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The Impact of Losing Third Places in Europe

Third Places in EuropeThird places are vital social spaces between work and home – offering individuals a sense of engagement, interaction and community. The popularity and availability of third places in Europe have faded with the rise of social media and the gentrification of inner-city neighborhoods. As one of the key frontiers providing local community touchpoints, third places support the well-being of individuals, especially those living or at risk of being near the poverty line.

A Recent History of Third Places in Europe

Third places are social sites such as cafes, community centers and neighborhood environments, including local parks, sports grounds and places of worship. They have existed for centuries in human populations and the rise of the coffee house during the 17th Century is a popular example of third places in Europe. The COVID-19 pandemic saw the closure of local hang-out spots and widespread social distancing measures. The closures led to the permanent shutting of many local small businesses and a loss of community centers hit by significant funding cuts. As a result, critical spaces where people could engage in social interaction were lost.

Moreover, gentrification has only exacerbated a loss of inclusive third places in Europe. The process of gentrification in popular tourist and financial cities is transforming once-vibrant community areas into spaces of exclusion. For example, tourism-driven gentrification in Barcelona’s El Raval and Barceloneta neighborhoods led to increased rents, pushing out established local businesses or forcing them to adapt to tourist preferences. The accompanying social networks fostered in these spaces quickly dissolved.

Similarly, gentrification in Stockholm created “filter bubbles” and left low-income neighborhoods, often plagued by high levels of youth gang violence, without sufficient investment in social spaces for youth to develop away from the influence of gang activity and recruitment. While co-working spaces as “third places” in Mediterranean countries are on the rise, these are artificial spaces prioritizing productivity and professional networking rather than fostering meaningful, work-free social interactions. Co-working space identification as “third places” may be a more prominent symptom of a growing societal tendency to value individuals based on economic contribution rather than emotional well-being.

Social Media and the Cost of Third Places

The rise of virtual third places, especially social media, has contributed to the erosion of physical third places and the developmental process of learning social interaction. While social media platforms have created virtual connection spaces, they cannot replace the face-to-face interactions essential for community engagement and mental health. According to the Cigna Loneliness Index, Gen-Z, despite being the most digitally connected generation, reports the highest levels of loneliness.

Additionally, many third places are becoming increasingly expensive to frequent. For example, in London (U.K.), coffee prices have surpassed $6 in many establishments, making cafes and paid social spaces too expensive for regular visits in times of falling disposable incomes.

Mental and Physical Health Impacts

The role of third places in Europe is essential. The spaces are associated with improving quality of life, well-being and health. Third places provide crucial opportunities for social interaction. For instance, using third places (such as cafes) has been shown through multiple studies to improve how older adults can participate in society by providing informal support networks and social relationship-building to help combat cognitive decline and symptoms of depression later in life. The role of third places in combating loneliness is vital – with loneliness potentially cutting lives short by 15 years.

Third places in Europe also play a key role in helping mitigate poverty. Poverty is a multidimensional issue; however, social exclusion is both a determinant and by-product of some people’s realities of living in poverty. Without accessible third places, individuals living in poverty are more vulnerable to social exclusion, which further exacerbates their economic and mental health challenges.

Future Cities

For those living near the poverty line, access to these third places remains crucial for mental and physical health, as well as for preventing social exclusion. In the face of gentrification, digital spaces and rising costs, there is a pressing need for policies that prioritize creating and preserving accessible third places in Europe and its cities.

– Autumn Joseph

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

Photo: Pixabay

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MHPSS Initiatives Lead Recovery After the Myanmar Earthquake

MHPSSEarthquake. Wreckage. Two realities for Myanmar, which on March 28, 2025, experienced the country’s second-worst earthquake. Known as the “Golden Land” due to its many golden temples that offer peace of mind, Myanmar’s mental health services remain under great strain and even more so under the current dilemma.

Effectively, a humanitarian crisis linked with Myanmar’s pre-existing vulnerability to natural disasters, like a 7.7 magnitude quake, coupled with cultural, economic and financial stressors, adversely impacting well-being, as poverty rates near 50% and a new death toll surpasses 3,000. While naturally physically devastating, many often discount or overlook the psychological implications of an earthquake and the relationship between natural disasters and poverty in lower socio-economic countries.

In Myanmar, the emotional recovery for those living on less than $1 a day may take longer than physical reconstruction. An approach that shows promise is addressing mental health and psychosocial needs as a core part of disaster recovery and poverty reduction.

Struggles by the Numbers

Since 2021, Myanmar has faced a worsening military takeover, civil unrest, armed conflict, mass internal displacement and a COVID-19-induced recession.

  • In 2023, poverty rates rose to 49.7% from 24.8% in 2017 (24.4% living in extreme poverty).
  • Women-headed households are 1.2 times more likely to live in poverty.
  • Four of Myanmar’s seven states reported median household incomes dropping by nearly 50%.

These conditions increased national instability and the need for relief in a country facing debilitating humanitarian, bureaucratic, financial and geographical constrictions. Compounded by the crippling March earthquake, the well-being of nearly 55 million people in Myanmar remain at risk, as one in three people continue to suffer from mental health issues related to population shocks. In 2021, post-traumatic stress disorder (PTSD), depression and anxiety made up 46.4% of mental health diagnoses in the country.

