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Mainstreaming
Mental Health into the
Development Priorities
in the United Nations
Takashi Izutsu, Ph.D. United Nations
Global trend surrounding
        Mental Health & HIV
• Paris Declaration on Aid Effectiveness
  (2005) & Accra Agenda for Action (2008)
• One UN: United Nations Development
  Assistance Framework (UNDAF)

       All the Donors/UN entities determine
       the priorities & plans together
How do they determine
        priorities & plan?
Country Level
• Common Country Assessment (CCA)
Global Level
• General Assembly Resolutions
• Economic and Social Council Resolutions

     Millennium Development Goals (MDGs)
     & Human Rights Conventions, etc.
Millennium Development
        Goals (MDGs)
Goal 1: End poverty and Hunger
Goal 2: Universal Education
Goal 3: Gender Equality
Goal 4: Child Health
Goal 5: Maternal Health
Goal 6: Response to HIV, Malaria & Other Dx
Goal 7: Environmental Sustainability
Goal 8: Global Partnership

     Mental Health is not mentioned
Human Rights Conventions
• Int’l Convention on the Elimination of All Forms of
  Racial Discrimination (1965)
• Int’l Covenant on Civil & Political Rights (1966)
• Int’l Covenant on Economic, Social & Cultural Rights (1966)
• Convention on the Elimination of All Forms of
  Discrimination against Women (1979)
• Convention against Torture and Other Cruel, Inhuman or
  Degrading Treatment or Punishment (1984)
• Convention on the Rights of the Child (1989)
• Int’l Convention on the Protection of the Rights of All
  Migrant Workers and Members of Their Families (1990)
• Convention on the Rights of Persons with Disabilities(2006)
• Int’l Convention for the Protection of All Persons from
  Enforced Disappearance (2006)
Others

• ECOSOC High Level Segment (2009):
  The Ministerial Declaration
  highlighted importance of
  integrating mental health into
  the implementation of
  the MDGs (including MDG6)
                      etc.
UN-WHO Policy Analysis on
          Mental Health & Development
Joint Policy Analysis issued (Sep. 2010).
•   Importance of integrating Mental Health
    as a critical indicator of human
    development, well-being, QOL,
    peace, and hope.
       incl. HIV & Mental Health
•   Impact of mental and
    psychosocial disability.
(http://www.un.org/disabilities/default.asp?id=1545)
United Nations System

              UN (Secretary-General)
  UN Principle               UN Funds &                   Specialized
    Organs                   Programmes                  Agencies of UN
• General Assembly       •   UNDP                        •    WHO
• Security Council       •   UNFPA                       •    ILO
• Economic and           •   UNICEF                      •    UNESCO
  Social Council
                         •   WFP                         •    FAO etc.
• UN Secretariat etc.
                         •   UNHCR etc.
 Fora of Member States       Implementing Entities             Technical Entities
  (making Resolutions)       (through Country Offices)       (technical backstopping)
World Health Organization
        (WHO)
Published an Intervention Guide for
Mental Disorders.
      Solution Package

                     WHO: mhGAP
                     Intervention Guide for
                     mental, neurological and
                     substance use disorders
                     in non-specialized health
                     settings (2010)
United Nations Population
         Fund (UNFPA)
• Integrated Mental Health into “Strategic
  Plan 2008-2013”: Universal access to
  reproductive health and comprehensive
  HIV prevention for improved quality of life.
• Integrated Mental Health into
  Programmes in Countries as
  part of Maternal Health,
  Gender-based Violence, & HIV.
• Global level: awareness raising,
  research, & networking.
United Nations Population
        Fund (UNFPA)
• Statements by the Executive Director
• Fact Sheet, WHO-UNFPA Statement, &
  Research Compendium
United Nations Children’s
         Fund (UNICEF)

Round Table on Adolescent Mental
Health (2011)
      incl. Adolescent Mental
      Health and HIV
Exploring possibilities of integrating
Mental Health into Child Health
and Protection Programmes
The Way Forward

Policy Development
• Resolutions (General Assembly etc.)
• Guidance Note on Mental Health & HIV
• Post-MDGs framework
• Indicators

Need to develop inter-agency networks
The Way Forward

Awareness Raising
• Fact Sheet on Mental Health & HIV
• Advocacy Event
The Way Forward

