Multi-Sectoral Member Care: Engaging Our World as Global Integrators

2016 ◽  
Vol 44 (4) ◽  
pp. 303-314
Author(s):  
Kelly O'Donnell ◽  
Michèle Lewis O'Donnell

How can we build on the substantial foundations of member care as we pursue new opportunities for impacting our needy world? We address this important question through the framework of Global Integration (GI) and multi-sectoral member care. GI is a framework for linking our integrity, skills, and values in order to address the major issues in our world. We present five strategic areas for connecting and contributing across sectors in member care as “global integrators.” These areas include engaging our world via: the member care field; international issues; the humanitarian, development, and other sectors; global mental health; and faith-based partnerships. We finish by describing seven indicators for involvement as global integrators and a sample GI template for multi-sectoral member care. We encourage colleagues to continue the emphasis on well-being and effectiveness for mission personnel while launching into new areas of challenge and service within the missio Dei.

2020 ◽  
Vol 10 (3) ◽  
pp. 546-554
Author(s):  
Scherezade K Mama ◽  
Nishat Bhuiyan ◽  
Melissa J Bopp ◽  
Lorna H McNeill ◽  
Eugene J Lengerich ◽  
...  

Abstract Churches are well positioned to promote better mental health outcomes in underserved populations, including rural adults. Mind–body (MB) practices improve psychological well-being yet are not widely adopted among faith-based groups due to conflicting religious or practice beliefs. Thus, “Harmony & Health” (HH) was developed as a culturally adapted MB intervention to improve psychosocial health in urban churchgoers and was adapted and implemented in a rural church. The purpose of this study was to explore the feasibility, acceptability, and efficacy of HH to reduce psychosocial distress in rural churchgoers. HH capitalized on an existing church partnership to recruit overweight or obese (body mass index [BMI] ≥25.0 kg/m2) and insufficiently active adults (≥18 years old). Eligible adults participated in an 8 week MB intervention and completed self-reported measures of perceived stress, depressive symptoms, anxiety, and positive and negative affect at baseline and postintervention. Participants (mean [M] age = 49.1 ± 14.0 years) were mostly women (84.8%), non-Hispanic white (47.8%) or African American (45.7%), high socioeconomic status (65.2% completed ≥bachelor degree and 37.2% reported an annual household income ≥$80,000), and obese (M BMI = 32.6 ± 5.8 kg/m2). Participants reported lower perceived stress (t = −2.399, p = .022), fewer depressive symptoms (t = −3.547, p = .001), and lower negative affect (t = −2.440, p = .020) at postintervention. Findings suggest that HH was feasible, acceptable, and effective at reducing psychosocial distress in rural churchgoers in the short-term. HH reflects an innovative approach to intertwining spirituality and MB practices to improve physical and psychological health in rural adults, and findings lend to our understanding of community-based approaches to improve mental health outcomes in underserved populations.


Author(s):  
Alexandra S. Marcotte ◽  
Ellen M. Kaufman ◽  
Jessica T. Campbell ◽  
Tania A. Reynolds ◽  
Justin R. Garcia ◽  
...  

Depression, anxiety, and loneliness have long been recognized as global mental health concerns. To temporarily relieve psychological distress, self-soothing behavior is common, including engagement in sexual behaviors that are linked to positive mental well-being. Considering the COVID-19 pandemic further exacerbated many mental health ailments alongside physical distancing regulations, we specifically examined online sexual behavior via the use of emergent digital sexual technologies, or sextech. In a 2019 study of 8004 American adults, we assessed whether people experiencing higher anxiety, depression, and/or loneliness were more likely to engage in sextech use. Furthermore, we examined whether anxiety or depression mediated the association between loneliness and sextech use, as loneliness is one contributor to anxiety and depression. People with higher anxiety and depression were more likely to engage in sextech. However, those who were more lonely were less likely to engage with sextech, suggesting the aforementioned patterns were not due to lack of social connection. Our findings suggest people with mental health struggles may be drawn to interactive, digital forms of sexual behavior as a means of alleviating symptoms through distraction or self-soothing. This insight offers an important pathway for expanding the scope of mental health interventions, particularly as technology becomes increasingly prevalent and accessible in everyday life.