Rummaging Through Rubble

Earthquakes disproportionately affect developing countries, as poor infrastructure and a lack of resources often dictate the quality of preparedness and response to natural disasters. Decisions about reducing disaster vulnerability are often made collectively rather than by individuals.

Consequently, such differential impact disadvantages the impoverished, who usually are subjects of lower quality living and decreased socioeconomic opportunity. Although disaster preparedness and prevention can significantly reduce vulnerability, the poor are frequently excluded from decision-making processes due to political marginalization, leading to their interests being overlooked in favor of those with power and influence.

Regarding the relationship between psychological distress and exposure to earthquakes, researchers highlight a direct correlation and even a heightening effect on deteriorated mental health outcomes for vulnerable groups. Specifically, one study demonstrated how a 2006 earthquake increased anxiety, depression and sleep disorders by 8.39%, 10.47% and 7.37%, respectively. Moreover, the earthquake increased loneliness by 10% and decreased motivation, nutritional habits and employment by 10%, 12.37% and 2.11%, respectively. After an earthquake, women, children and the elderly are more likely to develop psychological distress than men.

Low-income households and those in rural areas face higher rates of psychological distress following earthquakes, often without access to treatment or support. An earthquake’s psychological impact can last more than eight years.

MHPSS

Mental Health and Psychosocial Support (MHPSS) programs provide targeted interventions for communities affected by crisis. In Nepal, MHPSS efforts following two major earthquakes in 2015 improved mental health outcomes in 54% of participants within six months. Among those with severe impairments at the start of the program, 89% reported improvements.

MHPSS can indirectly contribute to poverty reduction. By improving mental health and social integration, these programs help increase productivity and reduce health care costs. Research suggests MHPSS interventions may continue playing a significant role in long-term recovery by helping individuals build resilience and restore livelihoods.

Here are some of the key initiatives in Myanmar currently:

  • Minimum Service Package (MSP). Sponsored by WHO, UNICEF and the United Nations (U.N.), the MSP delivers immediate psychological and medical support to vulnerable populations. The program offers standardized MHPSS delivery by integrating psychological care with emergency services and health referrals.
  • National Emergency Health Care Plan for Disasters. This initiative brings together the Ministry of Health, Myanmar Red Cross, Department of Administration and Department of Relief and Resettlement. The goal is to lower financial barriers to care and establish a strong mental health infrastructure before, during and after natural disasters.
  • The Psychological Support Program (PSS). PSS operates at the community level to provide counseling and group support, focusing on trauma recovery and emotional stabilization after crises.
  • Program for Appropriate Technology in Health (PATH). PATH works across several regions in Myanmar to train local health workers, distribute mental health resources and offer basic mental health services to underserved communities.

Moving Forward

Natural disasters have claimed more than 1.23 million lives globally in the past two decades. Myanmar’s March earthquake adds to this toll and the estimated $2.97 trillion global disaster cost. It also highlights the urgent need to address mental health in poverty reduction strategies. As one in eight people worldwide live with a mental health condition, integrating MHPSS into emergency response may help Myanmar’s most vulnerable populations recover and thrive. These ongoing interventions offer not only psychological relief but a pathway toward economic and social well-being.

– Marcus Villagomez

Marcus is based in Galveston, TX USA and focuses on Good News for The Borgen Project.

Photo: Flickr

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The IRC Improving Mental Health in Syria

mental health in syriaAfter 13 years of civil conflict, President Bashar al-Assad was overthrown in December 2024 by a lightning insurgency organized by the Islamist organization Hayat Tahrir al-Sham (HTS) which put an end to his family’s more than 50-year rule. As soldiers loyal to Assad and those opposed to his government clash, along with Jihadist extremists from the Islamic State, more than 14 million people have been displaced from their homes.

Humanitarian Crisis

The prolonged civil conflict has claimed hundreds of thousands of lives, and many of the survivors live in appalling conditions and struggle with mental health illnesses, including depression, anxiety and hopelessness.

The humanitarian situation within Syria is extremely serious as well. More than 13 years after the catastrophe started, millions of people have experienced repeated displacement and are dealing with psychological and physical trauma that has changed their lives. Critical infrastructure has sustained significant damage as a result of conflict, severely restricting access to necessary services.

More than 90% of the population is now living in poverty as a result of a collapsing economy, which also forces families to choose between healthcare, education, and food.

The IRC Improving Mental Health in Syria

The changing circumstances also give Syrian refugees in nearby nations a glimmer of optimism that they will one day return to their home regions, according to the International Rescue Committee (IRC). Notwithstanding the most recent events in Syria, any talk regarding the return of refugees must remain focused on the necessity that they be voluntary, secure and supported by the provision of all the information necessary for them to make wise decisions regarding their futures.

In a refugee camp in northeastern Syria, Samia provides counseling services to displaced individuals and their families at a mental health clinic that the IRC established, BBC reports. She focuses on raising awareness in crises and enhancing her patients’ mental health despite the limited resources. The IRC has been working in Syria since 2012 and currently has more than 1,000 employees there who offer safety, early recovery assistance, and life-saving medical care.

