Global Mentoring for Global Mental Health

Dear Colleagues and Friends,
Happy NewYear…!
We are delighted to share with you the exciting news of our Career, Leadership, and
Mentorship (CLM) X Anniversary 2008-2018.We will celebrate this occasion with
a special dinner program and Doctor Anita Everett, the President of the American
Psychiatric Association, as our keynote speaker. The theme of her lecture will be
Leadership, Ethics and Healthcare systems. This historic event will take place in
Washington, DC, on Saturday, February 24th, 2018 at 1800 hours.You are cordially
invited to join us should you be in the United Stares at that time.
We are grateful to Professor David Ndetei and his African colleagues for the
Africa Updates, Professors Yueqin Huang and Roy Kallivayalil for Asia/Pacific
News, and Professor Fernando Lolas for his nuanced review of ethical challenges
confronting our profession.
We are particularly thrilled that in this X Anniversary issue of our CLM, our young-
er colleagues are truly shinning with their superb contributions. They include the
Global Mental Health Mentees and Mentors Network debut, led by Doctors Arun
Enara, Adarsh Tripathi of India, Irina Radu of Romania, Madeline Teisberg and
Cristina Secarea of the United States at theWorld Psychiatric Association Congress
in Berlin Germany in October 2017; the launch of the Cochrane Collaborative on
Global Mental Health by our colleagues, Doctors Chiara Gastaldon, Davide Papola,
Marianna Purgato, and Corrado Barbui inVerona, Italy; the vivid rendition of a
mentee/mentor dialogue by Drs. Nadia Daly andVincenzo di Nicola of Montreal,
Canada; the book review on climate change, by Dr. Kyle Gray; and the spirited
report by Drs. Kyle Gray and Arushi Kapoor on the 1st
Career Leadership and
Mentorship Mind Games that just took place inWashington DC in early December
2017.We thank Doctors Rajeev Sharma, Milangel Concepcion-Zayas, andVeronica
Slootsky for their work as Associate Editors, over the past three years.We welcome
our new Associate Editors, Doctors John Chaves, Kyle Gray, and Madeline Teisberg.
May you all in our Global Mental Health Network be blessed with continued
good health, peace, and success in the New Year…!
Eliot Sorel, MD
Editor-in-Chief &
CLM Founder
CLM/WPS
Global Mental Health & Psychiatry Newsletter
Newsletter
Volume IV, No. 1
January 2018
Career, Leadership
and Mentorship Program
Eliot Sorel, MD, Editor-in-Chief, CLM Founder
ZONAL EDITORS:
AFRICA:
Prof. David M. Ndetei, Kenya
Prof. Solomon Rataemane, South Africa
ASIA/PACIFIC:
Prof. Yueqin Huang, China
Prof. Roy Kallivayalil, India
THE AMERICAS:
Prof. Fernando Lolas, Chile
Prof. Vincenzo Di Nicola, Canada
EUROPE:
Prof. Gabriel Ivbijaro, United Kingdom
Dr. Mariana Pinto da Costa, Portugal
ASSOCIATE EDITORS:
Miguel Alampay, MD
John Chaves, MD
Kyle Gray, MD, MA
Madeline Teisberg, DO, MS
Mona Thapa, MD
Layan Zhang, MD
From Left to Right: Dr. Secarea, Dr. Teisberg, Dr. Sorel, Dr. Radu, Dr. Enara and Dr. Tripathi

TABLE OF CONTENTS
Career, Leadership and
Mentorship (CLM)
is a program of the
Washington Psychiatric
Society for Residents
Members and
Early Career Psychiatrists.
Founded by Eliot Sorel,
MD, with the generous
support of the Washington
Psychiatric Society, the
Area 3 Council, and the
American Psychiatric
Association. Started in 2008,
CLM generates educational,
research, leadership and
mentoring opportunities
for our young colleagues
to enhance the career
development and leadership
skills of the next generation
of health leaders.
