systems were close to being achieved. When viewed in sum, the Atlas paints a disappointing picture of a worldwide failure to provide people with the adequate mental health services they need.

The WHO approach, in the context of seeking to align the Comprehensive Mental Health Action Plan with the 2030 agenda for sustainable development, has been to extend the Comprehensive Mental Health Action Plan from 2020 to 2030. Despite the extension of 10 years, the ambitions remain the same. At a time when the COVID-19 pandemic is highlighting a growing need for mental health support, is this WHO approach entirely sufficient?

JournalInternational Journal of Social Psychiatry
Journal citation69 (1), p. 227 –228
ISSN1741-2854
Year2023
PublisherSAGE Publications
Digital Object Identifier (DOI)https://doi.org/10.1177/00207640221112538
Publication dates
Online17 Aug 2022
PrintFeb 2023
Publication process dates
Deposited30 Aug 2022
Copyright holder© 2022 The Authors
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Tribe, R. 1999. Bridging the gap or damming the flow? Some observations on using interpreters/bicultural workers when working with refugee clients, many of whom have been tortured. British Journal of Medical Psychology. 72 (4), pp. 567-576.
Mental health of refugees and asylum-seekers
Tribe, R. 2002. Mental health of refugees and asylum-seekers. Advances in Psychiatric Treatment. 8 (4), pp. 240-247.
Unequal care: an introduction to understanding UK policy and the impact on asylum-seeking children
Lane, Pauline and Tribe, R. 2006. Unequal care: an introduction to understanding UK policy and the impact on asylum-seeking children. International Journal of Migration, Health and Social Care. 2 (2), pp. 7-14.
Refugees and asylum seekers
Tribe, R. and Patel, N. 2007. Refugees and asylum seekers. The Psychologist. 20 (3), pp. 149-151.
Working with interpreters
Tribe, R. 2007. Working with interpreters. The Psychologist. 20 (3), pp. 159-161.
Exploring the Three-Way Relationship in Therapeutic Work with Interpreters
Tribe, R. and Thompson, Kate 2009. Exploring the Three-Way Relationship in Therapeutic Work with Interpreters. International Journal of Migration, Health and Social Care. 5 (2), pp. 13-21.
Working with Interpreters in Health Settings: Guidelines for Psychologists
Tribe, R., Thompson, Kate and British Psychological Society, Professional Practice Board 2008. Working with Interpreters in Health Settings: Guidelines for Psychologists. Leicester The British Psychological Society.
Health Pluralism: A More Appropriate Alternative to Western Models of Therapy in the Context of the Civil Conflict and Natural Disaster in Sri Lanka?
Tribe, R. 2007. Health Pluralism: A More Appropriate Alternative to Western Models of Therapy in the Context of the Civil Conflict and Natural Disaster in Sri Lanka? Journal of Refugee Studies. 20 (1), pp. 21-36. https://doi.org/10.1093/jrs/fel031
Good practice issues in working with interpreters in mental health
Tribe, R. and Morrissey, Jean 2004. Good practice issues in working with interpreters in mental health. Intervention: Journal of Mental Health and Psychosocial Support in Conflict Affected Areas. 2 (2), pp. 129-142.