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My ’28 year old’ son has suffered with schizoaffective disorder for ten years.
We suffered needlessly for six years not even knowing this wonder drug existed. He has said that schizophrenia is like being in a nightmare and you can’t wake up. We have lived in a couple of states since his diagnosis. Any time he changes facilities or doctors, they put him back on the generic. They may be condemning their most helpless and vulnerable citizens to years of needless suffering, Therefore in case Kansas lawmakers pass the step therapy bill. Just think for a moment. Clozapine does work okay according to some individuals but not for everyone, and That’s a fact, it’s grossly unfair to deny top medication available to people who will otherwise be forced to endure untold anguish and suffering. Because it’s expensive and the state doesn’t look for to pay for it, Clozaril, one antipsychotic that works for him. Now please pay attention. Instead of Prolixin and Haldol, clozaril had been the first drugs given to him. Actually, medicaid hospital and witness first hand what these people go through before they do.
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Register My 28 year old son has suffered with schizoaffective disorder for ten years.
We suffered needlessly for six years not even knowing this wonder drug existed. Medicaid hospital and witness any time he changes facilities or doctors, they put him back on the generic. Clozapine does work okay according to some individuals but not for everyone, and it’s grossly unfair to deny better medication available to people who will otherwise be forced to endure untold anguish and suffering. They gonna be condemning their most helpless and vulnerable citizens to years of needless suffering, if Kansas lawmakers pass the step therapy bill. Instead of Prolixin and Haldol, clozaril had been amidst the first drugs given to him. Nevertheless, because it’s expensive and the state doesn’t look for to pay for it, Clozaril, only one antipsychotic that works for him. He has said that schizophrenia is like being in a nightmare and you can’t wake up.
By the way, the lifetime prevalence of mental disorders had been estimated to be between 122percentage and 486 globally. Shiffman and Smith have developed a framework of analysis that attempts to understand why some global health initiatives are more successful in generating funding and political priority than others. Global mental health is one initiative that is attempting to garner an increased share of international funding as well as prioritisation by political leaders. That said, despite this burden, mental illness has thus far not achieved commensurate visibility, policy attention, or funding, particularly in low and middleincome countries. That’s interesting. More than 13percent of the global burden of disease for mental disorders is due to neuropsychiatric disorders, and Actually the framework was applied most prominently to maternal mortality and newborn survival,. In this essay, we will use the Shiffman and Smith framework to demonstrate that while some significant strides was made, mental health still faces major challenges in establishing itself as a global initiative with meaningful political priority.
More broadly a distinction between internal and external debates has yet to emerge in global mental health. Internal debates might include rigorous interrogation of the complex problems underlying the diagnosis of mental illness and the nosological systems that need to be developed to facilitate accurate, culturally valid diagnoses. Generally, whenever contributing to policy and political leaders’ confusion as to what the priorities for mental health could be, and how to define, measure, and narrow the treatment gap, these debates are being presented in the external arena of global policy debate. Now pay attention please. With a more unified position about how to advocate for mental illness when presenting to policy makers, these debates must ideally occur internally, politicians, or donors.
Context in the Shiffman and Smith framework is the environment in which the actors operate and includes the ability of the global actors to take advantage of policy windows to influence decision makers. There might be many reasons for this, just like the unwillingness of key leaders in the non communicable diseases summit initiative to give space to mental health, the lack of a groundswell of community based advocacy initiatives for mental health, and perceptions that the burden of mental illness and attendant interventions are difficult to quantify. Therefore this may come to be seen as an important missed opportunity. Global mental health actors were not able to take full advantage of this opportunity, the United Nations high level meeting on noncommunicable diseases was just this policy window. Mental health is completely ignored in the Millennium Development Goals, despite compelling evidence that mental health is implicit in quite a few of these targets. For newborn survival, in contrast, an informal network of no more than 15 prominent researchers were able to act as one and were able to take advantage of Millennium Development Goal 4 as a policy window to effectively put newborn survival firmly on the global health agenda.
In addition to an evidence base on ‘cost effective’ interventions that can be implemented at scale, the characteristics of the problem being addressed include the extent to which for the most part there’re credible indicators that can be used to assess severity and to monitor progress and the size of the burden. There’s also reasonably robust evidence on ‘cost effective’ interventions that can be delivered in ‘lowand’ ‘middleincome’ countries. In the case of mental health, there’s an increasing body of evidence of credible indicators and of the disease burden of mental illness globally. a recent initiative the Programme for Improving Mental Health Care aims to provide crucial data in this regard, despite evidence on which interventions work, the evidence on how these interventions can be delivered in routine lowresource settings remains sparse.
There was little change in the perception of the intractability of mental illness, combined with the related problem of stigma associated with mental illness. Significant efforts are underway to address stigma, notably within the INDIGO Network, that spans 27 countries and is investigating stigmatization of and discrimination against the mentally ill. In the light of this discussion, we will like to suggest a few steps. While newborn survival advocates made good use of the policy window afforded by the Millennium Development Goals, global mental health has had difficulty making the case for its importance across numerous Millennium Development Goals.
Global Mental Health and the Shiffman and Smith Framework.
Greater community cohesion and international governance structures need to be developed to contribute to a more unified voice regarding global mental health. Surely it’s likely the next policy window going to be missed, unless so it’s done. Did you know that the World Federation for Mental Health, international organisations like the World Health Organization need to become an united force, let’s say, through an unified organisational network that delivers clear, consistent, and well timed messages for policy and public consumption. Although, involvement of mental health care users, their families, and civil society is crucial in this regard.
Second, we need to develop an effective frame of integrated innovation that will ensure that global mental health speaks with an united voice, and does so in the language of national and international leaders, to ensure public and private support for the significant problem.
This is the language of most policy makers. Global mental health must similarly demonstrate its social and economic impact. On top of this, third, That’s a fact, it’s possible that for mental health to gain significant attention, Surely it’s not enough to convince people that it has a high disease burden, and that many of us are aware that there are deliverable and costeffective interventions. So this includes engaging in frank and open discussion with dissenting voices to build a coherent and common language. Actually, shiffman argues that HIV/AIDS was successful in gaining significant issue attention being that it did convince national and international political leaders that HIV/AIDS was a threat to human wellbeing and national security, and that getting HIV/AIDS under control was central to national economic development.
Fourth, a social justice and human rights framework is also crucial for this cause. Fifth, stigma continues to contribute to the notion that mental illness is an intractable public health problem. Human Rights and Legislation, current initiatives just like the World Health Organization’s QualityRights Project and the WHO Resource Book on Mental Health are important steps in this respect. I’m sure it sounds familiar. This issue needs concerted attention, and innovative approaches need to be developed to address stigma in a systematic and evidencebased manner.
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