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��Global Mental Health in the Missio Dei�Seven Foundations-Directions�Applications for Global MH-Psyc-MHPSS��School of Psychology and Counseling�Regent University—18 February 2023��Kelly O’Donnell, PsyD� Consulting Psychologist, Member Care Associates, Inc. � MCAresources@gmail.com http://membercareassociates.org �©2023 Kelly O’Donnell—see notes under the slides too� � � �

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Dr. Michèle Lewis O’Donnell and Dr. Kelly O’Donnell are consulting psychologists based in Geneva. Respectively they are the COO and CEO of Member Care Associates, Inc (MCA), an NGO focusing on the wellbeing and effectiveness of staff and their organizations. Their multi-sectoral emphases for consultation, training, and writing include: personnel development, Global Mental Health, and integrity/anti-corruption. Kelly and Michèle are International Affiliates of the American Psychological Association and have been Representatives of the World Federation for Mental Health to the United Nations. Their publications include over 70 articles and five books in the member care and mental health fields (see recent publications) as well as ongoing Member Care Updates and Global Integration Updates (archived on the MCA website). They did their doctoral training in clinical psychology and theology at Rosemead School of Psychology, Biola University, USA and have two wonderful adult daughters, Erin and Ashling. MCAresources@gmail.com

Note: We are based in Geneva and the USA and speak regularly on the topics of global integration, global mental health, member care, and integrity/anti-corruption, in person and remotely. We have found that a 90-minute lecture at a graduate school, for example, is good to give an overview, perhaps even inspire folks, yet understandably it can usually only go so far and thus an overall strategy by graduate schools is needed for including “global” perspectives and material throughout the curriculum/training. This requires an intentional, informed, consensual shift. Key to this shift is cultivating a more “global” mentality and mentors/models with not just ‘international” (different nations) experience but multi-sectoral, global experience (with issues that transcend geo-political borders—problems without passports). Note for instance, within the multi-disciplinary field of psychology, the American Psychological Association’s recent Strategic Plan (2019) which explicitly calls the organization and its members to “Embrace a global mentality.”

--Image: “The Global Pearl of Great Price.” Detail from the cover of Global Member Care (Volume 2): Crossing Sectors for Serving Humanity (2013) William Carey Library

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�Foundations-Directions 1�Global Mental Health�

“Global Mental Health (GMH) is a growing domain of study, research, and practice that promotes equitable mental health and well-being for all (globe-all).

GMH is international, interdisciplinary, culturally relevant and multi-sectoral.

GMH emphasizes the right to equity in health and encourages healthy behaviors and lifestyles.

GMH is committed to preventing and treating mental, neurological, and substance use conditions (MNS) especially for vulnerable populations (e.g., in settings of poverty, conflict, calamity, and trauma) and those in low- and middle-income countries.

GMH seeks to improve policies and programs, professional practices and research, advocacy and awareness, and social, structural, systemic, and environmental factors that affect mental health and well-being.”

Based on: O’Donnell, 2012; O’Donnell & Lewis O’Donnell, 2016; and O’Donnell & Eaton, 2017

See our 10 GMH orientation articles (2012-2022) on the GMH-Map website.

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--GMH is shaped by public health, human rights, clinical science, and cultural anthropology.�

--It is not simply something that concerns specialists--“psychology-psychiatry, psychotherapy, and psychopharmacology.” Increasingly those with “lived experience’” for example, are helping to shape GMH. �

--Note: personally, 2009 is the year we began to intentionally connect with the young GMH movement. It would be accurate to say that the initial GMH “movement” was significantly shaped via the launching of: The Lancet’s GMH Special Issue (2007), the formation of the Movement for Global Mental Health (2008), and the mhGAP Program by the World Health Organization (2008). There were plenty of precursors and other influences as well. And there were concerns and detractors from the start about a perceived over emphasis on Western concepts for mental ill health, psychiatry, and pharmacology. ��--For a helpful critique of GMH, see Kirmayer and Peterson’s introductory article in the special issue on GMH in the Journal of Trans-Cultural Psychiatry (December 2014, this article is open access).

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��Foundations-Directions 2�WHO Comprehensive Mental Health Action Plan 2013-2030 � (updated 2021)-- GMH Bookend 1 of 2�

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Vision: �“A world in which mental health is valued, promoted, and protected, mental disorders are prevented, and persons affected by these disorders are able to exercise the full range of human rights and to access high-quality, culturally appropriate health and social care in a timely way to promote recovery, all in order to attain the highest possible level of health and participate fully in society and at work free from stigmatization and discrimination.”

