Mental Health in the UAE Calls for Community Involvement

By: Zainab Kandeh

Produced & edited by: Olivia Harlow

Depression, Bipolar Disorder and Post Traumatic Stress Disorder are just few of the many mental illnesses that people all over the world live with everyday including those who have yet to be diagnosed.

While there are facilities and professionals ready and willing to help people who have a mental illness, coming forward and seeking help in the UAE and throughout the world can be a difficult step.

Zayed University Associate Professor and Psychologist, Dr. Justin Thomas said that issues with treatment methods often make people reluctant to seek help. 

“Treatment is often poor and takes little account of the clients world view, Dr. Thomas said. “Anti depressants for example [are] over prescribed and [have] lots of side effects with little evidence of efficacy beyond placebo.”

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Zayed University Assistant Provost for Student Affairs and counseling psychologist, Dr. Fatima AlDarmaki said that differences in culture and fear of alienation are factors that contribute to why people may be reluctant to seek treatment. 

“There is a lot of cultural misunderstanding and stereotyping about the mentally ill,” Dr. AlDarmaki said. “Not everybody who’s having mental health issues is insane. That’s what I think mainly people are afraid of. The concern about their image and the concern about how other people will perceive them is sometimes why they try to tolerate the sickness or the problems alone without talking to anyone about it but it gets to the point where they can not tolerate it and they have to share it with somebody.”

A client feeling as if they can share their experience and build a relationship with a health professional is something Clinical Psychologist and Head of the Psychology Division for the American Center for Psychiatry and Neurology, Dr. Susan Partridge said is most important in the UAE.

“The therapeutic relationship is really important in working here,” Dr. Partridge said. “It’s important anywhere but in the Arab world the emphasis on relationships makes it even more central-without it you are likely to fail to engage your client in the therapeutic endeavor.  After that you need a good formulation (an understanding of how the problem started and what maintains it) and that should indicate what intervention is needed.”

Dr. AlDarmaki said that honesty and clear expectations also add to the success of a client continuing with treatment.

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“You have to explain to the patients and clients how [treatment] works and what the expectation is. If the client expects that in one session, oh, I will feel good or I will recover from my issues, they will be disappointed if they don’t see immediate results and maybe they will not come back. You have to explain how treatment works and you have to explain the role of what they need to do to outside of therapy. Clients need to be motivated. If the client is not motivated treatment usually doesn’t work.”

There are many facilities throughout the UAE equipped to help people with mental illnesses, including centers such as the Sheikh Khalifa Medical City managed by the Cleveland Clinic in Abu Dhabi and the American Center for Psychiatry and Neurology located in Abu Dhabi, Dubai and Sharjah.

While facilities continue to expand and improve American University of Sharjah Assistant Professor of Psychology, Dr. Sabrina Tahboub-Schulte said the effort must continue.

“It is great that there is an increasing number of clinics and hospitals available,” Dr. Tahboub-Schulte said. “This trend should continue combined with more awareness campaigns and educational programs.”

Zayed University Psychology Professor Man Chung echoed Dr. Tahboub-Schulte’s sentiment and challenged the public to take an active role in learning about mental illness.

“I think we have to educate the public first on what mental illness is,” Dr. Chung said. “We need to educate the public about that and almost begin to change the way in which people think about mental health difficulties. Mental health is nothing that people need to be afraid of. People with mental health problems are able to help themselves but I think the general public doesn’t necessarily see that.”

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The World Health Organization hopes to and is activly steps to ensure that the importance of mental health education is known around the world. In its Comprehensive Mental Health Action Plan 2013-2020 the World Health Organization plans to influence mental illness with four objectives; to strengthen effective leadership and governance for mental health, provide comprehensive, integrated and responsive mental health and social care services in community-based settings, implement strategies for promotion and prevention in mental health and strengthen information systems, evidence and research for mental health.

While the world has come a long way in the treatment and understanding of those who have mental illnesses, it is on the radar of many countries that more should be done, including the UAE. Being as that mental health affects all people, Dr. AlDarmaki said she hopes that people realize the role that mental health plays throughout one’s life.

“Mental health is part of our lives,” Dr. AlDarmarki said. “Mental health is what brings you to work and makes you interact with people so it’s important that we support any effort to emphasize mental health and the services for mental health for those who need mental health services. Policies, procedures, services, accessibility, education and awareness are all important. As physical health is important mental health is important. As education is important mental health is important. Emotional support and mental health support is important.

SOS Russian Union of Women

By: Madina Baimagambayev

Produced and edited by: Olivia Harlow

Hundreds of Russian women have felt cornered and violated, with many locked in their own houses by their husbands until they’ve completed tasks such as cooking and washing clothes.  If they don’t complete household chores, they are then physically beaten.  These women are victims of domestic abuse.

