OUT OF THE SHADOWS: MAKING MENTAL HEALTH A GLOBAL DEVELOPMENT PRIORITY ORGANIZED BY: WORLD BANK GROUP/WORLD HEALTH ORGANIZATION WORLD BANK GROUP APRIL 13-14, 2016 · WASHINGTON, D.C. Report of Proceedings of Event To access dedicated site, visit: http://www.worldbank.org/en/events/2016/03/09/out-of-the-shadows-making-mental-health-a-global-priority Acknowledgements This summary report was prepared in May 2016 by a WBG/WHO team including Patricio V. Marquez, Shekhar Saxena, Sheila Dutta, Dan Chisholm, Natalia Tejada, Laura Lozano-Montes and Ishani Premaratne, on the basis of reports prepared by Takashi Izutsu, Daniel Vigo, Margarita Puerto Gomez, Alys Willman, Beverly Pringle, Dévora Kestel, Joshua Chauvin, Alison Brunier, Dan Chisholm, and Andrew Blasi, the rapporteurs of the event, and other event documentation. Comments provided by Prof. Arthur Kleinman, Harvard University Asia Center, and Pamela Collins, US National Institute of Mental Health. For any additional information about the event or related documentation, please contact Patricio V. Marquez, Lead Health Specialist, World Bank Group: [email protected]. The event was convened by the World Bank Group (WBG) and the World Health Organization (WHO), with the support of an Organizing Committee and the collaboration of International Partners, as follows: Core Organizing Committee World Bank Group (WBG): Patricio Marquez, Lead Public Health Specialist, HNP Global Practice, Tim Evans, Senior Director, HNP Global Practice. World Health Organization (WHO) Lead: Shekhar Saxena, Dan Chisholm, and Laura Lozano Montes, Department of Mental Health and Substance Abuse, World Health Organization. Chair of the Working Group: Professor Arthur Kleinman, Harvard University Asia Center. The Mental Health Innovation Network, with the support of Wellcome Trust, Grand Challenges Canada, and the U.S. National Institute of Mental Health, were responsible for the Innovation Fair. The organizers of the event appreciate all the support provided by the Office of the United States Executive Director for the World Bank Group, and particularly having Matthew McGuire, the US Executive Director, who hosted the event’s April 13, 2016 reception. Members of International Working Group The organization of the event is the product of almost two years of activities completed by a Working Group chaired and directed by Arthur Kleinman (Harvard University Asia Center). The Working Group consists of Timothy Evans (World Bank Group), Patricio Marquez (World Bank Group), Shekhar Saxena (World Health Organization), Daniel Chisholm (World Health Organization), Anne Becker (Harvard Medical School), Pamela Collins (U.S. National Institute of Mental Health), Mary de Silva (Wellcome Trust), Pablo Farias (Harvard Medical School), Roberto Iunes (World Bank Group), Akiko Ito (United Nations Department of Economic and Social Affairs), Dean Jamison (University of Washington), Yoshiharu Kim (National Institute of Mental Health, Japan), Judith Klein (Open Society Foundations), Vikram Patel (London School of Hygiene and Tropical Medicine), and Benedetto Saraceno (NOVA University of Lisbon). In addition to members of the Working Group, it included research by Pim Cuipers (Vrije Universiteit Amsterdam), Amanda Glassman (Center for Global Development), Bruce Rasmussen (Victoria University), Peter Sheehan (Victoria University), Filip Smit (Vrije Universiteit Amsterdam), Kim Sweeny (Victoria University), Leslie B. Tarver (Massachusetts General Hospital), and Daniel Vigo (Harvard University). The Working Group acknowledges the contributions of Seth Mnookin (MIT), Mary Dethavong, Annikki Herranen-Tabibi, and members of the staffs of the World Bank Group and the World Health Organization. It also would like to thank The National Academies of Sciences, Engineering, and Medicine’s Health and Medicine Division for its support of a meeting of the Working Group on April 20, 2015. International Advisory Group (names available upon request) Partners The World Bank Group is grateful for the co-sponsorship of the following organizations for the event: World Health Organization, Harvard University Asia Center, Wellcome Trust, Nippon Foundation, Rockefeller Foundation, Gulbenkian Foundation, Open Society Foundation, Mental Health Innovations Network (LSHTM), U.S. National Institute of Mental Health, Grand Challenges Canada, U.S State Department/APEC Mental Health Initiative, Kennedy Forum, Jack.org, iFred, Plan International USA, International Medical Corps, StrongHeart Group, Secretariat for the UN Convention on the Rights of Persons with Disabilities, Japan National Institute of Mental Health, Fundación Santa Fe, Bogota, Colombia, African Union Commission, European Commission’s Directorate General for Health and Food Safety, Carter