AFRICA ZONE:
Africa Updates.............................................................................................. 3
Professor David M. Ndetei, Prof. Christopher Paul Szabo, and
Prof. Bernard Janse van Rensburg
the AMERICAS ZONE:
Global Mentoring for Global Mental Health .............................................. 4
A Conversation Between Nadia Daly, MD and
Vincenzo Di Nicola, MPhil, MD, PhD, DFAPA
The Narrative on Global Mental Health and Local Realities:
The Valoric Dimension ................................................................................ 5
Fernando Lolas, MD
1st CLM Mind Games .................................................................................. 6
Kyle Gray, MD, MA and Arushi Kappor, MD
BOOK REVIEW
The Great Derangement: Climate Change and the Unthinkable ............. 7
Amitav Ghosh; Reviewed by: Kyle Gray, MD, MA
ASIA/PACIFIC ZONE:
Cohort Study on Mental Disorders in China ............................................. 8
Professor Yueqin Huang, MD, MPH, PhD
Emotional Problems in Childhood & Adolescence Need
Urgent Attention .......................................................................................... 9
Professor Roy Abraham Kallivayalil
EUROPE ZONE:
Global Mental Health Mentees and Mentors Network Workshop
(GMHMMN) at the WPA XVII World Congress of Psychiatry Berlin,
Germany 2017 ............................................................................................ 10
Cristina Secarea, MD and Madeline Teisberg, DO, MS
Cochrane Global Mental Health: A New Cochrane Network has
been Established in Verona....................................................................... 11
C. Gastaldon, D. Papola, M. Purgato, C. Barbui
Washington Psychiatric Society
Volume IV, No. 1 • January 2018
Eliot Sorel, MD, Editor-in-Chief, CLM Founder
CELEBRATING
10 YEARS
2008–2018

GLOBAL MENTAL HEALTH & PSYCHIATRY NEWSLETTER of the Career, Leadership and Mentorship, Washington Psychiatric Society 3
More News from WPA Zone 14
David M. Ndetei and Prof. Bernard Janse van Rensburg
The 5th Global Mental Health Summit planned to take
place from 8-9 February 2018 in Johannesburg, (sum-
mit@globalmentalhealth.org), to which several of the
WPA-WHO Forum’s Panel chairs and members have been
invited. With agreement by the organisers, this meeting
could provide a follow-up opportunity to take the neces-
sary liaison and planning another step forward.
The Mental Health Innovations – Africa (www.mhin-
novation.net) as a platform for role players to continue
discussion and communication between role players in
Africa. This is a well-established NGO networking group,
with a specific African focus.
Dr MvuyisoTalatala, as part of his ongoing SASOP portfolio
of African Liaison, has recently strengthened relations with
the Southern African Group of Psychiatrists at a meeting
in Cape Town in June 2017, involving also psychiatrists in
countries with no association yet. These included South
Africa, Mozambique, Namibia, Zimbabwe, Kenya, Uganda,
Swaziland, Ethiopia, Tanzania. Similarly, this group has
drafted a regional position statement on A Continental
Alliance for Integrated Mental Health Care in Southern
Africa, in cognizance of theWHP-WPO African Forum and
theWHO “Global Mental Health Action Plan 2013-2020”
— with its four main components: Leadership and gover-
nance, Health and social services, Prevention and promo-
tion, and Information, evidence and research.
AFRICA
David M. Ndetei, MBChB, DPM, MRC Psych, FRC Psych, MD, DSc
Africa Mental Health Foundation
Prof. Christopher Paul Szabo
David M Ndetel Chris Szabo
Bernard Janse van Rensburg
AFRICA UPDATES*
* Africa Updates & Zone 14 News was done in collaboration with the World Psychiatric Association
With the November 2017 issue of South African Psychia-
try (www.southafricanpsychiatry.co.za) there will be a
regular update on WPA Zone 14 news, contributed by the
Zonal Representative Prof. David Ndetei. While South
African Psychiatry has a predominantly South African
focus, there is an awareness of an existing need to pro-
mote African psychiatry and to improve communication
of news, events and developments across the continent.
The publication serves as a hub for information with a
specific aim of connecting psychiatrists across South
Africa. This will now also be extended to include African
countries within Zone 14, and hopefully beyond. The
November 2017 issue features a number of items related
to African psychiatry including Reports on the Uganda
Psychiatry Association and African College of Neuropsy-
chopharmacology (AfCNP) joint scientific conference
that took place in Uganda earlier in 2017 as well as a
consultative Forum with Southern African psychiatrists
held recently in South Africa where a position statement
entitled A Continental Alliance for Integrated Mental
Health Care in Southern Africa was developed. Aside
from providing content that serves Africa, the publica-
tion also provides an information source for non- African
psychiatrists that will hopefully see the publication serve
as an international resource for matters related to African
psychiatry. The publication is now in its fourth year of
existence, appearing quarterly (February/May/August/
November). The editor-in-chief is Christopher Paul
Szabo, formerly editor-in-chief of the African Journal of
Psychiatry and Professor of Psychiatry at the University of
the Witwatersrand, Johannesburg, South Africa.

GLOBAL MENTAL HEALTH & PSYCHIATRY NEWSLETTER of the Career, Leadership and Mentorship, Washington Psychiatric Society4
Nadia Daly Vincenzo Di Nicola
Global Mentoring for
Global Mental Health
Two years ago, while we were on call at the child psychiatric
emergency, a special relationship formed. Evaluating kids
in crisis side by side, we discovered professional affinities. In
between patients and their families, we discovered common
cultural reference points from the Middle East to Brazil. We
would like to present our mentoring relationship as a “rela-
tional dialogue”. – Di Nicola, 2011
Dr.Daly: Following this experience, Dr. Di Nicola became
my mentor. I had expressed a need for guidance, and he
promptly offered to be my mentor. As I look back at the
various projects we shared and events we attended, I real-
ize how pivotal this relationship was to my introduction to
Global Mental Health (GMH).
