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the importance of working through central governments and ministries of finance to try to build capacity and sustainability, despite the bureaucracy and corruption that sometimes exist.

In response to a query from the audience about collaboration, it was acknowledged among the panelists that their participation in this workshop session was the first time they have been “in the same room at the same time.” Multiple comments made it apparent that many in the room, including participants, were captivated by the potential of what could be accomplished with a concerted amalgamation of the panelists’ programming and research portfolios, budgets, and expertise. The last question addressed the issue of ignoring the data about self-directed violence by asking about the potential impact of the Wellstone bill for mental health parity and the president’s New Freedom Commission report on the need to transform the mental health system of the United States. The response indicated that there are a great number of people in the mental health workforce, but the majority of them are not trained to do anything that has an evidence base to it. Addressing this workforce issue will not be easy and will require bringing on a new cohort of people who are actually trained to do what needs to be done. The importance of integrating mental health into the umbrella of primary health care, in a way that has not previously occurred, was also identified. In one panelist’s opinion, the irony of this workshop meeting did not go unnoticed because this integration happens much better in some countries than it does in the United States, which he likened to a Third World country in terms of the quality of care that is developed and the access to care that people have. This workshop meeting was one place where, interestingly, we could actually learn from other opportunities in global health, and he mentioned that an awful lot can be learned from the rest of the world about how to do this better. Lastly, it was commented that the human rights-based work that is being done should not be overlooked as part of the common agenda in terms of the opportunities it creates for recovery from trauma, healing, justice, and accountability for victims of violence.



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