2015 ◽  
Vol 2 (4) ◽  
Author(s):  
Dr. Meghamala. S. Tavaragi ◽  
Mrs. Sushma.C ◽  
Dr. Susheelkumar V. Ronad

World Mental Health Day (10 October) is a day for global mental health education, awareness and advocacy. It was first celebrated in 1992 at the initiative of the World Federation for Mental Health, a global mental health organization with members and contacts in more than 150 countries. This day, each October thousands of supporters come to celebrate this annual awareness program to bring attention to Mental Illness and its major effects on peoples’ life worldwide. In some countries this day is part of the larger Mental Illness Awareness Week. Mental health is a level of psychological well-being, or an absence of a mental disorder it is the “psychological state of someone who is functioning at a satisfactory level of emotional and behavioral adjustment”. The definition of mental health highlights emotional well-being, the capacity to live a full and creative life, and the flexibility to deal with life’s inevitable challenges. A person struggling with his or her behavioral health may face stress, depression, anxiety, relationship problems, grief, addiction, ADHD or learning disabilities, mood disorders, or other psychological concerns. Counselors, therapists, life coaches, psychologists, nurse practitioners or physicians can help manage behavioral health concerns with treatments such as therapy, counseling, or medication. At the beginning of the 20th century, Clifford Beers founded the National Committee for Mental Hygiene and opened the first outpatient mental health clinic in the United States of America. The mental hygiene movement, related to the social hygiene movement, had at times been associated with advocating eugenics and sterilization of those considered too mentally deficient to be assisted into productive work and contented family life. Global mental health is the international perspective on different aspects of mental health. The overall aim of the field of global mental health is to strengthen mental health all over the world by providing information about the mental health situation in all countries, and identifying mental health care needs in order to develop cost-effective interventions to meet those specific needs.


2021 ◽  
Author(s):  
Honor Scarlett ◽  
Camille Davisse-Paturet ◽  
Cecile Longchamps ◽  
Tarik El Aarbaoui ◽  
Cecile Allaire ◽  
...  

Background: Accumulating evidence suggests that the COVID–19 pandemic has negatively affected global mental health and well–being. However, the impact amongst homeless persons has not been fully evaluated. The ECHO study reports factors associated with depression amongst the homeless population living in shelters in France during the Spring of 2020. Methods: Interview data were collected from 527 participants living in temporary and/or emergency accommodation following France's first lockdown (02/05/20 – 07/06/20), in the metropolitan regions of Paris (74%), Lyon (19%) and Strasbourg (7%). Interviews were conducted in French, English, or with interpreters (33% of participants, ~20 languages). Presence of depression was ascertained using the Patient Health Questionnaire (PHQ–9). Results: Amongst ECHO study participants, 30% had symptoms of moderate to severe depression (PHQ–9≥ 10). Multivariate analysis revealed depression to be associated with being female (aOR: 2.15; CI: 1.26–3.69), being single (aOR: 1.60; CI: 1.01–2.52), having a chronic illness (aOR: 2.32; CI: 1.43–3.78), facing food insecurity (aOR: 2.12; CI: 1.40–3.22) and participants' region of origin. Persons born in African and Eastern Mediterranean regions showed levels of depression comparable to those of French participants (30–33%) but higher than migrants from European countries (14%). Reduced rates of depression were observed amongst participants aged 30–49 (aOR: 0.60; CI: 0.38–0.95) and over 50 (aOR: 0.28; CI: 0.13–0.64), compared to 18–29–year–olds. Conclusions: Our results indicate high levels of depression among homeless persons during the COVID–19 pandemic. The value of these findings extends beyond the health crisis, as predicted future instability and economic repercussions could particularly impact the mental health of this vulnerable group.


