mhGAP Intervention Guide for Mental, Neurological and Substance Use Disorders in Non-specialized Health Settings

The mhGAP Intervention Guide (mhGAP-IG) for mental, neurological and substance use disorders for non-specialist health settings, is a technical tool developed by WHO to assist in implementation of mhGAP. The Intervention Guide has been developed through a systematic review of evidence followed by an international consultative and participatory process.

The mhGAP-IG consists of modules, organized by individual priority conditions, that are a tool for clinical decision-making and management. The priority conditions included are: Depression, Psychoses, Epilepsy, Child & Adolescent Mental and Behavioural Disorders, Dmentia, Disorders due to Substance Use, Self-harm/Suicide, and other significant mental health complaints. Each module presents protocols for assessment, management, and follow up for the respective condition. 

The mhGAP-IG is a model guide and has been developed for use by health care providers working in non-specialized health care settings after adaptation for national and local needs.

The mhGAP-IG is available in Arabic, French, Italian, Marathi, Russian, Spanish, Thai, and Ukrainian.

mhGAP Mental Health Gap Action Programme: Scaling up Care for Mental, Neurological, and Substance Use Disorders

Mental, neurological and substance use disorders are highly prevalent and burdensome globally. The gap between what is urgently needed and what is available to reduce the burden is still very wide.

WHO recognizes the need for action to reduce the burden, and to enhance the capacity of Member States to respond to this growing challenge. mhGAP is WHO’s action plan to scale up services for mental, neurological and substance use disorders for countries, especially with low and lower-middle incomes. The priority conditions addressed by mhGAP are: depression, schizophrenia and other psychotic disorders, suicide, epilepsy, dementia, disorders due to use of alcohol, disorders due to use of illicit drugs, and mental disorders in children. The mhGAP package consists of interventions for prevention and management for each of these priority conditions.

Successful scaling up is the joint responsibility of governments, health professionals, civil society, communities and families, with support from the international community. The essence of mhGAP is building partnerships for collective action.

Preventing Suicide: A Global Imperative

Every 40 seconds a person dies by suicide somewhere in the world. “Preventing suicide: a global imperative” is the first WHO report of its kind. It aims to increase awareness of the public health significance of suicide and suicide attempts, to make suicide prevention a higher priority on the global public health agenda, and to encourage and support countries to develop or strengthen comprehensive suicide prevention strategies in a multisectoral public health approach.

The report provides a global knowledge base on suicide and suicide attempts as well as actionable steps for countries based on their current resources and context to move forward in suicide prevention.

This report is available in Arabic, Chinese, English, Finnish, French, German, Japanese, Korean, Polish, Russian, and Spanish.

mhGAP Humanitarian Intervention Guide (mhGAP-HIG) Clinical Management of Mental, Neurological, and Substance Use Conditions in Humanitarian Emergencies

Adults and children affected by emergencies experience a substantial and diverse range of mental, substance use and neurological problems.

The mhGAP Humanitarian Intervention Guide contains first-line management recommendations for mental, neurological and substance use conditions for non-specialist health care providers in humanitarian emergencies where access to specialists and treatment options is limited. It is a simple, practical tool that aims to support general health facilities in areas affected by humanitarian emergencies in assessing and managing acute stress, grief, depression, post-traumatic stress disorder, psychosis, epilepsy, intellectual disability, harmful substance use and risk of suicide.

This new tool is an adaptation of WHO’s mhGAP Intervention Guide, a widely-used evidence-based manual for the management of these conditions in non-specialized health settings.

The mhGAP-HIG manual is available in Arabic, Bengali, English, French, Portuguese, Russian, Spanish, and Ukrainian.

Building Back Better: Sustainable Mental Health Care After Emergencies

Emergencies, in spite of their tragic nature and adverse effects on mental health, are unparalleled opportunities to build better mental health systems for all people in need. This WHO publication shows how this was done in 10 diverse emergency-affected areas.

This is important because mental health is crucial to the overall well-being, functioning and resilience of individuals, societies, and countries recovering from emergencies.