Global Burden of disease Flashcards
In what ways is Health Global?
Economic shocks, influenza, antibiotic resistance
What have been the key papers for Global Mental Health?
The lancet series: No health without mental health
PLOS Medicine series: MHgap Plan
Second Lancet series: Scaling and CAMH
Increase in Funding and WHO MHGAP Action
What are the 3 pillars of global mental health?
Culture Relevance,
Global Burden
Social Determinants
What are DALYS and what are the estimations of neuropsychological disorders?
Disability-adjusted life years: Years of life lost + Disability weight x years living with disability
WHO 15%
International Metrics 10.4%
How many years are lost due to mental disorders in terms of suicide and years lived with a disability?
2 years of lost life and 30 years of years with.
1 mill death a year- 50-80% preventable
How many years are lost due to mental disorders in terms of suicide and years lived with a disability?
2 years of lost life and 30 years of years with.
1 mill death a year- 50-80 preventable
What are the reduced life expectancies of mental illness vs body illnesses?
Smoking 6, obesity 8, depression 10-12 and Psychosis 13-15
Usually effecting disadvantaged groups.
What were the findings of the Million Death Study?
That girls in India are completing suicide at inflated numbers and that is not reflected in their policies.
What is the protean link?
The association between mental disorders and Physical health conditions.
I.E: Depression increases smoking, diabetes and hypertension and increases heart attack by 2X and 40% who have a heart attack will develop depression.
Diabetes and HIV care for self improve with the increased management of depression.
What are three concerns with the compartmentalisation of physical and mental health?
Underestimates the true impact of mental disorders.
Misses relevance of MH priority
Separates care: increases stigma, budget, decreases care outside asylums.
Why is mental health low on the policy list for LMIC and how could this be rectified?
Child and maternal health, HIV, TB Malaria higher issues.
The approach would be to aid these by showing co-morbidity of paternal mental health, child survival and pregnancy outcomes.
In what ways has schizophrenia highlighted discrimanation?
Both directly and via anticipation of discrimination.
What associations did Crick Lund find in his review of poverty and mental disorders?
Strong link with depression and anxiety
increased severity
increased duration
Worse outcomes
Not std poverty measures that are linked, but rather life-long disadvantages:
Low edu
Poor Housing
Indebtedness inability to make purchases
What did the work of Alem in Ethiopia find?
90% of schizo people were not getting the treatment needed. After setting up a clinic:
Increased outlook
Eliminate shackling
Increase back to work
What is the level of scarcity problem in LMIC?
1 in 1 mil psychologists in africa and asia
1 in 10 mil in poorer countries
76% of countries have less than 1 psychiatric nurse per 100 thousands
HIC have 200 X more.
