In this section, we highlight the need for psychologists and psychological interventions worldwide. Yet interventions in a global context requires that we first consider ethical issues, cultural competencies, and the World Health Organization's (WHO's; 2013) core competencies in global mental health.
The Need for Psychological Interventions GloballyWhy should psychologists intervene globally? Worldwide, the need for mental health interventions is abundantly clear and largely unmet. WHO (2008) estimated that more than 450 million persons worldwide suffer from mental disorders. Depression accounts for more days of lost productivity from death and disability than any other condition (WHO, 2013). Alcohol dependence is among the top 10 causes of disability across all income groups, and substance abuse is recognized as a worldwide problem (Degenhardt & Hall, 2012). Moreover, 26 million people around the world are estimated to have schizophrenia, which is further associated with poor physical health, homelessness, and discrimination (WHO, 2008). Anxiety-related disorders remain a global problem, often in connection with stress, violence, poverty, and health problems (Baxter et al., 2013). Overall, mental health concerns account for 14% of the global burden of disease, which is likely an underestimation given the relationship between psychological health and chronic diseases (WHO, 2013).Despite the prominence of mental health conditions globally, most people do not receive adequate mental health care (WHO, 2022). In low-income countries, less than $0.25 USD per person is spent annually on mental health, with the majority of such funds dedicated to inpatient hospitals (WHO, 2013). Complicating matters, low-income countries have a paucity of mental health workers, with the ratio of psychiatrists to persons estimated at 1:200,000 (WHO, 2013); other mental health professionals, such as psychologists, are even rarer. The COVID-19 pandemic has placed further stress and mental health strain on individuals worldwide, increasing the need for services, posing new barriers to treatment, and further exposing the harsh inadequacies of mental health services. Clearly, the field of psychology has not responded sufficiently to the vast need for mental health services around the world. In part, this response level is due to insufficient allocation of resources, limited education regarding global mental health, and a restricted sense of pro fessional identity. Along with others, we contend that psychology has an ethical obligation to become more thoughtfully active on the global stage (e.g., Berry, 2013).
Rationale for ReachingOut: International, Transnational, and Global Intervention WHO (2022) regards global mental health concerns as human development issues that warrant broad structural attention beyond traditional ways of Copyright American Psychological Association. Not for further distribution.Intervention 77 intervening (Draguns, 2007). Public health concerns, poverty, population growth and mobility, human trafficking, intercultur...