Dr.Di Nicola: I was impressed by Dr. Daly’s openness and
her search for meaning and a mentor in psychiatry. As then
Chair of the Global Mental Health & Psychiatry Caucus of
the APA, I was particularly keen to engage the residents in
our program in the caucus and invited Dr. Daly to join.
Daly: I had already heard of the term Global Mental Health,
but I had not really grasped the concept until the 2017 APA
meeting in San Diego. Dr. Di Nicola encouraged me to at-
tend a symposium in which he took part, sponsored by the
Council on International Psychiatry on “The Role of Culture
in Mental Health and Mental Illness: An International Per-
spective.” He also invited me to offer a resident perspective
at a symposium on Global Issues in Mental Health, which
he co-chaired. In between these two events, I met many
mental health professionals, including residents, with inter-
ests in global mental health. These experiences helped me
understand that GMH takes various forms, and that it is key
to delivering better psychiatric care across the world.
Di Nicola: As a professor and a voice for GMH in various
associations, I am committed to creating opportunities for
young people to learn about and contribute to the GMH
movement. Dr. Daly expressed interest and quickly made a
commitment to pursuing these goals with me as a men-
tor, including her involvement as a Resident Member of
our APA District Branch and creating together a mentoring
program in our residency program.We read the literature
on mentoring together and agreed with Kram’s (1985) dual
function of mentoring: career support and psychosocial
support. Career support includes exposure and visibility,
sponsorship and protection, while psychosocial support
involves counselling, friendship, acceptance and confirma-
tion, as well as role-modeling by the mentor.
Daly: At the annual meeting of the Quebec Psychiatric As-
sociation (QPA) in June 2017, Dr. Di Nicola, Dr. Andréanne
Wassef (another resident in our program) and I presented
a workshop on mentoring based on a literature review and
our own personal experiences.We covered the nature and
importance of mentoring in psychiatric training and early
career development, the different contexts in which men-
torship occurs, various examples of mentorship programs,
characteristics of mentors and mentees, as well as difficul-
ties and potential obstacles encountered in mentoring. Af-
ter the theoretical component, we invited the audience to
participate in a practical workshop where they were asked
to study mentorship dilemmas and propose solutions in
a debrief. The workshop ended with a very animated and
positive discussion as to how a potential mentorship pro-
gram would function in our own program.
Di Nicola: It is especially gratifying to see an interest in
mentoring blossom in our department with a strong
interest in other departments in our province (see Lis, et
al., 2009). The presentation at the QPA was attended by
many people, ranging from medical students to late-career
psychiatrists, all of whom spoke warmly on the topic of
mentoring, above all as a way to create and maintain the
whole person of the psychiatrist in an integrated view of
our field.We made links between this vision and the GMH
movement in robust and convincing ways.
Daly: In our workshop, we illustrated key differences be-
tween clinical supervision and mentorship. For the mentor,
the goal is to share and transmit his “professional heritage”
and bring about change within the mentee without di-
rectly affecting his or her productivity. Clinical supervision
involves evaluating the student whereas mentorship is an
informal exchange.
Di Nicola: That’s right, while clinical supervision has a set
beginning and end point, a mentorship relationship can be
viewed as ongoing. Moreover, clinical supervision is task-
centered whereas mentorship experiences can be more
open-ended.
Daly:Over the last year, my mentor has helped me become
a better participant in GMH; for example, by further forging
the AMERICAS
A Conversation between Nadia Daly, MD, PGY-4 and
Vincenzo Di Nicola, MPhil, MD, PhD, DFAPA
Professor of Psychiatry, University of Montreal

The Initiative on Global Mental Health has produced a narrative
based on values. This narrative is sometimes employed as argument
for designing interventions.1
Some of the values involved are instrumental or technical: better
science, appropriate technologies, and economic sustainability. They
refer to means for achieving desired goals.
Others are human essential values: fairness, equality, just access to
care. They are goals in themselves.
It is evident that under current world conditions and the prevailing
asymmetries of power and wealth universal mental health is unat-
tainable in the best possible form and in all aspects of human life for
everyone on Earth.
The idea of mental health is sometimes equated with full realization of
the human potential, happiness, and wellness. It cannot be defined
under only one exclusive paradigm.The acritical imposition ofWestern
ideology prevents the acceptance of alternative ways of living and being
healthy. Some aspects of life are important in some cultures; others dif-
fer greatly in this regard. Mental well being comes in different shapes.
The idea of globalization needs to be critically examined in this regard.
