Sec. 2. Findings; sense of Congress
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Congress finds the following: According to the World Health Organization (referred to in this section as WHO ), an estimated 1,000,000,000 individuals worldwide have a mental health or substance use disorder. The Lancet Commission estimates that nearly 130,000,000 additional cases of major depressive and anxiety disorders globally in 2020 resulted from the COVID–19 pandemic. According to WHO— depression is among the primary causes of illness and disability in adolescents; 50 percent of mental health disorders emerge by the time an adolescent reaches 14 years of age; and 14 percent of children and adolescents worldwide experience mental health conditions, the majority of whom do not seek care, receive care, or have access to care.
According to a report commissioned by the United Nations— more than 1 out of every 5 individuals living in a conflict-affected area has a mental health disorder; approximately 1,500,000,000 (or 2 out of every 3) of the world’s children younger than 18 years of age live in countries affected by conflict; more than 1 out of every 6 children live in conflict zones; a greater number of children live in areas affected by armed conflict and war now than at any other time during this century; and the mental health burden in conflict-affected contexts is twice the global average.
According to the WHO— risk factors that increase susceptibility to mental health disorders include— poverty and hunger; chronic health conditions; trauma or maltreatment; social exclusion; discrimination; and exposure to, and displacement by, war or conflict; these risk factors, along with demographic risk factors, manifest at all stages in life; preliminary research illustrates that the COVID–19 pandemic— has increased the risk factors affecting communities, families, and individuals for multiple types of adversity; and compounded preexisting conditions and vulnerabilities.
According to a Lancet Commission report— allocations for mental health have never risen above 1 percent of health-related global development assistance; and child and adolescent mental health services receive an estimated 0.1 percent of health-related global development assistance. It is the sense of Congress that— helping to ensure that individuals have the opportunity to thrive and reach their fullest potential is a critical component of effective and sustainable international development efforts; mental health is integral and essential to overall health outcomes and other development objectives; mental health is an issue of critical and growing importance for United States development and humanitarian assistance programs that requires coordinated efforts to ensure that programming funded by the United States Government is evidence-based, culturally competent, and trauma-informed; the relevant United States Government development and humanitarian assistance strategies should include a mental health and psychosocial support component; the redesign of USAID— reflects the nexus between humanitarian and development interventions; and should be applied to all mental health and psychosocial support efforts of United States development and humanitarian assistance programs; and ongoing efforts to improve social service workforce development and local capacity building are essential to expanding mental health and psychosocial support activities across all United States development and humanitarian assistance programs.