Women's associations are increasingly taking the form of socially-oriented NGOs and have become the most responsive, mobile structures, capable of solving significant social issues.  These NGOS help women all over the country, by offering psychological material and legal aid to women struggling specifically with domestic violence and gender inequality.

Today, in every major Russian city, there are dozens of women's organizations – both those officially registered and those not registered. There are around 800 total, with more than 100 of them charities. These organizations first had to fix statutory, structure, and formalize. In the primary analysis of relevant information, database fields attracted the attention to the fact that the traditional area of ​​activity associated with the public opinion of the women's movement, namely, the "women's struggle for equalization of rights with men in the economic, social, political and cultural fields, as well as their participation in the political struggle," is by no means dominant. Of course, a certain group of women's groups affirms the necessity of building equalization of opportunities for women and men at the state level, both in the political and legal sphere. However, many prefer to stick to investing in "small business" in order to gradually overcome negative effects of the reforms that have touched women since the end of the twentieth century.

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Russian Union of Women (RUW), created in November 1990, is a public, all-Russian, non-governmental organization. RUW organizes women's councils, unions, associations, committees and clubs operating in many Russian regions, on a voluntary basis. It also includes four federal organizations: the Women's Union of the Navy, The Russian Union of Public Associations, Russian Public Movement of Russian women, and Russian School Library Association. RUW also collaborates with other NGOs in more than 100 countries around the world, as well as with UN specialized agencies.

The Department of Public Information of the United Nations has a special consultative status with the Economic and Social Council (ECOSOC) as the holder of an honorary diploma of the United Nations “Messenger of Peace.”

Women in difficult situations can contact the RUW either by phone, written letters, or by visiting one of its branches. If a woman has no place to live, the RUW provides a dorm room in which they can stay for a month, free of charge, with free meals, psychological counseling, medical help, and jurisprudent assistance. The RUW always tries to find ways to help women in need regardless of if they are citizens or not. It is not rare to see RUW helping women from Uzbekistan, Kyrgyzstan, or other countries outside of Russia.

One woman, who hopes to remain anonymous, claims that RUW saved her and her children’s lives from violence in her family in 2013. RUW gave her a place to live, provided a jurist for her case, and offered a psychologist for her and her child. She was a foreigner without Russian residence, so the RUW stepped in to support her family and prevent her deportation to the country where the domestic abuse had taken place. RUW helped the domestically battered immigrant woman earn Russian citizenship, as well as find a job and a place to live.

This union also helps support young families, who don’t yet have an opportunity to buy clothes, household appliances or food. In 2013, RUW provided over 500 families with material aid charity, and by the end of 2014 this number is expected grow by 20 percent.

© Russian Union of Women

In September 2013, a young family from an autonomous republic of Russian Federation, Bashkortastan, applied for financial support for the family. Irina, mother of 2 sons, became pregnant at 17 and did not know where to get help. When she first saw a commercial on Internet for RUW, she did not believe that anyone would help her and her young unemployed fiancé with material support.

“We have a certain image of such organizations.  No one believes that they really can help.  Me personally was thinking that it is another organization where you will wait for help forever and in the end they would ask you to collect thousands of papers and documents you wouldn’t know where to take,” she says.  However, Irina took that chance and later received a call from the Centre for Social Support for Women.

After a couple days, volunteers from RUW contacted Irina and later provided her with clothes, food and vitamins for pregnant women, and even invited her to classes at “University of Maternity”— another branch of the RUW which was established in 2013. That socio-educational program was created to improve conditions of maternal and child health, to give breastfeeding support, and to promote healthy lifestyles that strengthen the family. This program has helped many young families, including Irina and her fiancé Felys to get some critical knowledge for personal development and to acquire necessary parenting skills.

Italian Wine Woes for 2014 Sobering

By: Alexandra Rhue

Produced and edited by: Olivia Harlow

  

At first glance, news about the Italian 2014 wine harvest is bleak.  Newspaper and online sites offer estimates of a 15% to 30% shortfall from previous years.  Carlo Giudice, a partner at Col di Corte Winery in eastern Italy, says that he is aware of the shortfall in the 2014 wine harvest, acknowledging that in wine production this year “many companies in Italy have had less.”  In a country that is the world’s leading wine producer, a shortfall of 15% in an annual harvest that usually tops 1 trillion gallons of wine, is a vital economic consideration.

France, Italy’s closest wine production competitor, will move into first place in the world of wine production if the wine harvest shortfall reaches proportions predicted. The ripple effects could extend beyond the economic impact suffered by Italian wineries. Italian wine experts, as well as bottlers, distributors, and owners and managers of nearly 200,000 wineries are keeping a watchful eye on the wine harvest.

Geralyn Brostrom, Italian wine expert, entrepreneur, and educator, points out that “the actual numbers won’t be calculated until sometime after the harvest finishes and producers have been able to assess and report.”

