The State of Global Mental Health: Reflecting on Achievements and Moving Forward

The whole history of global mental health (GMH) work demonstrates how an informal initiative of global-minded mental health (MH) professionals can become a recognized and essential part of the international humanitarian relief system. The chapter defines GMH as a multidisciplinary field of studies and practice with a dual professional identity as MH and humanitarian discipline concerned with providing MH assistance in humanitarian emergencies. Typically, such work takes place in an international setting, but it can also include care for refugees at the locations of their resettlement. In addition to research and direct services, GMH providers conduct research and participate in advocacy and policymaking. GMH providers use their professional skills to serve vulnerable and underserved groups and prioritize integrated approaches (MHPSS and primary care) and community-based interventions. The interventions concentrate on meeting populations’ immediate needs and incorporating long-term agenda. It prioritizes improving coping and functioning and addresses barriers preventing people from accessing resources, available support, and offering a higher level of health care when needed. The chapter reviews important concepts in GMH, emerging trends, and controversies and outlines future directions. It discusses pervasive professional mythology, such as a myth of incapable, passive, helpless, and humble victims.