Major issues related to mental health and cbr
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MAJOR ISSUES RELATED TO MENTAL HEALTH AND CBR. Mike Davies, CBM Regional Director South-East Asia & Pacific. Compatibility of Approach. Rights-based Social model of disability Twin-track – advocacy and service Participatory planning Informed consent Inclusive approaches

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Major issues related to mental health and cbr

MAJOR ISSUES RELATED TO MENTAL HEALTH AND CBR

Mike Davies,

CBM Regional Director

South-East Asia & Pacific


Compatibility of approach
Compatibility of Approach

  • Rights-based

  • Social model of disability

  • Twin-track – advocacy and service

  • Participatory planning

  • Informed consent

  • Inclusive approaches

  • Essential needs – work, family and community life

  • Access to services

  • Emphasis on abilities, not disabilities


Key issues
KEY ISSUES

  • Many CBR programmes do not include people with neuro-psychiatric problems

  • The psychiatric hospital/unit as first choice

  • The need for de-institutionalisation

  • Lack of MH expertise/orientation at ground level

  • Absence of effective user groups at ground level

  • The misconception that only psychiatrists can help

  • MH of children/young adults often overlooked

  • Breaking the poverty-disability-poverty cycle


Suggested ways forward
SUGGESTED WAYS FORWARD

  • Orientate and enable CBR staff and other community workers, nurses, health centre staff

  • Public campaigns to reduce stigma

  • Family support and training

  • Livelihood!!!!

  • Use of faith-based networks

  • Nurture and empower user groups

  • Advocacy at all levels

  • Ensure consistent availability of least-cost medication


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