The Ministry of Health, Wellness and Social Services, through its partnership with the Pan American Health Organization (PAHO) and the Acute Psychiatric Unit (APU) of the Dominica China Friendship Hospital, is conducting a three-day training for health care providers in order to implement the Mental Health Gap Intervention Guidelines (mhGAP-IG).
The mhGAP-IG is a program developed by the World Health Organization (WHO) with the objective of scaling up care for priority mental, neurological and substance use (MNS) disorders. The Intervention Guide presents the integrated management of priority MNS conditions using algorithms for clinical decision making.
The overarching objective is to develop competencies to identify and assess people with MNS conditions, deliver care, and refer to specialist care as necessary, through the primary health care system. This training will be facilitated by PAHO Regional Advisor on Mental Health, Dr. Claudina Cayetano, Consultant Psychiatrist at the APU, Dr Nadia Wallace, and Social Worker at the APU, Mr Dave Laudat.
Chief Medical Officer (Ag), Dr Andy St Hilaire, while offering welcome remarks, noted that everyone has a moral responsibility to attend to those with mental health issues.
Through this workshop, we will gain the tools to bridge the gap between mental health needs and accessible care, ensuring that everyone in Dominica has the opportunity to live a healthy and fulfilling life.
Yet, far too often, these issues remain in the shadows, hidden behind stigma and misunderstanding. It is our duty to shed light on these challenges and to provide the support and care that every individual deserves. This training is particularly timely, as we continue to face the lingering impacts of the global pandemic, natural disasters, and social challenges that have intensified the need for robust mental health services. Today marks an important step in our journey toward building a more inclusive, compassionate, and responsive health care system—one that recognizes the dignity of every individual, regardless of the challenges they face.
Dr Andy St Hilaire, Chief Medical Officer (Ag)
Meanwhile, Consultant Psychiatrist at the APU, Dr Nadia Wallace, indicated that the role of the health care worker is paramount in addressing mental health issues.
Throughout this training, you will hear the term MNS, which means mental, neurological and substance abuse conditions. These account for 13 percent of the global burden of disease, yet between 75 and 95 percent of persons don’t receive the treatment that they require, although effective treatment exists. This is what represents the mental health gap. And this is why this training is so important toyou as non-specialized healthcare workers in psychiatry in helping to address the needs of people with priority MNS conditions.
Dr Nadia Wallace, Consultant Psychiatrist at the APU
It is anticipated that the training will lead to increased access to mental health care in primary care settings, improved quality of care for MNS conditions in primary care settings, reduced referral burden on mental health specialists and strengthened health systems for MNS care in all health regions of the country.
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