Sunday, November 20, 2011

Coming Out of the...Padded Room



Lately I’ve been thinking of how the stigma of mental illness resembles the shame and secrecy that many gay people carried in the past. As more and more people "came out of the closet" the stigma slowly receded and now gay couples have the right to marry in some states and to serve openly in the U.S. military. In my opinion, today it is more acceptable to tell a co-worker that you’re gay than to tell them you have a mental disorder.

Those of us who have been diagnosed with a mental disorder such as bipolar disorder, schizophrenia or even obsessive compulsive disorder are hesitant to reveal our illness to our supervisors, co-workers and even friends and family. Fear of being judged and treated differently keeps us in silence. Sensational news stories featuring violent crimes carried out by a mentally ill person reinforce the tendency to stay quiet.

Yet according to a rigorous health survey conducted by the U.S. Centers for Disease Control in 2004, an estimated 25 percent of adults in the U.S. reported having a mental illness in the previous year. That means in a room of four people, one of you likely has a mental illness. It could be your teacher, your doctor, your taxi driver or your best friend and you may have no idea.

Professionally, it is especially difficult to admit that you’re living with a mental illness. I wonder “Will it prevent me from getting that promotion? Will I be given less challenging projects? Will I still be invited to Happy Hours? Will people whisper and talk about me behind my back?” Fear of being ostracized, judged and labeled prevents me from coming out to colleagues.

We want to be treated the same as anyone else. Sure we have our faults and weaknesses. We wouldn’t be human without them. But honestly I think I am a better employee, friend, manager and daughter since my diagnosis. Today I appreciate the importance of taking care of myself – eating nutritious foods, getting enough sleep, working out my problems with friends or a trusted therapist instead of keeping them bottled up inside. And if we don’t stand up and speak out, society will continue to equate mental illness with insane criminals and deranged homeless people living on the streets instead of with successful and competent professionals succeeding in http://www.blogger.com/img/blank.gifsociety. The judgment and fear will be perpetuated indefinitely and change will evade us for years to come.

Jagannath Lamichane started his own NGO - the Nepal Mental Health Foundation - to fight for the rights of the mentally ill in his native country, Nepal. I made his acquaintance on Facebook two years ago when he first embarked on his life’s mission and I recently had the pleasure of meeting him in person. As we sat in an empty diner in Arlington, Virginia watching the spring rain pour outside, he reminded me of our obligation to come out and tell our stories. “That’s the only way the stigma will begin to melt away,” he said. I voiced my hesitation to speak openly about my mental illness among colleagues. “Are you gonna say it in 10 years when it won’t matter anymore?” he asked without judgment. “Or will you say it now?”

I will say it now.

The Bazelon Center for Mental Health Law


Founded in 1972 by a group of lawyers and mental health professionals, the Bazelon Center for Mental Health Law is a nonprofit organization devoted to improving the lives of people with mental illnesses through changes in policy and law. Focusing on policy advocacy, litigation and public education, the Bazelon Center fights for the rights of people living with mental disorders specifically addressing community integration, self determination, success for all children, access to services and access to courts. Their programs and litigation zero in on housing, employment, education, public systems, health care, the judiciary and more.

Their website also provides useful information on legislation currently being considered in the 112th Congress. The Garrett Lee Smith Memorial Act Reauthorization of 2011 would renew and expand existing provisions with the "goal of increasing suicide prevention programs in communities and college campuses across the country. The bill also promotes the development of effective strategies and best practices related to youth suicide prevention."

The Mental Health on Campus Improvement Act is also under consideration. The bill would "assist colleges and universities in successfully attending to the grohttp://www.blogger.com/img/blank.gifwing mental health needs in colleges and universities by improving access to mental and behavioral health services on college campuses."

It is important to exercise our power as citizen advocates by calling and writing our Congressional Representatives and Senators and urging them to support legislation that will improve mental health programs and policies in the U.S. The Bazelon Center's website offers a wealth of information to help us do just that. Visit www.bazelon.org for more information.

To find contact information for your Senator of Representative visit http://www.congressmerge.com/onlinedb/.

Saturday, November 19, 2011

Movement for Global Mental Health

The Movement for Global Mental Health is a coalition of individuals and institutions committed to collective actions that aim to close the treatment gap for people living with mental disorders worldwide, based on two fundamental principles: evidence on effective treatments and the human rights of people with mental disorders.