This fact notwithstanding, as with other value narratives, this one tries
to harmonize discrepancies, provide explanations, suggest actions and
promote a sense of participatory inclusion in a world community. It is
an eudemonic approach to an over-inclusive concept of health.2
If it were not for this kind of narrative, no concerted effort beyond na-
tional or ethnic borders could be attempted. The narrative reminds
experts and lay people of the challenges ahead and the needs felt by
people in different societies.
For psychiatry, considered as a community of practices, this means to be
aware of the multicultural environment in which it must be practiced.The
future of the discipline depends critically on an awareness of this fact.3
The future activities of theWorld Association of Social Psychiatry
(WASP) will address the valoric issues behind the narrative on global
mental health, especially the Regional Congress planned in Chile
during 2018 and theWorld Congress of 2019.
BIOGRAPHIES
Nadia Daly, MD is a graduate of McGill University
Medical School and a fourth-year resident in the
Department of Psychiatry of the University of
Montreal. Dr. Daly also graduated from the McGill
University Conservatory of Music with a degree
in piano performance. She is active in both the
American and Canadian Psychiatric Associations as
a resident member.
Vincenzo Di Nicola, MD, PhD, FRCPC, DFAPA is
Professor of Psychiatry at the University of Mon-
treal, Co-founder and Past Chair of the APA GMH
& Psychiatry Caucus, and President of the Quebec
& Eastern Canada District Branch of the APA which
will dedicate its annual scientific meeting to Global
Mental Health with Prof. Eliot Sorel as keynote
speaker, Montreal, January 19, 2018.
REFERENCES
Di Nicola, V. (2011). Letters to a Young Therapist: Re-
lational Practices for the Coming Community. New
York & Dresden: Atropos Press, 2011.
Kram KE (1985). Mentoring at Work: Developmental
Relationships in Organizational Life. Glenview, IL:
Pearson Scott Foresman.
Lis LD, Wood, WC, Petkova E & Shatkin J (2009).
Mentoring in psychiatric residency programs. Aca-
demic Psychiatry, 33: 307–312.
Straus, SE, Johnson, MO, Marquez, C & Feldman,
MD (2013). Characteristics of successful and failed
mentoring relationships: A qualitative study across
two academic centers. Academic Medicine, 88(1):
82-89.
the AMERICAS
my cultural identity. It is not coincidental that my
mentor and I share several features of our cultural
backgrounds. Discussing how to appropriate and
integrate those multiple identities has immensely
helped how I perceive myself in the context of GMH
and beyond. Every conversation we have expands
my ability to think critically about our field and the
world in which we live (see Strauss, et al., 2013).
Di Nicola: That sums up my personal and profes-
sional philosophy perfectly: To be open-minded
and curious, yet critical.
In conclusion, we hope this brief report will in-
spire both mentors and mentees to foster men-
toring relationships that can contribute to the
growth and success of the GMH movement.
SPECIAL NOTE
Dr. Daly nominated Dr. Di Nicola for an APA As-
sembly Resident-Fellow Mentor Award which was
presented to him at the Annual Meeting in San
Diego in May 2017.
REFERENCES
1
Olmos, P. Narration as Argument. Springer International Publishing,
Cham, Switzerland, 2017
2
Pedersen, D. Towards a unifying paradigm in global mental health.
In Suarez-Herrera, Sula-Raxhimi, E. Blain, M.J. Elements theorico-
pratiques pour une a pproache socio-anthropologique dans le champ de
la recherché en santé mondiale. ACFAC, Sherbrooke, 2011
The Narrativeon
Global Mental Health
and Local Realities:
TheValoric Dimension
Fernando Lolas
Fernando Lolas, MD
University of Chile

the AMERICAS
Kyle Gray Arushi Kapoor
The First Career, Leadership,
Mentorship Mind Games
When the Washington Psychiatric Society’s Career, Lead-
ership and Mentor (CLM) Program hosts an event with
“holiday cheer”, we mean it literally. The annual WPS DC
Chapter/CLM holiday party was held on December 7th
and this year also included the inaugural Mind Games
event, involving teams from all five area psychiatry resi-
dency programs. Who says good tidings can’t also involve
a friendly competition?
In anticipation of celebrating the 10th Anniversary of the
CLM in February 2018, the group enjoyed the success-
ful execution (standing room only!) of an event that truly
exemplifies its mission. Our CLM Mind Games competi-
tion, modeled after the American Psychiatric Association’s
national version, was first conceived during a small brain-
storming meeting among CLM leaders about a year ago.
Thanks to the leadership of CLM Founder and Chair, Dr.