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With the harvest around 50% complete in many areas, it is an intense time in the wineries. Jim Hutchinson, wine importer at Domenico Valentino in New York, says that in areas “like Valdobbiadene-Conegliano where wines are released within months of the harvest, the impact of a severe shortfall will be felt almost immediately.”

Some well-known wine producing areas such as Puglia, Sicily, and Tuscany—all recognized for their vintage wines—are considering scrapping a 2014 vintage altogether.  Large wineries are able to minimize the impact of an unsuccessful year.  Brostrom says that “farmers, whose sole livelihood comes from growing and selling grapes to wineries, will be much more affected than a winery with multiple wines and perhaps even previous vintages to sell.”

Growing up on a farm in Italy, Carmelinda Chilelli, whose parents produced red and white wines, knows the importance of the grape harvest in family businesses.  “Children don’t go to school when it’s time for the harvest.  Everyone helps each other, because there is a lot of work behind it.”

Weather is the culprit for the recent, consistently poor wine harvest. This summer, Italy was cool and wet, a contrast to the country’s regularly warm, dry summers that usually help produce an array of fine Italian wines.  Brostrom reports that producers she has spoken with “have commented on [the weather] as well.”  High rain totals combined with the lower than normal temperatures caused grapes to ripen so slowly that vine disease developed.  Increasing the damage, hail blanketed many of the wine growing regions as storms swept through, decimating grapes already suffering from the cool temperatures and excessive rainfall.

Popular wines, such as the well known Amarone or Ripasso are likely to still be produced.  Mike Veseth, wine expert and writer for The Wine Economist, says that some producers will “omit their top of the line Amarone and divert grapes to other quality levels.”  He remains optimistic that for 2014, “there will be Amarone!”

Italian social media specialist, Federico Maisenti, suggests that “the majority of the population isn’t much aware of the problem,” and notes that he hasn’t heard of any relatives or friends discussing the issue. If, indeed, the harvest shortfall is 15% or greater, Maisenti believes the industry would face serious repercussions both on a local and global scale. “In addition to have less amount of choice personally, the export market would be heavily penalized,” he says.

Other Italians are more aware of the harvest shortfall. Fabio Venturini, an engineer from northern Italy, believes that the average Italian citizen is always concerned about weather and assumes that this year’s harvesting is not optimal.

Pietro Becatti, a young Italian musician, says that he learned of the wine harvest shortfall from newspapers and friends in the agriculture areas.  “I do not think there will be serious consequences. Probably people will use the reserves of the former years,” he says.  “They will get used to a lower quality!”

Hutchinson states, “There are still a significant number of appellations that were not badly impacted by the poor weather.”  While most producers agree that 2014 wasn’t particularly a good year, the impact on wine pricing is less clear all around.

Hutchinson says that if the general quality of wine is considered inferior, prices may go down regardless of the presence of a shortage. Giudice, taking a more optimistic view of the reduced harvest, believes that despite the bad weather, the economic impact is “not a disaster.”

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Although this is evident issue in most of Italy, a few wine producing areas of the country expect to have a normal or above level and quality of wine production.  The northwest section of Italy, home to several wineries, should be able to bottle some fine vintage wines.  In the Piedmont region of Italy, the Nebbiolo grapes—now ready for harvest—should produce a hearty quality red wine, perhaps even a quality Riserva.

Clearly, the wine industry remains cyclic.  Good weather brings fine wine harvests, while rain and cool temperatures of the past summer result in poorer quality and lesser quantity of grapes. The ability of the Italian wineries to adapt and rebound must not be overlooked.  Brostom points out, “As global warming has affected the wine industry worldwide, savvy producers have also adapted, and a family or company in the wine business for the long haul is also able to adapt.”  He believes that no matter what, Italian wines have been and will remain popular worldwide. Many growers, buyers, and consumers are already looking forward and hoping for a highly successful 2015 vintage. 

Cambodian Education System Remains Corrupt

By: Olivia Harlow

Produced and edited by: Zainab Kandeh

For thirty-five years, Cambodia has strived to overcome its haunting history in regards to Khmer Rouge.  Today, Cambodia focuses on reclaiming various cultural identities, especially through restructuring an education system that was completely obliterated not too long ago. 

During the infamous 1975-1979 genocide led by communist leader Pol Pot, Cambodian intellectuals were completely eradicated from the country.  Approximately 2 million were killed; specifically those Pot felt were academically superior to him.  According to NGO Education Partnership research, nearly 90% of teachers at the time were murdered, while the rest fled the country.   

Cambodia has progressed but still struggles to replenish what had become a broken, practically nonexistent, educational system.  Cambodia’s constitution disseminates free education for nine years to all of its citizens; however, this service is rarely coerced.

