Global Mental Health:

1. Brussels: April 2014 Global Mental Health: Relevance for the Reforms in Belgium Shekhar Saxena Director Department of Mental Health and Substance Abuse World Health Organization

2. Disease Burden in Europe Mental Health Programme

3. Mental Health Programme Neuro-psychiatric conditions Europe: Years lived with disability

4. WHO Global and European Mental Health Action Plan 2013-2020 • WHO Global Mental Health Action Plan • (adopted at WHA in May 2013) • WHO European Mental Health Action Plan • (adopted at RC in Izmir, Sept 2013)

5. Vision A world in which mental health is valued, promoted and protected, mental disorders are prevented and persons affected by these disorders are able to exercise the full range of human rights and to access high quality, culturally-appropriate health and social care in a timely way to promote recovery, all in order to attain the highest possible level of health and participate fully in society and at work free from stigmatization and discrimination.

6. Objectives • To strengthen effective leadership and governance for mental health • To provide comprehensive, integrated and responsive mental health and social care services in community-based settings • To implement strategies for promotion and prevention in mental health • To strengthen information systems, evidence and research for mental health

7. Cross-cutting principles • Universal health coverage • Human rights • Evidence-based practice • Life course approach • Multisectoral approach • Empowerment of persons with mental disorders and psychosocial disabilities

8. Objective 2 To provide comprehensive, integrated and responsive mental health and social care services in community-based settings

9. Targets: By 2020Objective 2 (mental health and social care services) • Service coverage for severe mental disorders will have increased by 20%.

10. Actions: Objective 2 • Service reorganization and expanded coverage • Integrated and responsive care • In community settings • Human resource development • Address Disparities

11. Objective 3 To implement strategies for promotion and prevention in mental health

12. TargetsObjective 3 (mental health promotion and prevention) • 80% of countries will have at least two national, multisectoral mental health promotion and protection programmes functioning by year 2020 • One universal • One targeted on vulnerable groups • Rates of suicide in countries will be reduced by 10% by year 2020

13. Objective 4 To strengthen information systems, evidence and research for mental health

14. Targets: By 2020Objective 4 (information, evidence and research) • 80% of countries will be routinely collecting and reporting at least a core set of mental health indicators every two years through their national health and social information systems.

15. Critical Issues • Deinstitutionalization • Access to community care • Involvement of general care • User involvement • Child mental health care • Integration between various levels of care • Integration between health and social care • Financing

16. Psychiatric beds per 10 000 population, 2011

17. Mental Health Programme Admissions to all inpatient units per 100 000 population

18. Economic Downturn • Higher rates of depression • Higher rates of suicides • Higher use of alcohol • Lower access to mental health services

19. WHO's Technical Material • Mental Health Atlas • mhGAP Intervention Guide and Training material • Policy Guidance Package • QualityRights Toolkit • ICD-11 (under development)

20. The Future • Implementation of the Action Plans • Post-2015 agenda; will mental disorders be included? • Focus on specific conditions • Depression • Dementia • Autism • Early mortality in chronic mental illnesses • Wider use of psychological interventions • E-health, m-health

21. No Health without Mental Health Thank you For your attention Special thanks to the interpreters