Visit http://www.globalmentalhealth.org/articles.html or visit http://www.wmhc2011.com/sites/default/files/The_Movement_for_Global_Mental_Health.pdf to read a recent article in The British Journal of Psychiatry.

Saturday, November 5, 2011

International Master in Mental Health Policy and Services-Application Deadline is January 2012

The International Master in Mental Health Policy and Services is addressed to health professionals willing to develop public health skills in the area of mental health.
The Master aims to provide general training in areas related to:
■ Formulation, implementation and evaluation of mental health policies,
plans and programmes.
■ Organization and evaluation of mental health care and related services.
■ Formulation and implementation of Mental Health Service research.
■ Mental Health Law and Human Rights.http://www.blogger.com/img/blank.gif

The International Master in Mental Health
Policy and Services (MHPS) aims at creating an international critical mass of
knowledgeable professionals able:
■ To effectively contribute to improving
Mental Health Policy and Services in their
own countries or in international settings.
■ To promote human rights and human
rights driven legislation.

Applicants from Low and Middle Income countries are encouraged to apply. For more information please visit http://www.globalmentalhealth.org/binary_data/683_lisbon_mastermhps_2012_13_2.pdf.

Thursday, October 20, 2011

SPOTLIGHT on the Nepal Mental Health Foundation

The Nepal Mental Health Foundation is the first of its kind in the country and the effort is spearheaded by one man, Jagganath Lamichhane. Jagganath is remarkable in his dedication to the cause of mental health education and reform in his native land, despite having the door closed on him by almost all international and multi-national NGOs.

According to the NMHF website, mental health is the highly overlooked and neglected dimension of public health in Nepal. Despite the fact that mental illness is one of the most prevalent health conditions in world, around 90% of the people in the Low and Middle Income Countries (LAMICs) like Nepal do not get treatment. In Nepal, less than 0.20% of health care expenditures by the government are directed towards mental health.

There is no mental health policy and no human rights review body with the authority to inspect mental health facilities and to impose sanctions on those facilities that persistently violate patient's rights.

For mental health treatment, there is scarcity of resources, inequities in their distribution and inefficiencies in their utilization. Resources included are policy and infrastructure within countries, mental health services, and community, human, and financial resources. Research shows that over 80% of mental disorders are preventable and treatable, but in LAMICs like Nepal only 10% of the population gets access to care and treatment.

According to government resources, Nepal, a country of 27.1 million people, there are approximately 40 licensed psychiatrists, 5 clinical psychologists, and only 108 public inpatient psychiatric beds, mostly concentrated in the capital city Kathmandu.

Nepal Mental Health Foundation (NMHF) is the mental health consumer based human rights organization. Stigma erodes the confidence of mentally ill people and their families to seek treatment and to believe that mental disorders are valid and treatable health conditions. Their mission is to establish the importance of mental health and to make society aware that it is as important as physical health to the overall well-being of individuals, societies and countries.
The Foundation has three major goals:
Nepal Mental Health Foundation works towards achieving major three goals:
• To increase public understanding and awareness on mental health based on scientific researches.
• To reduce the stigma and discrimination against people with mental illness.
• To advocate for mental health policies and human rights of mentally ill people in the country and around the world in collaboration with national and international partner organizations.

Please visit their website at www.nepalmentalhealth.org

Sunday, October 2, 2011

The Field of Hope


iFred (International Foundation for Research and Education on Depression) is working to eliminate the stigma of depression since the launch of the Field of Hope in Ghana in 2009. This creative and unique initiative is designed to shine the spotlight on depression in Africa, and to raise money for depression reseach and advocacy efforts worldwide. Africa was chosen to host the field to highlight and educate just how poorly the disease is understood.

iFred has also chosen the sunflower as the international symbol for depression, and has launched a major ad campaign showing the relationships of sunflowers to depression survivors. According to their website:

"•A recent study by Rutger’s, the State University of New Jersey, showed that flowers have an immediate positive impact on happiness (100% of time, both males and females), that they have a long-term positive effect on moods, and that they make intimate connections. The study also said sunflowers are said to enhance alertness, as yellow light waves stimulate the brain.
•A recent study by Texas A&M also found that placing flowers and plants in offices led individuals to be more creative, better problem solvers, and more productive.
•A sunflower is the color yellow, often associated with joy and happiness.
•Sunflowers flourish with sun and light. Humans do as well.
•Sunflowers and depression both have lifecycles.
•Sunflowers grow from a small seed and can get bigger, as can a depressive episode when left untreated."

