Severe mental disorders in complex emergencies |
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| Authors: | Dr Lynne Jones OBE MRCPsych Joseph B Asare GM FRCPsych Mustafa El Masri MD Andrew Mohanraj MBBS Hassen Sherief MD Mark van Ommeren PhD |
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| Affiliation: | aInternational Medical Corps Santa Monica, CA, USA;bAccra, Ghana;cInternational Medical Corps, Gaza Strip, Occupied Palestinian Territory;dCBM Aceh Psychosocial Rehabilitation Programme Provincial Health Office, Banda Aceh, Indonesia;eKaramara Regional Hospital, Jijiga, Somali Region, Ethiopia;fDepartment of Mental Health and Substance Abuse, WHO, Geneva, Switzerland |
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| Abstract: | People with severe mental disorders are a neglected and vulnerable group in complex emergencies. Here, we describe field experiences in establishing mental health services in five humanitarian settings. We show data to quantify the issue, and suggest reasons for this neglect. We then outline the actions needed to establish services in these settings, including the provision of practical training, medication, psychosocial supports, and, when appropriate, work with traditional healers. We have identified some persisting problems locally, nationally, and internationally, and suggest some solutions. Protection and care of people with severe mental disorders in complex emergencies is a humanitarian responsibility. |
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