Samia provides essential counseling services to displaced individuals and their families at a refugee camp in northeastern Syria while working at an IRC mental health clinic, the IRC reports.

She is steadfast in her resolve to enhance her patient’s mental health and increase public awareness of mental health issues despite her low resources. Her personal experience and her conviction that mental health support is essential to post-crisis recovery drive her work with camp inhabitants.

The Future

For Syrians to survive, recover and ultimately regain control over their futures following 13 years of a protracted crisis, the IRC urges all sides to commit to a lasting peace.

In addition to primary, reproductive and mental health services, they offer life-saving medical care, including assistance for medical facilities and mobile health teams that provide vital trauma care. Along with financial aid, early recovery, and support for the development of young children, the IRC also provides counseling and protective services for women and children, especially those who have experienced violence.

It is helping partners in Turkiye provide emergency financial aid, protection and medical treatment to people impacted by the 2023 earthquakes. Additionally, the IRC aids Syrian refugees in nearby nations.

The IRC is unwavering in their resolve to help Syrians in need, wherever they may be, even if the humanitarian needs in Syria are at an all-time high.

– Taylor Naquin

Taylor is based in Gilbert, AZ, USA and focuses on Good News and Celebs for The Borgen Project.

Photo: Flickr

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Initiatives Improving Palestinian Children’s Mental Health

Palestinian Children’s Mental HealthAs the war in Palestine continues, Palestinians’ mental health is suffering. At least 10 children lose a limb a day and 17,000 children have been separated from their parents. Additionally, 96% of Palestinian children feel that death is impending. The numerous traumatic events the children undergo at a crucial time for their development have taken a toll. However, there are some vital initiatives in place aiming to tackle and improve Palestinian children’s mental health.

MAP Mental Health Services

Medical Aid for Palestine (MAP) is addressing Gaza’s mental health challenges in collaboration with the health ministry to improve access to mental health services. MAP has set up specific locations within the city to offer psychosocial and clinical support.

MAP also utilizes the close-knit community within Gaza by implementing a peer support model, enabling individuals with lived experience of mental health challenges to offer moral support to others facing similar struggles. This approach perpetuates the belief that everyone can help each other, hopefully bringing hope.

Furthermore, the organization is training its staff in psychological first aid, ensuring that they are prepared to support others and themselves through mental health challenges regardless of their role. This initiative helps ensure that as many people receive such help as possible.

GCMHP

The Gaza Community Mental Health Program (GCMHP), currently led by Dr. Yasser Abu Jamei, provides counseling over the phone. Additionally, they visit shelters and refugee camps to provide therapy. The initiative has clinics in Gaza City, Khan Younis and Deir al Balah, offering a range of services to support patients, including talking therapy, play therapy and occupational therapy.

In 2024, the GCMHP assisted more than 26,000 people in 298 days, offering care and support to individuals and families of all ages. It has also established Psychological First Aid (PFA) teams that visit camps and shelters to reach displaced families. These teams distribute toy bags to children, encouraging them to engage in familiar and enjoyable activities promoting calmness. Additionally, the teams assess whether anyone in these camps requires urgent intervention and ensure they are referred for specialized treatment.

Education and Mental Well-Being

The occupation has led to the destruction of many schools, with approximately 87.7% of educational buildings affected as of March 30, 2024. This disruption has severely impacted Palestinian children’s education and mental health, exacerbated by food, water and electricity shortages, as well as the loss of stability and educational infrastructure.

However, individuals like Israa Abu Mustafa are working to counter these challenges. She established a school for primary-aged children in Khan Younis in September 2024, starting with 35 students and expanding to 70. Despite lacking basic equipment like desks and chairs, the children continue to learn and participate in enjoyable activities. This initiative supports their well-being by restoring normalcy and safety through education.

Summary

The psychological well-being of Palestinian children is deeply impacted. However, several initiatives are offering support by providing mental health services, education and safe spaces, helping children regain a sense of stability and hope.

– Maryam Abdalla

Maryam is based in the UK and focuses on Good News and Politics for The Borgen Project.

Photo: Unsplash

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Navigating the Mental Health of Eswatini’s Youth

Mental Health of Eswatini’s YouthTeenagers in Eswatini have attempted suicide at a rate of 15%, as they reported feelings of anxiety, depression and self-dissatisfaction. The Eswatini Economic Policy Analysis and Research Centre (SEPARC) reports that poor mental health affects 8,229 people in Eswatini, with young people between the ages of 15 and 35 accounting for 40% of these cases. Despite the lack of national statistics, small-scale studies indicate that substance misuse and emotional distress are prevalent. Here is information about the mental health challenges of Eswatini’s youth.

The Mental Health Challenges of Eswatini’s Youth

A lack of economic prospects, recreational facilities, support systems and violence are all major contributors to worsening mental health among young people. UNICEF reported that 35% of Eswatini’s youth are neither employed nor enrolled in education or training, increasing the likelihood of engaging in risky behavior, resulting in adverse mental health outcomes. 

