Case 9 : From Theory to Action: Implementing an Internationally Developed Mental Health and Substance Abuse Program in Indigenous Communities in the Americas

Autor: Sebastian, Ashley, Del Pino, Sandra, Kestel, Devora Kestel, McKinley, Gerald
Rok vydání: 2017
Předmět:
Zdroj: Western Public Health Casebooks
Popis: Intergenerational trauma compounded throughout centuries by the effects of colonialism have left indigenous peoples within the Americas in grave despair. Indigenous communities are subject to a variety of human rights violations and social neglect, which contribute to reduced physical and mental health. The United Nations Permanent Forum on Indigenous Issues has identified these insufficiencies in acknowledging higher rates of poor mental health, substance abuse, and elevated rates of suicide, when compared to non-indigenous peoples. The World Health Organization has developed the Mental Health Gap Action Program Intervention Guide (mhGAP IG) to assess, monitor, and manage, neurological, and mental health conditions, including suicide, in non-specialized health contexts. This case provides an example of how one fictitious indigenous community located off the coast of Central America is seeking to use the mhGAP IG due to the recent suicide clusters within a six month period. The case seeks to highlight how international agencies collaborate in developing interventions for the populations they serve, specifically, between the Pan American Health Organization and the Americas. The protagonist, Juan Santos, is left to question how he will implement the mhGAP in his community with limited resources to encompass cultural considerations and appropriate community engagement to lower suicide rates, mental health, and substance abuse.
Databáze: OpenAIRE