Louise Bradley, president and CEO of the Mental Health Commission of Canada, reflects on more than a decade of challenges and opportunities faced by the country's first such commission. She delivered the following speech at the 23rd World Congress of Social Psychiatry on October 24, 2019, in Bucharest, Romania. Using her own lived experience as a springboard for combating stigma and spurring discussion, Bradley is a mental health advocate who has straddled both sides of the care divide. Amplifying the voices of lived experience and caregivers is among her proudest achievements. Through her extensive international exposure, she is convinced that every country is a developing country when it comes to mental health – and this is particularly true when one trains a lens on the mental health outcomes of Indigenous peoples – in Canada and around the world. As a former clinical practitioner and hospital administrator – and a lauded voice for equity and inclusion – Bradley's goal is to challenge her audience to acknowledge their own biases, confront self-stigma, and find our shared humanity
{"title":"In All Candour: Taking Off the Mask","authors":"L. Bradley","doi":"10.4103/WSP.WSP_8_20","DOIUrl":"https://doi.org/10.4103/WSP.WSP_8_20","url":null,"abstract":"Louise Bradley, president and CEO of the Mental Health Commission of Canada, reflects on more than a decade of challenges and opportunities faced by the country's first such commission. She delivered the following speech at the 23rd World Congress of Social Psychiatry on October 24, 2019, in Bucharest, Romania. Using her own lived experience as a springboard for combating stigma and spurring discussion, Bradley is a mental health advocate who has straddled both sides of the care divide. Amplifying the voices of lived experience and caregivers is among her proudest achievements. Through her extensive international exposure, she is convinced that every country is a developing country when it comes to mental health – and this is particularly true when one trains a lens on the mental health outcomes of Indigenous peoples – in Canada and around the world. As a former clinical practitioner and hospital administrator – and a lauded voice for equity and inclusion – Bradley's goal is to challenge her audience to acknowledge their own biases, confront self-stigma, and find our shared humanity","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"323 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122708503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Kuttichira, R. Kallivayalil, A. James, Chithira Thomas, A. Rahiman
During 2018 monsoon, Kerala received 256% excess of rainfall resulting in floods affecting 5.4 million people, leaving 483 dead, 14 missing, and 140 hospitalized. The UN estimated a loss of Indian National Rupees 310,000 million. Our teams worked from the affected sites to the relief camps. As the disaster struck rapidly, prompt actions were taken based on quick assumptions. Mental health teams exposed to disaster preparedness manual and worked in tandem with health workers. Medical student volunteers indulged children in recreational activities. Feedbacks of their experiences were collected. Status in the rehabilitation centers was ascertained systematically, and services rendered were recorded. Postgraduate students of mental health discipline were trained using the WHO Tool Problem Management Plus (PM+), and their feedback was gathered. About 2086 people from 296 households in the relief camp were studied. Medicines were refilled for the psychiatric patients and psychological first aid was offered to those in distress; all of them had sought mental health services openly. Alcohol withdrawal syndromes observed were not severe. Children emboldened the adults. Out of the 13 long-term care centers, inmates had to be shifted out in three. PM+ workshop was rated beneficial by the participants. This is the report of experiences and action from the affected sites from day 1 of disaster. When hit by disaster, stigma against mental illness becomes less conspicuous. Expeditious orientation in disaster preparedness is feasible and advantageous for mental health professionals. Children are pivotal for suicide prevention in adults. Unlicensed care centers pose delay in providing support. Inclusion of disaster preparedness and intervention modules in the curriculum is to be considered.