Violence detrimentally affects children’s development, cognitive ability and academic performance, leading to issues such as low self-esteem, emotional distress and depression. About 79% of children between the ages of 1 and 14 have experienced physical violence. Among adolescents, 32% of males between the ages of 13 to 24 reported experiencing physical violence in their lifetime. Meanwhile, 5.5% of females in the same age range reported experiencing violent incidents occurring before the age of 18.

How Violence Exacerbates HIV/AIDS in Eswatini

Furthermore, violence is a significant driver of HIV/AIDS, as it increases vulnerability to risky behaviors through trauma and its impact on emotion regulation. Among young people with a history of violence, the prevalence of HIV was 7.4% for females and 3.4% for males. In comparison, the HIV positivity rate for those without such experiences was 6.4% for females and 3.3% for males.

The country’s 27% HIV prevalence rate among individuals aged 15 to 49 further compounds the mental health challenges that Eswatini’s youth face, placing it among the highest globally. The dread of disclosure, which underscores the necessity of expanding disclosure programs for those who provide care with more comprehensive support for adherence and addressing mental health concerns, emotionally burdens Eswatini’s youth. The potential negative consequences of disclosing their HIV status to their spouse were a source of concern for 75.3% of HIV-positive men and 23.4% of HIV-positive women between the ages of 13 and 24.

Fortunately, some organizations like UNICEF and Education Plus are promoting change through institutional support and policy. Meanwhile, local organizations such as Young Heroes are focusing on vulnerable communities.

UNICEF’s Mental Health Support for Eswatini

UNICEF reached out to young people through social media and discussions to share information about mental health, sexual health, gender-based violence and violence against children in collaboration with non-governmental organizations (NGOs). These efforts allowed 1,782 young people to access mental health support.

Collaborating with Junior Achievement Eswatini (JAE), UNICEF implemented a Financial Literacy and Entrepreneurship Skills Program, helping 3,005 adolescents and providing opportunities through economic empowerment, allowing them to reduce engagement in risky behaviors, thereby lowering the likelihood of experiencing adverse mental health outcomes.

In partnership with the Ministry of Health, UNICEF supported teen clubs and mother-baby pairs clubs offering psychosocial support, counseling and health education. These initiatives have helped more than 13,350 young people access information on mental health, sexual and reproductive health and HIV prevention. 

Education Plus

A partnership of UN organizations leads the Education Plus Initiative. The initiative is a high-level global advocacy effort aimed to improve access to education, health care and economic opportunities, promoting stigma-free health care services. These efforts enable young individuals with HIV to seek help in a more supportive environment, reducing the likelihood of adverse mental health outcomes due to fear of discrimination.

The initiative safeguards adolescents by addressing fundamental needs and providing mental health care. Since a lack of recreational resources often lead to risky behaviors that undermine mental health, Education Plus aims to provide free secondary education for both girls and boys by 2025 to address this issue.

Furthermore, the initiative equips young people with the tools to achieve financial independence and stability. This is achieved through social protection, school-to-work transitions and economic empowerment. By fostering hope for a better future, it increases the likelihood of reducing the percentage of young people at risk of self-harm.

Young Heroes

Young Heroes is a charitable organization that aims to empower vulnerable youth and their caregivers in Eswatini through local initiatives. The organization collaborates with leading international partners, offering psychological support, social safety and prevention of gender-based violence. Programs for youth emphasize the importance of education, counseling, HIV-related support and treatment.

Young Heroes’ Sabelo Sensha project aims to increase mental health and resilience among Eswatini’s vulnerable young people. To support this, the project provides HIV treatment adherence assistance, counseling, support for caregivers, group referrals, positive parenting training, educational subsidies and socioeconomic empowerment programs.

Young Heroes supports disadvantaged children in Eswatini through Stepping Stones Sessions, which provide educational initiatives. Sessions teach essential life skills and offer opportunities for personal development. Babazile Bhila, a 20-year-old who endured psychosocial struggles and poverty, said Young Heroes’ Stepping Stones changed her life. Indeed, Babazile is now funded by CANGO’s Halt Project for her education. She thanked Young Heroes for enabling her to reach her full potential.

In August 2024, Young Heroes and the Ministry of Justice and Constitutional Affairs formed a partnership through Legal Aid Eswatini. This partnership is a critical step in addressing the vulnerabilities that children and adolescents face. Through this partnership, organizations will collaborate to mitigate the social and legal obstacles that Eswatini’s youth are encountering. Furthermore, this will foster greater emotional security and mental well-being.

Looking Ahead

Addressing the mental health challenges that Eswatini’s youths experience requires a multifaceted approach that includes mental health support, economic empowerment and community-based activities. However, the initiatives of world-renowned organizations demonstrate that there is hope for a better future for Eswatini’s youth.

