Step 7: Take notes by Lily S.

introduction

450 million people ache from mental disorders globally. (pg 1.)

In the world, one in four people ache from mental illness. (pg. 2)

1.75 million people ache from mental illness in Jordan. That is twenty percent of Jordan's population (pg. 1).

Out of 100,000 citizens in Jordan, 305 get diagnosed with mental illness because of the 14.4% that are under the national poverty line. (pg. 1)

For every 100,000 citizens, there are 0.04 nurses, 0.27 psychologists, and two psychiatrists.

There are only 64 outpatient facilities, one functional psychiatric hospital for kids, and three mental health hospitals for adults in all of Jordan.

Being mentally ill in Jordanian cultures and countries is considered a shame. (pg. 4)

"Mental health is not covered economically and morally, and is not treated at the same level as other diseases in hospitals." (quote. pg. 4)

background info.

The cause of mentally ill patients not getting sufficient care is stigma. (pg. 1)

In present day, stigma is known as "any persistent trait of an individual or group that evokes negative or punitive responses." (quote. pg. 2)

Stigma is to blame for delayed progress of mental health, delayed visitation, ending of visits, and refusal. (pg. 1)

Of the sum number of delayed progress of mental health, delayed visitation, ending of visits, and refusal it turns out that 41% was from stigma, 19.42% from dearth of insight, 13.58% from financial issues, 12.83% from side effects of medication, 9.34% from progress of previous symptom, and 3.83% from dearth of caregivers. (pg. 1)

Stigma can also affect a persons social life as well as the life in general. This can lead to suicide or death by neglect because this action deprives the person of basic needs. (pg. 4)

People with mental illness in Jordan are abhorred by society, which causes social rejection, and eventually makes the patient feel hopeless, and that is one of the reasons suicide rates increase. (pg. 4)

Discrimination, shame, and larger scorn is experienced by rural patients, meanwhile the caregivers of urban patients try to hide the illness in hope to remain unseen. (pg. 4)

More than 30% of countries do not have a mental health program, and more than 40% do not have a mental health policy recorded by the WHO in 2001 (pg. 4).

The results of a survey of 100 people (refugees and host community) about the treatment and consultation of their therapist revealed great satisfactory rates. (pg. 4)

Although, the bias against the therapist themselves was comparably low. In fact, only 29.4% said they "totally agree" with their therapist being a different gender, race, etc. (pg. 4)

Regarding the effects of therapy, there were mainly great rates of support. (pg. 4)

When there are natural disasters, armed conflicts, and other emergency issues, opportunities open up to quicken mental health improvement. (pg. 1)

During and after conflicts, mental health issues increase and pre-existing conditions become more sensitive. (pg. 2)

The Syrian conflict and other violence caused some mental health issues, and worsened existing ones. (pg. 1)

The first step that lead to bigger improvement was a small scale pilot project. (pg. 6)

country's current position

Jordan has been detected as a country who needs lots of improvement on their mental health system. (pg. 1)

Jordan was the first country selected to implement the World Health Organization's (WHO) mental health action program (mhGAP). (pg. 1)

After 2003 when many Iraqis came into Jordan and mental health care was needed more, essential recreational activities, education, psychosocial support, and health care were given. (pg. 4)

In Jordan, 3550 people got comprehensive treatment from 2009-2011. (pg. 5)

suggested resolutions

There is obviously a lack of education on the issue of mental illness and the causes of it. So, there should be a part of student's curriculum that addresses mental illness and how to decrease it. It can also vary from age groups (kids 4-7 lesson is how to be nice and considerate to each other, kids 8-13 what mental illness is, 14-18 causes and solution).

Giving pharmacological and psychological education is a simple yet effective solution to help take a step towards improving metal health in Jordan and around the world. (pg 1.)

Spreading the word about mental health issues or even accomplishments of improving mental health can go a long way to helping other cities or countries have better mental health reform.

Instead of hospital care, the organization of mental health services have been using the bio-psychosocial model of health that addresses social, psychological, and biological influences on one's behavior. (pg. 2)

The mhGAP is a program that focuses on contributing treatment options for epilepsy, schizophrenia, and depression while escalating services for substance use, neurological and mental disorders.

Having a mental health improvement system that focuses on the long term perspective and also tend to pre-existing and new-onset mental disorders. (pg. 1)

If key efforts were made to shift short-term activity in mental health issues into drive for mental health improvement, global health care progress would happen more quickly. (pg. 2)

conclusion

There are many reasons for mental illness, but in Jordan, stigma is the main reason. Jordan was detected as a country who needed major mental health care. There is not enough education about mental illness or mental health. That means there are not enough people helping fight this issue. There are solutions being brainstormed about how focusing on long and short term mental disorders in very important. There are many good ideas being brainstormed, but they need to be taken into action.

bibs