Medical Diplomacy and Global Mental Health: From Community and National Institutions to Regional Centers of Excellence
- 314 Downloads
We explore how regional medical diplomacy can increase funding for global mental health initiatives. Interventions for infectious diseases have dominated medical diplomacy by focusing on security concerns. The global mental health movement has adopted similar strategies, but unsuccessfully since mental illnesses do not cause international epidemics. Instead, realpolitik arguments may increase funding by prioritizing economic productivity and regional diplomacy based on cultural ties to advance mental health services and research at the community level. In South Asia, initiatives to train personnel and provide refugee services offer a foundation for regional centers of excellence. This model can be expanded elsewhere.
KeywordsGlobal mental health Cultural psychiatry Medical diplomacy South Asia
Dr. Aggarwal is supported by an APA/SAMHSA Minority Fellows Program grant.
Conflict of interest
- Aginam, O. (2003). The nineteenth century colonial fingerprints on public health diplomacy: A postcolonial view. Law, Social Justice & Global Development Journal, 1. http://elj.warwick.ac.uk/global/03-1/aginam.html.
- Bender, E. (2011). Psychiatrist goes global in effort to close MH care gaps. Psychiatric News, 46, 20a.Google Scholar
- Census Bureau, U. S. (2012). The foreign-born population in the United States: 2010. Washington, DC: U.S. Department of Commerce.Google Scholar
- Easton, C. J., Mandel, D. L., Hunkele, K. A., Nich, C., Rounsaville, B. J., & Carroll, K. M. (2007). A cognitive behavioral therapy for alcohol-dependent domestic violence offenders: An integrated substance abuse–domestic violence treatment approach (SADV). The American Journal on Addictions, 16, 24–31.PubMedCrossRefGoogle Scholar
- Fazel, S., Långström, N., Hjern, A., Grann, M., & Lichtenstein, P. (2009). Schizophrenia, substance abuse, and violent crime. The Journal of the American Medical, 301, 2016–2023.Google Scholar
- Feinsilver, J. M. (1989). Cuba as a “world medical power”: The politics of symbolism. Latin American Research Review, 24, 1–34.Google Scholar
- Fidler, D. P. (2011). Assessing the foreign policy and global health initiative: The meaning of the Oslo Process. London: Chatham House.Google Scholar
- Frist, W. H. (2007). Medicine as a currency for peace through global health diplomacy. Yale Law & Policy Review, 26, 209–229.Google Scholar
- Inglehart, J. K. (2004). Interview: Advocating for medical diplomacy: A conversation with Tommy G. Thompson. Health Affairs, 10, 262–268.Google Scholar
- Insel, T. (2011, September 28). The global cost of mental illness. Retrieved from http://www.nimh.nih.gov/about/director/2011/the-global-cost-of-mental-illness.shtml.
- Janakiramaiah, N., Gangadhar, B. N., Murthy, P. J. N. V., Harish, M. G., Subbakrishna, D. K., & Vedamurthachar, A. (2000). Antidepressant efficacy of Sudarshan Kriya Yoga (SKY) in melancholia: A randomized comparison with electroconvulsive therapy (ECT) and imipramine. Journal of Affective Disorders, 57, 255–259.PubMedCrossRefGoogle Scholar
- Kakar, S. (1994). Modern psychotherapies in traditional cultures: India, China, Japan. In S. Kang (Ed.), Psychotherapy east and west: Integration of psychotherapies (pp. 79–85). Seoul: Korean Academy of Psychotherapy.Google Scholar
- Kessler, R. C., Heeringa, S., Lakoma, M. D., Petukhova, M., Rupp, A. E., Schoenbaum, et al. (2008). Individual and societal effects of mental disorders on earnings in the United States: Results from the national comorbidity survey replication. American Journal of Psychiatry, 165, 703–711.PubMedCrossRefGoogle Scholar
- Kirmayer, L. J., & Minas, H. (2000). The future of cultural psychiatry: An international perspective. Canadian Journal of Psychiatry, 45, 438–446.Google Scholar
- Kleinman, A. (1988). Rethinking psychiatry: From cultural category to personal experience. New York: The Free Press.Google Scholar
- Lemery, J. (2010). A case for white coat diplomacy. The Journal of the American Medical, 303, 1307–1308.Google Scholar
- Office for National Statistics. (2012). Population by country of birth and nationality report, August 2012. London: Government of the United Kingdom.Google Scholar
- Patel, V. H., Kirkwood, B. R., Pednekar, S., Araya, R., King, M., Chisholm, D., et al. (2008b). Improving the outcomes of primary care attenders with common mental disorders in developing countries: A cluster randomized controlled trial of a collaborative stepped care intervention in Goa, India. Trials, 9, 4.PubMedCrossRefGoogle Scholar
- Patel, V., & Prince, M. (2010). Global mental health: A new global health field comes of age. The Journal of the American Medical, 303, 1976–1977.Google Scholar
- Satcher, D. (2001). Global mental health: Its time has come. The Journal of the American Medical, 295, 1697.Google Scholar
- Statistics Canada. (2008). Proportion of foreign-born among the Canadian population, 1901 to 2017. Ottawa: Government of Canada.Google Scholar
- Tseng, W.-S. (2001). Handbook of cultural psychiatry. San Diego: Academic.Google Scholar
- World Federation for Mental Health. (2011). The great push: Investing in mental health. Retrieved from http://www.wfmh.org/2011DOCS/2011%20WORLD%20MENTAL%20HEALTH%20DAY%20document.pdf.