Eliot Sorel, who brought in esteemed judges, Drs. Roger
Peele, Janice Hutchinson, and Robert Johnson to author
questions and ensure teams followed the rules, as well as
Dr. Tristan Gorrindo, Director of Education at the APA,
who advised the group on the APA’s format for the games,
the hardworking resident team led by coordinators Kyle
Gray and John Chaves, were able to pull off their vision,
bringing trainees and mentors together to show off their
psychiatry knowledge in a spirited and joyful competition.
Dr. Gorrindo’s signature advice to the group was simply to
“just make sure it is fun”.Working with a limited budget
(thank you to our competitors, by the way, for being good
sports about which team was determined to have “buzzed
in” first by waving a small flag adorned with their residency
logo and a famous psychiatrist — not an easy job for our
judges to make that call), the event certainly emanated a
jovial spirit. Dr. Sorel, doing his best version of Alex Trebek,
kept a tight pace and the crowd engaged with quick quips.
Jeopardy theme music even entertained the audience
during scorekeeping breaks (special thanks, as well, to
scorekeepers John Chaves and Arushi Kapoor who had an
unenviable task and held steady under pressure).
But the most exciting part of the night was undoubtedly the
game itself.Walter Reed took a large early lead in the first
round.With the pool limited to three teams by the second
round, GeorgeWashington pulled into a close second be-
fore the final round, with Saint Elizabeth’s a distant third.
Of course, it would all come down to which team could
best the others in a test of global mental health knowl-
edge. The final round was awarded to the team that could
come nearest to guessing the percentage of global disease
burden mental health conditions comprise among non-
communicable diseases. In a fitting twist of fate, the pro-
gram that resides within one of the word’s most renowned
psychiatric hospitals demonstrated its worldly expertise.
Drs Singh, Kaghazwala and Zaidi from Saint Elizabeth’s
came closest to the correct answer (14%), earning them
the coveted Mind Games trophy, built byWPS Resident-
Fellow member Madeline Teisberg — a treasure that is
surely to be featured proudly by Saint Elizabeth’s residents
until the teams spar again later this year.
The dramatic finish was celebrated with delicious food
and drinks, and more importantly, a coming together
among trainees and faculty from across Washington, DC,
suburban Maryland and Virginia.
We sincerely thank all involved and can’t wait for our
CLM Mind Games II in December 2018…!
Kyle Gray, MD, MA
Arushi Kapoor, MD
1st CLM Mind Games Champions,
St. Elizabeth’s Hospital team, Washington DC
MG Executive Committee: K Gray, E Sorel, J Chaves

Amitav Ghosh’s The Great Derangement: Climate Change
and the Unthinkable is a book about why, despite scien-
tific evidence about climate change that should horrify
and motivate us to make major changes, we, as a species,
remain so utterly unmoved. Ironically, I took notice of the
book because climate change is being increasingly recog-
nized as a public health crisis; more psychiatrists are ask-
ing, “What is our role in taking action to reduce the impact
of climate change”?1
Certainly, we will have many. One of
them should be to do precisely what Ghosh attempts in
this short, yet heavy read: help us to understand why, de-
spite our increasing knowledge of its devastating impacts,
willingness to act on climate change is so hard to ignite.
The Great Derangement examines this worrisome para-
dox from three major cultural modes: literature, history
and politics. He illuminates the forces that have shaped
these aspects of our culture, which we normally depend
on to inform us and provoke change, to explain why these
spheres of influence have been so inept when it comes to
compelling action to deter this crisis.While I recommend
reading the book in its entirety, and clearly psychiatrists are
concerned with history, and have an imperative to concern
ourselves with politics, it is his account of the failure of
literature to seriously take on the subject of climate change
that should most disturb the members of our profession.
As with writers, stories are psychiatrists’ medium. We
understand their power to transform. The psychologi-
cal concept of narrative persuasion has been gaining in
academic recognition, and was recently featured on the
popular You Are Not So Smart podcast, but psychiatrists
have long understood that change in an individual often
begins simply in our listening to their story and indicat-
ing our understanding of it2
. And this act undoubtedly
affects us as well. How many times have we had our own
biases shattered simply by hearing our patients’ stories?
Thus, that “fiction that deals with climate change is
almost by definition not of the kind that is taken seri-
ously by serious literary journals: the mere mention of
the subject is often enough to relegate a novel or a short
story to the genre of science fiction” should strike us as
particularly disturbing (page 7). Ghosh goes on to explain
the origins of science fiction as a result of “partitioning”
and “purification” of the sciences; modernity does not
tolerate “Nature-Culture” hybrids and so a separate form
of literature, outside the mainstream, had to be created.
Ghosh’s lamenting of this partitioning is reminiscent of C.P.
Snow’s famous 1959 lecture “The Two Cultures”3
. Snow ar-
gued the rift between the sciences and the humanities is the
biggest hindrance to solving the world’s greatest problems.
