1. L3 Mental Health services.pptxVIP

Abnormal PsychologyLecture 3: Management and Intervention?Outline:Grand challenges in mental health and service needsCommon mental health servicesMedical, Psychosocial; Familial; Vocational Primary, secondary and tertiary preventionIssues in interventionNew direction: Recovery model and Consumer-led MH servicesSupport to the care-givers!Grand%20challenges%20in%20Global%20Mental%20health.docx2011 Grand challenges in global mental health Nature (2011), 475, 27-30: Key findingsMH challenges (including schizophrenia, depression, epilepsy, dementia, substance dependence disorders) constitute 13% of the global burden of disease, surpassing cardiovascular disease and cancer (WHO 2008: The global burden of disease)Depression is the leading burden of mental, neurological and substance-use (MNS) disorder in worldwide, high, middle and low-income countries MH service goals: DEPENDS on whether the place is developed!A: Identify root causes, risk and protective factorsB: Advance prevention and early intervention (Public Health approach) -Primary prevention 防患未然 (prevent) -Secondary prevention 防微杜漸 (cure) -Tertiary prevention 亡羊補牢 (rehabilitation), and Advocacy C: Improve treatment and access to care -include screening in primary health care -improve provision of effective medications -provide effective community care -improve children care especially in low income countriesD: Raise awarenessE: Build human resources capacity -pre and in-service trainingF: Transform health system and policyPrinciples for future mental health service planning:Use a life-course approach to study: age and transition-sensitiveUse ecological-systemic approachIndividual level: age, personality, background Familial level Socio-cultural level Mutual participation in the rehabilitation planThe chronology: Predisposing, Precipitating and Maintaining factorsUse evidence-based interventionsUnderstand environmental influences on MNS challengesIntervention goal: 3 Levels of Prevention in the Public Health m