– Imge Tekniker

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

Photo: Wikipedia Commons

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Raising Awareness of Mental Health in Antigua and Barbuda

Mental Health in Antigua and BarbudaEveryone knows that mental health is just as important as physical health. That does not change the fact that mental health encounters neglect concerning overall health and well-being. Antigua and Barbuda, similar to other small Caribbean island nations, faces unique challenges in conversations focusing on mental health due to limited resources, stigma and lack of awareness. However, the government and various organizations, such as the World Health Organization (WHO) and the Antigua and Barbuda Association of Mental Health Counsellors Inc. (ABAMHC), have created public awareness campaigns and taken the steps necessary toward improving mental health in Antigua and Barbuda.

The majority of people with mental health challenges in Antigua and Barbuda are diagnosed with schizophrenia, schizoaffective disorder and depression. In 2007, only three male patients and one female patient made any visits to one mental hospital for psychiatric treatment, meaning a large number of Antigua and Barbuda citizens lived untreated. Data collected presents assessments and treatments for 174 outpatients through primary health care centers. Out of 174 patients, 114 (66%) carry schizophrenia and other related disorders, 23 (13%) mood (affective) disorders, and 8 (5%) other mental illnesses. In addition, people with mental disabilities are more likely to experience poverty. Social support groups, health care, jobs and education are not easily accessible to impoverished families to provide for the members, specifically children and adolescents, who require extra care.

Health Institutions

Care for mental health in Antigua and Barbuda is severely underdeveloped and primarily focused on confinement rather than treatment. The placement of individuals diagnosed as neurodivergent, someone whose brain processes information differently, in improperly trained health institutions, unfortunately, led to a crisis across the region, where mental health conditions proceed without formal examination, resulting in several people living without necessary care.

In addition to undertrained health institutions, there is one mental health hospital named Clarevue Psychiatric Hospital. Surprisingly, the Clarevue Psychiatric Hospital is the “sole mental health care facility in Antigua and Barbuda,” with enough space for 130 patients who are 18 years old or older. Similar to other health facilities, Clarevue Psychiatric Hospital was “ill-equipped to satisfy the mental health needs of the country.” 

Authorities and mental health specialists, like Health Minister Sir Molwyn Joseph, are stepping up to create a supportive environment for Antigua and Barbuda residents. Plans and programs are underway to construct new mental hospitals and provide appropriate training for mental health professionals. Thankfully, local leaders are passionate and persistent about positively changing other people’s lives by providing support and resources.

“When I reflected, back in 1998, I made [an] appeal…, so you can see the level of urgency,” Joseph said.

Effects of Poverty on Mental Health

Studies indicate that poverty significantly impacts mental well-being economically. Poverty and mental health in Antigua and Barbuda are intertwined as poverty leads to social stresses and trauma, and mental health can lead to impoverishment resulting in a cycle of hardships to access basic needs such as food, housing and healthcare. According to the United Nations Children’s Fund (UNICEF), 18% of Antigua and Barbuda citizens lived in poverty, and 5% were indigent in 2016. Compared to the remainder of the Eastern Caribbean, Antigua and Barbuda has a lower poverty rate than the average of 23%.

Economic hardships disproportionately affect children and adolescents. The poverty rate for children between the ages of zero and 17 is 24%, and for adolescents, it is 25%, which is higher than the rate of 16% for adults ages 18 years or older and the overall rate of 18.4%. The higher percentage among the younger population signifies an urgent call for social and economic policies to improve living conditions for vulnerable groups.

Mental Health Crisis Among the Youth

Experienced psychiatrists have expressed concerns about the mental health among the youth. “In a 2021 report showing that nearly 20 percent of teenagers in Antigua and Barbuda between the ages 13 and 15 had seriously considered taking their lives.”

Dr. Chenelle Joseph, a psychiatrist who has worked with the mental health challenges of the younger generation, has witnessed a growing mental health crisis in Antigua and Barbuda, with increasing reports of suicide idealization and mental health disruptions like depression, bullying and anxiety.

To lower the percentage of teens idealizing taking their lives, a new initiative to amplify community stability and address ascending suicide rates will launch in Antigua and Barbuda. Antiguan-born psychotherapist and former United Nations official Jamion Knight will introduce the Mango Bucket Project, the country’s first suicide prevention hotline to relieve the pressures of modern life of individuals in the Caribbean islands.

“If persons and communities across the country could make a small contribution to improving the mental fitness and resilience of the nation, we can collectively transform the lives of thousands of people who are facing significant and crushing pressures daily,” Knight said.

Mental Treatment Act of 1957

On February 7, 2025, the National Youth Parliament Association of Antigua and Barbuda (NYPAAB) hosted a debate to tackle the Mental Treatment Act of 1957, a 70-year-old piece of legislation that was enacted in various countries, including Antigua and Barbuda, to regulate the treatment and care of people with mental health conditions.

Several government officials have voiced their opinions on the Mental Treatment Act of 1957 and criticized it as insufficient for managing modern questions in mental health care services. Prime Minister Marver Woodley, Attorney General Christal Percival, and Speaker of the House Jessica Zouetr reconsidered the context of current comprehension of mental health and utilized their voices to lead some countries to call for reforms that better align with mental health care practices and rights. 

Mental Health Awareness

While the challenges to improving mental health in Antigua and Barbuda still exist, the collective efforts of the community, government and organizations signal a positive shift toward a more supportive mental health landscape. The nation’s ability to shine through as it navigates these difficulties together reminds everyone that they are not alone in their struggles.