We are now up against perhaps the greatest challenge hu-
manity has ever faced. Psychiatrists are uniquely positioned
to play a pivotal role in bridging the two cultures, and tak-
ing on this challenge.We are trained to synthesize complex
problems within a bio-psycho-social-cultural framework –
with a few tweaks, we can apply this skillset to public health
rather than the health of an individual patient.
Many psychiatrists are starting to do so.This paradigm shift
of broadening our scope to include integrated care and
public health models to our practice is part of aTotal Health
strategy adopted by theWorld Psychiatric Association4
.
The Climate Psychiatry Alliance is another group of mental
health professionals working to turn the tragic tale of climate
change into one of triumph1
.We cannot afford to stand on
the sidelines of this issue. Let’s get involved, and tell the story.
REFERENCES
1
Climate Psychiatry Alliance. Web. 01 Dec. 2017.
2
Snow, Charles Percy (2001) [1959]. The Two Cultures.
London: Cambridge University Press. p. 3.
3
McRaney, David. “The power of fiction to change people’s
minds”. Audio blog post. You Are Not So Smart. 24 Oct. 2017.
Web. 01 Dec. 2017.
4
Sorel, Eliot. “Total health for all in the 21st century:
integrating primary care, mental health and public health”.
Dignity in Mental Health, a World Federation for Mental
Health publication. 10 Oct. 2015, p. 16-17.
BOOK REVIEW
The Great Derangement:
Climate Change and the Unthinkable
by Amitav Ghosh
University of Chicago Press, 176 pages.
REVIEWED BY:
Kyle Gray, MD, MA
National Capital Consortium, Psychiatry
the AMERICAS

ProfessorYueqin Huang, MD, MPH, PhD
Professor of Psychiatric Epidemiology
Institute of Mental Health, Peking University
ASIA/PACIFIC
Cohort Study on Mental
Disorders in China
A cohort study on mental disorders in China was launched in the summer of
2017. It is a four-year project funded by two million US dollars by the Minis-
try of Science and Technology of China. Both community cohort and clinical
cohort will be established in 55,400 patients with schizophrenia, major de-
pressive disorder and bipolar disorder. A data base including clinical diagno-
sis and treatment, biological sample, and general information will be set up
for long term follow-up. It is a project of the Thirteenth Five-year Plan, based
on the project of China Mental Health which was finished in the twelfth five-
year Plan of China.
The aims of the study is focused on schizophrenia, major depressive disorder
and bipolar disorder, exploring etiological and risk factors, clinical symp-
toms, prognosis, treatment and rehabilitation. The study will develop new
technical methods of analytical epidemiology, yielding computerized data
base for information sharing with all kinds of related fields. A benefit will be
to develop psychiatric theory and clinical and community service of mental
health.
The principal investigator is Professor Yueqin Huang from the Sixth Hospital
of Peking University. The co-principal investigators are Professor Guangmign
Xufrom Tianjin Anding Hospital, Professor Yanling He from Shanghai Men-
tal Health Center, Professor Liang Zhou from Guangzhou Huiai Hospital,
and Professor Hong Wang from School of Public Health of Peking University.
There are 18 collaborative institutions of mental health all over the country.
Yueqin Huang
REFERENCES
ShenY C, Zhang MY, HuangY Q, et al. Twelve-month prevalence, severity, and unmet
need for treatment of mental disorders in metropolitan China[J]. Psychological Medicine,
2006, 36(2):257-267.
Yueqin Huang, Zhaorui Liu, HongWang, Xing Guan, Hongguang Chen, Chao Ma, Qiang
Li, JieYan,YaqinYu, Changgui Kou, Xiufeng Xu, Jin Lu, ZhizhongWang, Lan Liu,Yifeng
Xu,Yanling He, Tao Li,Wanjun Guo, Hongjun Tian, Guangming Xu, Xiangdong Xu,
Shuyun Lv, LinhongWang, LiminWang,YongpingYan, BoWang, Shuiyuan Xiao, Liang
Zhou, Lingjiang Li, Liwen Tan. The China Mental Health Survey (CMHS): I. background,
aims and measures. Soc Psychiatry Psychiatr Epidemiol, 51, 1559-1569. DOI 10.1007 /
s00127-016-1270-z

Varghese P Punnoose said, “emotional and behavioural problems
are very common (15-20%) in school going children and they need
urgent attention.” He was delivering a Special Lecture to mark the 7th
Anniversary of the Child and Adolescent Guidance Clinic (CAGC) on
September 20, 2017, organised in association with theWorld Associa-
tion of Social Psychiatry (WASP),WPA Preventive Psychiatry Section
and Indian Medical Association.