2016 ◽  
Vol 3 ◽  
Author(s):  
K. O'Donnell ◽  
M. Lewis O'Donnell

Global mental health (GMH) is a growing domain with an increasing capacity to positively impact the world community's efforts for sustainable development and wellbeing. Sharing and synthesizing GMH and multi-sectoral knowledge, the focus of this paper, is an important way to support these global efforts. This paper consolidates some of the most recent and relevant ‘context resources’ [global multi-sector (GMS) materials, emphasizing world reports on major issues] and ‘core resources’ (GMH materials, including newsletters, texts, conferences, training, etc.). In addition to offering a guided index of materials, it presents an orientation framework (global integration) to help make important information as accessible and useful as possible. Mental health colleagues are encouraged to stay current in GMH and global issues, to engage in the emerging agendas for sustainable development and wellbeing, and to intentionally connect and contribute across sectors. Colleagues in all sectors are encouraged to do likewise, and to take advantage of the wealth of shared and synthesized knowledge in the GMH domain, such as the materials featured in this paper.


2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Sophia Graeff-Buhl-Nielsen ◽  
Eduardo Garcia-Garzon ◽  
Amel Benzerga ◽  
Tomas Folke ◽  
Kai Ruggeri

Author(s):  
Driss Moussaoui ◽  
Vishal Bhavsar ◽  
Dinesh Bhugra

Globalization is a term used widely to describe ‘homogenization’ of the world and various cultures. Although it is to do with trade, with an impact on resources, manufacture, and consumption, its impact is often seen on economics, development, international relations, and health. However, its effect on individual and population mental health across cultures deserves detailed study. The term means different things to different people and is often misused and misinterpreted in a number of ways. The geopolitical impact of globalization on social determinants of mental health of individuals and populations is of particular interest, especially because globalization affects migration and consequent changes in well-being. Cultures vary and have various dimensions, which change in response to globalization. The challenges in the global mental health agenda are of critical interest to policymakers and service planners. Often, mental health is regarded as separate from aspects of physical health and well-being, thereby creating specific problems. In the context of globalization and resulting migration, we propose a conceptual model to understand the effects of globalization on mental health and identify some action points for future research and policy-making.


Author(s):  
Dan J. Stein ◽  
James Giordano

At first glance, neuroethics and global mental health would seem to have relatively little in common; the former is often focused on the use or misuse of novel and specialized neurotechnologies in specialized or high-income settings, while the latter is often focused on the scaling up of existing treatments in primary care settings in low- and middle-income countries. On closer examination, however, they have significant overlapping concerns and approaches that may be mutually empowering. They both (1) take a naturalist and empirical approach to their questions of interest, (2) are concerned with both disease and with well-being, (3) embrace human rights and patient empowerment, and (4) hold a deep appreciation for human diversity. This chapter considers each of these areas and argues for the importance of conversation and collaboration between neuroethics and global mental health toward a truly international neuroethics.


Author(s):  
Vishal Bhavsar ◽  
Shuo Zhang ◽  
Dinesh Bhugra

Globalization not only affects mental health, but also our conceptualizations and measurements of it. The last three decades have seen global efforts to determine the prevalence of human illness and to universalize the provision of mental health treatment for everyone. At the same time, theorization of the effect of global social, economic, and social transitions on mental health and the factors that influence it have been relatively lacking, limiting the effectiveness and take-up of interventions, and the development of policies. This chapter reviews previous theoretical models of the effects globalization on health, and develops a model for mental health. In particular, the measurement of mental health, well-being, and adversity is located under the influence of macrosocial processes. Influences on mental health across the many levels in which the individual is situated are emphasized. Questions and implications for further empirical work are drawn out, including in the ‘global mental health’ field.


Author(s):  
Anindya Das ◽  
Mohan Rao

We critically engage with the Movement for Global Mental Health (MGMH) through the lens of the Social Determinants of Health (SDH), suitably widened. We explore the socio-political context of Indian community mental health initiatives in order to elaborate the opportunities/impediments for a public programme. We critique the MGMH for being preoccupied with the burden of mental illness and its “treatment”, while being inattentive to the social, economic, and political contexts shaping local/global ecologies of well-being/suffering. Hence the economic arguments of the MGMH fail to examine the realities of local contexts (poor public health funding and primary health care, lax pharmaceutical regulations, asymmetric power relations and indigenous knowledge systems). Using the concepts of globalisation and global health, and taking a population perspective, we describe a neo-materialistic version of SDH.


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