{"title":"Immediate Mental Health Response to Kerala Floods 2018 Victims","authors":"P. Kuttichira, R. Kallivayalil, A. James, Chithira Thomas, A. Rahiman","doi":"10.4103/WSP.WSP_22_19","DOIUrl":"https://doi.org/10.4103/WSP.WSP_22_19","url":null,"abstract":"During 2018 monsoon, Kerala received 256% excess of rainfall resulting in floods affecting 5.4 million people, leaving 483 dead, 14 missing, and 140 hospitalized. The UN estimated a loss of Indian National Rupees 310,000 million. Our teams worked from the affected sites to the relief camps. As the disaster struck rapidly, prompt actions were taken based on quick assumptions. Mental health teams exposed to disaster preparedness manual and worked in tandem with health workers. Medical student volunteers indulged children in recreational activities. Feedbacks of their experiences were collected. Status in the rehabilitation centers was ascertained systematically, and services rendered were recorded. Postgraduate students of mental health discipline were trained using the WHO Tool Problem Management Plus (PM+), and their feedback was gathered. About 2086 people from 296 households in the relief camp were studied. Medicines were refilled for the psychiatric patients and psychological first aid was offered to those in distress; all of them had sought mental health services openly. Alcohol withdrawal syndromes observed were not severe. Children emboldened the adults. Out of the 13 long-term care centers, inmates had to be shifted out in three. PM+ workshop was rated beneficial by the participants. This is the report of experiences and action from the affected sites from day 1 of disaster. When hit by disaster, stigma against mental illness becomes less conspicuous. Expeditious orientation in disaster preparedness is feasible and advantageous for mental health professionals. Children are pivotal for suicide prevention in adults. Unlicensed care centers pose delay in providing support. Inclusion of disaster preparedness and intervention modules in the curriculum is to be considered.","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134262023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Coronavirus disease 2019 (COVID-19) pandemic is associated with mental health consequences in patients diagnosed as having the disease, their contacts, healthcare workers, and also in the general community because of fear of getting the infection. Organizing mental health services in a big general hospital, especially in the background of diversion of many services including the workforce for pandemic-related services is a big challenge. The paper discusses the personal experience of the author in organizing mental health and psychosocial support services at a tertiary care teaching medical institution in India in the background of the COVID-19 pandemic. The services were targeted at the population visiting the hospital, healthcare workers, persons being quarantined, caregivers of patients with COVID-19 and the community in general. Some guidance notes were also developed for the physicians dealing with persons with COVID-19-related concerns and for psychiatrists in dealing with their patients. The strategy employed has a scope of being used at other similar institutions and also in similar situations arising in the future.
{"title":"Organizing Mental Health and Psychosocial Support Services for COVID-19 at a Tertiary Care Center in India","authors":"R. Chadda","doi":"10.4103/WSP.WSP_23_20","DOIUrl":"https://doi.org/10.4103/WSP.WSP_23_20","url":null,"abstract":"Coronavirus disease 2019 (COVID-19) pandemic is associated with mental health consequences in patients diagnosed as having the disease, their contacts, healthcare workers, and also in the general community because of fear of getting the infection. Organizing mental health services in a big general hospital, especially in the background of diversion of many services including the workforce for pandemic-related services is a big challenge. The paper discusses the personal experience of the author in organizing mental health and psychosocial support services at a tertiary care teaching medical institution in India in the background of the COVID-19 pandemic. The services were targeted at the population visiting the hospital, healthcare workers, persons being quarantined, caregivers of patients with COVID-19 and the community in general. Some guidance notes were also developed for the physicians dealing with persons with COVID-19-related concerns and for psychiatrists in dealing with their patients. The strategy employed has a scope of being used at other similar institutions and also in similar situations arising in the future.","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116662458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kerala, a state in the southern part of India, has recently been in the news for its successful handling of the coronavirus disease 2019 pandemic. Here, we briefly share the various factors leading to this success so that these can be learning points for others. The successes of the State's strategies are attributed to a multitude of factors. A firm rooting on evidence-based public health, the high rate of literacy among its population, the investment in universal health care, the unique sociocultural and political fabric, and the strict but humane approach of the bureaucrats and civilians alike are some of the factors that played a key role. It is a reflection of the consistent efforts of the State in diverting significant resources every year toward building public health infrastructure, trusting village-level bodies with autonomy and funds, and promoting shared values that encourage social cooperation. The multidisciplinary teams provided counseling and psychosocial support for people in isolation and quarantine. The focus was also on tackling the stigma surrounding the virus. There are also lessons to be learned from how Kerala treated its migrant population of workers, rechristened as “guest workers.” Thus, a multipronged approach, based on a combination of science and social–humanitarian values, was successful in meeting this challenge.
