globeA new global initiative has been launched that aims to reduce the mental health gap by engaging global and community leaders across private, public and philanthropic organisations. 

Launched at the Clinton Global Initiative Annual Meeting in New York, ‘mental health now’ or ‘mhNOW’ is a challenge to cities around the world to close the global mental health treatment gap by catalysing and networking collective actions among leaders in every sector.

More than 30 organisations are involved, including King’s College London, Grand Challenges Canada, Harvard T.H. Chan School of Public Health, International Medical Corps, Johnson & Johnson, National Institute of Mental Health, Orygen Center of Excellence in Youth Mental Health, StrongMinds, Verily Alphabet, the World Bank, and the World Psychiatric Association, among others.

The mental health gap affects more than 450 million people worldwide and stretches beyond the narrow boundaries of health. Mental illness will make up more than half of the economic burden of disease over the next two decades – more than cancer, diabetes, and chronic respiratory diseases combined – and the global cost of all mental disorders combined is estimated to reach $6 trillion by 2030. Additionally, mental disorders are a particular challenge for youth – suicide is a top-three cause of death among youth worldwide, and 90% of children who die by suicide have a mental illness.

Because the effects of mental illness touch livelihoods, productivity, and even whole economies, mhNOW is taking a cross-sector and city-driven approach to close the mental health gap. Cities – with their networks, density, creativity and entrepreneurial capacity – bear the highest burden of mental health but also have the highest potential to achieve meaningful mental health impact.

mhNOW will engage 30 cities by 2030, mobilising and channelling support to exceptional city projects that address mental health by providing resources, recognition, and technical assistance for outstanding initiatives in three target areas: scaling local evidence-based innovative programs, mobilising youth leadership, and improving the evidence base for the return on investment in mental health using city-level and global data indicators.

Professor Graham Thornicroft from the Institute of Psychiatry, Psychology & Neuroscience is leading the King’s College London group, which is evaluation partner for the mhNOW consortium. He said: “mhNOW is a bold new partnership going well beyond previous initiatives in this field. We aim to achieve transformational change by bringing together groups which have not previously been active in the mental health field, working together to increase access to treatment for people with mental illness in many of the world’s greatest cities, by mobilising young people as agents of change. King’s will play a vital role by assessing the impact of this ambitious global programme.”

Chris Underhill, co-lead of mhNOW and founder of BasicNeeds, added: “Mental illness is humanity’s largest burden – one in four of us will experience mental illness sometime in our lives, and in developing countries, over 90% of people with mental illness receive no treatment. The good news is that proven strategies for cost-effective and high-quality mental health treatment exist – we just need to activate them. This new initiative will empower cities to spark that action on mental health to close the gap.”