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�� Global Mental Health and the Global Context�Working Across Sectors for People-Planet Wellbeing��GMH Panel—Dr. Smyrna Khalaf�School of Psychology and Counseling�Regent University—2 March 2024��Kelly O’Donnell, PsyD and Michèle Lewis O’Donnell, PsyD� Consulting Psychologists, Member Care Associates, Inc. � MCAresources@gmail.com http://membercareassociates.org �©2024 Kelly and Michèle 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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Working Across Sectors �Global MH-Psychology-MHPSS-Member Care�

United Nations

Summit of the Future and Pact for the Future (2024)

United Nations Christian Association�

GMH

GMH-Map and GMH Definition �World MH Report (WHO 2022) & MH Action Plan (WHO 2021)�GMH Bibliography (2023) and Behavioral Science in the Global Arena (books)

Psychology Day at the UN (25 April 2024) & World Mental Health Day (10 October)

MH Innovation Network, GMH Action Network, MHPSS Network, Joint Learning Initiative

More Personal Examples

Global Integration Updates

Global Member Care Volume 3—Staying the Course Among All Peoples (2024)

Global Integrity Day--Fighting Human Trafficking with Solidarity, Skills, & Integrity (9 June 2024)

Crucial Contributions from the Global Psychological-Behavioral-Social Sciences �Global Integration Update (May 2023)

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Summit of the Future (Sept 2024)�Pact for the Future (zero draft)

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“The Summit of the Future is a once-in-a-generation opportunity to enhance cooperation on critical challenges and address gaps in global governance, reaffirm existing commitments including to the Sustainable Development Goals (SDGs) and the United Nations Charter, and move towards a reinvigorated multilateral system that is better positioned to positively impact people’s lives. Building on the SDG Summit in 2023, Member States will consider ways to lay the foundations for more effective global cooperation that can deal with today’s challenges as well as new threats in the future.” (quote from UN) ��“[The] zero draft of the Pact for the Future...is intended to serve as a starting point for the intergovernmental deliberations this year, with the ultimate aim of adopting an ambitious, concise, action-oriented Pact for the Future...in the lead-up to and during the Summit in September 2024. The result will [hopefully] be a world – and an international system – that is better prepared to manage the challenges we face now and in the future, for the sake of all humanity and for future generations.” (quote from UN)

The Summit of the Future: What Would It Deliver? (3-page overview) How can we prevent this latest global effort morphing into the Summit and Pact of the Futile? See Global Integration Update (March 2024)

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��WHO World Mental Health Report (2022)�

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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 psychology and mental health-related training programs--and related health disciplines--to include this Report as a core text in at least one of their courses and in general in their training programs...The same recommendation is for the WHO Comprehensive Mental Health Action Plan 2013-2030. We consider both of these items to be "GMH Bookends" that help to shape and support GMH resources/efforts across sectors and settings, countries and cultures.” Kelly and Michele O’Donnell----GMH-Map website

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�Rich, G. & O’Donnell, K. (2023). Global Mental Health.� In Oxford Bibliographies in Psychology�Ed. Dana S. Dunn. New York: Oxford University Press�The pre-copyedited version of this article is on the GMH-Map website.�

"This module features resources representing key GMH developments and directions, organized into 11 sections (with 10 items per section).

GMH Overviews
GMH Critiques
Reference Works and Textbooks
Special Issues of Journals
Advocacy and Lived Experience
Networks and Newsletters
Conferences
Compilations of GMH Research and Best Practice Guidelines
World Health Organization (WHO), the UN, and GMH
Human Rights and Global Mental Health
Humanitarian Assistance

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��Organized by the �Psychology Coalition at the UN �(PCUN)

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�Feature 1. GID is a positive day, launched on 9 June 2020, to reflect, teach, and collaborate on ways to integrate integrity in all we do throughout the entire year.

�Feature 2. GID is a strategic day to promote a) cultivating lifestyles, cultures, and systems of integrity from the individual through the international levels; b) joining together to understand and address the causes and consequences of corruption in its many forms; and c) working towards just and equitable societies marked with wellbeing for all people and for the planet.

