Severe mental disorders in complex emergencies.
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.
Jones
Lynne
L
International Medical Corps Santa Monica, CA, USA. ljones@imcworldwide.org
Asare
Joseph B
JB
El Masri
Mustafa
M
Mohanraj
Andrew
A
Sherief
Hassen
H
van Ommeren
Mark
M
D000328:Adult; D000533:Altruism; D003479:Curriculum; D004189:Disaster Planning / Q000458:organization & administration; D004630:Emergencies; D004637:Emergency Services, Psychiatric / Q000458:organization & administration*; D005260:Female; D014943:Global Health; D006301:Health Services Needs and Demand / Q000458:organization & administration*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D008605:Mental Health Services / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration*; D016730:Program Development / Q000379:methods; D012036:Refugees; D035862:Vulnerable Populations