TASKS ACTIONS NEEDED Survey of resources and
epidemiology ermine the country’s
Comprehensive resource orientation, and completion of epidemiological studies to det
prevention opportunities and acquire precise data on the state of mental health, designing uniform survey, methods, organisation of regional surveys.
Primary prevention
amily, the school, the helping Designing and implementing primary prevention programmes of action based on the assessment of needs and resources
1. Priority settings: The f
professions, religious organisations, NGOs, labour safety 2. Project types: Training, assessment of needs and resources, mental health promotion actions, prevention programmes, communications development, and networking.
3. Content: Preparing the family to relay values and norms
rting
tion professionals d otion that help young people become able to evolve constructive, full lifestyles
Designing programmes to prepare families, suppo implementation of these programmes
Expanding services that help maintain family functions with the participation of mental health promo
Training family helpers, professionals
Organising communities of families to help themselves an one another and to offer them mental health prom support, to train the animators of family communities in mental health, to support NGO initiatives and volunteer work.
To prepare the school to meet its mental health promotion role. To make the effort to advance the school system which does not automatically meet the requirements of the era, so at it supports individual children even if they are disabled
life must become a part of public Maintenance of mental health should be given priority in l targets th
or are less talented.
To make integrated mental health promotion a part of public education.
Education for a healthy education.
adult education, ahead of general and professiona and contents.
Accredited mental-health promoting post-graduate training needs to reach out to the largest possible number of people
Strategic directions of implementation
in the helping professions, who sometimes are the only ones ome into contact with a
to c t-risk people, and do so in the
Teac le in the helping professions must be
e on, for meeting in
t, and ion Incl
teac
supe
natural media of their work (teaching, psychological counselling, social work, somatic medicine).
hers and peop
off red the opportunity for supervisi
groups to discuss cases, for training to avoid burn-ou for establishing self-help networks.
Designing and initiating mental health promot programmes to prevent or eliminate exclusion.
uding information on mental health promotion in the her-training curriculum.
Designing professional protocols for peer assistance, establishing a peer assistance network, and organising
rvision by peer helpers.
rdinating mental health promotion professionals an
Coo d
organising supervision for them.
Preparing communities, supporting religious organisation and NGO community relations that build the communit
have a social calling.
y and
ety
Preventing workplace mental hazards should become the job of labour saf .
Suicide
S
ducation for healthcare workers enabling early Introducing mandatory reporting of attempted suicides.
ing up crisis management section
ett s in psychiatric wards.
Establishing crisis intervention centres.
Setting up suicide prevention centres with emergency 24 hour/day crisis care.
Treatment and extended care following failed attempts.
Continuing e
recognition of suicide warning signs.
Developing and coordinating telephone hot-lines, supervising and assisting the staff manning the phones, network building, improving phone service operation conditions with peer assistance.
Up-to-date care of mental disorders
ilities
rking in The goal is to attain an optimum quality of life.
To update the system of mental health institutions, and to shift the network of psychiatric institutions towards community psychiatry.
– The decentralisation of psychiatric extended care facilities
– Incentive financing for extended care fac – Increase the number of professionals wo
extended care.
– Ensure regular supervision for professions working in ommunity
acilities
Health’ operating with multidisciplinary o extended care facilities
– Training of rehabilitations professionals in c
psychiatry nursing, social work and labour rehabilitation.
– Support experiments with models.
– Design group practices with psychologist services – Build and enlarge psychotherapy outpatient f
– Increase the number of child psychiatry extended care facilities, replace ‘neurology extended care’ centres with
‘Houses of teams.
– Ensure the conditions for a liaison psychiatric service t operate, extend the service nation-wide, and make it accessible to primary health care and other professions Early recognition and
tervention
tion and curricula in school health (school physician, health visitor)
Preparing teachers to safeguard students’ mental health Running a sensitising program for people working in primary
n for primary primary Organising psychological services connected to primary health care
Training in child psychiatry for paediatricians
Starting up programmes for early involvement in treatment.
Coordinating training and continuing educa for teachers and for other participants in
health care
– Effective instruction in psychiatry as a subject during residency of family practitioner
– Organising accredited continuing educatio health care staff
Offering regular supervision to professionals in health care
Rehabilitation Advancing community rehabilitation broken down by welfare and healthcare institutions.
The rehabilitation programmes should be accessible for all groups and the programmes should include a broad range of activity.
The rehabilitation services should be accessible in local communities.
Daytime clubs should be established with work-rehabilitation programmes, skills development and a continuing care plan based on individual need.
Training of labour-rehabilitation specialists.
Ensuring regular supervision during rehabilitation.
Offering regular supervision for rehabilitation staff.
Design concepts of protected living.
Set up day hospitals for chronic patients for patients who need medical control and professional assistance.
Child psychiatric rehabilitation.
Special homes, schools, child protection institutions that rely on the profess
Set up mult support
children (bio-psycho-social protective network).
market, making ional knowledge of child psychiatry.
idisciplinary intersectoral teams to Organise communication with labour
retraining possible for people with mental disorders, design halfway houses
Media Health, as a value to be built into the public consciousness.
Media needs to emphasise the importance of quality of life.
Present constructive, positive lifestyle as value in the media, and reduce presentations that say otherwise.
Disseminate knowledge on mental health.
educe the prevalence of mental disorders
oks of teachers and other people in the helping professions, prove their helping skills
R A