Tag Archive for: Mental Health

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Youth Mental Health in Nepal: A Collaborative Push for Support

Youth Mental Health in NepalAmong the 29.7 million people who live in Nepal, 340,000 adolescents have made suicide attempts. Furthermore, in 2020, UNICEF reported that 470,000 teens had contemplated suicide. These figures position Nepal as having the second-highest youth suicide rate in South Asia, indicating a pressing crisis in youth mental health in Nepal that necessitates immediate intervention.

Background

The 2015 earthquake had a profound impact on Nepal, exposing children to severe psychological stress and long-term emotional strain. It added another layer of trauma to a nation already struggling with poverty and inadequate mental health care. Anxiety, grief and other forms of distress were among the many mental health challenges children faced in the aftermath.

A large-scale epidemiological study reported a prevalence of 19.1% for emotional and behavioral problems in children, indicating that it approximately affects one in every five children in Nepal.

The 2020 National Mental Health Survey indicated a 5.2% prevalence of diagnosable mental disorders among teenagers aged 13 to 17 in Nepal, with 2.8% attributed to neurotic and stress-related conditions.

Availability of Services

The pervasive stigma and insufficient comprehension of mental health are resulting in a high percentage of children and adolescents, particularly in remote locations, being unable to access essential care.

Since its establishment in 2015, the Child and Adolescent Mental Health (CAMH) unit at Kanti Children’s Hospital has remained Nepal’s only full-time outpatient clinic for child and adolescent psychiatry up until 2020.

As of 2022, Nepal had just three outpatient mental health facilities dedicated to children and adolescents, and no inpatient units in the public sector. Additionally, the country’s mental health workforce included approximately 144 psychiatrists, of whom only three specialized in child psychiatry.

When children needed hospitalization for psychiatric issues, they had to go to adult psychiatric facilities, which represents a breach of children’s rights and failed to meet international standards.

Collaborating for Change

In response to these pressing needs following the 2015 earthquake, UNICEF, Save the Children, World Vision, and Plan International initiated a collaborative initiative to enhance children and adolescents’ mental health.

Following the Inter-Agency Standing Committee (IASC) Guidelines on Mental Health and Psychosocial Support, their efforts concentrated on establishing secure and uniform environments for children to initiate emotional recovery, UNICEF reports.

The initiative established child-friendly spaces, and trained 512 community members to facilitate children’s emotional expression through play, routine, and peer contact. Through receiving training in psychological first aid, 3,395 educators and 20,000 community members learned to identify signs of distress and provide basic support, according to UNICEF.

Youth activities had a goal for adolescents to restore confidence and foster connections, while instituting support programs to enhance caregivers’ capacity to care for their children under significant demand.

Jo Malone London and UNICEF

Jo Malone London, in partnership with UNICEF and the Government of Nepal, is undertaking initiatives to improve youth mental health in Nepal by teaching health professionals to better comprehend and treat the mental health requirements of adolescents. The objectives of these trainings are to identify mental health issues, offer counselling, and link patients with specialized care via tele-mental health services at Kanti Children’s Hospital in Kathmandu, UNICEF reports.

This partnership is a component of UNICEF’s overarching strategy to strengthen mental health systems in marginalized regions by addressing challenges such as stigma, awareness, and the scarcity of mental health professionals in rural areas. This ensures that children and adolescents receive the necessary care they need.

UNICEF–Z Zurich Initiative

UNICEF combined global best practices with locally adapted approaches to promote the mental health of Nepal’s adolescents and their caregivers through socio-emotional learning (SEL) tools, with the support of the Z Zurich Foundation. Karnali Province, one of the most disadvantaged regions in the nation, was the primary focus of this initiative. The resources, which include stress management techniques and feelings charts, aim to assist students in identifying their emotions and coping with challenges.

The impact of the UNICEF–Z Zurich Foundation helps students increase comfort in expressing their emotions and their growing willingness to seek help across Western Nepal.

Youth Mental Health in Nepal

The youth of Nepal are starting to articulate what was previously concealed. From classrooms in Karnali to clinics in Kathmandu, transformation is occurring via skilled health professionals, emotional learning resources, and programs founded on trust. The upcoming difficulty is scalability. With sustained dedication, these initial advancements can evolve into enduring advocacy for youth mental health in Nepal, ensuring no child is left unheard.

– Imge Tekniker

Imge is based in London, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Mental Health Support in Gaza: A Growing Humanitarian Priority

Mental Health Support in Gaza: A Growing Humanitarian PriorityAs the war in Gaza continues, about 2 million people have been displaced, many without access to essential services. While humanitarian organizations continue trying provide deliveries of food, clean drinking water and sanitation supplies, one critical need remains under-addressed: mental health support. A 2024 Lancet Psychiatry article reported that more than 50% of Gaza’s children showed signs of post-traumatic stress disorder (PTSD) even before the recent conflict. Prolonged exposure to trauma, displacement and instability has intensified mental health challenges across all age groups.