Comprehensive Mental Health Action Plan 2013-2030�“This comprehensive action plan has been elaborated through consultations with Member States, civil society and international partners. It takes a comprehensive and multisectoral approach, through coordinated services from the health and social sectors, with an emphasis on promotion, prevention, treatment, rehabilitation, care and recovery. It also sets out clear actions for Member States, the Secretariat and international, regional and national level partners, and proposes key indicators and targets that can be used to evaluate levels of implementation, progress and impact. The action plan has, at its core, the globally accepted principle that there is “no health without mental health.” World Health Organization, WHO, 2021, p. 1)

�6 Approaches (cross-cutting principles) �1. Universal health coverage 2. Human rights 3. Evidence-based practice and culture �4. Life-course approach 5. Multisectoral approach 6. Empowerment of persons with mental disorders and psychosocial disabilities

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4 Objectives and 10 Targets:

1. to strengthen effective leadership and governance for mental health

2. to provide comprehensive, integrated and responsive mental health and social care services in community-based settings

3. to implement strategies for promotion and prevention in mental health

4. to strengthen information systems, evidence and research for mental health.�

Global target 1.1: 80% of countries will have developed or updated their policy or plan for mental health in line with international and regional human rights instruments, by 2030.1 �Global target 1.2: 80% of countries will have developed or updated their law for mental health in line with international and regional human rights instruments, by 2030.

Global target 2.1: Service coverage for mental health conditions will have increased at least by half, by 2030. �Global target 2.2: 80% of countries will have doubled number of community-based mental health facilities, by 2030. �Global target 2.3: 80% of countries will have integrated mental health into primary health care, by 2030.

Global target 3.1: 80% of countries will have at least two functioning national, multisectoral mental health promotion and prevention programmes, by 2030. �Global target 3.2: The rate of suicide will be reduced by one-third, by 2030. �Global target 3.3: 80% of countries will have a system in place for mental health and psychosocial preparedness for emergencies and/or disasters, by 2030.

Global target 4.1: 80% of countries will be routinely collecting and reporting at least a core set of mental health indicators every two years through their national health and social information systems, by 2030. �Global target 4.2: The output of global research on mental health doubles, by 2030.

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�Foundations-Directions 3 �WHO World Mental Health Report (2022)�GMH Bookend 2 of 2

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�"Mental health is critically important to everyone, everywhere. All over the world, mental health needs are high but responses are insufficient and inadequate. The World mental health report: transforming mental health for all is designed to inspire and inform better mental health for everyone everywhere. Drawing on the latest evidence available, showcasing examples of good practice from around the world, and voicing people’s lived experience, it highlights why and where change is most needed and how it can best be achieved. It calls on all stakeholders to work together to deepen the value and commitment given to mental health, reshape the environments that influence mental health, and strengthen the systems that care for mental health.“

�“We strongly encourage all psychology and mental health-related training programs to include this crucial Report as a core text (also the WHO Comprehensive Mental Health Plan 2013-2030). We have featured this Report in our July 2022 Global Integration Update.” GMH-Map, Kelly and Michele O'Donnell

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Foundations-Directions 4�Sustainable Development Goals (2015-2030)

,�SDG 3: “Ensure healthy lives and promote well-being for all at all ages”

There are three “Targets” under Goal 3 that have important implications for not just mental health but overall health and sustainable development (the SDGs have 169 Targets and nearly 250 indicators):
“By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being” (3.4)
Note 3.4.2: suicide rate is an indicator.
Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol (3.5)
Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all (3.8).

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SDGs

Goal 1 End poverty in all its forms everywhere

Goal 2 End hunger, achieve food security and improved nutrition and promote sustainable agriculture

Goal 3 Ensure healthy lives and promote well-being for all at all ages

Goal 3.4 By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being

Goal 4 Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all

Goal 5 Achieve gender equality and empower all women and girls

Goal 6 Ensure availability and sustainable management of water and sanitation for all

Goal 7 Ensure access to affordable, reliable, sustainable and modern energy for all

Goal 8 Promote sustained, inclusive and sustainable economic growth, full and productive employment and decent work for all

Goal 9 Build resilient infrastructure, promote inclusive and sustainable industrialization and foster innovation

Goal 10 Reduce inequality within and among countries

Goal 11 Make cities and human settlements inclusive, safe, resilient and sustainable

