Erica Cao and Usama Javed Mirza are both passionate about community-based mental health. They lead initiatives that aim to improve well-being in their respective countries—Cao in the U.S. and Mirza in Pakistan.
Usama’s journey began with a student-run medical service. He became a medical first responder while pursuing his studies. This experience opened his eyes to the urgent need for better emergency mental health resources. After facing challenges while seeking help for a friend in crisis, he founded Saving 9. This organization launched Asia’s first mental health ambulance, which has already assisted over 100 cases. It connects patients to immediate care, especially in rural areas.
On the other hand, Erica began her work with Humans in Harmony in 2017 while studying music and medicine. This organization helps students and patients engage in music-making to foster creativity and agency. One of her notable projects includes teaching young people in juvenile detention to write songs for pediatric cancer patients. Now, she continues her role as a psychiatrist while conducting participatory research that highlights community needs through music.
Both Erica and Usama recognize music’s powerful healing qualities. They recently discussed how music creates a sense of belonging and healing within communities. Usama noted how calming sounds during ambulance rides can ease stress. Erica added that hospitals can be chaotic, and soothing environments may help patients during critical moments.
Building their organizations hasn’t been without challenges. Usama faces issues like funding and local politics, especially in rural settings where stigma can make seeking help difficult. Similarly, Erica feels the effects of funding cuts on mental healthcare access, particularly for uninsured patients.
A pressing concern for both is the impact of trauma on mental health. Usama highlighted how cultural misunderstandings during the pandemic affected some individuals’ willingness to follow health guidelines. Meanwhile, Erica works with patients whose mental health is affected by chronic trauma, often linked to social and immigration policies.
Both advocates agree on the need for a holistic approach to mental health. Usama is collecting data in Pakistan to assess schools’ emotional support for students. He aims to create resources to guide positive changes due to a growing focus on mental health.
In a world grappling with mental health crises, the insights from Erica and Usama stress that community efforts can truly make a difference. They demonstrate that addressing mental health requires not only immediate care but a broader understanding of cultural and societal influences.
For more information on community mental health initiatives, check out resources from the World Health Organization.

