In the 2010s, mental health and related issues such as suicide have become major global issues of public health concern. The indirect costs to the global economy of mental illness—encompassing such factors as loss of productivity and the spending on mental health services and other direct costs—amount to approximately $2.5 trillion a year. Global health experts and economists project this amount will increase to approximately $6 trillion by 2030. When gone untreated, mental illnesses account for 13% of the total global burden of disease. By the year 2030 it is expected that depression alone will be the leading cause of the global disease burden. Unfortunately, many persons suffering with mental illnesses do go untreated or receive marginally effective treatments. However, recent advances in technology, evidence-based treatments, and delivery systems of care provide hope for the world’s mentally ill population.
Karen M. Sowers, Catherine N. Dulmus, and Braden K. Linn
Martha S. Bragin
The Inter-Agency Standing Committee (IASC) is the arm of the international community that provides guidelines for practice in humanitarian emergencies and coordinates among the three parts of the humanitarian system: the United Nations and its agencies; the Red Cross and Red Crescent Societies and the International Committee for the Red Cross; and the consortia of International non-governmental organizations (NGOs). This article describes the IASC Guidelines for Mental Health and Psychosocial Support in Emergency Settings, their role and history, and the role of social work in their development. The article notes the concurrence of various aspects of the Guidelines with social work practice, and provides case examples of social work interventions in the context of the Guidelines. Practical tools that social workers can use when confronting emergencies at home or abroad are included in the reference list.
Vadim Moldovan, Eugeniu Rotari, Vadim Tarna, and Alina Zagorodniuc
The Republic of Moldova is a small post-Soviet country that has been “transitioning” from a socialist to capitalist economy since the 1990s. Once a prosperous region of the Soviet Union, it is now among the poorest countries in Europe, facing many social problems that call for a strong social work profession. However, social work is new to the country and the profession is challenged by low societal status, meager resources, and lack of cohesion. Social work in Moldova is struggling to meet these challenges with the help from the West and the emergence of an indigenous model of professionalization. Child welfare, elder care, mental health, as well as the history of social work in Moldova, current state of social work education with its obstacles to and opportunities for progress will be discussed.