Roy Abraham Kallivayalil in his Presidential Address said, “WPA has
recently published a Bill of Rights for children and young people
which mandates, they should be given medical and mental health
care besides rights and opportunities at all times.” He said that UN
Convention on the Rights of the Child (UNCRC) applies to all the
people below 18 years and it seeks to ensure their civil, political,
economic, social, cultural and health rights. India is among the 196
countries who are signatories to UNCRC, making it an obligation on
the part of Central and State governments. He said the World Health
Report 2000 (WHO) showed 20% of children and adolescents suf-
fered from disabling mental and emotional problems. Suicide ranks
as the 3rd most common cause for death in adolescence and this is a
serious cause of concern.
Rev. Dr.ShajiVazhayil blessed the new premises of the CAGC. Dr. T.U.
Sukumaran chaired the scientific session. Rev. Fr.MathewVadakkekut-
tu, Dr.Joice Geo, Dr.Laila Divakar, and Dr Soumya P Thomas spoke.
ASIA/PACIFIC
REFERENCES
Savita Malhotra1 and Bichitra Nanda Patra 1.
Prevalence of child and adolescent psychiatric
disorders in India: a systematic review and meta-
analysis. Child Adolesc Psychiatry Ment Health. 2014;
8: 22
Barbara Maughan, PhD,*,1 Stephan Collishaw,
DPhil,2 and Argyris Stringaris, MD, PhD, MRCPsych3
.. Depression in Childhood and Adolescence. J Can
Acad Child Adolesc Psychiatry. v.22(1); 2013 Feb
Varghese P Punnoose, Professor and Head,
Department of psychiatry at Govt. T.D Medical
college in Alappuzha, India
Child and Adolescent Guidance Clinic (CAGC), Dept
of Psychiatry, Pushpagiri Medical College, Tiruvalla,
India
Roy Abraham Kallivayalil, President of World
Association of Social Psychiatry (WASP)
Rev. Dr. Shaji Vazhayil, Chairman, Pushpagiri;
Dr. T.U. Sukumaran, Professor and Head, Dept
of Peadiatrics, Pushpagiri; Rev. Fr.Mathew
Vadakkekuttu, administrator; Dr. Joice Geo,
Assistant Professor; Dr. Laila Divakar, District
Psychiatrist
Emotional Problems in Childhood &
Adolescence Need Urgent Attention
Professor Roy Abraham Kallivayalil
President, World Association of Social Psychiatry
National Vice-President, Indian Medical Association
Prof. Varghese P Punnoose
is delivering the 7th CAGC
Anniversary Lecture at
Pushpagiri. Dr Joice Geo,
Prof TU Sukumaran, Prof
Roy Abraham Kallivayalil
and Dr Soumya P Thomas
are seen.
Roy Abraham Kallivayalil

EUROPE
Global Mental Health Mentees
and Mentors Network Workshop
(GMHMMN) at the WPA XVII
World Congress of Psychiatry
Berlin, Germany 2017
The GMHMMN workshop at the WPA XVII World Con-
gress of Psychiatry was presented by three groups of early
career physicians from three different countries in both
psychiatry and family medicine, collaborating across
health disciplines in the true spirit of the GMHMMN. The
workshop was chaired by our mutual mentor and found-
er of the GMHMMN, Professor Eliot Sorel.
Drs. Adarsh Tripathi and Arun Enara from India pre-
sented on the history of GMHMMN and the vision and
mission of the network, encouraging transdisciplinary
cooperation between physicians around the world. They
discussed the launching of GMHMMN at the XXII World
Congress of Social Psychiatry in New Delhi India, Decem-
ber 2nd 2016 and summarized the mission and vision
of the network as being a catalytic hub for innovation,
research advancement, services, education and policy in
global mental health across all areas of medicine.
Dr. Irina Radu, a family practice physician from Roma-
nia, presented about opportunities of transdisciplinary
collaboration among young professionals. In her presen-
tation entitled “Innovation in Postgraduate Education:
An Integrative Model Across Disciplines.” She summa-
rized the collaboration among early career physicians in
psychiatry, family medicine, ecology, and public health
during The World Psychiatric Association’s International
Congress 2015, held in Bucharest, Romania. She high-
lighted the importance of interdisciplinary dialogue and
collaboration among different disciplines.
Drs. Cristina Secarea and Madeline Teisberg from the
United States presented on physician burnout. The topic
has been getting increased attention since the number
of physicians suffering from burnout is on the rise, with
51% of US physicians reporting symptoms of burn-
out according to the 2017 Medscape Physician survey.
During our presentation “Healing the Healers: Promot-
ing Physician Wellness”, we examined both individual
and systemic components contributing to this growing
epidemic. We highlighted the importance of building
resilience through self-care, supporting clinician trainees
by fostering healthy, collegial communities and breaking
the silence by reaching out to other physicians when in
need of support. We emphasized that physician burn-
out can be a matter of personal health, but also a health
system problem. As a consequence, physician burnout
can often impact and spread throughout organizations;
ultimately affecting the quality of patient care and even
patient safety. We stressed the importance of changing
the culture of medicine and the environment in which
we practice. Our ultimate goal is to contribute to the
discussion around how our career can evolve further into
a sustainable, humane profession that fosters health and
cares for both patients and doctors alike.