As Antigua and Barbuda pushes forward, the need remains to maintain an environment where mental health is prioritized and celebrated. The road toward healing is bumpy, but the community strides toward a healthier, happier future with every development. The story of the mental health crisis in Antigua and Barbuda is one of hope, compassion and unwavering strength of the human spirit from which all beings should learn.

– Makayla Johnson

Makayla is based in Clayton, NC, USA and focuses on Good News and Technology for The Borgen Project.

Photo: Freepik

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Addressing Mental Health in Togo

Mental Health in TogoThe West African country of Togo is located on the Gulf of Guinea, filled with beautiful white sand beaches and lush forests. The country’s geography is met with a population of 9,304,337 and increasing. The population growth rate of the country is 2.4%. In the year 2050, Togo expects to maintain a population of 15,584,778. The rapidly growing population is detrimental to a country amid a mental health crisis. More than half of the population lives off of $1.90 in U.S. currency a day and identifies with having mental health struggles from depression due to the absence of socioeconomic security.

The lack of economic growth in rural areas in Togo results 58.8% residing in poverty. Living below the poverty benchmark leaves many Togolese in a determinantal state. The absence of socioeconomic security prevents access to public health care, specifically mental health evaluation. Togo has only five licensed psychiatrists per 8 million people making mental health care in Togo challenging to access. Psychological help is a last resort for many Togolese as personal methods have not remedied one’s struggles. The West African region has the most significant suicide rates in the world; data concludes that 79% of the world’s suicides occur in developing countries.

Meeting Mental Health in the Middle 

Mental disorders affect young women in Africa the most. About 85% of 66 million young women have limited access to mental health treatment. The Bluemind Foundation is a nonprofit organization persistently working to defy the statistical outcomes of mental health in Africa. In 2023, the foundation funded the certification of 150 women in therapeutic training sessions. Heal by Hair is Bluemind’s signature three-day training program for French-speaking African hairdressers, which equips them with the skills to identify mental disorders and actively listen to their clients. In Lomé, the capital of Togo, Tele da Silveira is joining the fight one hairstyling session at a time.

Ms. Silveira is one of the 150 women certified by The Bluemind Foundation. Her salon has become a space of praise and peace for many of her clients. Mental health in Togo is frequently de-prioritized by the government. Ms. Silveira struggles with depression herself and is hoping for a more significant governmental push for mental health awareness and accessible care for all. Togo is not the only country that lacks public health support for mental illness; Madagascar, South Africa and Nigeria fall deeper into the statistics every day. “African countries have an average of 1 therapist per 500,000 inhabitants.” The Bluemind Foundation is determined to change the data. By 2035, Bluemind strives to have 1,000 certified hairdressers in more than 20 cities, caring for 2 million women. 

Taking Action for Togo 

Along with The Bluemind Foundation, The Humanity and Inclusion non-governmental organization (HI) strives to make mental health support in Togo accessible to all. The organization is pushing for mental health campaigns to be in schools. HI trains professionals in multiple education sectors in psychological support and boosts awareness within the community. Mental health is taboo throughout many African countries. Mental health in Togo is surrounded by stigma due to the lack of knowledge on mental illness as a whole.

HI’s mental health initiative is recent but promising. The Humanity and Inclusion organization works primarily on disability representation in education settings in developing countries. The organization’s tricycle movement in Togo, which gifted disabled students tricycles, was a success. Many Togolese see promise in the HI mental health effort due to the success of their disability efforts. Bluemind Foundation and Humanity and Inclusion empower the local communities to take a stand for their health by giving them the tools needed to help themselves and others. In March 2024, the Africa CDC established a new Mental Health Leadership Programme. The program plans to strengthen the public health workforce and establish mental health awareness and research as a priority. Regardless of access to public health care, the Togolese and Africans continue to bring awareness and support to each other.

Looking Ahead 

Mental health may be a taboo in many African countries. However, Togo is taking a stand for itself. Mental health in Togo will not change because of public health care access but because of the voices of the people. A hair salon chair to the shoulder of a helpful friend is how awareness is spreading, and the astigmatism is breaking. The work of the Bluemind Foundation, Humanity Inclusion and other organizations is just the beginning of mental health awareness for Togo and Africa.

– Mackenzie Inman

Mackenzie is based in Washington D.C., USA and focuses on Good News and Technology for The Borgen Project.

Photo: Pixabay  

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Mental Health in Cabo Verde

Mental Health in Cabo VerdeA stunning collection of islands off the coast of West Africa, Cabo Verde is the home of more than 600,000 people. After gaining independence from Portugal in 1975, Cabo Verde quickly built a successful democratic government. Despite economic progress, opportunities remain limited. Droughts have led many to emigrate. Among those who have stayed, many live without access to clean water, nutritious food or adequate housing, impacting mental health.

Mental Health Rate in Cabo Verde

Cabo Verde has made significant progress in all areas since gaining its freedom. The mental health of its people has been no exception. In 2017, there were no reported mental health professionals. Three years later, 11 total psychiatrists, 40 psychologists, 23 social workers, one mental health nurse and one occupational therapist were reported, demonstrating the country’s effort at combating mental health.