Mental Health in Gaza

During emergencies, mental health support often receives less attention than physical needs. However, psychological trauma, if left untreated, can have long-term consequences for individuals and communities. According to the United Nations Office for the Coordination of Humanitarian Affairs (OCHA), more than 495,000 children in Gaza are currently dealing with mental health issues. Without access to support, these issues may worsen and contribute to a cycle of poverty, as shown in a 2023 World Bank report that linked untreated mental health conditions to reduced economic opportunity in conflict zones.

Several barriers hinder access to care in Gaza. Health infrastructure has been severely damaged, psychiatric services are limited and stigma continues to discourage people from seeking help. Years of underinvestment and cultural misunderstanding have made it difficult for many to recognize mental health as a critical component of well-being.

The Gaza Community Mental Health Program

While organizations like WHO and Médecins Sans Frontières (MSF) have expanded mental health support, the Gaza Community Mental Health Programme (GCMHP) remains the only NGO in the region dedicated solely to mental health. Since 1990, GCMHP has provided community-based psychological services, working to break stigma and improve access.

The organization continues operating despite the destruction of several facilities. Its hotline offers free phone consultations, while field workers travel between camps to provide counseling. GCMHP has already delivered psychological first aid to more than 12,000 individuals affected by the conflict. Its teams report symptoms consistent with complex trauma, including emotional numbness, dissociation and social withdrawal. These conditions often worsen as people remain surrounded by reminders of their trauma in destroyed neighborhoods and overcrowded shelters.

What Success Looks Like

GCMHP’s impact becomes clear through individual stories. A case involved a six-year-old named Mohammad, who witnessed multiple bombings and suffered nightmares, anxiety and bedwetting. GCMHP diagnosed him with PTSD and designed a recovery plan involving drawing therapy and family sessions. Mohammad’s symptoms improved over time, reflecting the power of early intervention and consistent care. GCMHP continues helping survivors rebuild emotional stability, one patient at a time.

The Road Ahead for Mental Health Support in Gaza

Mental health recovery requires sustained commitment. Short-term interventions cannot fully address long-term psychological distress. Aid organizations aim to integrate mental health services into all levels of humanitarian response. GCMHP and UNRWA have both urged greater investment in mental health and psychosocial support (MHPSS) as part of emergency relief programs. Expanding access to these services not only reduces suffering but also supports long-term recovery and resilience. Ensuring mental health remains a central part of aid in Gaza could play a vital role in helping communities rebuild after conflict, both physically and emotionally.

– Collier Simpson

Collier is based in Savannah, GA, USA and focuses on Global Health for The Borgen Project.

Photo: Pexels

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Addressing Mental Health in Mauritania

Mental Health in MauritaniaMauritania is a country located in northwestern Africa and it severely lacks mental health care. The absence of basic necessities, ongoing economic instability and weak social support systems contribute to the development of mental health issues. Additionally, existing vulnerabilities such as discrimination and social stigma often intensify these struggles.

As of 2025, there is no publicly available data more recent than the 2004 joint study by Mauritania’s Ministry of Health and the World Health Organization (WHO). According to The New Humanitarian, the study found that approximately 34% of the country’s population had experienced a mental health issue. This encompasses a range of conditions including stress, depression and schizophrenia.

Poverty’s Effect on Mental Health

According to the United Nations Children’s Fund (UNICEF), as of 2022, one in four children lives in extreme poverty and 80% are exposed to some form of violence. This contributes to chronic stress and a heightened risk of mental health disorders.

Poverty remains one of the most significant barriers to both physical and mental health in Mauritania. According to the World Bank, rural areas bear the brunt of deprivation due to underdeveloped infrastructure and limited access to essential services. Many Mauritanians rely on informal or subsistence work, which offers little to no financial security, health insurance or protection against job loss.

This instability contributes to chronic stress, especially in households already dealing with illness, trauma or displacement. According to the World Bank, in these communities, even basic health services can be financially and geographically inaccessible, making mental health in Mauritana support a distant priority. The lack of income, combined with social stigma and institutional neglect, keeps many individuals trapped in a cycle where untreated mental health in Mauritania conditions both stem from and contribute to extreme poverty.

Having only one psychiatric hospital, the Nouakchott Centre for Specialised Medicine, with a limited number of beds, the population of Mauritania has very limited access to mental health care. According to Radio France Internationale (RFI), most patients only stay for a few days due to there being a limited number of beds and staff. The hospital only has 20 rooms, according to RFI.

Economic Toll of Untreated Mental Illnesses

The consequences of untreated mental illness in Mauritania extend far beyond individual suffering. They create a significant, long-term burden on the nation’s already fragile economy. Mental health disorders often limit a person’s ability to attend school, maintain employment or care for family members. In a country where 90.9% of Mauritania’s total employment is informal as of 2017, according to the Global Economy, any loss in productivity can have immediate and devastating effects on household income. This is especially damaging for families living at or below the poverty line, who lack savings, insurance or access to consistent medical care.

