General information and objectives:
In accordance with the CoSP 12 sub-theme of ‘Social inclusion and the right to the highest attainable standard of health,’ Enosh, The Israel Mental Health Association, together with the World Health Organization, the Permanent Mission of Israel to the UN, The Permanent Mission of India to the UN, Essl Foundation (Zero Project), the International Psychoanalytical Association and the International Society for the Study of Trauma & Dissociation and the NGO Committee on Mental Health, will host this side event which will focus on international and regional efforts to promote community-based mental health services for people with psychosocial disabilities in accordance with the goals of the CRPD and specifically in line with article 25 to the CRPD on the right to highest standard of health.
This event aims to bring together expert perspectives from the International level (WHO Quality Rights Initiative) and policymakers, governments, NGO’s promoting mental health services and people with disabilities whose lives have improved because of having access to these services.
Panelists will provide a comprehensive set of innovative approaches, tested good practices and policy guidance around community mental health service. They will discuss their successes as well as the challenges they face in providing quality services around the world. Examples will be provided by India, Israel, theUS, and other countries. We will begin with the global perspective of the WHOand Zero Project. We will hear from “users” who have benefitted from access to mental health services. And we will present throughout different examples of successful and innovative practices to promote better services for PWD with psychosocial disabilities around the world.
Overview of key issues discussed:
- Mental disorders are among the leading causes of all ill health and disability worldwide. 1in 4 people in the world are affected by mental or neurological disorders at some point in time or in their life. Around 450 million people suffer from such conditions. Nearly two-thirds of people with a known mental disorder will seek health from a health professional. We need to break this culture of silence in order to fulfill the promise of leaving no one behind.
- There is no health without mental health. Mental health, therefore, must be a high priority given the implementation of Sustainable Development Goal 3 on health and well-being and the U.N. General Assembly resolution on Universal Health Care Coverage.
- The theme of access to mental health services has been a neglected treaty obligation, partly because of the history of abuse and forced institutionalization and medication, which overshadowed some of the good practices that are out there. In that respect, this side event is a significant milestone.
- From an international perspective, The WHO is reforming mental health services and promoting the human rights of people with psychosocial disabilities around the world. Its objectives include: Improve quality of care and human rights in mental health services; Create community based and recovery-oriented services that respect and promote human rights; Promote human rights, recovery, and independent living in the community; Develop a movement of people with mental disabilities to provide mutual support, conduct advocacy and influence policy-making processes and Reform national policies and legislation. QR includes research, tools, guidelines, and E-training for governments, people with disabilities, and professionals in the mental health field.
- Zero Project, which aims to promote a world without barriers for people with disabilities, is integrating psychosocial disabilities into its program curriculum. The presentation included examples of best practices from around the globe who awarded the zero project award (from Sweden, Colombia, Romania, and Israel) focusing on psychosocial disability.
- Enosh presented its multi-sectoral model of work in Israel which address the WHO approach and focus on personal change based on supported decision making, recovery model approach. Work with the person in the community lead to changes in different contexts for such as family, community, and policy.
- The Mental Health Action Trust India showed the shift in paradigm from the medical model to a more community-based model in a low and middle-income country with smaller numbers of professionals. A practice based on volunteers and technology (video calls) for monitoring mental health in rural areas was presented and showed significant results in promoting mental health care.
- There is a significant strength in the personal success stories and testimonies to reduce stigma and promote the need for recovery and community-based services.
- Examples were given for the importance of early intervention and addressing trauma in services in the community in the early stages.
- Panelists emphasized the need for trauma-informed mental health approach and services. Over 70 percent of people with disabilities reported that they had been victims of abuse. More than 63 percent of family members said their loved one with a disability had been an abuse victim. Trauma-informed care embraces a perspective that highlights adaptation over symptoms and resilience over pathology.
Q&A session – provided insights of the audience on different aspects of the subject such as implementation in developed countries like Kenya; Global campaigns for mental health; Trauma-informed services; Paradigm shift in mental health services and suggestion for new approach; The intersection between different disabilities and mental health; Addressing mental health in the education and higher education systems and more