Suicide rates have also steadily declined, dropping from 17.46 per 100,000 people in 2013 to 15.23 in 2019. However, nearly 5% of people living in Cabo Verde still experience depression. To combat this, the Cabo Verde government has expanded mental health resources. In addition, it has launched initiatives such as educational conferences to reduce the stigma surrounding mental health.

Reducing Stigma

World Health Day is observed annually on April 7. In 2017, the World Health Organization (WHO) partnered with Cabo Verde’s Ministry of Health and Social Security (MSSS) to organize a conference focused on depression. The conference aimed to tackle the issue without stigma or bias. Under the theme “Depression: Let’s Talk,” the event occurred in the nation’s capital and welcomed everyone to participate. Before the conference, the WHO held press briefings to discuss topics such as stigma, strategies for raising awareness about depression, its impact on those affected and the available resources for support.

A series of events also took place across Cabo Verde on the same date. At the University of Cabo Verde, a roundtable discussion was held with several doctors from the WHO and MSSS, focusing on discrimination in mental health. At the Agostino Neto Hospital Central Hospital in Praia, a “Conversation morning,” was held. Pregnant and new mothers were invited to participate in an open discussion about postpartum depression. Led by the clinical director from the hospital alongside doctors from the WHO, patients were educated on signs of postpartum depression and how to navigate it.

Government Support

The day concluded with a forum on depression at the Government Palace. During the event, the forum’s chairman, Dr. Arlindo do Rosário, emphasized that the work of the WHO and MSSS “further highlight the government’s firm commitment to actually include mental health in our work.”

Recently, Dr. Angel Olider Rojas Vistorte hosted a conference on mental disorders and social media usage in Praia. The event, held in June 2024, was organized by the Jean Piaget University of Cape Verde, the Ibero-American University Foundation and the European University of the Atlantic, where Vistorte is affiliated. The conference aimed to create a safe space for discussing mental health and promoting healthy dialogue about mental health issues. In his lecture, Vistorte went beyond depression, addressing anxiety and eating disorders as potential consequences of excessive social media usage.

Conclusion

Cabo Verde has made notable progress in improving mental health care, reducing stigma and increasing access to mental health professionals. Despite challenges such as poverty and limited resources, the country has seen a decline in mental health disorders and suicide rates. Educational initiatives and open discussions have further supported awareness and progress. These positive strides reflect Cabo Verde’s commitment to better mental health for its people.

– Hannah Pacheco

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

Photo: Pixabay

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The Impact of Poverty on Mental Health

Impact of Poverty on Mental HealthPeople from lower-income countries are often overlooked as a target audience for mental health care. In impoverished countries, in particular, mental health care is crucial for breaking the cycle of potentially exacerbated mental illnesses that disproportionately affect underprivileged populations. According to the World Health Organization (WHO), 13% of people across the globe suffer from mental health disorders, varying in type and impact, with depression and anxiety being the most prevalent of them all. Poverty puts people at a higher risk for developing mental health disorders, and makes it difficult for those people to receive proper care. Only 33.33% of people suffering from depression around the world may have access to mental health care. The mental health care that is available is limited and poverty negatively affects it.     

The Impact of Poverty on Mental Health

According to research that Yihan Sun of the Department of Science at the University of British Columbia in Canada conducted, “mental illness … increasingly causes severe disability in both wealthy and underdeveloped countries,” and “poverty is one of the factors that affect mental health.” In short, the relationship between mental health and poverty is that of a snowball effect. 

Mental health as a result of poverty can make preexisting mental illness worse. More specifically, poverty can worsen symptoms of depression, anxiety and post-traumatic stress disorder (PTSD). Yihan Sun goes on to mention that depression can result from concerns about “erratic income and spending” related to poverty. For example, anxiety can increase due to people not being able to make bill payments on time. People may also experience PTSD when they live in locations that are “disaster-prone” to such things as “fire incidents, traffic fatalities, environmental hazards and gun-related violence.”

Non-Communicable Diseases and Mental Health

Mental health can be considered a non-communicable disease (NCD), which is a disease that is not transmissible from one person to another and often includes chronic diseases and conditions like diabetes, heart and kidney disease. Mental health disorders have links to various non-communicable diseases. People suffering from diabetes and cardiovascular disease can be more at risk of developing anxiety or depression.

Unfortunately, non-communicable diseases are a significant cause of death for low to middle income countries. According to the World Health Organization (WHO), for the countries of Angola and the Central African Republic, non-communicable diseases are the broader cause of at least 20% of the deaths of their population in 2021. For the countries of Bangladesh and Cambodia, NCDs are the cause of more than 60% of the deaths of their populations in 2021. These countries are all classified as being low-to-middle income countries according to WHO.  

Current Global Poverty Status

Despite the devastating impact of poverty on mental health, particularly in developing countries, there is hope on the horizon. In the past 30 years, poverty has steadily and significantly declined in regions such as Latin America and the Caribbean, Eastern and Southern Africa, sub-Saharan Africa and Western and Central Africa, with poverty rates decreasing by at least 13% in each region—some by as much as 28%. 

