Mental Health Prmtin in Gambia 2013-2015
A very little abut Mbee Mbee = Everyne in Mandinka language T raise awareness f the imprtance f Mental wellbeing in the Gambia in partnership with AFG and Natinal Gvernment f the Gambia. T develp ur staff (AFG ) as peple and emplyees T develp friendship and cnnectin, Presct- Banjul, natural partners & well cnnected! 2860 miles Gambian Prject
Mental health & wellbeing in Africa Natinal expenditure n mental illness ften less than 1% f health expenditure N basic evidence n incidence, what is available, what resurces d exist in cmmunities WHO Atlas prjects
Mental health & wellbeing in Gambia Very lw incidences? Depressin rare, Drug induced psychsis cmmnest diagnsis in yung peple (men) althugh independent reviews have nt supprted this Rates f psychsis lwer than 1.5% wrld incidence Many experiences that wuld be pathlgised in Eurpe are accmmdated fr Persnal & life dysfunctin and disruptin are lwer Recvery is expected Lingering (in philsphical terms) is nt Peple dn t get stuck Breakdwn/breakthrugh/breakut Smith (2007)
Mental health & wellbeing in Gambia Persnal & life dysfunctin and disruptin appear lwer as a cnsequence f events than Eurpe it is a scially develped culture. Inclusive nuclear family still there-- cmpunds Recvery is expected (C.O.R) is 83% Leff et Al Lingering (in philsphical terms) is nt Peple dn t get stuck Breakdwn/breakthrugh/breakut Smith (2007) The alternative with n welfare state and small state interventin
It s a big cntinent Start with things that are achievable Gambia Plitically stable Demcratic and bradly inclusive A cuntry that prides itself n inclusin and diversity and has a histry f such, apart frm the Pliticians. Its Tag line is the smiling cast!!
The Public Gambia The smiling cast its nice t be nice, smile brther
Ppulatin 1.9 M and very yung almst 50% belw 18 Many tribes Mandinka being the largest grup English main language f gvernment, Mandinka, Wlf and Jla widely spken t Cmpulsry state educatin at primary level Green, prductive and fd abundant Gegraphy/distance leads t many prblems
The Gambia Cntrlled ppulatin grwth f 3% Life expectancy 58.6 (2003) and rising 64 (2013) Gn incme per adult wrker $1860 Gn incme per adult $510 Natinal spending n health 2.4% 1 psychiatric nurse 3 in training 1 small hspital nn medical fr everything drugs, alchl, learning disabilities and psychiatry70-80% highest ccupancy 0 psychiatrists (Cuban interns) 1 visiting OT (Netherlands) An abundance f gdwill and ptimism
The Gambia gvernment fcus High perinatal mrtality rates ccupy the ministry 1:56 mthers HiV infectin very lw 1% Unicef 2012 Malaria risk very high and infant mrtality high Death & injury by driving cmmn Literacy rates 72% & 63% FGM high 76% (2008) falling, nw 56% (daughters 2012) Cmmittee n traditinal practices 83% have mbile phnes s it s the lcus fr cmmunicatin
Mental health & wellbeing in The Gambia There is cmmunity chesin There is cmmunity actin Mental wellbeing is nt hwever central nr a clear emphasis upn it by cmmunity wrkers Mbee aims t supprt and develp this alng with ffering tls that supprt wellbeing, strategies that help, discussins that need t be had in health services, families and cmmunities In an African cntext
Giving and seeing the bigger picture, grunding urselves Getting perspective Helping ur brethren (Tuke) Finding the survivr missin is a part f all ur recvery and resilience tls
Prject Overview Backgrund Purpse Aims, Objectives and Outcme Partners Organisatinal Structures
MOBEE Gambia Mental Health Prject MOBEE is a registered Gambian Charity Lcated at Brusubi Institutinal Layut, Banjul The gvernance and assurance f the Charity is verseen by the Bard f Trustees The Directr f the Charity is Salifu Manneh The prject is currently supprted fr a perid f tw years by Alternative Futures Grup Will be self sustaining 2015
MOBEE Purpse T deliver scial interventins, thrugh educatin, training and sign psting T wrk directly with families t develp understanding and skills, s they may supprt family members with Mental Health and Wellbeing in lcal cmmunities T wrk alngside partners t supprt develpments in Mental Health and Wellbeing in Gambia T identify, share and develp tls and techniques t assess signs and symptms f depressin
Prject Aims, Objectives & Outcmes T prmte and raise awareness f mental health issues in Gambia T prvide creative and innvative learning pprtunities fr AFG staff T build capacity and cmpetence in helpful techniques and practice in the UK and Gambia T develp netwrks and relatinships t benefit individuals living in lcal cmmunities
Partners MOBEE are wrking cllabratively in partnership with Alternative Futures Grup. A Nrth west England based charity, wh have 21 years, extensive expertise in the Mental Health and Learning Disability sectrs. MOBEE are wrking in cllabratin with The Wrld Mental Health Organisatin t supprt develpments in Mental Health Services acrss Gambia.
MOBEE Organisatinal Structure Bard f Trustees Directr Prject Administratr Huse Keeper Lgistics Facilitatr Driver Supprt Wrker X2 Cmmunity Mental Health C-rdinatr X2 A flat rganisatinal structure has been implemented t facilitate and influence a chesive team apprach t deliver the prject utcmes.
The benefits & feedback fr AFG s far
Outcmes t date 20 staff have had a life changing, learning experience in Gambia Increased capacity f knwledge in the recvery jurney Cntributed t the lcal ecnmy f lcal cmmunities Develp an internatinal relatinship/netwrk circle Created pprtunities t share experiences f tls and techniques in practice Stretched and challenged persnal/rganisatinal perceptins and thinking, t influence change in ur wn practice Tremendus media cverage Generated a Feel gd Factr acrss the rganisatin Created emplyment pprtunities in Gambia
All assistance wuld be welcmed! Technlgy Equipment (bi lab equipment a natinal need) Recrd keeping and patient recrds Peple Everyne = Mbee