According to the National Institutes of Health (NIH), it is estimated that depression and anxiety cost the global economy more than $1 trillion each year in lost productivity. Individuals experiencing mental illness often drop out of school or are unable to secure jobs, reducing their lifelong earning potential. According to the United Nations Foundations, in many cases, caregiving responsibilities fall to women and girls, who may leave school or the workforce to support relatives, further entrenching gender and economic inequalities.

Long-Term Impact

According to a study conducted by the Tacoma-Pierce County Health Department in 2016, untreated mental illness can lead to higher health care costs in the long term, as conditions worsen and require more intensive interventions.

Untreated mental illnesses can also lead to social issues such as homelessness. The NIH reported that in 2021, more than 20% of people who experience homelessness also have a mental illness.

Expanding access to mental health care in Mauritania, training professionals locally and integrating psychological support into primary care could reduce long-term public spending while improving workforce participation and overall quality of life. According to the WHO, “every $1 invested in scaling up treatment for depression and anxiety leads to a return of $4 in improved health and productivity.”

Voices From Nouakchott

Despite limited staff, visitors and patients of the Nouakchott Centre for Specialised Medicine are satisfied with their visits. For example, in 2007, according to TNH, Dianaba Dia took her child to see a psychiatrist at the hospital for violent seizures.

“He was a doctor just like any other,” Dia told TNH. “What counts for me though is that since we saw him my daughter has got better.”

Additionally, the scarcity of mental health resources also profoundly affects individuals like Sidi Lemen after a failed attempt to emigrate to the United States in 2025. According to RFI, this setback led to depression and subsequent substance abuse. He sought help from the Nouakchott Centre for Specialised Medicine. However, due to limited resources, he was only admitted for a few days, highlighting the pressing need for expanded mental health services in Mauritania.

“We need to increase the number of beds,” Dr. Mohamed Lemine Abeidi told RFI. “Lots of patients travel long distances to come here, and there’s no other psychiatric care infrastructure.”

Mauritania faces significant challenges in providing mental health care not only because of the limited number of beds, but also due to a scarcity of trained professionals. According to France 24, all of the country’s psychiatrists have received their training abroad, highlighting the absence of local educational programs in this field.

Hope for Health Care

Mauritania’s mental health crisis is deeply intertwined with poverty. However, recent initiatives offer a glimmer of hope. The World Bank has launched a national program aimed at improving health services for approximately 2.5 million people, focusing on women, children and adolescents in underserved communities. This program aims to improve primary health care and increase access to mental health services.

Additionally, the United Nations High Commissioner for Refugees (UNHCR) is working closely with the Mauritanian government to integrate refugees into national healthcare systems, including mental health support. These collaborative efforts aim to build a more inclusive and resilient health infrastructure.

Despite these promising developments, significant challenges remain. According to Alima, the Mbera refugee camp is operating beyond its capacity, housing more than 116,000 refugees in a space designed for 80,000. This overcrowding exacerbates the strain on already limited mental health resources.

– Clarissa Dean

Clarissa is based in Bowling Green, KY, USA and focuses on Good News and Celebs for The Borgen Project.

Photo: Pexels

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Shifting Focus on Mental Health in Saint Kitts and Nevis

Mental Health in Saint Kitts and NevisMental Health in Saint Kitts and Nevis, formally known as the Federation of Saint Christopher and Nevis, has become a growing concern in recent years. A lack of prior funding and persistent cultural stigma around mental illness have left behind limited infrastructure for the country’s mental health care. Recently, however, the federation announced a shift in strategy, dedicating greater focus and more resources to mental health in Saint Kitts and Nevis. This new approach can potentially redefine how the developing world addresses mental health concerns.

Global Trends in Mental Illness

Mental illness is a growing concern globally, particularly in the developing world, including Saint Kitts and Nevis. According to the World Health Organization (WHO), in 2019, approximately 970 million people had some form of mental disorder. While still a global minority, this accounts for more than 10% of the population who had to deal with additional barriers in their day-to-day lives.

It is also important to note that mental illness does not affect all equally. Other negative situations in life, such as poverty or violence, can cause or worsen mental illness. This makes developing nations particularly vulnerable as they have larger impoverished populations. On top of that, many nations have limited support systems and cultural stigmas on the topic, which prevent many of their citizens from getting the care they need.

Challenges to Mental Health in Saint Kitts and Nevis

The Islands of Saint Kitts and Nevis have historically struggled with limited funding for mental health services. In 2007, the Federation raised its spending on mental health services to just 1%. While this was still an increase from even lower rates, which had not been adjusted since 1956, the country still lacked major infrastructure to offer help. Limited resources, including needed medicine and trained staff, mean that only the most severe cases in patients receive treatments. Approximately 1% of the population of Saint Kitts and Nevis has been diagnosed with some form of mental illness.

