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“MENTAL HEALTH IN THE AMERICAS: NEW CHALLENGES IN A NEW MILLENNIUM”

“MENTAL HEALTH IN THE AMERICAS: NEW CHALLENGES IN A NEW MILLENNIUM”. Mental Health Program Division of Health Promotion and Protection Pan American Health Organization World Health Organization. Mental disorders are highly prevalent (more than 25% of life prevalence)

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“MENTAL HEALTH IN THE AMERICAS: NEW CHALLENGES IN A NEW MILLENNIUM”

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  1. “MENTAL HEALTH IN THE AMERICAS: NEW CHALLENGES IN A NEW MILLENNIUM” Mental Health Program Division of Health Promotion and Protection Pan American Health Organization World Health Organization

  2. Mental disorders are highly prevalent (more than 25% of life prevalence) Mental disorders cause enormous suffering and disability (28% of disability caused by illnesses) Mental disorders account for a significant part of the global burden of disease (11.5% in 1998) Las enfermedades mentales tienen una alta prevalencia (más de 25% de prevalencia de vida) Son la causa de mucho sufrimiento y discapacidad (28% de la discapacidad causada por enfermedades) Son responsables por una parte significativa de la carga global de las enfermedades (11.5% en 1998) New Perception of the Magnitude of the Impact of Mental Health Illness

  3. Global Burden of Disease 1990 and 2020, by Disease Group in Developing Countries 2020 (baseline scenario) 1990 Noncommunicable conditions Communicable diseases, maternal and perinatal conditions and nutritional deficiencies Neuropsychiatric disorders Injuries Source: WHO, Evidence, Information and Policy, 2000

  4. New evidence-based treatments and interventions for most of mental disorders. New models of comprehensive community-based mental health services which are more cost-effective and preferred by patients and families than traditional hospital-based models. Nuevos tratamientos e intervenciones basadas en evidencia para la mayoría de las enfermedades mentales Nuevos modelos de servicios integrales de salud mental en la comunidad con mayor costo-efectividad que los modelos tradicionales centrados en el Hospital y preferidos por enfermos y familias Impact of Scientific Advances on Treatment and Services

  5. Millions of people suffering from mental disorders have no access to the necessary treatments. Exclusion and violation of human rights continue to be common among people with mental health problems. Millones de personas que sufren enfermedades mentales no tienen acceso a los tratamientos necesarios La exclusión y la violación de los derechos humanos continúa siendo común entre las personas con problemas de salud mental Gap Between What is Done and What Could be Done

  6. Stigma Limited allocated resources Centralization of mental health care in large, ineffective and outdated institutions Estigma Recursos insuficientes Centralización de atención en salud mental en instituciones grandes, poco efectivas y desactualizadas Reasons

  7. World Health Day 2001: “Mental Health: Stop Exclusion – Dare to Care” (April 7) World Health Assembly: 4 sessions dedicated to mental health (May) World Health Report 2001 (October ) Día Mundial de la Salud 2001: “Salud Mental: Sí a la atención-nó a la exclusión” (7 de Abril) Asamblea Mundial de la Salud: cuatro sesiones dedicadas a la salud mental (Mayo) Informe Mundial de la Salud 2001 (Octubre) 2001: The Year of Mental Health

  8. How really effective were the actions taken in the past? Which are the main challenges in the beginning of the Millennium? How can PAHO and Member States take advantage of the opportunities available in 2001 Cuál es la efectividad real de las acciones tomadas en el pasado? Cuáles son los principales retos en el inicio del milenio? Cómo pueden la OPS y los Estados Miembros aprovechar las oportunidades existentes en 2001? Mental Health in the Americas Critical Issues in 2001

  9. Caracas Declaration, 1990. Initiative for the Restructuring of Psychiatric Services in Latin America Resolution CD 40.R19, 1997 Declaración de Caracas, 1990 Iniciativa para la Restructuración de los Servicios Psiquiátricos de América Latina Resolución CD 40.R19, 1997 Mental Health in the Americas Main Developments in the 90’s

  10. Enhance the value and visibility of mental health Implement mental health policies and plans Aumentar el valor y la visibilidad de la salud mental Implementación de políticas y planes de salud mental Main Challenges in the Beginning of the Millennium

  11. Creation/revision of mental health legislation. Reducing inequity and addressing issues of parity. Creación/revisión de legislación de salud mental Reducir las inequidades y enfrentar los problemas de paridad Main Challenges in the Beginning of the Millennium

  12. Explicit inclusion of mental health among public health priorities Strengthening Mental Health Units in Ministries of Health and PAHO Program on Mental Health Dissemination of information on mental health Inclusión explícita de salud mental en las prioridades de salud pública Refuerzo de las Unidades de Salud Mental de los Ministerios de Salud y del Programa de Salud Mental de la OPS Diseminación de información sobre salud mental What Can Be Done (Enhancing the Value of Mental Health)

  13. Dissemination of evidence-based guidelines for mental health policy reform Support to countries in the formulation and implementation of mental health policies and plans Diseminación de líneas de orientación basadas en evidencia sobre las politicas de reforma de atención en salud mental Apoyo a los países en la formulación y implementación de políticas y planes de salud mental What Can be Done (Mental Health Policies and Plans)

  14. Enhancing the capacities of countries to manage mental health policies and plans Ensuring mobilization of resources needed for mental health reform Aumentar las capacidades de los países para gerenciar las políticas y los planes de salud mental Asegurar la mobilización de recursos necesarios para la reforma de salud mental What Can be Done (Mental Health Policies and Plans)

  15. Enhancing knowledge of the most cost-effective models of mental health care and promotion Implementation of demonstration projects of community-based services Aumentar el conocimiento sobre los modelos de atención y promoción de salud mental más efectivos Implementación de proyectos de demostración de servicios de salud mental comunitários What Can be Done (Restructuring Services)

  16. Up-dating of mental health legislation Encouraging the participation of users and families Fighting stigma Humanizing psychiatric institutions Actualizacion de la legislacion de salud mental Promoción de la participacion de usuarios y familias Lucha contra el estigma Humanización de las instituciones psiquiátricas What Can Be Done (Protection of Human Rights)

  17. Developing services and programs that are able to meet the specific needs of the most vulnerable populations Taking measures to ensure that parity of mental health services with other types of services will be achieved Desarrollar servicios y programas habilitados a cubrir las necesidades específicas de los grupos más vulnerables Asegurar la paridad de los servicios de salud mental con los otros servicios What Can be Done (Equity and Parity)

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