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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