We drew upon our own experiences participating in orga-
nized medicine; being involved in our local and national
medical communities, educating colleagues about the
risks and protective factors surrounding burnout and
supporting wellbeing projects within our institutions,
which have all served as protective factors against burn-
out in and of themselves1. This year the World Medical
Association is revising their pledge, a modern update to
the Hippocratic Oath, adding “a requirement for phy-
sicians to attend to their own health, well-being and
abilities in order to provide care of the highest standard.”2
Physicians and health systems across the world are plan-
ning and piloting physician wellness programs, taking
back our humanity and modeling the care we hope to
provide for others. It is an exciting and wonderful time
to be in medicine. As residents about to embark on our
careers, we have high hopes for how our community is
evolving and collaborating to improve not only the sci-
ence, but the care of people in medicine.
REFERENCES
1. https://newsinhealth.nih.gov/2017/02/do-social-ties-affect-
our-health
2. https://www.wma.net/news-post/modern-physicians-
pledge-approved-by-world-medical-association
Madeline TeisbergCristina Secarea
Cristina Secarea, MD and Madeline Teisberg, DO, MS

EUROPE
C. Gastaldon, D. Papola, M. Purgato, C. Barbui
Cochrane Global Mental Health, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry,
University of Verona, Verona, Italy
C. Gastaldon D. Papola M. Purgato C. Barbui
COCHRANE GLOBAL MENTAL HEALTH:
A New Cochrane Network has been Established in Verona
Cochrane Global Mental Health (GMH) is a scientific net-
work established in 2017 by Cochrane, a global indepen-
dent network of researchers, professionals, patients and
people involved in health care.1, 2
At a global level there are still striking disparities in men-
tal health care provision between rich and poor coun-
tries. Low- and middle-income countries (LMICs) are
home to more than 80% of the global population, but use
less than 20% of the share of the mental health resources,
leading to a large treatment gap with more than 75% of
persons in LMICs without access to services, including
mental health care.3, 4
To address this huge treatment gap, the mission of GMH
is to facilitate sharing of knowledge and experiences for
optimising mental health promotion, prevention and
treatment interventions in LMICs5
.
In particular, Cochrane GMH’s aims are to support the
production, dissemination and implementation of system-
atic reviews relevant to mental health in LMICs, to provide
training on evidence synthesis, and to enhance evidence-
based practice. Further goals of GMH are to facilitate a
mutual learning approach and to share attitude between
mental health workers in different parts of the world.
Cochrane GMH gathers the five Cochrane Review Groups
that address mental health conditions: Schizophrenia;
Common Mental Disorders; Dementia and Cognitive
Improvement; Developmental, Psychosocial and Learn-
ing Problems; and Drugs and Alcohol. Cochrane GMH
is based at the World Health Organization Collaborating
Centre for Research and Training in Mental Health and
Service Evaluation (WHO CC) of the University of Verona,
Italy, and is coordinated by Corrado Barbui, Director of
WHO CC, and Marianna Purgato, researcher affiliated
with the WHO CC.
The group is looking for partners to work with from all
over the world, and contributions from LMICs will be es-
sential. Cochrane GMH is a great opportunity for mental
health care, so all those who are interested to be involved
as authors, review advisory group members, peer-
reviewers, editors may visit the Cochrane GMH website
(http://globalmentalhealth.cochrane.org) and email the
coordinators for further information.
REFERENCES
1. Barbui C, Purgato M, Churchill R, Adams C, Amato L, Mac-
donald G, McCleery J, Minozzi S, Sheriff RS. Cochrane for
global mental health. Lancet Psychiatry. 2017 Apr;4(4):e6.
2. Barbui C, Purgato M, Churchill R, Adams CE, Amato L, Mac-
donald G, McCleery J, Minozzi S, Sheriff RS. Evidence-based
interventions for global mental health: role and mission of a
new Cochrane initiative. Cochrane Database Syst Rev. 2017
Apr 21;4:ED000120
3. Cochrane Collaboration. Cochrane strategy to 2020. (ac-
cessed Dec 28, 2016) https://community-archive.cochrane.
org/sites/default/files/uploads/Strategy%20to%202020_up-
dated_Final_Feb2016.
4. World Health Organization. Scaling up care for mental, neu-
rological, and substance use disorders. Available from: http://
www.who.int/mental_health/mhgap_final_english.pdf.
5. Saraceno B, Barbui C. Global mental health: achievements,
concerns and (unanswered) questions. Epidemiol Psychiatr
Sci. 2016 Dec;25(6):493-494.

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