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Country Examples of Guidance Notes for Mental Health Coordination in Humanitarian Settings
Category: Field Examples and Applications, Coordination
Audience: Implementing agencies, Governments, Donors
Inter-Agency WG Jordan 2012 Guidance Note for Mental Health and Psychosocial Support Jordan Response to Displaced Syrians
Inter-Agency WG Gaza 2009 Interagency Statement on MHPSS in Gaza: Principles and Response
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Country Examples for Mental Health Strategies, Policy and Reform
Category: Field Examples and Applications, Policy & Advocacy
Audience: Implementing agencies, Governments, Donors
MOPH Lebanon 2016
Policy Brief: Turning adversity into opportunity: The Syrian crisis and mental health reform in LebanonWHO MENA 2015
Regional Framework for the Scaling up Of Mental HealthHealthnet TPO Nepal 2015
Policy Brief: Demand and access to mental health services: a qualitative formative study in NepalHealthnet TPO 2015
Policy Brief: Psychiatric stigma and discrimination in South Africa: perspectives from key stakeholdersMOPH Lebanon 2015
National Mental Health Strategy & Situational AnalysisWHO Jordan 2013
proMIND Profiles on Mental Health in Development: Hashemite Kingdom of JordanHealthnet TPO Nepal 2014
Policy Brief: Setting priorities for mental health care in Nepal: a formative studyMOH Ethiopia 2012
National Mental Health Strategy through 2016PAHO Americas 2010
Supporting the Implementation of Mental Health Policies in the Americas: A Human Rights Law-Based Approach. Findings, Trends, and Targets for Public Health ActionMoPH Afghanistan 2009-2014
National Mental Health Strategy -
Country Examples of Advocacy Materials & Efforts
Category: Field Examples and Applications, Policy & Advocacy
Audience: Implementing agencies, Governments, Donors
MOPH Lebanon 2015
National Mental Health Awareness Campaign in Lebanon - VideoInter-Agency Global 2015
Call to Action: Include Mental Health in Sustainable Development GoalsWFMH Global 2015
World Mental Health Day: Dignity in Mental HealthCBM Sierra Leone 2014
Factors for Success: Mental Health Advocacy in Sierra LeoneWVI 2014
Citizen Voice and Action: Social accountability holds the key to improving child health. Access Full & Brief Descriptions.IMC 2012
Mental Health Advocacy Handout -
Primary Mental Health Care Services in Ethiopia: Experiences, Opportunities and Challenges from East African Country
Category: Key Publications & Readings
Audience: Implementing agencies, Governments, Donors
A case example that explores health service delivery in Ethiopia and implications for mental health integration, mental health services in Ethiopia, a community model of mental health care, and associated challenges.
Full reference: Ayano, G. (2016). Primary Mental Health Care Services in Ethiopia: Experiences, Opportunities and Challenges from East African Country. Journal of Neuropsychopharmacology & Mental Health, 1(4).
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Mental Health Reform in Lebanon and the Syrian Crisis
Category: Key Publications & Readings
Audience: Implementing agencies, Governments, Donors
A paper describing the process towards mental health reform in Lebanon and the Syrian crisis, with attention to the impact of social determinants on mental health in the Middle East, where aggression, conflict, and displacement have become daily occurrences.
Full reference: Chammay, R. E., Karam, E., & Ammar, W. (2016). Mental health reform in Lebanon and the Syrian crisis. The Lancet Psychiatry, 3(3), 202–203.
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Scaling-up Treatment of Depression and Anxiety: A Global Return on Investment Analysis
Category: Key Publications & Readings
Audience: Implementing agencies, Governments, Donors
This paper describes a return on investment analysis for a scaled-up response to the public health and economic burden of depression and anxiety disorders.
Full reference: Chisholm, D., Sweeny, K., Sheehan, P., Rasmussen, B., Smit, F., Cuijpers, P., & Saxena, S. (2016). Scaling-up treatment of depression and anxiety: A global return on investment analysis. The Lancet Psychiatry, 3(5), 415–424.
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Human Rights Violations of People with Mental and Psychosocial Disabilities: An Unresolved Global Crisis
Category: Key Publications & Readings
Audience: Implementing agencies, Governments, Donors
This report reviews the types of human rights violations experienced by people with mental and psychosocial disabilities in low-income and middle-income countries as well as strategies to prevent these violations and promote human rights in line with the UN Convention on the Rights of Persons with Disabilities (CRPD).
Full reference: Drew, N., Funk, M., Tang, S., Lamichhane, J., Chávez, E., Katontoka, S., ... & Saraceno, B. (2011). Human rights violations of people with mental and psychosocial disabilities: An unresolved global crisis. The Lancet, 378(9803), 1664-1675.
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Syrian Crisis and Mental Health System Reform in Lebanon
Category: Key Publications & Readings
Audience: Implementing agencies, Governments, Donors
This paper from the government of Lebanon encourages the international community to support host countries and help to resolve the Syrian crisis so that each and every refugee can regain their security, safety, and dignity by returning home.
Full reference: El Chammay, R., & Ammar, W. (2014). Syrian crisis and mental health system reform in Lebanon. The Lancet, 384(9942), 494.
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Health System Governance to Support Scale Up of Mental Health Care in Ethiopia: A Qualitative Study
Category: Key Publications & Readings
Audience: Implementing agencies, Governments, Donors
A paper that lays out the conditions for supporting the scale-up of mental health care in Ethiopia, including the critical need to strengthen leadership and coordination at the national, regional, zonal and district levels, expand indicators for routine monitoring of mental healthcare, promote service user involvement and address widespread stigma and low mental health awareness.
Full reference: Hanlon, C., Eshetu, T., Alemayehu, D., Fekadu, A., Semrau, M., Thornicroft, G., … Alem, A. (2017). Health system governance to support scale up of mental health care in Ethiopia: A qualitative study. International Journal of Mental Health Systems, 11(1). -
Factors for Success in Mental Health Advocacy
Category: Key Publications & Readings
Audience: Implementing agencies, Governments, Donors
This study explores enabling factors and barriers to achieving mental health advocacy aims within a low-resource setting, such as Sierra Leone.
Full reference: Hann, K., Pearson, H., Campbell, D., Sesay, D., & Eaton, J. (2015). Factors for success in mental health advocacy. Global Health Action, 8(1), 28791.

