This is the way forward
The circle of care
ity
Me di
un
Provide treatment in primary care.
Psychological support Hospitalization
Avoidance of stigma and discrimination Co Full social participation m Human rights
m
Early recognition Information about illness and treatment l Medical care ca
The mental health story
One in four people will suffer
Make psychotropic medicines available.
450 million people are currently
from a mental or neurological disorder a ilit
tio
affected by these disorders.
ily
Skills for care Family cohesion Networking with families Crisis support Financial support Respite care Fa m
ab
Educate the public.
Social support Education Vocational support n Day care Long-term care Spiritual needs Reh
Provide care in the community.
at some point during their lifetime.
Involve communities, From Chapter 3, figure 3.1, World Health Report 2001.
Establish national policies,
121 million people suffer from depression
families and consumers.
24 million people
programmes and legislation.
and 50 million from epilepsy.
Link with other sectors.
Monitor community mental health. Support more research.
For further information about mental health, please contact: Department of Mental Health and Substance Dependence World Health Organization 20 Avenue Appia 1211 Geneva 27 Switzerland Tel: +41 22 791 3634 www.who.int/mental_health
[email protected]
For further information about the World Health Report, please contact: World Health Reporting World Health Organization 20 Avenue Appia 1211 Geneva 27 Switzerland Tel: +41 22 791 4224/2384 www.who.int/whr
[email protected]
Copies of the World Health Report 2001, Mental Health: New Understanding, New Hope can be obtained through
[email protected]
A product of NMH Communications. World Health Organization, Geneva, 2001. Design: Marilyn Langfeld.
Develop human resources.
suffer from schizophrenia.
Every year, one million people 10 to 20 million attempt suicide.
commit suicide.
Mental disorders affect all people in all countries
People do not get the care they need
There are solutions
Neuropsychiatric disorders account for nearly one-third of the disability in the world.
…because of lack of resources
People can be successfully treated.
Number of psychiatrists per 100 000 population, 2000a
31
Depression
Up to 60% of patients recover
This disability is present in every region of the world.
Substance abuse
Number per 100 000 population 0–1 1.1–5 5.1–10 >10 No data available a Based on information from 177 Member States. Source: Mental health resources in the world. Initial results of Project Atlas (2001). Geneva, World Health Organization.
Up to 60% reduction in drug use
From Chapter 4, figure 4.4, World Health Report 2001.
18
43
…because of fear of seeking help Africa
Europe
Epilepsy
A study in Australia showed that even where care is available and affordable, only 35% of people with a mental disorder sought help from a health professional.
Up to 73% of patients live free from seizures 43
27
35% of people seek help From Chapter 3, table 3.1, World Health Report 2001.
The Americas
South-East Asia
…because of lack of policies 27
31
Western Pacific From Chapter 2, figure 2.1, World Health Report 2001.
Up to 77% of patients live without relapses
Presence of mental health policies in WHO Regions No Yes 52 48
Eastern Mediterranean
Schizophrenia
Africa
No Yes 38 62
No Yes 32 68
The Americas Eastern Mediterranean
No Yes 37 63
No Yes 44 56
No Yes
Europe
South-East Asia
Western Pacific
52 48
From Chapter 4, figure 4.1, World Health Report 2001.
From Chapter 3, tables 3.2, 3.4, World Health Report 2001.