�Feature 3. GID is a solemn day to consider our ways: if we are lying and/or stealing in any way big or small, then we need to stop it. If we need to right a wrong we have done, then do so. If we need to prudently confront wrongdoing--in solidarity with colleagues for mutual support and greater impact--then do so.

Feature 4. GID is a companion day to complement UN International Anti-Corruption Day, 9 December (and vice versa). Both Days are practical rallying points, six months apart, for fostering common ground, organizing events, sharing initiatives, and involving the public.

Four Features of GID (website)

--“Global Integrity Day (GID) is a positive day, launched on 9 June 2020, to reflect, teach, and collaborate on ways to integrate integrity in all we do throughout the entire year.��--GID is a strategic day to promote a) cultivating lifestyles, cultures, and systems of integrity from the individual through the international levels; b) joining together to understand and address the causes and consequences of corruption in its many forms; and c) working towards just and equitable societies marked with wellbeing for all people and for the planet.

�--GID is a solemn day to consider our ways: if we are lying and/or stealing in any way big or small, then we need to stop it. If we need to right a wrong we have done, then do so. If we need to prudently confront wrongdoing, preferably in solidarity with colleagues for mutual support and greater impact, then do so.

�--GID is a companion day to complement UN International Anti-Corruption Day, 9 December (and vice versa). Both Days are practical rallying points, six months apart, for fostering common ground, organizing events, sharing initiatives, and involving the public.

Be the people we need--Build the world we need�Mainstream integrity into our lives, work, and world”

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Global Member Care--Vol 3�Staying the Course �Among All Peoples ��Editors: �Kelly O’Donnell, PsyD and Michèle Lewis O’Donnell, PsyD

�Book three in the Global Member Care series, Staying the Course Among All Peoples, is designed to reflect on member care practice and to forge new terrain into the future--to further equip the diversity of people around the world who have member care responsibility, including leaders, colleagues, friends, professional caregivers, trainers, and sending groups. Publication is planned for the third quarter of 2024 by William Carey Publishing.

�It includes: a) case studies, personal stories, ministry descriptions, and strategies about member care for workers among/from the least reached peoples and places (LPPs); b) examples of efforts by member care and mission workers who are working across sectors and cultures to help vulnerable humans and especially those in LPP settings; and c) links to a variety of additional materials and resources for going further.

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�Global Mental Health�Working Across Sectors for People-Planet Wellbeing��“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 2022

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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

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�� 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)��Global Integration: My Journey into the Missio Dei Frontiers (video), (2022)�

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Crossing Sectors�Some Recent Examples

Universal Declaration of Human R ights �75^th anniversary 10 December 2023�
SDGs Progress Report 2023 �
New Agenda for Peace 2023 �UNDP overview�
Geneva Peace Week (30 Oct-3 Nov 2023)

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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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(WE COORRDINATE THIS WEBSITE)

�Internationalizing the Psychology Curriculum: How and Why? An excellent 75 minute webinar with several presenters, 21 April 2023, organized by APA Division 52 and PCUN. Recording HERE and power points HERE. See also Anthony Marsella's foundational article on this topic (2001).

2023 Global Mental Health Conference: Research Without Borders--register online. October 30–November 1, 2023 Location: Hybrid--NIH Campus, Natcher Auditorium, Bethesda, Maryland USA and Virtual

Mental Health in Complex Emergencies Course (30 August-15 December 2023). The course "is designed for professionals in mental health and social work, staff in humanitarian health and protection programs and volunteers who wish to learn how to establish, enhance, or integrate mental health and psychosocial support (MHPSS) into humanitarian programmes...[It] course covers prevention, preparedness and response strategies that can be used with communities affected by diverse humanitarian emergencies, including confl

Top 20 Priortiy Questons for MHPSS Research in Huanitarian Settings (priorities for 2021-2030)�Phuong Tao Le and Wietse Tol (2023) ict, post conflict, and disaster settings, and with refugees or internally displaced populations."

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�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 11 GMH orientation articles (2012-2023) 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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��WHO Comprehensive Mental Health Action Plan 2013-2030 � (updated 2021)�

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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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��WHO Comprehensive Mental Health Action Plan 2013-2030 � (updated 2021)�

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