Mental, neurological, and substance use disorders are a leading cause of morbidity, mortality, and disability in the Americas, and are influenced by complex interaction of genetic and environmental factors. Substance use is strongly linked to premature mortality, as well as to numerous adverse social and health consequences. Likewise, suicide, for which mental disorders and substance abuse are key risk factors, is a significant and growing public health concern in the Region, representing the third leading cause of death in young adults aged 20 to 24. Half of all mental illnesses begin by the age of 14 and three-quarters by the mid-20s, creating the need for joint early action that promotes positive mental health and prevents the development of mental disorders.

The scope of technical work for this outcome will include development of intersectoral policies, and plans, as well as legislation, aimed at maximizing the psychological and overall well-being of individuals and populations. Additional actions will focus on strengthening the capacity of the health system and other sectors for the prevention, surveillance, early detection, treatment, and health promotion activities related to mental health and substance use disorders and their respective risk factors throughout the life course. Education, in the form of mental health literacy, coping skills, and life skills development, will help to reduce stigma, promote positive mental health, and minimize risk for mental disorders, alcohol and substance use disorders, and suicide. Priority psychosocial interventions will target youth and adolescents as well as groups in conditions of vulnerability.

Work toward this outcome will promote collaboration and action across diverse entities (government agencies and ministries, nonprofits, academic organizations, civil society, private sector, and so on, as appropriate) throughout the planning and implementation processes. The participation and inclusion of people who have lived experiences of mental health issues will be emphasized.

Note: For further details on the scope of this Outcome, please refer to the PAHO Strategic Plan 20-25 Document.