Poverty has also been a significant barrier to accessing mental health care in Saint Kitts and Nevis. In 2008, about 21.8% of the population was below the poverty line. However, due to increased government response, this percentage began to decline slowly but surely. The government sped this up by simultaneously funding public health, so potential patients did not have to pay out of pocket.

Not only can poverty lead to or worsen mental illness, it can also impact a patient’s ability to get care. Research shows that those living in impoverished conditions are less likely to seek help and less likely to receive it if they do.

Mental Health Initiatives in Saint Kitts and Nevis

On November 27, 2024, the Ministry of Health in St. Kitts and Nevis launched its Mental Health Service Systems Enhancement Project. The project, supported by the government and funded in part by Taiwan, aims to expand access to mental health services by increasing funding and strengthening mental health infrastructure. The nation’s Prime Minister and head of the health Ministry, Terrance Drew, also emphasized the importance of this initiative and the nation’s renewed focus on improving the mental health of Saint Kitts and Nevis.

The most prominent counseling center, known as the Dr. Arthur W. L. Lake Mental Health Day Treatment Centre, offers high-quality mental health services and follows a patient-centered approach. For instance, it aims to fight the stigma around mental illness in Saint Kitts and Nevis by providing home-like and comfortable conditions, and some patients even shared their stories and how the center helped them.

The Future of Mental Health Care in the Developing World

While Saint Kitts and Nevis still have a long way to go, its new focus on mental health care is a refreshing step in the right direction. Despite limited infrastructure and combating a cultural stigma, the islands have been making positive steps towards better care. In particular, increases in government funding and foreign aid have given the country more resources in its fight. If the country sees positive results with this project could serve as a blueprint for effective strategies to address and improve mental health in other developing nations.

– Jesse Correll

Jesse is based in Boston, MA, USA and focuses on Global Health for The Borgen Project.

Photo: Unsplash

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Mental Health in Saint Vincent and the Grenadines

Mental Health in Saint Vincent and the GrenadinesSaint Vincent and the Grenadines (SVG) is a 389-square-kilometer, multi-island country in the Caribbean. SVG achieved full independence from the United Kingdom on October 27, 1979. The population is 104,300, with 30% living in poverty. Poverty, lack of mental health professionals and social stigma impact mental health in Saint Vincent and the Grenadines. La Soufriere volcano erupted in 2020 and 2021 while the country was still reeling from the impact of the COVID-19 pandemic. About 22,400 people were evacuated. The devastation of the pandemic and volcanic eruptions has further impacted the mental health struggles of Vincentians.

The government of SVG continues to make efforts to advance treatment for mental health conditions. Although increasing care and resources for the mental health community in SVG has been difficult, it has made improvements.

Mental Health and Post-Colonialism

Colonialism has had a long-lasting impact on trauma-based mental health struggles. The legacy of colonial-era psychiatry shaped social stigmas around mental health diagnosis and care. For example, enslaved Africans brought to the Caribbean were diagnosed as mentally ill if they tried to escape their masters. Post-abolition psychiatric treatments included locking patients in asylums, away from society. However, a broader, more comprehensive approach to reframing mental health diagnosis and care can help overcome stigma.

The Mental Health Centre 

Saint Vincent and the Grenadines has one psychiatric hospital called the Mental Health Centre. The colonial British Government was built it in 1938 to keep psychiatric patients away from society. It was designed to house 90 patients.

The center serves a different purpose today. It provides inpatient, outpatient and drug rehabilitation services. It can now house more than 160 inpatients. As of 2020, the total number of hospital admissions was 401, with 387 being involuntary. About 29.4% of inpatients stayed in the center for less than a year. 

Schizophrenia, substance abuse and related disorders, such as psychosis, are the main mental health conditions that receive treatment in SVG. As of 2020, out of 1,125 treated cases of psychosis, 954 were men and 171 were women.

Suicidal behavior among Vincentian adolescents is disproportionately high at 26%. Economic class disparities, substance use, being bullied, access to mental health services and loneliness are all risk factors.

Legislation

SVG passed the Mental Health Act in 1981 and amended in 1991. It includes sections for admission to the psychiatric hospital, mental review board, approved homes, and protection of property of persons suffering from mental disorders.

Psychiatrist Shortage in SVG

The shortage of psychiatrists in Saint Vincent and the Grenadines is alarming. The Saint Vincent Times explained in an April 7, 2025 article, “The recruitment of mental health professionals is hindered by various factors, including limited resources, inadequate incentives and the growing global competition for qualified psychiatrists.” The government of SVG is aware of this issue and is working to recruit qualified mental health professionals.

Government Efforts To Improve Mental Health in SVG

The government, led by Prime Minister Ralph Gonsalves, recognizes that mental health services in Saint Vincent and the Grenadines are still weak. Gonsalves has expressed the importance of providing mental health support to marginalized groups such as prisoners and disaster survivors. 

