Chris Underhill Mbe Community Engagement: the Caring Cities

GLOBAL MENTAL HEALTH AND SOCIAL RIGHTS CHRIS UNDERHILL MBE COMMUNITY ENGAGEMENT: THE CARING CITIES WWW.CITIES-RISE.ORG 17 TH NOV 2017 MENTAL HEALTH IMPACT: MORE THAN JUST HEALTH ALONE Top 5 burden on A staggering loss of Chronic diseases of the global health economic productivity young 14% of the global burden of In 2010, an estimated US One of the major risks of mental disease, measured in $2.5–$8.5 trillion globally in illness is that over 75% of disability-adjusted life years lost output was attributed to conditions manifest themselves by (DALYs ) 1, can be attributed mental, neurological and age 24. to mental, neurological and substance use disorders, substance use disorders. depending on the method of assessment used. 2 A LARGE MENTAL HEALTH DISCONNECT REMAINS… Without a wider and richer cross-sectoral effort to take mental health mainstream,three key problems will continue to persist. Three broad disconnects: • Transactional rather than transformative approaches. • Models and methods for integrating and measuring mental health are sorely lacking. • Mental health problems are subject to short-term approaches rather than being considered challenges for society as a whole. BasicNeeds was founded in 2000 Mission : “to enable people with mental illness or epilepsy and their families to live and work successfully in their communities” Vision : “the basic needs of all people with mental disorders throughout the world are satisfied and their basic rights are respected.” Community Mental Health Provides access to treatment and improved mental health for affected individuals Livelihoods Assessing affected individuals, carers, families – for skills, work experience, interests, ideas Linking individuals, carers, families – to opportunities and organisations Support affected persons – to join community groups (e.g.: farmers co-operative, existing savings and credit groups Supporting affected children, youth to return to education Home visits – for encouragement, support, mentoring, information on opportunities, review on progress and follow-up support Livelihoods Facilitates opportunities for affected individuals to gain or regain ability to work, earn and contribute to family and community The BasicNeeds Model for Mental Health and Development Capacity Building Equipping people to work on mental health issues Community Collaboration Mental Forging partnerships to Health improve mental health provision Developing accessible services Research Livelihoods Generating and Creating opportunities applying real-world for affected people evidence Replicating the Model in the United States Training on Animation techniques Partners: Southwest Solutions & Detroit Wayne Mental Health Authority http://www.basicneeds.org/training -on -animation -techniques -in -southwest -detroit/ A CALL FOR GLOBAL ACTION • Around 20% of the world's children and adolescents have mental disorders or problems. A Massive Mental Health Burden • About 800,000 people die by suicide every year. • Currently, 54% of the world’s population lives in cities, and that number is expected to rise to 66% by 2050. Rapid Urbanization • 60% of all city dwellers will be under the age of 18 by 2030. Sustainable Development Young People Goals citiesRISE is committed to channeling these overlapping phenomena into a comprehensive movement to improve mental health worldwide and aligning with the SDG targets CITIES CAN DRIVE GLOBAL TRANSFORMATION With their inherent connectivity, density, creativity, and entrepreneurial capacity, cities have the potential to spur countrywide action. We are talking about systems transformation. CITY NODES Mental health Youth Early actions Improvements Improvements Better social integrated in leadership to improve in access to in access to inclusion major systems across mental education training and and (education, mental health and lower employment reduced health, health dropout discriminatio Global employment, initiatives rates n as housing, law experienced Country enforcement, by people Urban Peri - 'gateways' urban humanitarian with mental and rural crisis health problems CITIESRISEAWARDED AT 2016 CLINTON GLOBAL INITIATIVE CITIESRISE STRATEGY AND APPROACH CITIESRISE: A NEW TRAJECTORY FOR POLICY AND PRACTICE IN MENTAL HEALTH A GLOBAL NETORK OF CITIES EARLY ACTION AND SCALE Achieving scale calls for key strategies thatinclude: • Normalizing • Upstreaming • Task-sharing (sometimes called Strategies providing Cities demonstrate a commitmentto cities with varied becoming leading nodes in a global task-shifting options for mental mental health system health impact Accelerated progressin six domains • Integrating mental health + of change citiesRISE Global Faster development, sharing, and Network uptake of improved approaches + across entire cities andregions Challenge Monitoring Maximised investment impact: lives Mechanism saved/improved per dollar invested. In order to achieve our objectives, the work of citiesRISE is organised into four distinct and complementary international programs. CITIESRISE: LOCAL COLLECTIVE ACTION NAIROBI CHENNAI BOGOTÁ SINGAPORE SEATTLE MANY MORE COMING YOUTHRISE: YOUNG PEOPLE AND YOUTH LEADERSHIP YOUNG PEOPLE AND YOUTH LEADERSHIP UNDERLYING PRINCIPLES • Youth define their own goals, objectives, programs, and desired outcomes Must include young peoples lived experience • Partnerships and participatory practice that encourages experimentation Youth views prevail Youth partners are the ’safety net’ • Value networked activities over siloed efforts • Achieve meaningful, real, and measurable change for public good RISEACCELERATOR ATMIYATA, INDIA STRONGMINDS, UGANDA LIFE-DM, VIETNAM INUKA HERO, KENYA IPT LEBANON LEARNING COLLABORATIVE: A CONFLUENCE OF EXPERTISE LEARNING COLLABORATIVE Advocacy and Mobilization OUR STEERING COMMITTEE IS STELLAR AND SO IS OUR CORE TEAM citiesRISE Steering citiesRISETeam Committee .

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