How Tackling Loneliness Offers Hope for Britain's Struggling NHS

A strategy for stopping widespread depression in developing countries should be as obvious as one for combatting epidemics. A new strategy aims to downshift jobs to local workers to act as peer therapists.

There is a mental-health capacity crisis gripping Washington state. The area’s response approach, crafted over two decades, centers on a set of intensive outpatient and early-intervention programs aimed at preventing hospitalizations.

Different programs in various nations are training ordinary people and creating community groups to effectively satisfy the mental health needs of their communities. In many of these regions, "treatment gaps" – where there are little to no mental health treatment plans or resources – exist, but this new informal infrastructure helps to fill that.

To educate and prepare new mothers, Centering Pregnancy and Centering Parenting sites in the United States offer community-based patient-centered care in low-income areas. Centering offers interactive learning, check-ups, and social support, so that women can take charge of their health.

Latin American women in San Francisco have suffered from post-partum depression, social isolation, and chronic stress at the time of their pregnancies. Run by midwives, the Centering Pregnancy program at the San Francisco General Hospital provides patient-centered care, an environment to speak in Spanish, and a nurturing community for women’s group appointments. The results boast fewer c-sections and pre-term births, and an improvement in emotional support and overall prenatal health.

Physical illnesses trigger and exacerbate poverty because costs are too high to treat them. The Associação Saúde Criança in Rio de Janeiro counsels helps by assisting families with services such as food, medicine, vocational training, housing, and legal aid, which helps mothers achieve their personal goals.

Veterans who suffer from post traumatic stress disorder number about one-fourth of military personnel returning from Iraq and Afghanistan conflicts, roughly 500,000 veterans so far. Inmates in prisons nationwide train dogs as companions for these war veterans, providing a sense of healing for all.

Studies show group prenatal care leads to better birth outcomes when compared against standard care. Centering Pregnancy in San Francisco is a space for women with similar gestational ages to meet, learn about self-care, and have facilitated group discussions.

In Houston, TX, many individuals with mental illnesses cycled in and out of emergency care while arrested or incarcerated. Houston’s police department has decreased the number of incarcerated who have mental illness by opening a division to mental health called the Chronic Consumer Stabilization Unit. Now Milwaukee seeks to replicate Houston’s results.

Milwaukee County’s mental health system put more resources in expensive emergency care rather than invest in programs that offer continual care. As a result, Milwaukee County identifies nine solutions from other cities that have had success in repairing mental health systems. Solutions include the ending of reliance on emergency care, expand community support programs, change laws, and supportive housing.