About 6% of the government’s health expenditure goes to mental health care. Mental health services and medication in SVG are free of cost to patients and national health insurance covers them. However, it is a cost to the state. The state’s limited resources continue to be a challenge to improving mental health services for Vincentians. Additionally, the stress of poverty and lack of employment leads to increased depression, anxiety, and other mental health struggles.

Examples of mental health programs implemented by the government include Mental Health Awareness, Mental Health and Suicide Awareness and Psychological First Aid and counseling.

Conclusion

Although SVG has made progress, mental health in Saint Vincent and the Grenadines still has a long way to go. Ongoing efforts to address poverty, increase mental health awareness, fund mental health programs and recruit mental health professionals will help close the gaps in SVG mental health care needs. 

– Vijji Michael

Vijji is based in New York, NY, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Wikipedia Commons

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Making Mental Health in Global Aid a Priority

Making Mental Health a Priority in Global AidMental health remains underrepresented in global humanitarian response. According to the World Health Organization (WHO), common mental health conditions account for 10% of the global disease burden, yet mental health programs receive less than 2% of international health funding. In humanitarian settings, mental health challenges are widespread: data from the United Nations High Commissioner for Refugees (UNHCR) indicates that up to one in three displaced individuals may experience depression, anxiety or post-traumatic stress. In conflict zones, refugee camps and low-income communities, unaddressed trauma and psychological distress hinder recovery, education and development. These conditions often go untreated, limiting the effectiveness of education, health and livelihood interventions.

Mental Health in Crisis Settings

Access to mental health care remains limited in many low-income countries. In Syria, more than half of displaced children report symptoms of depression and anxiety, but only a small portion receive psychological support, as reported by Médecins Sans Frontières. Children with untreated mental health conditions often struggle in school. Adults experiencing psychological trauma may find it difficult to participate in the workforce, while entire communities suffer from weakened social cohesion. These ongoing challenges perpetuate the cycle of poverty.

A Shift Toward Integrated Solutions

Several organizations now recognize the value of integrating mental health into humanitarian aid. The International Rescue Committee (IRC) equips local health workers in Lebanon and South Sudan with training in psychological first aid and ongoing mental health care. This approach ensures sustainability and culturally appropriate care while reducing stigma.

In Nepal, Transcultural Psychosocial Organization (TPO) runs community-based mental health programs that are both cost-effective and scalable. By training teachers, social workers and community leaders to identify and refer individuals with mental health needs, TPO Nepal ensures that services reach even the most remote areas. These community-based models improve sustainability and reduce stigma.

Mental Health Crisis Among Marginalized Groups

Even in high-income nations, marginalized communities face significant mental health challenges. Indigenous groups in Canada and Australia report high rates of suicide and depression linked to intergenerational trauma and systemic neglect. A 2023 report by the United Nations Permanent Forum on Indigenous Issues called for culturally grounded mental health services as part of international development partnerships.

In British Columbia, Canada’s First Nations Health Authority has launched community-led healing programs rooted in Indigenous traditions. These initiatives, supported in part by development funding, serve as a model for mental health in global aid that respects cultural identity while addressing clinical needs.

Likewise, refugee communities in Europe face significant barriers to mental health care. Programs like the Mental Health and Psychosocial Support Network bridge the gap by providing trauma-informed therapy to displaced people from Syria, Afghanistan and other war-torn countries. 

The Economic and Social Payoff

According to the World Bank, each dollar invested in mental health generates a $4 return through better health outcomes and increased productivity. According to the WHO, untreated depression and anxiety in low-income countries cost  $1 trillion annually. Moreover, mental health support enhances the effectiveness of other aid sectors. For instance, in education, children receiving psychosocial support are more likely to stay in school. In post-conflict reconstruction, communities with mental health services are better equipped to rebuild trust and social infrastructure.

Moving Forward

Expanding the role of mental health in humanitarian aid involves increasing financial investment, integrating psychological support into broader health initiatives and supporting community-based, culturally informed services. Training local health workers can potentially improve the accessibility and continuity of care while helping reduce stigma. As humanitarian needs become more complex, aligning mental health with long-term development efforts could enhance the overall effectiveness and sustainability of global aid.

– Rhasna Albuquerque

Rhasna is based in Fortaleza, Brazil and focuses on Good News and Celebs for The Borgen Project.

Photo: Flickr

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Mental Health and Homeless Youth in East Asia

Mental Health and Homeless YouthHomelessness and mental health are problems that exist around the world, developed and undeveloped countries alike. Among homeless youth in East Asia and Southeast Asia, mental health is a massive issue. These youth typically become homeless due to past abuse, and usually experience more while on the streets; past research has shown that homeless youth are highly susceptible to sexual exploitation and prostitution. 