Goal 12 Ensure sustainable consumption and production patterns

Goal 13 Take urgent action to combat climate change and its impacts

Goal 14 Conserve and sustainably use the oceans, seas and marine resources for sustainable development

Goal 15 Protect, restore and promote sustainable use of terrestrial ecosystems, sustainably manage forests, combat desertification, and halt and reverse land degradation and halt biodiversity loss

Goal 16 Promote peaceful and inclusive societies for sustainable development, provide access to justice for all and build effective, accountable and inclusive institutions at all levels

Goal 17 Strengthen the means of implementation and revitalize the global partnership for sustainable development

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��Foundations-Directions 5�Global Integration

�A framework for actively and responsibly engaging in our world�—locally through globally, for God’s glory:�

by connecting relationally and contributing relevantly �on behalf of human wellbeing and the issues facing humanity, �

in light of our integrity, commitments, and core values� (e.g., ethical, humanitarian, human rights, faith-based).�----------

�Global Integration: A Framework for Engaging with Our World�Global Integration Update (December 2018)

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Foundations-Directions 6�Global Integrity

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--Integrity is moral wholeness—living consistently in moral wholeness.�--Corruption is moral rottenness, the opposite of integrity--the distortion, perversion, and deterioration of moral goodness, resulting in the abuse and exploitation of people and the planet. It is integroty.�--Global integrity is living consistently in moral wholeness at all levels--individual, interpersonal, institutional, and international; across sectors and settings; local through global; the systemic and structural.

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Foundations-Directions 7�Missio Dei

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Missio Dei--“The overall work of God in the world through Divine, secular, ecclesiastical, missiological, etc. means.”

New Global Member Care Model: Member Care in the Missio Dei (MC-MD). February 2017. Member Care Updates

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�Pulling it All Together�Seven Commitments�for GMH in the Missio Dei�Based on Well-Being for All: MHPs and the SD Gs �Journal of Psychology and Christianity (March 2017)��

Commitment 1. We commit to diligently pursue our own journeys of personal and professional growth: to grow deeply-go broadly into the missio Dei with the gospel.�Commitment 2. We commit to integrate the inseparable areas of our character (resilient virtue) and competency (relevant skills) with compassion (resonant love). �Commitment 3. We commit to go into new areas of learning and work: crossing sectors, cultures, disciplines, and comfort zones. �Commitment 4. We commit to embrace our duty to work in difficult settings, including those permeated by conflict, calamity, corruption, and poverty as those in great need are often in places of great risk. �Commitment 5. We commit to have clear ethical commitments and standards that guide our work, respecting the dignity and worth of all people and the planet. �Commitment 6. We commit to working with others to promote wellbeing and sustainable development, building the future we want--being the people we need. �Commitment 7. We commit to base our work on the practice of fervently loving other people—agape. This type of love is the foundational motive and the ultimate measure of our GI work in the Missio Dei Frontiers.

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Global Mental Health in the Missio Dei�Seven Foundations-Directions�Applications for Global: MH-Psyc-MHPSS

�“We acknowledge, with much appreciation, that many of the developments and directions in GMH

are being shaped and implemented by colleagues out of the spotlight, on the ground, in the trenches

--often unrecognized and under-funded. Thank you for your commitment and perseverance!

‘All that is gold does not glitter.’ Tolkien” The last word--GMH article 2002��Thank you!

Kelly and Michèle O’Donnell, Member Care Associates, Inc.�mcaresources@gmail.com www.membercareassociates.org

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Dr. Michèle Lewis O’Donnell and Dr. Kelly O’Donnell are consulting psychologists based in Geneva. Respectively they are the COO and CEO of Member Care Associates, Inc (MCA), an NGO focusing on the wellbeing and effectiveness of staff and their organizations. Their multi-sectoral emphases for consultation, training, and writing include: personnel development, Global Mental Health, and integrity/anti-corruption. Kelly and Michèle are International Affiliates of the American Psychological Association and have been Representatives of the World Federation for Mental Health to the United Nations. Their publications include over 70 articles and five books in the member care and mental health fields (see recent publications) as well as ongoing Member Care Updates and Global Integration Updates (archived on the MCA website). They did their doctoral training in clinical psychology and theology at Rosemead School of Psychology, Biola University, USA and have two wonderful adult daughters, Erin and Ashling, raised in five countries. MCAresources@gmail.com