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dinsdag 9 oktober 2018

The Lancet: [Comment] Towards a new era for mental health

[Comment] Towards a new era for mental health
The new Lancet Commission on global mental health and sustainable development1 raises important issues at a time when many countries in the Global South are re-examining their national priorities in mental health. With its broad vision, the Commission shows why mental health is a public good that is a crucial part of the Sustainable Development Goals (SDGs). The Commission's report emphasises the need to take a dimensional approach to mental health problems and their treatment; to allocate resources where they will be most cost-effective; to consider a life-course approach; and to build on existing research that will pave the way for better understanding of the causes, prevention, and treatment of mental health problems.
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[Perspectives] Shekhar Saxena: making mental health a development priority
Softly spoken Shekhar Saxena is a giant in the world of mental health. As Director of the Department of Mental Health and Substance Abuse at WHO for the past 8 years—a role from which he stepped down in June, 2018—he has seen a shift in attitudes to mental health. "The seriousness with which mental health is taken at a political and societal level has certainly increased", says Saxena. However, there is a chasm between commitments made by governments and what happens on the front line, he says: "When it comes to mental health, all countries are developing countries.
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[Comment] Implementing sustainable global mental health in a fragmenting world
The Lancet Commission on global mental health and sustainable development1 sets out ambitious recommendations for the transformation of global mental health according to the UN's wide-ranging Sustainable Development Goals (SDGs) for 2030. The depth of the Commission's report capture the complex, diverse, and sometimes contradictory positions and perspectives of mental health stakeholders, including the ultimate beneficiaries of the proposed reforms—people with lived experience of mental health problems who may use mental health services, along with their carers and communities.
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[Comment] Prevention, detection, intervention: the big wins for mental health
Around the world, media news bulletins and headlines are dominated by the health scourges of our time: cancer, diabetes, obesity, malaria, and heart disease. Governments rightly focus our international efforts on improving prevention, diagnosis, and treatment, and all are in the sights of clinical experts, scientists, and researchers who, with enough time, resources, and manpower, might just find a cure for them all.
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[Comment] Mental health for all: a global goal
In 2007, The Lancet published a Series on global mental health that sought to transform the way policy makers thought about global health. The Series papers argued that a growing and worldwide burden of mental disorders was a global health crisis. The authors issued an urgent call for action to scale up services for people living with mental health problems and to close a substantial treatment gap, especially in low-income and middle-income countries, where the proportions of people receiving treatment are lowest.
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