This demographic of homeless youth reports high rates of mental health issues, such as depression, PTSD, bipolar disorder and suicidal ideation, with suicide being their leading cause of death, and 80% of the population having reported attempting suicide at some point. To cope with these issues, many turn to substance abuse and other maladaptive coping mechanisms. 66.7% report drinking problems, and 77.8% report smoking problems. 

Causes of Homelessness

There are various reasons why youth become homeless in the first place. It is worth mentioning that one primary cause of poverty in the East Asian Pacific region is natural disasters. Natural disasters like earthquakes and tsunamis affect East and Southeast Asia more than most other regions in the world, making them a significant and notable contributor to homelessness that might not necessarily apply or apply as much to other regions around the globe, according to a 2024 article.

Poverty can cause stress and subsequent dysfunction in the home, driving children and young people away. A 2024 article found that parental abuse was the most common reason (40.7%) for leaving home, especially from fathers. General family conflict follows at 29.6%. 

Cultural Differences

Treating these problems requires understanding and accommodating the differences in cultural attitudes between Eastern and Western societies. Due to the way Eastern cultures raise kids to view themselves, their obligation to and role within family and the way they view mental health itself, means that Western mental health techniques do not always transfer or have the same result.

For example, Western programs tend to emphasize working with direct service providers and place a lot of value on individual autonomy. Conversely, services and government interventions in the East Asian Pacific regions might put more emphasis on family and community support.

Few components of culture influence mental health and responses to mental health treatment. The first is emotional expression: depending on what level of emotional outburst or emotional behavior is considered acceptable in a given culture, it will be easier or harder to identify when a person needs help. The second and likely most influential element is shame: many cultures, especially Asian cultures, see mental illness as something shameful or born out of weakness.

Individuals may be hesitant to seek treatment because it means admitting to themselves and to a mental health professional that they are struggling. Individuals may also be reluctant to interact with a mental health professional because of the third element, “power distance,” according to the Frontiers in Public Health. Regulations on mental health treatment and the power given to mental health professionals vary from country to country, having varied implications about autonomy and the power dynamic within a therapeutic relationship. 

Results 

A 2024 article revealed the results of eight studies conducted throughout Malaysia, South Korea and the Philippines. These studies researched the impacts of various mental health interventions on homeless youth, including art therapies, cognitive behavioral therapy (CBT), life skills education (LSE) and government services.

A Philippines-based study found visual art and poetry psychotherapies to be effective for abused adolescents in reducing symptoms of PTSD and depression, measured via Child Report on Posttraumatic Symptoms (CROPS) and Self-Rating Depression Scale (SDS). It was noted that art therapies seemed to also help empower homeless youth to engage actively in their own treatment.

A study on CBT implemented in South Korea measured impacts on depression, self-efficacy, and self-esteem. While the treatment resulted in increased self-efficacy and a significant decrease in depression, there appeared to be no significant difference in self-esteem pre- and post-test. LSE treatment, however, was successful in increasing self-esteem, as well as decreasing anxiety, depression and stress, according to a study out of Malaysia.

Closing Thoughts

While these mental health interventions have appeared to be successful, one of the key takeaways is that it is difficult to treat this demographic when there is no universally accepted definition of homelessness. Every study and every country uses different definitions, which leaves large gaps in understanding both the nuance and variation within the “homeless” experience and the actual overall figures of the demographic. Whether or not an individual fits within a jurisdiction’s given definition of homelessness may determine whether or not mental health and homeless services are provided to them; this makes the varying definitions of homelessness a possible barrier to mental health services. 

– Sandhya Mathew

Sandhya is based in Los Angeles, CA, USA and focuses on Global Health for The Borgen Project.

Photo: Pixabay

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Cultural Expectations Shape Men’s Mental Health in Uganda

Men's Mental Health in UgandaIn Uganda, a country in East Africa, men’s mental health is an issue that tends to be ignored and often overlooked. Cultural expectations have left men with little to no room to bring their psychological problems forward. This results in “serious consequences, including untreated depression and increased risk of suicide.”

The Burden of Masculinity

Men in Uganda face the expectations of appearing physically and mentally strong. These expectations can put a strain on their mentality and ability to come forward with emotional struggles. Traditional gender norms view men’s mental health as insignificant. It is seen as a weakness if a man cannot restrain his emotions.

Masculinity in Uganda is traditionally achieved through authoritative attitudes, control and being the provider and protector of their families. The pressure to provide and always appear strong can cause built-up anger or depression, leading to domestic abuse and an absent role in the family. Societal expectations for men to suppress their emotions prevent healthy coping mechanisms, which is worsened by the lack of services available to confront men’s mental health issues.

Mental Health Challenges

Mental health is not prioritized in Uganda, leaving the country as one of the top six in Africa with depressive disorders. Indeed, out of the total 4.6% who live with depressive disorders and 2.9% with anxiety disorders, 3.6% consist of men. The most common mental health challenges among men in Uganda include depression, anxiety and high stress levels.

