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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.

预防自杀:一项全球要务

全世界每40秒就有一人死于自杀在全球范围进行协商,并对数据和证据进行系统评价,也包括对合作伙伴和利益相关方提供的数据进行系统评价,鼓励和支持各国通过公共卫生途径发展及加强预防自杀的措施和策略。,而自杀是可以预防的。《预防自杀:一项全球要务》是世卫组织发布的首份此类报告。其目标是将自杀预防提升至全球公共卫生和公共政策议题的优先考虑之位,并提升人们的认识,使其认识到自杀是公共卫生问题。

此报告提供深入的有关自杀和预防自杀的全球性知识基础,也为各国根据国情展开进一步的自杀预防工作提供了行动步骤。

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

紧急情况尽管有其悲剧性本质并且对精神卫生有着不利影响,但也是通过精神卫生改革 改善许多人生活的绝佳机遇。这点十分重要,因为精神卫生对从自然灾害、武装冲突或其他危害中恢复的个人、社会和国家的整体健康、发挥功能和复原能力至关重要。本报告提高了对这类机遇的认识,描述了受不同紧急情况影响的10个地区各自的实现方式。同时,还总结了可汲取的教训和各地区经验中浮现出的有共性的关键做法。

世界卫生组织旨在通过出版此报告确保那些面临紧急情况的人们不会错失精神卫生改革和发展的机遇。