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  • Cited by 16
  • Edited by Samuel O. Okpaku, Center for Health, Culture, and Society, Nashville
Publisher:
Cambridge University Press
Online publication date:
March 2014
Print publication year:
2014
Online ISBN:
9781139136341

Book description

Mental illness accounts directly for 14% of the global burden of disease and significantly more indirectly, and recent reports recognise the need to expand and improve mental health delivery on a global basis, especially in low and middle income countries. This text defines an approach to mental healthcare focused on the provision of evidence-based, cost-effective treatments, founded on the principles of sharing the best information about common problems and achieving international equity in coverage, options and outcomes. The coverage spans a diverse range of topics and defines five priority areas for the field. These embrace the domains of global advocacy, systems of development, research progress, capacity building, and monitoring. The book concludes by defining the steps to achieving equality of care globally. This is essential reading for policy makers, administrators, economists and mental health care professionals, and those from the allied professions of sociology, anthropology, international politics and foreign policy.

Reviews

'Encyclopedic, diverse, and thoughtful … Essentials of Global Mental Health is a volume that practitioners, researchers, educators, and policy makers will find themselves turning to often. It offers an incredibly wide array of international voices.'

Source: PsycCRITIQUES

'Global mental health means more than a trendy change from the term international mental health. It means a new approach to delivering mental health services around the world, reflected by shared values of human rights and respect for diversity. Essentials of Global Mental Health, edited by Samuel Okpaku, is an excellent guide to this challenging new world.'

Howard H. Goldman Source: Journal of Clinical Psychiatry

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Contents


Page 3 of 3


  • Chapter 44 - Monitoring the progress of countries
    pp 416-424
  • View abstract

    Summary

    This chapter reviews both short- and long-term consequences of protracted violence, endemic conflict, and war on civilian populations and their relationships. It discusses specific mental health outcomes of war and violence in civilian populations. The chapter also focuses on psychological trauma and post-traumatic stress disorder (PTSD) as a trauma construct and its changes over time, including issues pertaining to the heterogeneity and universality of the disorder. It critically examines the relation of causality between exposure to traumatic events and psychological trauma, and the limited explanatory power of the linear model of trauma in which exposure to traumatic events invariably leads to PTSD as a single outcome. Finally, the chapter discusses the many limitations of the PTSD model, arguing that mental illness is not the single consequence of trauma, but closely associated with social inequalities, gender disparities, poor nutrition, and overall poor physical health.
  • Epilogue
    pp 425-427
  • View abstract

    Summary

    This chapter reviews how disasters affect mental health globally, examines some key concepts for understanding the psychological impact of disasters, and concludes with a discussion of implications for policy, research, and field practitioners. The burden of mental illness on individuals, families, and communities following a disaster is substantial. Research on anxiety disorders in disasters has focused primarily around post-traumatic stress disorder (PTSD). Pre-disaster marginalized groups have limited access to health and relief services in the peri- and post-disaster time periods. Access to relief services can facilitate the return to normal mental health functioning. Ongoing stressors and trauma after a disaster also provide detail to the experience of psychopathology in post-disaster populations. Several theoretical models have been proposed to help explain how disasters affect population mental health. Recent research indicates that mental health practitioners are knowledgeable about different underlying constructs associated with the development of positive and deleterious mental health conditions.

Page 3 of 3


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