The CAPE (Compassion, Assertive Action, Pragmatism, and Evidence) vulnerability index – Second Edition: Putting mental health into foreign policy to address globalization, conflict, climate change, and natural disasters

Author:

Torales Julio12,Castaldelli-Maia João Mauricio34,Ventriglio Antonio5,Barrios Iván6,Almirón-Santacruz José7,García Oscar7,Caycho-Rodríguez Tomás8,Day Geraint9,Menon Valsraj10,Sri Anna11,Persaud Albert12,Bhugra Dinesh12

Affiliation:

1. National University of Asunción, School of Medical Sciences, Department of Medical Psychology, San Lorenzo, Paraguay, Brazil

2. National University of Asunción, School of Medical Sciences, Department of Social Anthropology (Santa Rosa Campus), Santa Rosa del Aguaray, Paraguay, Brazil

3. Department of Neuroscience, Medical School, Fundação do ABC, Santo André, SP, Brazil

4. Department of Psychiatry, Medical School, University of São Paulo, São Paulo, SP, Brazil

5. Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy

6. National University of Asunción, School of Medical Sciences, Department of Statistics (Santa Rosa Campus), Santa Rosa del Aguaray, Paraguay

7. National University of Asunción, School of Medical Sciences, Department of Psychiatry, San Lorenzo, Paraguay

8. Universidad Científica del Sur, Lima, Perú

9. Health and Social Policy UK, London, United Kingdom

10. Clinical Director, Kent and Medway NHS and Social Care Partnership Trust, United Kingdom

11. Core Trainee Psychiatrist West London NHS Trust, United Kingdom

12. Institute of Psychiatry Psychology and Neuroscience, King's College London, London, United Kingdom

Abstract

Background: The CAPE Vulnerability Index serves as a worldwide foreign policy indicator that implies which countries should get assistance first. It provides an evidence-based, well-structured, and well-reasoned strategy for employing aid in bilateral arrangements with mental health as a basis. Objective: The second edition of the CAPE VI has been developed to identify which nations should get priority foreign aid. Materials and Methods: We considered various indices or measures at the country level reflecting the average national health status or factors influencing public health. To make our choice, we used 26 internationally accessible and verified indicators. For the study, we have scored the countries according to these indices and prioritized those with the worst scores. Results: The CAPE Vulnerability Index is based on the number of times a country is ranked among the low-scoring nations. It is based on nine parameters and is an independent measure even though there may be a correlation with similar indices such as life expectancy, disability-adjusted life years(DALYs), physician numbers, and gross domestic product(GDP). Conclusion: We concluded that low-scoring countries were fragile or failed states, such as nations where governments lack complete oversight or power, are often oppressive and corrupt, have allegations of violations of human rights, or are marked by political turmoil in different forms, drawbacks from severe environmental damage, severe impoverishment, inequalities, cultural and racial divisions, cannot supply fundamental amenities, are victims of terrorism, and so on. To address these essential problems impacting fragile nations, administrations, aid donors, local organizations, mental health specialists, and associations should collaborate.

Publisher

Medknow

Subject

General Medicine

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