East Asia and the Pacific have experienced the most dramatic improvement, with poverty rates plummeting from 65.2% in 1990 to just 0.6% in 2024. Although Latin American and Caribbean countries haven’t seen as much of a decline in poverty as the rest of the world, their poverty rate has still diminished significantly compared to the ’90s. 

The MINDS Act

Where there is hope, solutions to persistent problems are often within reach and this holds for those living in poverty in low- and middle-income countries. One such solution is the Mental Health in International Development and Humanitarian Settings (MINDS) Act, which offers a pathway to addressing these challenges.

The MINDS Act aims to enhance investment in mental health care from high-income countries, such as the U.S. and the U.K., to establish or support programs focused on breaking the cycle of poverty worldwide. By doing so, it seeks to address the reciprocal impact of poverty and mental health, helping to disrupt the harmful connection between the two.

Children would benefit significantly, as the rate of their anxiety and depression (due to living in poverty) would lessen. They would also be less susceptible to developing psychiatric disorders in their adulthood.

Solutions in Rwanda

Another solution could be in the form of programs like the ones implemented in Rwanda, after the sovereign state’s genocide of 1994. Findings determined that around 94% of the survivors witnessed traumatic events that would affect them decades later in the form of PTSD, depression and panic disorder. In response to the aftermath of the genocide, the state created a community-based psychotherapy that allows for “healing and peacebuilding for survivors.” Rwanda then proceeded to create the Gacaca Courts through the Government of National Unity, which would provide justice for survivors while emphasizing accountability for the perpetrators. The sovereign state eventually acquired enough stability to be able to provide it’s citizens with universal health coverage for mental health to each citizen for $2 a year.

Through the implementation of these programs, Rwanda has successfully and significantly lessened the state’s suicide rate from 8.84 in 2005 to 5.57 in 2018 as a result of community-based psychotherapy.  More than 1.2 million cases were tried in more than 12,000 courts after the creation of the new judicial system of the Gacaca Courts. Life expectancy within the country has since risen from 56 to 70 after the implementation of universal health care and the inclusion of mental health.

Conclusion 

Rwanda is proof that mental health care is incredibly important to the health of a community, especially during the aftermath of traumatic and tragic events. With the implementation of programs that changed and incorporated mental health care into Rwanda’s judicial system, universal health care system, and community, the country has, since the genocide of 1994, been able to look forward to its future with much better days ahead. It is possible to provide mental health care and restore hope, and solutions can emerge with humanity at the wheel.

– Sadie Treadwell

Sadie is based in Grovetown, GA, USA and focuses on Business and Good News for The Borgen Project.

Photo: Pexels

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The Connection Between Poverty and Mental Health

Poverty and Mental HealthThe United Nations (U.N.) Special Rapporteur on extreme poverty presented a new report at the 79th session of the U.N. General Assembly. This report details how the issues caused by mental health and poverty feed into one another, creating a vicious cycle.

It finds that those on lower incomes are three times more likely to suffer from depression, anxiety and other mental illnesses. Although the World Health Organization (WHO) has declared mental health a basic human right, 11% of the world’s population suffers from a mental illness.

Poverty Increases the Risk of Mental Health Conditions

Poverty creates psychological distress and, therefore, causes mental illness. Economic insecurity, job insecurity or poor-quality jobs, unemployment and underemployment (that is, being forced to work part-time due to lack of full-time employment) and less access to green spaces are all conditions of poverty that are proven to create stress. People experiencing poverty are additionally less likely to contact psychiatric services.

Social stigmas and self-stigmas (a negative perception of oneself that lowers self-esteem) also make it harder for people with mental illnesses to get a job and housing and to form supportive social networks. Stigmas likely play a part in the unwillingness of public policymakers to invest in tackling mental health issues. 

Africa Institute of Mental and Brain Health

Based in Kenya, this organization provides affordable and accessible mental health services. Several of its current projects focus on tackling both mental illness and poverty. For example, the initiative’s HOPE project aims to improve the outcomes of those who are homeless and have severe mental health in Kenya, Ghana and Ethiopia.

Strong Minds

StrongMinds provides free, community-based therapy in low-income areas, with a primary focus on Africa, in its mission to radically expand mental health care for people with depression globally. It currently operates in four countries but has been in Uganda since 2013, providing therapy to women, children, refugees and incarcerated populations. About 16% of treated women report increased work attendance and 30% say their children are less absent from school.

WHO

Since 2014, the WHO has endorsed group interpersonal psychotherapy as a treatment for mental illness in vulnerable people in low-income regions. It has provided more than 160,000 women and children in Uganda and Zambia with group talk therapy. More than 80% of those treated were depression free after treatment and remained so for six months.

Final Remark

The report identifying the contributors to the cycle of poverty and mental health recommends more investment in mental health care. It also suggests the implementation of social protection schemes to support people in need. The charities carrying out this work are already seeing a massive difference. 

– Georgia de Gidlow

Georgia is based in Hertfordshire, UK and focuses on Global Health for The Borgen Project

Photo: Wikimedia Commons