Module 2: MH Gap

Mental Health Gap Action Programme (mhGAP)

• is the WHO action programme developed for countries especially with low and lower middle incomes for scaling up services for mental, neurological, and substance use disorders.

• The essence is partnerships to reinforce and to accelerate efforts and increase investments towards providing services to those who do not have any

MHGAP Objectives

• To reinforce the commitment of government, international organizations, and other stakeholders to increase the allocation of financial and human resources w of MNS disorders

• To achieve much higher coverage with key interventions in the countries with low and lower middle incomes that have a large proportion of the global burden of MNS disorder

Depression

Evidence-based interventions

• treatment with antidepressants medicines

• Psychosocial interventions

Examples of interventions to be included in the package

• treatment with older or newer antidepressants by trained primary health-care professionals

• Psychosocial interventions such as cognitive behavioral therapy therapy or problem solving

• Referral and supervisory support by specialists

Schizophrenia and other psychotic disorders

Evidence-based interventions

• Treatment with antipsychotic medicines

• Family or community psychosocial interventions

Examples of interventions to be included in the package

• treatment with older antipsychotics by trained primary health-care professionals within community setting

• Community-based rehabilitation

• Referral and supervisory support by specialists

Suicide

Evidence-based interventions

• restriction of access to common methods of suicides

• Prevention and treatment of depression, and alcohol and drug dependence

Examples of interventions to be included in the package

• multi sectoral measures that relate to public health, such as restrictions of availability of most toxic pesticides, and storage of supplies in secure facilities

• See examples of interventions for _______, disorders due to use of alcohol, and disorders due to use of illicit drugs

Epilepsy

Evidence-based interventions

• identification and treatment within anti epileptics medicines Family

Examples of interventions to be included in the package

• treatment with first-line anti epileptics medicines Family medicines by trained primary health-care professionals

• Referral and supervisory support by specialists

Dementia

Evidence-based interventions

• Interventions directed towards caregivers

Examples of interventions to be included in the package

• basic education about dementia and specific training on management or problem behaviors by trained primary health-care professionals.

Disorder due to illicit drug use

Evidence-based interventions

• pharmacological and psychosocial interventions, including agonist maintenance treatment for opioid dependence

Examples of interventions to be included in the package

• psychosocially assisted pharmacotherapy of opioid dependence using opioid agonists such as methadone or buprenorphine

• Early identification and provision of prevention and treatment for drug use disorders by trained primary health-care professionals within professional

• Referral and supervisory support by specialists

Mental disorder in children

Evidence-based interventions

• prevention of developmental disorders

• Pharmacological and psychosocial interventions

Examples of interventions to be included in the package

• measures within health sector such as provision of skilled care at birth, effect community-based services for maternal and child health care, prenatal screening by down’s syndrome, and prevention of alcohol abuse by mothers

• Multi sectoral measures that relate to public health such as fortification of food with iodine and folic acid, and interventions to reduce child abuse

• Identification and initial care in primary health-care settings

• Referral and supervisory support by specialists