For more information on iFred, please visit www.ifred.org and www.depression.org or email: foh@ifred.org.

Saturday, October 1, 2011

International Diploma on Mental Health Law and Human Rights

ILS Law College, University of Pune, India, in partnership with the World Health Organization launched the first ever one-year International Diploma in Mental Health Law & Human Rights in 2008. Based on materials and tools developed by WHO, the diploma provides the law students with essential knowledge and skills for a career in the area of mental health, human rights and legislation. The fourth class is currently underway at ILS.

This unique Diploma is designed to appeal to a wide range of people interested in mental health including health workers, legal professionals, policy makers, and service users and family members.

The main objectives of the Diploma are: to equip students with the knowledge and understanding of international human rights standards for people with mental disorders; to apply these standards to mental health legislation; to understand the role of legislation in promoting and protecting the rights of persons with mental disorders; to understand how mental health policy and services can work to improve the human rights of people with mental disorders; and to equip the students with a broad contextual knowledge of the law and apply the same in the process of drafting, amending and implementing mental health legislation.

It is expected that the Diploma will equip the students to undertake advocacy work in this area and equip them with the knowledge and skills to actively support countries to drafting and amending mental health laws in line with international human rights standards such as the UN Convention on the Rights of Persons with Disabilities.

The course begins with a 2 week onsite session at the ILS Law College at the University of Pune, India, with another one week at the end of the course for exams and project presentations. In between students are required to complete online lectures, study exercises, essays or other homework assignments. In addition, students will complete 1 extended essay (4000-5000 words each) and a research project (15000 words). The cost is 5500 Euros and scholarships are available. Please visit http://www.mentalhealthlaw.in/html for more information. For more information on the host institution, ILS Law College, please visit www.ilslaw.edu.

Friday, September 16, 2011

NAMI (National Alliance on Mental Illness)

For three decades, NAMI has established itself as the most formidable grassroots mental health advocacy organization in the country. Dedication, steadfast commitment and unceasing belief in NAMI's mission by grassroots advocates have produced profound changes. NAMI's greatest strength is the dedication of our grassroots leaders and members. We are the families, friends and individuals that serve to strengthen communities across the country.

Due in large part to generous individual, corporate, and foundation donations, NAMI is able to build on its success and continue to focus on three cornerstones of activity that offer hope, reform, and health to our American community: Awareness, Education, and Advocacy.

If you are in need of immediate help, please call the NAMI HelpLine: 1-800-950-NAMI. This resource is an important tool when crisis beckons! Save it in your phone just in case it's needed one day.

Visit www.nami.org for more information on this very important organization.

Tuesday, August 16, 2011

Bring Change 2 Mind

BringChange2Mind.org is a not-for-profit organization created by Glenn Close, the Child and Adolescent Bipolar Foundation (CABF), Fountain House, and Garen and Shari Staglin of IMHRO (International Mental Health Research Organization).

The idea of a national anti-stigma campaign was born of a partnership between Glenn Close and Fountain House, where Glenn volunteered in order to learn about mental illness, which both her sister and nephew suffer from.

The main goals of Bring Change to Mind are to:
1. Provide people who have misconceptions about mental illness quick and easy access to information that combats stigma.
2. Provide people who have mental illness, and those who know them, quick and easy access to information and support.

This is the first effort of this magnitude in U.S. history. Ron Howard generously donated his time in directing our first PSA that features Glenn Close and her sister, Jessie Close. John Mayer generously donated his song, Say, which serves as an anthem for this movement.

The campaign has the support of major mental health organizations, including Active Minds, the American Foundation for Suicide Prevention (AFSP), International Mental Health Research Organization (IMHRO), the Jed Foundation, Mental Health America (MHA), National Alliance on Mental Health (NAMI), NARSAD, National Institute of Mental Health (NIMH), and the Substance Abuse and Mental Health Services Administration (SAMHSA).

Please visit http://www.bringchange2mind.org/ for more information.