Center, Fundación Once, Spain, Fracarita International (Brothers of Charity), NATURE, World Economic Forum, Global Health Council, and The George Washington University Milken Institute School of Public Health. WBG Lead Global Practice: Health, Nutrition and Population Global Practice Core Technical Team: Tim Evans (Senior Director, HNP GP), Patricio Marquez (Lead Health Specialist), Sheila Dutta (Senior Health Specialist), Jaime Nicolas Bayona Garcia (Senior Health Specialist), Ishani Premaratne (Consultant). WBG Partner Global Practices: Alys Willman (Fragility, Conflict, and Violence). Joel Reyes (Education Global Practice), Charlotte Vuyiswa McClain-Nhlapo (Urban, and Resilience Global Practice), Brian Davey (World Bank Group’s Health Services Department). Communications Team: WBG: Carolyn Reynolds, Anugraha Palan, Sheryl Silverman, Lysette Cohen, Kitchie Hermoso, Ramatoulaye George-Allyne; WHO: Alison Ruth Brunier, Sarah Russell. Administrative Support: Akosua Dakwa, Yvette Akins, Bianca Tayari, Mary Dowling, Juliet Teodosio Additional Consultation and Support: Solange Guyot, Senior Executive Assistant, Office of the United States Executive Director for the World Bank Group, and Nancy Clifford, IAOAN - International Affairs N America © The World Bank 2016 © World Health Organization 2016 Out of the Shadows: Making Mental Health a Global Development Priority Page 1 CONTENTS Page Executive Summary ...................................................................................................................................... 2 Introduction & Objectives of the Conference ............................................................................................... 3 Panel Reports ................................................................................................................................................. 5 High Level Opening Panel: Making Mental Health a Development Priority ..................................... 5 Plenary Panel: Mental Health in the Global Development Agenda: Challenges & Options ........... 11 Innovations in Mental Health Promotion, Protection, Care and Funding ....................................... 14 Addressing the Mental Health Needs of Vulnerable Populations across Sectors ............................. 17 Wellness and Mental Health in the Workplace ................................................................................. 20 Engaging Communities, Engaging Governments: Taking Action for Mental Health ....................... 23 Leveraging New Technologies for Improving Access to Care and Designing New Interventions ... 27 The Science of Implementation: Measuring Results for Policy Formulation, Program Design, Scaling Up Care, Monitoring and Evaluating Impact ...................................................................... 30 Plenary Panel: Financing for Development Action Agenda and Private Sector Asset Development: How to support scaling-up of mental health innovations across sectors? ........................................ 33 Closing Session ................................................................................................................................. 36 Annex 1: INNOVATION FAIR .................................................................................................................. 38 Innovation Fair Booths ...................................................................................................................... 38 Innovation Fair Posters ..................................................................................................................... 39 Innovation Fair Flyer ........................................................................................................................ 40 Annex 2: FRANCIS: A VIRTUAL REALITY FILM ................................................................................ 41 Annex 3: WBG, WHO & Harvard Global Mental Health Coalition Videos................................43 Annex 4: PANELISTS & SPEAKERS ....................................................................................................... 44 Out of the Shadows: Making Mental Health a Global Development Priority Page 2 Executive Summary At the 2016 World Bank Group (WBG) and International Monetary Fund (IMF) Spring Meetings, the WBG and the World Health Organization (WHO) co-hosted a high-level event to bring mental health from the periphery to the center of the global development agenda 1 . This event came to fruition due to the commitment and effort of Prof. Arthur Kleinman, Director, Harvard University Asia Center, in partnership with WBG and WHO. This two-day, high-level event featured technical panel discussions that included a mix of experts and advocates, ministers of finance and health,