{"title":"Coronavirus Disease 2019: The Success Story from Kerala, India","authors":"R. Kallivayalil, A. Enara","doi":"10.4103/WSP.WSP_42_20","DOIUrl":"https://doi.org/10.4103/WSP.WSP_42_20","url":null,"abstract":"Kerala, a state in the southern part of India, has recently been in the news for its successful handling of the coronavirus disease 2019 pandemic. Here, we briefly share the various factors leading to this success so that these can be learning points for others. The successes of the State's strategies are attributed to a multitude of factors. A firm rooting on evidence-based public health, the high rate of literacy among its population, the investment in universal health care, the unique sociocultural and political fabric, and the strict but humane approach of the bureaucrats and civilians alike are some of the factors that played a key role. It is a reflection of the consistent efforts of the State in diverting significant resources every year toward building public health infrastructure, trusting village-level bodies with autonomy and funds, and promoting shared values that encourage social cooperation. The multidisciplinary teams provided counseling and psychosocial support for people in isolation and quarantine. The focus was also on tackling the stigma surrounding the virus. There are also lessons to be learned from how Kerala treated its migrant population of workers, rechristened as “guest workers.” Thus, a multipronged approach, based on a combination of science and social–humanitarian values, was successful in meeting this challenge.","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129613628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Need for Social Psychiatry Research on the Current COVID-19 Crisis","authors":"A. Kaltenboeck","doi":"10.4103/WSP.WSP_34_20","DOIUrl":"https://doi.org/10.4103/WSP.WSP_34_20","url":null,"abstract":"","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129939641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Plague by Albert Camus, the COVID-19 Pandemic, and the Role of Social Psychiatry – Lessons Shared, Lessons Learned","authors":"D. Basu","doi":"10.4103/WSP.WSP_67_20","DOIUrl":"https://doi.org/10.4103/WSP.WSP_67_20","url":null,"abstract":"","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124554379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The impacts of COVID-19, both through its direct infectious sequelae, and through massive changes to our societal and health system functioning, are being felt differentially by different populations. In many ways, the disproportionate negative impacts are highlighting preexisting fault lines in our social fabric. Lessons learned during this epidemic can hopefully help guide long-term improvements to models of health-care delivery, and also draw attention to needed social changes for addressing vulnerable marginalized populations and inequities, and improving social resilience.
{"title":"Mental Health and Healthcare in Canada during the COVID-19 Epidemic: A Social Perspective","authors":"K. Gaind","doi":"10.4103/WSP.WSP_45_20","DOIUrl":"https://doi.org/10.4103/WSP.WSP_45_20","url":null,"abstract":"The impacts of COVID-19, both through its direct infectious sequelae, and through massive changes to our societal and health system functioning, are being felt differentially by different populations. In many ways, the disproportionate negative impacts are highlighting preexisting fault lines in our social fabric. Lessons learned during this epidemic can hopefully help guide long-term improvements to models of health-care delivery, and also draw attention to needed social changes for addressing vulnerable marginalized populations and inequities, and improving social resilience.","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134202743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The pandemic of severe acute respiratory syndrome CoV-2 affected most countries and united the polarized world. In spite of sharing the experiences, the data show there are differences and specificities across regions. The number of infected persons and death toll show that wealthy, developed nations were not more prepared than low income, developing countries, to deal with major stress of the pandemic. The aim of this paper is to reflect on possible psychosocial causes of these differences. The emergency states were introduced rather early in countries of East Europe, with strict restrictive measures that seem to be critical. Mental health care considerably changed during the pandemic and was mostly neglected as was the usual somatic care of people, with intention to prevent collapse of not well-developed health system. There are many lessons to be learned from the pandemic. A long-term planning and management measures should be prepared for a possible second wave as well as for new outbreaks that might affect humanity. A particular emphasis should be paid on the importance of preservation of mental health, widely neglected during the pandemic, as well as to a comprehensive psychosocial approach to affected communities.
