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Mental Health Action Plan 201:220 15 and workers is central to the expansion of services for mental health and the achievement of better outcomes.Integrating mental health into general health,disease-specific and social care services and programmes (such as those on women's health and HIV/AIDS)provides an important opportunity to manage mental health problems better,promote mental health and prevent mental disorders.For example,health workers trained in mental health should be equipped not only to manage mental disorders in the persons they see,but also to provide general wellness information and screening for related health conditions,including noncommunicable diseases and substance use.Not only does service integration require the acquisition of new knowledge and skills to identify,manage and refer people with mental disorders as appropriate,but also the re-definition of health workers'roles and changes to the existing service culture and attitudes of general health workers,social workers,occupational therapists and other professional groups.Furthermore,in this context,the role of specialized mental health professionals needs to be expanded to encompass supervision and support of general health workers in providing mental health interventions. Global target 2:Service coverage for severe mental disorders will have increosed by 20%(by the year 2020). Proposed actions for Member States 56 Service reorganization and expanded coverage:Systematically shift the locus of care away from long-stay mental hospitals towards non-specialized health settings with increasing coverage of evidence-based interventions (including the use of stepped care principles,as appropriate)for priority conditions and using a network of linked community-based mental health services,including short-stay inpatient care,and outpatient care in general hospitals,primary care,comprehensive mental health centres,day care centres,support of people with mental disorders living with their families,and supported housing. 57 Integrated and responsive core:Integrate and coordinate holistic prevention,promotion.rehabilitation,care and support that aims at meeting both mental and physical health care needs and facilitates the recovery of persons of all ages with mental disorders within and across general health and social services (including the promotion of the right to employment,housing. and education]through service user-driven treatment and recovery plans and,where appropriate,with the inputs of families and carers. 58 Mental health in humanitarian emergencies (including isolated,repeated or continuing conflict,violence and disasters): Work with national emergency committees and mental health providers in order to include mental health and psychosocial support needs in emergency preparedness and enable access to safe and supportive services,including services that address psychological trauma and promote recovery and resilience,for persons with mental disorders (pre existing as well as emergency-induced)or psychosocial problems,including services for health and humanitarian workers,during and following emergencies,with due attention to the longer-term funding required to build or rebuild a community-based mental health system after the emergency. 59 Human resource development:Build the knowledge and skills of general and specialized health workers to deliver evidence-based,culturally appropriate and human rights-oriented mental health and social care services,for children and adolescents,inter alia,by introducing mental health into undergraduate and graduate curricula:and through training and mentoring health workers in the field,particularly in non-specialized settings,in order to identify people with mental disorders and offer appropriate treatment and support as well as to refer people,as appropriate,to other levels of care. 60 Address disparities:Proactively identify and provide appropriate support for groups at particular risk of mental illness who have poor access to services.Mentat Health Action Ptan 2(]1 -; Ll12U and workers is central to the expansion of services for mental heallh and the achievement of better outcomes. Integrating mental health into general health, disease-specific and social care services and programmes [such as those on women's health and HIV/AIDS) provides an important opportunity to manage mental health problems better, promote mental heallh and prevent mentaL disorders. For example, health workers trained in mentaL health shouLd be equipped not only to manage mental disorders in the persons they see, but also to provide general wellness information and screening for related heallh conditions, including noncom municabLe diseases and substance use. Nol only does service integration require the acquisilion of new knowledge and skills to identify, manage and refer people with mental disorders as appropriate, but also the re-definition of heallh workers' roles and changes to the existing service cullure and attitudes of general heallh workers, social workers, occupational therapists and other professional groups. Furthermore, in this context, the role of specialized mental health professionaLs needs to be expanded to encompass supervision and support of general heallh workers in providing mental health interventions. Global target 2: Service coverage for severe mental disorders will have increased by 20% (by the year 2020). Proposed actions for Member States 56 Service reorganization and expanded coverage: Systematically shift the locus of care away from long-stay mentaL hospitals towards non-speciaLized health settings with increasing coverage of evidence-based interventions [including the use of stepped care principLes, as appropriate) for priority conditions and using a network 01 linked community-based mental health services, including short-stay inpatient care, and outpatient care in generaL hospitaLs, primary care, comprehensive mentaL health centres, day care centres, support of people with mental disorders living with their families, and supported housing. 57 Integrated and responsive care: Integrate and coordinate holistic prevention, promotion, rehabilitation, care and support that aims at meeting both mentaL and physical health care needs and facilitates the recovery of persons of all ages with mentaL disorders within and across general health and social services (including the promotion of the right to employment, housing, and education) through service user-driven treatment and recovery plans and, where appropriate, with the inputs of families and carers. 58 Mental health in humanitarian emergencies (including isolated. repeated or continuing conflict, violence and disasters), Work with nationaL emergency committees and mental health providers in order to include mental health and psychosociaL support needs in emergency preparedness and enable access to safe and supportive services, including services that address psychological trauma and promote recovery and resilience, for persons with mental disorders (pre existing as well as emergency-induced) or psychosocial problems, including services for heallh and humanitarian workers, during and following emergencies, wilh due attention 10 the longer-term funding required to build or rebuiLd a community-based mental health system after the emergency. 59 Human resource development: Build the knowledge and skills of general and specialized health workers to deliver evidence-based, culturally appropriate and human rights-oriented mental health and social care services, for chiLdren and adolescents, inter alia, by introducing mental health into undergraduate and graduate curricula; and through training and mentoring health workers in the fieLd, particuLarLy in non-specialized settings, in order to identify peopLe with mental disorders and offer appropriate treatment and support as well as to refer people, as appropriate, to other levels of care. 60 Address disparities: Proactively identify and provide appropriate support for groups at particular risk of mental illness who have poor access to services. 15
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