E-mental Health Interventions

Transcription

1 Joining Forces Across Europe for Prevention and Promotion in Mental Health - Conference Report Allyson McCollam & Andrej Marušič 1

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3 what were we doing here? contributing to the european process of mental health improvement after the... 3

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5 what we were also doing learning everbody found something new sharing accepting that there are several diversities not with a purpose in getting consensus 5 knowing this is not an end

6 hence,... not even this report should be seen as an end there will be comments & inputs here and later on (report on web) 6

7 also not reporting on plenaries meant as an introduction to strands to raise issues let s try not to focus on what is missing in this reporting not a systematic collection of everything that happened highlights of an ongoing discussion a flavour of the conference 7

8 Strand 1: Prevention & Promotion diversities across europe in school mental health promotion are obvious in children and adolescent s s mental health all sectors need to be involved (education, health,...) and cooperate all across europe (a working party needed?) destructive and self-destructive behaviour in schools to be identified and effective actions to be implemented children of parents with mental disorders are at risk european multicentre project aimed to the work for children of parents with mental disorders is needed 8

9 Strand 2: Depression & Suicide Lessons learned implementing an intervention? adaptation needed! intervention effective? will not last forever! complex behaviour related intervention? integration of different approaches needed! e-intervention can be (cost-)effective from screening to treatment e-mental health mental health without a person-to-person work Areas for development there is no intervention without a systematic follow-up of suicide attempters other potentials of e-health to be explored (only younger?) legal aspects of e-mental health interventions? if things go wrong... 9

10 Strand 3: Policy I broadening of mental health field is having both positive and negative impacts on all involved need of regular meetings of all involved to develop a common ground, common values and mutual respect policies across europe tend to be oriented either into prevention or into promotion exchange of knowledge and experience between those working in prevention & promotion needed (european network areas of excellance in mental health to be created) other integration is needed: policy & evidence-based validation & population data availability researchers, practitioners, citizens, policy makers 10

11 Strand 3: Policy II implementation (at the national level) to be multi-component, multi-level, level, multi-sectorial and requires a cyclical process of making the case, developing coalitions, taking actions, review, adjustment and continuity mental health is necessary in all policies we need to be flexible, persistant, knowledgeable and able to recognise & use windows of opportunity we can learn from other PH / HP areas about how to get greater priority p to integrate mental health and well-being into planning decision making and implementation in all areas at european, country, regional and a local areas 11

12 Strand 4: Supporting implementation - economics Learning point Magnitude of economic costs of poor MH mean that even modest levels of effectiveness can be cost effective. Areas for development We should be using economics to advocate for evidencebased programmes in a language people understand and using creative means Grounds for investment are strong in relation to: suicide prevention; workplace; health promotion; childhood development; exclusion from work 12

13 Strand 4: Supporting implementation - evidence Learning point Careful appraisal, interpretation and use of evidence is essential, taking account of context, methods etc Area for development Mechanisms to collect and share evidence are valuable but need to be kept up to date 13

14 Strand 4: Supporting implementation - capacity building Learning points There are many well developed training models, methods and materials Dual role of MHP specialists direct and supporting other professionals Area for development Possible European training network to share and develop culture and country relevant materials and resources (incldg migrants), and facilitate cross country initiatives 14

15 Strand 5: Settings - workplace 15 Learning point We should be lobbying policy makers and business leaders to improve workplace MH, in view of the economic and public health consequences of not doing so Area for action We need to develop and share knowledge about effective interventions that fit different types of Workplaces and that target known inequities in mental health

16 Strand 5: Settings - health care Learning point Increased empowerment and self esteem improve outcomes for medical treatment. Area for development Health services should regard all interventions as opportunities for appropriate mental health promotion activities, whatever the reasons for treatment. 16

17 Strand 5: Settings - NGOs Learning point NGOs can demonstrate effectiveness in many fields of MH promotion, as innovators, service providers and campaigners. Areas for development Sustainability is a precondition for NGO s effectiveness in promoting mental health. As long as there is transparency, NGOs should be prepared to work with all stakeholders and all stakeholders should consider working with NGOs 17

18 Strand 5: Settings - education Learning point Distilling the core principles of what works can be useful in transferring programmes to other contexts and in adapting them to different cultures and settings Area for development To be effective, mental health promotion in the education sector has to engage with the whole system: families, young people, teachers and the local community. We need to ensure effective engagement of these stakeholders in planning, designing, delivering and evaluating programmes. 18

19 Strand 6: Social inclusion and empowerment - gender Learning point Research and action need to be better informed by an understanding of the structural, psychosocial and individual MH determinants for women and for men, to identify priorities and plan programmes targeted at relevant risk factors. Similar issues raised re Migrant populations. Area for development Gender should be a key consideration in the planning implementation of the strategy 19

20 Strand 6: Social inclusion and empowerment - social networks Learning point Social integration of people with mh problems can reduce the harmful effects of stigma and discrimination and enhance the development of individual social networks. Important to use existing networks to get to hard-to-reach populations eg migrants. Area for development Strengthen mechanisms to share info, learn about stigma work and share public attitude surveys. 20

21 Strand 6: Social inclusion and empowerment - service user role Learning point The empowerment of service users as partners involves a shift in attitudes, resources, training and support Area for development Major institutional change is needed to enable the active participation of users in the planning and delivery of promotion and prevention interventions 21

22 Final reflections on the conference A landmark event: vitality and energy, creativity, expertise, experience PLUS resilience Where next? Maintaining momentum Engaging with the big social issues of our day Working collaboratively Keeping in mind the big picture while doing what we can here and now 22

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