{"title":"COVID-19 Pandemic: Reflexions from East Europe","authors":"D. Lečić‐Toševski","doi":"10.4103/WSP.WSP_56_20","DOIUrl":"https://doi.org/10.4103/WSP.WSP_56_20","url":null,"abstract":"The pandemic of severe acute respiratory syndrome CoV-2 affected most countries and united the polarized world. In spite of sharing the experiences, the data show there are differences and specificities across regions. The number of infected persons and death toll show that wealthy, developed nations were not more prepared than low income, developing countries, to deal with major stress of the pandemic. The aim of this paper is to reflect on possible psychosocial causes of these differences. The emergency states were introduced rather early in countries of East Europe, with strict restrictive measures that seem to be critical. Mental health care considerably changed during the pandemic and was mostly neglected as was the usual somatic care of people, with intention to prevent collapse of not well-developed health system. There are many lessons to be learned from the pandemic. A long-term planning and management measures should be prepared for a possible second wave as well as for new outbreaks that might affect humanity. A particular emphasis should be paid on the importance of preservation of mental health, widely neglected during the pandemic, as well as to a comprehensive psychosocial approach to affected communities.","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"617 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131623122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. Gopikumar, D. Padgett, Alok Sarin, R. Mezzina, Andrew C. Willford, S. Jain
Any epidemic of infectious disease such as the present one that we are witnessing puts a strain on both the individual and the community. The very basis of physical and emotional health, dependent as it is on the body and social networks, is threatened. Existing inequalities in society get accentuated, and systemic responses that provide succor to all sections of society, especially the marginalized, are critical. Scientific and technological insights will, ultimately, provide solutions (or at least a better understanding), but the broader engagement of the “social body” in this endeavor is very important. Humans are social beings, and the isolation, stigma and the labeling of those infected; indeed, the very “othering” of the virus, makes us concerned about the long-term consequences of this pandemic. From health-care workers and those seeking help who are concerned about imminent infection and morbidity, to those displaced and dispossessed, who now face months of poverty and hardship, the spectrum of mental health needs is very large. Pandemics like this underline the urgent need to work beyond real and imagined boundaries. As a group of mental health professionals and social scientists, we hope that the social and psychological responses will help us emerge from this with a greater sense of harmony and cohesiveness.
{"title":"Mental Health and the Coronavirus: A Global Perspective","authors":"V. Gopikumar, D. Padgett, Alok Sarin, R. Mezzina, Andrew C. Willford, S. Jain","doi":"10.4103/WSP.WSP_51_20","DOIUrl":"https://doi.org/10.4103/WSP.WSP_51_20","url":null,"abstract":"Any epidemic of infectious disease such as the present one that we are witnessing puts a strain on both the individual and the community. The very basis of physical and emotional health, dependent as it is on the body and social networks, is threatened. Existing inequalities in society get accentuated, and systemic responses that provide succor to all sections of society, especially the marginalized, are critical. Scientific and technological insights will, ultimately, provide solutions (or at least a better understanding), but the broader engagement of the “social body” in this endeavor is very important. Humans are social beings, and the isolation, stigma and the labeling of those infected; indeed, the very “othering” of the virus, makes us concerned about the long-term consequences of this pandemic. From health-care workers and those seeking help who are concerned about imminent infection and morbidity, to those displaced and dispossessed, who now face months of poverty and hardship, the spectrum of mental health needs is very large. Pandemics like this underline the urgent need to work beyond real and imagined boundaries. As a group of mental health professionals and social scientists, we hope that the social and psychological responses will help us emerge from this with a greater sense of harmony and cohesiveness.","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123490034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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