Mental Health for Sustainable Development: A Topic Guide for Development Professionals

Abstract

While many development professionals recognise the need to do more for mental health, they do not always know where to begin. This topic guide is intended as a primer for development professionals interested in learning more about the basics. Mental health affects us all. Mental health is a continuum, ranging from good mental health and wellbeing at one end, to substantial personal suffering and impairment at the other. Everyone has mental health, and mental, neurological, and substance use (MNS) conditions can affect anyone. Together, MNS conditions are the number one cause of years lived with disability (YLDs) worldwide and are responsible for at least 10% of all disability-adjusted life years (DALYs). One in four people will develop a mental health condition in their lifetime, and one in six is living with a neurological condition. The number of people living with MNS conditions is expected to increase dramatically in coming years as population sizes and life expectancies rise, especially in low- and middle-income countries (LMICs). People with MNS conditions are often in vulnerable situations. Many people around the world believe that MNS conditions are the result of personal weakness or supernatural forces, and that people with MNS conditions pose a danger to society. This can result in harmful treatment practices, exclusion from family, community, work, and civic life, inequitable access to health and social services, and ultimately social and economic deprivation, as well as injury, poor health – even death. It is society’s negative response to MNS conditions that makes them so profoundly disabling. Yet the voices of people with psychosocial disabilities are often left out of the disability movement. In many LMICs especially, people with psychosocial disabilities have little control over their own lives and few opportunities to take a stand against stigma, discrimination, and abuse.