© Olivia Harlow 2014

Wath Saw, is the first of his family to have completed more than six years of education.  Today he attends one of Cambodia’s top universities, Pannassastra, where he studies International Relations. “School doesn’t provide really free and fair education to everyone,” he says.

Almost all schools in Cambodia require students to purchase uniforms, which many cannot afford.  Getting to and from school almost always requires owning a bicycle or motorbike, which again, students cannot easily afford.  Additionally, many teachers require to be paid, regardless of the constitution’s assurance of a zero-cost education.

Poverty remains ubiquitous. According to UN Human Development Report studies, 18.6% of Cambodia’s population lives below $1.25 a day; that’s nearly 20% of a country’s population living below a $456.25 annual income.  The average annual income in Cambodia is $750.    

Even if students could afford this “free” education, without tuition costs and attendance policies, students lack incentive to attend school.

Sadly, around 4% of Cambodians are uneducated their entire lives, with literally no exposure to even one year of primary schooling.  While the other 96% begins attending primary school, only 34% percent of students continue on to lower secondary education (grades 7-9) and only 21% continue to upper secondary education (grades 10-12).  

Sen Su, Deputy Director of This Life Cambodia, says that when he started in primary education, he would walk to school with a group of thirty-five students, but that this number quickly plummeted. Only two people from Sen’s community, including himself, went to high school.  

Sen says parents and friends have a huge influence on drop out rates.  It can become a trend.  “If majorities of parents aren’t sending students to school, then others won’t as well,” states Sen.

Perhaps one of the biggest issues stems from the fact that poorer, more rural areas lack easily accessible education. Roughly 85% of Cambodians as farmers, and 36.1% of Cambodian children work jobs on these farms that, in the United States, would be deemed unfitting for their age.  Because many children are born into families who don’t recognize the importance of education, a large majority of kids are raised with the mindset that labor should be their main focus. “In their image, there is only farming,” Wath says. 

The few schools that exist in pastoral areas oftentimes lack quality in more aspects than general education.  These schools also lack access to clean water, electricity, proper healthcare, and manageable roads during rainy seasons. This contrast when compared to Cambodia’s urbanized educational structures makes it clear that education favors large cities.  

There is an evident disparity between the wealthy and poor, leading to a consequential gap in terms of academic success. Private sectors exist only in high-class areas, proving that typically only the wealthiest children can excel academically.

Without adequate funding for educators and implementation of increased accessible schools in rural areas, Cambodia has no hope to create permanent changes within its education system. 

© Olivia Harlow 2014

Teachers cannot rely on teaching salaries, causing many to pursue better paying jobs.  Many teachers are forced to work two or three additional jobs in order to survive. When trying to maintain various careers, teachers have less time for updating curriculum, building relationships with students, and interacting with students’ families.  It’s clear that low income for teachers drives quality of education down. 

Many teachers generate income by requiring students to pay fees for classes, despite the fact that education is meant to be free.  This corruption can go as far as teachers’ willingness to sell answers and degrees to students. According to Oxfam Country Director, Chris Eijkemans, “You can buy your grades.”

Further economic assistance is crucial. Recent studies reveal that Cambodia’s education expenditures in terms of its gross national product spending are merely 2.6%.   The government pledges $1.50-$1.75 per student in primary schools, in order to fund annual teaching materials and operating costs. This subsidy is insufficient for even the most basic needs.

The absence of proper funding for education results in further corruption and a heightened disparity between the wealthy and poor.

Sen says that had he not paid for private tutoring, he would not have been able to pass the national exam and attend high school. Again this stresses the idea that only wealthier families are able to obtain quality education in Cambodia. 

 “I’m not from a rich family,” Sen clarifies, “but I am lucky to have parents that wanted me to have education.” 

Since Khmer Rouge, Cambodia has expanded education.  The country intends to give equal opportunity to all children.  The number of schools has increased, along with student and teacher populations.  However, drop out rates, inconsistent attendance, crowded classrooms, inaccessible schools, corruption, and disparity persist. UNICEF Reports show that Cambodia’s illiteracy rates remain high, with nearly 75% of men and 45% of women yet to learn their ABCs.

“Education is the basis for everything.  If you don’t build it right from scratch, then it won’t happen in any case.  So what I really hope is that government takes responsibility,” says Eijkemans.

Sen claims that although education has evolved since he was in school, “Compared to now, it’s not really different.” 

While this seems discouraging, the rise of forward thinking, progressive organizations, as well as international aid, have helped push Cambodia in the right direction. 

Self Help Community Centre (SHCC) is one of many NGOs, that provides free education and social services for Cambodia’s underprivileged youth.  Founder and director, Choan Sambath, established SHCC with the dream of providing unique and quality education. “I knew people were struggle, and I decide when I have enough money, I would open school to bring change,” Sambath says.

© Olivia Harlow 2014