Presentation on theme: "The scope of Mental Health Promotion / Mental Disorder Prevention Conceptual boundaries under debate WHO Collaborating Centre on Health, Psychosocial and."— Presentation transcript:
The scope of Mental Health Promotion / Mental Disorder Prevention Conceptual boundaries under debate WHO Collaborating Centre on Health, Psychosocial and Psychobiological factors, Belgium Institut Wallon pour la Santé Mentale (Walloon Institute for Mental Health), Belgium Ligue Bruxelloise Francophone pour la Santé Mentale (French-Speaking League for Mental Health), Belgium
Question The practice of care givers and professionals involved in the mental health field?The practice of care givers and professionals involved in the mental health field? The general population, MH Services users and carers?The general population, MH Services users and carers? Policy makers, MHP / MDP Policies ?Policy makers, MHP / MDP Policies ? To what extent does the broadening of mental health field have an impact on:
The mental health field Care givers:Care givers: How to cure?How to cure? How to keep in life?How to keep in life? Prevention:Prevention: Primary:Primary: How to decrease the incidence?How to decrease the incidence? Secondary:Secondary: How to avoid complications ?How to avoid complications ? Tertiary:Tertiary: How to avoid relapses?How to avoid relapses? Policies:Policies: Public health Mortality Morbidity prevalence Diseases
Broadening of the M ental Health field WHO definition of the health:WHO definition of the health: The health is not only a lack of illness But also a complete physical, mental and social state of well being
The mental health field WHO ConceptsWHO Concepts InvalidityInvalidity DeficiencyDeficiency HandicapHandicap Care giversCare givers SkillsSkills AbilitiesAbilities Prevention:Prevention: Physical: ie How to maintain a right to sexuality and pregnancy with a mental handicap? Psychologic: ie How to develop or refind skills and abilities with a mental disorder? Social: ie How to keep citizenship with mental problems? Policies:Policies: Rigths and protection Forensic psychiatry Privation of liberty Protection toward others Diseases Functionnal
The mental health field Diseases Functionnal Adverse effects
The mental health field Fields:Fields: IatrogenicIatrogenic DrugsDrugs EnvironmentalEnvironmental Care givers:Care givers: The best care and cure?The best care and cure? Evidence Based MedecineEvidence Based Medecine Practice Based EvidencePractice Based Evidence Value Based EvidenceValue Based Evidence Family therapyFamily therapy Prevention:Prevention: Risk factors Mediators Protective behaviors for health Policies:Policies: Food and drugs quality Environmental nuisances Diseases Functionnal Adverse effects
The mental health field Diseases Functionnal Adverse effects Ill being
The mental health field Fields:Fields: Life eventsLife events StressStress DistressDistress Care givers:Care givers: CopingsCopings ResilienceResilience Quality of LifeQuality of Life Prevention:Prevention: Work Pauperisation War and refugies Immigrants and transcultural psychology Policies:Policies: Well being at work Discriminations Poverty Diseases Functionnal Adverse effects Ill being
The mental health field Diseases Functionnal Adverse effects Ill being Safety
The mental health field Care giversCare givers Health behaviors attitudesHealth behaviors attitudes Perceived safetyPerceived safety Coping with violenceCoping with violence PreventionPrevention Violence In the city At school How to live in a world Multi cutural Multi ethnic Multi religious? PoliciesPolicies Perceived safety in the city: Fighting against offenders Illegal drugs Maffia and traffic with human people Lightening in the street ¨Presence of security stewards or policy in the street…. Diseases Functionnal Adverse effects Ill being Safety
And why not? Diseases Functionnal Adverse effects Ill being Safety HAPPINESS
Indeed Happiness, for instance, is in the US constitution a fundemental right of a citizen…Happiness, for instance, is in the US constitution a fundemental right of a citizen…
Debate What is the impact of the broadening of the Mental Health field onWhat is the impact of the broadening of the Mental Health field on 1.Psychosocial workers? 2.The general population and on services users and carers? 3.The relations with policy makers? General concluding statementGeneral concluding statement Action point or recommendationAction point or recommendation
The broadening of the MH field in general + For some years, the broadening of MH field has given more importance to the field in general, for the general population, health care professionals and policy makers alike. - The broadening of MH field makes it difficult to define. The use of 'Mental well-being' includes: 1° ' Social determinants of (mental) health' environmental, social, economic, cultural and other factors that can engender or favour the development of mental health problems or pathologies; 2° Subjectivity of individuals who must be able to enjoy good mental health and to feel that it is good
The broadening of the MH field for psychosocial professionals + Conceptual extension of the MH field allows for the inclusion of the subjectivity of individuals The main focus of attention of MH professionals must go beyond the pathology and must include as a higher priority the dimension of their relationship with the patient - 1° Lack of an unambiguous vocabulary shared by all the approaches and disciplines in MH, as well as by policy makers and programmes managers. 2° Lack of visibility and comprehensibility of the MH field. First-line health care professionals have difficulty with MHP and MDP projects, because of little knowledge of the existing resources. They generally have also difficulty dealing with mental health problems, which can delay the diagnosis and amplify the problems.
The broadening of the MH field for the general population, service users and carers + As Mental Well-Being allows for the inclusion of the subjectivity of individuals, the accountability of MH Services users is facilitated. This involvement is in itself a priority of the Mental Health Action Plan, and it is also an opportunity when it comes to the effectiveness of MHP / MDP programmes - 1° The awareness and image of the MH field that are common among the general public, non-specialised health professionals or in the media generate additional questions in terms of MHP and MDP 2° Lack of visibility and comprehensibility of the MH field among the general public, MH Services users and non-specialised health care professionals. While individuals are generally aware of the resources in the field of physical health (doctors, general hospitals, etc.), they know little or nothing about the services, projects and structures in the MH field.
The broadening of the MH field for policy makers - 1° According to more wide-ranging definitions, MH could concern the majority of ministerial departments No overall vision of the work being done in the field. Very many specific prevention projects, but they are not part of a general and concerted approach to the field, and they do not sufficiently take into account the social determinants of (mental) health within the framework of MHP / MDP 2° Observable political vacuum in relation to certain sub-issues which can only partially be included within the MH field, such as handicaps, school dropout, conflicts connected with multi-ethnic cohabitation... and of which the social determinants extend beyond this field (social precarity, well-being in the workplace, etc.