With a lack of mental health services, some men turn to alcohol and substance abuse, with the possibility of suicide attempts. Alcoholism stems from men’s mental health issues in Uganda. They “are estimated to have one of the highest alcohol per capita consumption levels in sub-Saharan Africa.” The number of men who depend on pure alcohol sits at an estimated 4.2%, with a total consumption of 16 liters each year.

Resources to combat men’s mental health are scarce and mainly based in urban centers. Uganda as a whole has 53 psychiatrists, approximately one psychiatrist per 1 million people. Kampala, the country’s largest city, has a single psychiatric hospital. This lack of access to services highlights the challenges individuals with mental health issues in Uganda face.

Support Networks for Ugandan Men

Multiple steps have been taken in recent years to address Ugandan men’s mental health challenges. Indeed, support groups for fathers in Uganda are one example.  It’s been shown that early involvement in their child’s life challenges stereotypes, creating a better individual and life at home.

Plan International has provided Ugandan men with an environment where they can speak openly about the issues they may be having at home. Furthermore, they advise on better communication and coping techniques. Similarly, local organizations such as StrongMinds are working to supply mental health care and bring further awareness to the cause.

StrongMinds has provided group therapy sessions where comfort is offered to men who go against cultural expectations and choose to express their emotions. Special programs have also been applied in Ugandan prisons and the Ugandan police force. In these programs, relationship issues, struggles with individual or gender roles and grief are discussed, offering empowerment through communal support.

Conclusion

Mental health remains a complex and often stigmatized issue for men in Uganda, however, meaningful progress is being made. Indeed, through support groups, therapy sessions, and targeted programs, more men are finding safe spaces to express themselves, challenge harmful stereotypes, and build healthier relationships.

– Sarina Francis

Sarina is based in Tallahassee, FL and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Bridging the Gap: Mental Health Care in the Philippines

mental health PhilippinesIn 2024, the Philippines, a country of more than 100 million people, counted only 1,821 mental health care specialists, falling drastically short of the World Health Organization (WHO) recommended standards. This substantial workforce shortage presents a significant obstacle to accessing mental health care in the Philippines.

Background

According to 2023 data from the Department of Health (DOH), more than 3.6 million Filipinos suffer from mental health conditions, neurological and substance use disorders. Among the most prevalent conditions are major depressive disorder, affecting more than 1.1 million people; bipolar disorder, affecting over 520,000; and schizophrenia, affecting more than 213,000, Inquirer reports.

The mental health crisis escalated during the pandemic. Suicide rates rose by 57.3% between 2019 and 2020, and by 2023, Eastern Visayas had nearly doubled its suicide cases. Additionally, surveys show that one in 10 students has attempted suicide.

For many Filipinos, stigma and shame continue to stand in the way of accessing mental health care in the Philippines. Furthermore, the public mental health infrastructure remains scarce, with only four mental hospitals, 46 psychiatric inpatient units and 29 outpatient facilities nationwide.

As a result, many Filipinos rely on private providers and NGOs, although these services are often unaffordable or unavailable, WHO reports.

Framing Mental Health Through National Policy

Recognizing these challenges, recent efforts have focused on strengthening mental health care in the Philippines through targeted reforms and international collaboration.

The Philippines was a part of WHO’s Special Initiative for Mental Health. This initiative assists a global effort to integrate high-quality mental health care into the core of universal health systems by enhancing access to quality and affordable mental health services.

As part of this special initiative, the WHO calls on governments to integrate mental health into Universal Health Coverage (UHC) systems to ensure access to care without financial hardship.

Philippine Council for Mental Health

Introduced in 2023, the Philippine Council for Mental Health (PCMH) Strategic Framework 2024–2028 aims to enhance treatment accessibility, expand community-based initiatives and uphold mental health as a fundamental human right.

This five-year strategic plan aims to reduce the susceptibility of individuals and communities to substance use, neurological and mental disorders and to prevent and treat substance abuse effectively. The PCMH advocates for the essential human right to mental health through the implementation of critical policies. Initiatives encompass enhancing referral mechanisms and instituting the Mental Health Internal Review Board. Media training is conducted to guarantee proper reporting and representation of suicide.

To close the mental health gap, the DOH provided training in mental health to both health and non-health professionals, boosting early intervention at the primary care service level. The primary care package offers mental health outpatient services, including 12 consultations, follow-up diagnostics, psychoeducation and psychosocial support through medicine access sites.

The National Center for Mental Health now operates crisis hotlines around the clock to provide continuous mental health support.

Expanding Mental Health Care Across Sectors

Aiming to construct more mental health-responsive communities, the government launched initiatives across various agencies and educational institutions. Indeed, these efforts led 78,449 private companies to implement mental health workplace policies that support employee safety and well-being, WHO reports. To help health workers manage stress, 54 hospitals applied “behavioral nudges” and government agencies launched the Healthy Learning Institutions (HLI) Framework in 273 last-mile elementary schools, implementing a broad range of mental health measures.