Capacity Building (CB)
• Creative CB re: mhGAP etc. for
  health workers
  (ex. On-line mhGAP training etc.)
• CB for central and municipality officials
• CB for general public
Make sure accessibility & include persons
with psychosocial disabilities in the process
Thank you

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Mainstreaming Mental Health in UN Development Priorities

  • 1. Mainstreaming Mental Health into the Development Priorities in the United Nations Takashi Izutsu, Ph.D. United Nations
  • 2. Global trend surrounding Mental Health & HIV • Paris Declaration on Aid Effectiveness (2005) & Accra Agenda for Action (2008) • One UN: United Nations Development Assistance Framework (UNDAF) All the Donors/UN entities determine the priorities & plans together
  • 3. How do they determine priorities & plan? Country Level • Common Country Assessment (CCA) Global Level • General Assembly Resolutions • Economic and Social Council Resolutions Millennium Development Goals (MDGs) & Human Rights Conventions, etc.
  • 4. Millennium Development Goals (MDGs) Goal 1: End poverty and Hunger Goal 2: Universal Education Goal 3: Gender Equality Goal 4: Child Health Goal 5: Maternal Health Goal 6: Response to HIV, Malaria & Other Dx Goal 7: Environmental Sustainability Goal 8: Global Partnership Mental Health is not mentioned
  • 5. Human Rights Conventions • Int’l Convention on the Elimination of All Forms of Racial Discrimination (1965) • Int’l Covenant on Civil & Political Rights (1966) • Int’l Covenant on Economic, Social & Cultural Rights (1966) • Convention on the Elimination of All Forms of Discrimination against Women (1979) • Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment (1984) • Convention on the Rights of the Child (1989) • Int’l Convention on the Protection of the Rights of All Migrant Workers and Members of Their Families (1990) • Convention on the Rights of Persons with Disabilities(2006) • Int’l Convention for the Protection of All Persons from Enforced Disappearance (2006)
  • 6. Others • ECOSOC High Level Segment (2009): The Ministerial Declaration highlighted importance of integrating mental health into the implementation of the MDGs (including MDG6) etc.
  • 7. UN-WHO Policy Analysis on Mental Health & Development Joint Policy Analysis issued (Sep. 2010). • Importance of integrating Mental Health as a critical indicator of human development, well-being, QOL, peace, and hope. incl. HIV & Mental Health • Impact of mental and psychosocial disability. (http://www.un.org/disabilities/default.asp?id=1545)
  • 8. United Nations System UN (Secretary-General) UN Principle UN Funds & Specialized Organs Programmes Agencies of UN • General Assembly • UNDP • WHO • Security Council • UNFPA • ILO • Economic and • UNICEF • UNESCO Social Council • WFP • FAO etc. • UN Secretariat etc. • UNHCR etc. Fora of Member States Implementing Entities Technical Entities (making Resolutions) (through Country Offices) (technical backstopping)
  • 9. World Health Organization (WHO) Published an Intervention Guide for Mental Disorders. Solution Package WHO: mhGAP Intervention Guide for mental, neurological and substance use disorders in non-specialized health settings (2010)
  • 10. United Nations Population Fund (UNFPA) • Integrated Mental Health into “Strategic Plan 2008-2013”: Universal access to reproductive health and comprehensive HIV prevention for improved quality of life. • Integrated Mental Health into Programmes in Countries as part of Maternal Health, Gender-based Violence, & HIV. • Global level: awareness raising, research, & networking.
  • 11. United Nations Population Fund (UNFPA) • Statements by the Executive Director • Fact Sheet, WHO-UNFPA Statement, & Research Compendium
  • 12. United Nations Children’s Fund (UNICEF) Round Table on Adolescent Mental Health (2011) incl. Adolescent Mental Health and HIV Exploring possibilities of integrating Mental Health into Child Health and Protection Programmes
  • 13. The Way Forward Policy Development • Resolutions (General Assembly etc.) • Guidance Note on Mental Health & HIV • Post-MDGs framework • Indicators Need to develop inter-agency networks
  • 14. The Way Forward Awareness Raising • Fact Sheet on Mental Health & HIV • Advocacy Event
  • 15. The Way Forward Capacity Building (CB) • Creative CB re: mhGAP etc. for health workers (ex. On-line mhGAP training etc.) • CB for central and municipality officials • CB for general public Make sure accessibility & include persons with psychosocial disabilities in the process