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Challenges and Achievements – CBR Programmes and Person with Mental Disorders

Challenges and Achievements – CBR Programmes and Person with Mental Disorders. Andrew Mohanraj. Plenary Session. Mike Davies – Global perspective of CBR projects of CBM. Highlights: CBR being cost effective Rights of people with neuropsychiatric disability Consent Livelihood

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Challenges and Achievements – CBR Programmes and Person with Mental Disorders

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  1. Challenges and Achievements – CBR Programmes and Person with Mental Disorders Andrew Mohanraj

  2. Plenary Session Mike Davies – Global perspective of CBR projects of CBM. Highlights: • CBR being cost effective • Rights of people with neuropsychiatric disability • Consent • Livelihood • Accessibility to services • Currently most CBR programs worldwide do not include people with mental illness. • Orientation of PHW in mental health services • Support for CBR workers – “burnout”

  3. Plenary Session T. Damdinsuren – Mental Health Issues in Mongolia Highlights: • CBR work with formal sector • Stigma and discrimination against people with mental illness • Livelihood projects and rehabilitation centers

  4. Plenary Session LemuelBoah- Mental health issues in Monrovia- Gerdnersville CBR programme Highlights: • Psychological impact of war on victims as well as perpetrators • Lack of proficiency excluded mental health component from CBR programmes • No coordination between formal sectors and CBR programmes in Liberia • National poverty reduction strategy takes into account people with mental illness

  5. Group Discussion Group I – Lack of access to treatment and referral services for persons with mental disorders Highlights: • Capacity building to help strengthen referral system • Working with traditional healers • Public awareness- Traditional practices, beliefs • Livelihood- intersectoral approach • National policy/regulation • Standardisation of curriculum for training • Simple diagnostic tools

  6. Group Discussion Group II – Stigma, marginalization and livelihood problems Highlights: • Stigma in different countries- stained, karma, magic, evil spirit, side effects of medications • Role of media • Early identification needed • Livelihood reduces stigma

  7. Group Discussion Group III – Persons with mental disorders in institutions like old mental hospitals, prisons etc. Highlights: • Deinstitutionalisation • “Institutionalization” of mental health workers • Effective CBR programmes reduces burden of mental hospital • Include consumer groups in CBR movement • Mental health issues neglected in prisons

  8. Take Home Message • CBR is emerging a cost effective concept in rehabilitating people with psychosocial disabilities. • Need for proficiency in MH issues among CBR workers. • Need to work with the formal sector. • Recognise the role of traditional healers/religious leaders. • CBR effective to reduce stigma and discrimination

  9. Take Home Message • Livelihood as an important component in rehabilitation of people with psychosocial disabilities. • Need for national policy /regulation ,legislation ( involuntary admission ,informed consent). • Incorporation of MH in CBR reduces unnecessary institutional care.

  10. SASWADEE!

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