Cross Cutting Component. Advocate, Coordinate & Network
Coordination, networking and advocacy take place at various levels (national, regional and community) and promote regular flows of information, help fill gaps, strengthen referral between service providers, support inclusion of national expertise and community voices, and raise awareness on mental health issues among key stakeholders such as governments.

WHY is this component needed?
When planning and implementing an integrated mental health program, it is important to communicate with national actors and other international agencies from the start, to make sure the program fits within the larger context and is well understood by different stakeholders. Coordination and networking are necessary to obtain relevant input from different stakeholders and keep them informed about the program. Advocacy activities can help promote the human rights of persons with mental disorders and reduce stigma and discrimination. Such activities also support equitable access to quality mental health services while ensuring that mental health is on the national agenda of governments and humanitarian actors including donors. Advocacy can ultimately lead to improvements in policy, resource allocation, legislation and service development.

HOW is this component done?
Coordination, networking and advocacy efforts are conducted with key stakeholders (e.g. local and international NGOs, national and local government, UN agencies, civil society organizations, program managers, mental health professionals, and PHC staff). This can include:
- Regular coordination, discussions and collaboration with MoH and district level government agencies, and peripheral health facilities and with other relevant stakeholders at the community level.
- Facility level and community-based awareness activities that tackle issues of stigma and provide information about mental health and accessing services.
- Advocacy for allocating needed resources and efforts for integration of mental health within general health care.
- Support to mental health service user and carer groups in leading advocacy efforts at various levels, including government, facility and community levels.

MINIMUM elements of advocacy, coordination & networking
- Ensure to communicate about your MH PHC integration project as part of MHPSS coordination groups and other relevant clusters and working groups (e.g. Health Cluster, Protection Cluster).
- Work in line with existing national mental health strategies, plans or policies1.
- Identify pre-existing advocacy efforts led by group such as service users, or other relevant civil society organizations and link with any champions in the government who have an interest in supporting mental health.
- Carry out and/or participate in mapping of other agencies and their activities, to facilitate the finding of opportunities for partnerships, and alignment of agendas (see step 1: Assess & Plan for MH Integration).
1 Access resources within Mental Health Plans & Polices subcategory below to understand and support national mental health plans and policies.

COMPREHENSIVE additional elements of advocacy, coordination...
- Conduct information sessions about mental health PHC integration at MHPSS and non-MHPSS coordination groups (e.g. MHPSS, health, protection, wash, nutrition, etc.), describing cross sectoral importance.
- Work with government representatives and others on developing and/or implementing national mental health policies and plans in line with global recommendations.
- Promote the participation of persons with mental disorders in decision making processes on issues affecting them, including policy, law, and service reform.
- Identify the key factors for maximizing mental health sustainability and scalability, including advocating for the expansion and improvement of universally accessible and affordable mental health services (e.g. including mental health as part of the basic service package for health, including mental health in public or private coverage and insurance benefits.

KEY CONSIDERATIONS
- Do use locals with communications and media expertise in national advocacy efforts.
- Do involve mental health service users to help promote their rights and receive valuable input to guide programs and activities.
- Do support participation of various vulnerable groups identified in the community.
- Do develop, adapt and disseminate targeted key messages for building awareness on mental health and mental health services within communities.
- Do identify opportunities to advocate for staff & self-care, ethical considerations, and human rights.
- Do take ethical and protection considerations into account when involving mental health service users and their families or specific groups in the community that may be vulnerable.
- Do not conduct any MHPSS assessments, trainings or service provision without coordinating with local leadership, and other relevant sectors and agencies.
- Do not plan or carry out MH advocacy activities and events without involving key stakeholders, including MH service users and their families.