The DOH is incorporating mental health responsiveness into the UHC framework by reformulating medical education and licensure criteria to facilitate integration initiatives. New rules mandate that future doctors, nurses and allied health professionals receive training to recognize and address mental health disorders within primary care settings. These initiatives facilitate the integration of mental health support into the daily environments where individuals live, work and study.

Maintaining mental health investment in education, workforce, and financing sets the foundation for a more equitable UHC system and increases mental health care in the Philippines, improving community health and resilience.

– Imge Tekniker

Imge is based in London, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Mental Health in Palau

Mental Health in PalauPalau is a small country in the western Pacific Ocean and one of the first west-pacific islands that people settled, specifically those from Southeast Asia. It is a relatively isolated area surrounded by the ocean, with most of its islands lying within a large, extensive lagoon. With about 17,600 people, there is a great sense of community on the island, the people well-known for their hospitality and welcoming nature. Although the island is very healthy with a great ecosystem and marine environment, and the people have created a strong, invigorating community, mental health in Palau is still unstable due to the lack of specialized care.

The Facts 

Depression affects 5.2% of Palau’s adult population, including 6.7% of young adults and 6.5% of elderly adults suffer from depression. This makes up about 920 people out of Palau’s entire population. To put this into perspective, 5.2% of the United States of America’s population is about 16.3 million people.

Anxiety affects 4.3% of adults, 10.5% of young adults and 4.3% of elderly adults suffering from anxiety. Anxiety is significantly more prevalent in young adults compared to any other age group. 4.3% of Palau’s population is about 760 people.

About 2.3% of adults in Palau suffer from suicidal ideation, being significantly more prevalent in young adults. Meanwhile, about 8.5% of young adults and 0.6% of elderly adults suffer from suicidal ideation. Palau also has a high rate of schizophrenia, according to the National Library of Medicine.

Links Between Poverty and Mental Health

While it is often hard to recognize, depression and anxiety have a huge influence on a person’s work ethic. Depression often leads to a lack of motivation, exhaustion, careless attitude and reclusive tendencies. This behavior can prevent a person from keeping a job or pursuing a career, leading a person towards financial issues, and if not helped, can cause a person to slip into poverty.

Anxiety also creates challenges that affect work ethic. Anxiety tampers with energy, concentration and sleep. Oftentimes, it is difficult to make a decision or pay attention to the task at hand, lowering a person’s quality of work. Anxiety may also prevent a person from attending work due to fear of commitment or embarrassment. Similar to depression, this can manifest financial instability and lead to poverty.

Schizophrenia, among all other mental health conditions, is one of the most connected mental illnesses to poverty. A big part of this is due to schizophrenia’s impact on a person’s social life, such as reclusive behavior, trouble communicating and negative effects on social cognition, making employment a difficult task.

Those with poor mental health are more likely to have addictions to drugs and alcohol, another major influence on poverty due to low work performance and work ethic. While poor mental health can be a leading cause for poverty, oftentimes poverty is the cause of poor mental health, increasing stress and hopelessness, often resulting in social rejection and loneliness, making it hard to re-establish financial stability.

Lack of Services

As the country is small and isolated, accessible mental health care is sparse. Psychology is an ambitious field to pursue, and there are only so many people on such a small island who have the ability or desire to join a career in psychology. The further from the main island, the less the population, which further decreases the number of people who are interested or knowledgeable about mental health.

While it is difficult to pinpoint the exact number of behavioral health care professionals in Palau, an interview in 2019 of 17 health care professionals showed that there was only one in behavioral health care.

Current Solutions

Since 2008, when the United Nations Development Programme (UNDP) signed a Standard Basic Assistance Agreement, the UNDP has strengthened health systems, helped address the impacts of COVID-19 and rehabilitated three community health centers. These produce positive influences on mental health in Palau through the creation of stronger, more reliable health centers and helping those who COVID-19 impacted get back on their feet.

UNICEF Pacific Islands heavily focuses on children’s education and health care. It originated in 1997 and has made strong efforts to help children lead a good life. It helps not only Palau but also the entirety of the Pacific Islands. UNICEF Pacific Islands provide mental health assistance in emergency settings, and is working to integrate mental health into education and have established the Global Coalition for Youth Mental Health.

Since Palau gained its independence in 1994 and established diplomatic relations with the United States of America, the U.S. has provided a lot of government and economic assistance. Currently, the United States provides financial aid through the Compact of Free Association (COFA), which can be used to fund health care systems, education and take care of Palau’s architecture and environment, crucial for Palauans’ mental and physical health.

Looking Ahead

With the current help of these organizations and Palau’s already thriving community and healthy environment, the people can continue to improve and stabilize mental health through community support, providing a sense of belonging and safety that encourages people to speak out and advocate for mental health in Palau.

– Sevyn Whatley

Sevyn is based in Toronto, Ontario, Canada and focuses on Global Health for The Borgen Project.

Photo: Unsplash