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“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”

Mental Health Program

Division of Health Promotion and Protection

Pan American Health Organization

World Health Organization


New perception of the magnitude of the impact of mental health illness l.jpg

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


Slide3 l.jpg

Global Burden of Disease 1990 and 2020, prevalence)

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


Impact of scientific advances on treatment and services l.jpg

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


Gap between what is done and what could be done l.jpg

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


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Stigma access to the necessary treatments.

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


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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


Mental health in the americas critical issues in 2001 l.jpg

How really effective were the actions taken in the past? Dare to Care” (April 7)

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


Mental health in the americas main developments in the 90 s l.jpg

Caracas Declaration, 1990. Dare to Care” (April 7)

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


Main challenges in the beginning of the millennium l.jpg

Enhance the value and visibility of mental health Dare to Care” (April 7)

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


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Creation/revision of mental health legislation. Dare to Care” (April 7)

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


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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)


What can be done mental health policies and plans l.jpg

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)


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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)


What can be done restructuring services l.jpg

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)


What can be done protection of human rights l.jpg

Up-dating of mental health legislation mental health care and promotion

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)


What can be done equity and parity l.jpg

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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