Looking at these two countries side by side, there are drastic differences. The United States is considered one of the wealthiest
countries, while Liberia is considered one of the poorest.
Still, both experience lasting harm when the basic human right to mental health care is denied -- dispelling the myth that people who are financially secure are somehow immune to experiencing mental illnesses.
In both countries, silence and neglect contribute to the burden. People who speak plainly about needing treatment for or living with a mental health condition risk social isolation, discrimination at work, and in some cases violence or unjust imprisonment. The stigma surrounding these illnesses creates needless suffering and negatively impacts quality of life. In Liberia, myths and misconceptions about the causes of mental illnesses, the validity of evidence-based treatment, and the ability of people with these illnesses to be productive and engaged citizens exacerbate the suffering and exclusion in society. The silence typically caused by stigma has slowed the growing movement among people of both countries to demand equitable treatment for mental health disorders.
We need to end the silence and put pressure on governments and the private sector to prioritize mental health care reform. And the reform process needs to be guided by informed decision-making that includes the voices and stories of people with lived experience.
In the United States, the Georgia Mental Health Consumer Network is a leading voice for those who have been affected by mental illnesses and an exemplary provider of peer support services, while in Liberia, Cultivation for Users' Hope is an advocacy group based in Liberia's capital city, Monrovia. In 2017, Cultivation for Users' Hope, which is run by mental health service users and is allied with The Carter Center, helped Liberia's Ministry of Health pass its first law to improve health care for people with mental illnesses
and prevent discrimination against them.
Both organizations ensure that the views of people living with mental illnesses are included in efforts to decrease discrimination and improve access to care.
Input from people with mental disorders is an essential part of advocacy for health insurance parity in the United States. More than 10 years after Congress passed the Mental Health Parity and Addiction Equity Act (MHPAEA)
, a law requiring that insurers treat mental health and substance use disorders on par with other illnesses, many states still do not comply with the law. A 2018 study
released by The Kennedy Forum, The Carter Center, and the Well Being Trust, issued a "failing grade" to 32 states for not fulfilling statutes of the law.
The Carter Center works with organizations such as the Kennedy Forum to call for compliance and encourage public participation in the forum's "Don't Deny Me" campaign, a consumer-driven movement to demand accountability from lawmakers and insurance commissioners.
During this month, which is dedicated to mental health awareness, Speak Your Mind, a global civil society campaign was launched at the annual World Health Assembly in Geneva, as health and government leaders gathered. Bringing together people with firsthand experience of mental health conditions, experts and organizations, the campaign demands governments immediately act to invest, educate and empower for better mental health.
We are at the beginning of a mental health revolution in the United States, in Liberia and globally. As we seek to normalize these disorders and recognize the truth about how many people are affected by them, we need a chorus of authentic, united voices of people who understand these conditions to push for urgent action, funding, legislation, and beneficial policies.
Speaking up about this subject can be difficult. But the time has come for people who have lived with mental health disorders to make sure their voices are heard.