““MENTAL HEALTH and CHRONIC MENTAL HEALTH and CHRONIC PHYSICAL ILLNESSES: THE NEED for PHYSICAL ILLNESSES: THE NEED for CONTINUED and INTEGRATED CARE”CONTINUED and INTEGRATED CARE”

WORLD MENTAL HEALTH DAY 2010 WORLD MENTAL HEALTH DAY 2010 Global Awareness CampaignGlobal Awareness Campaign

The World Federation for Mental HealthThe World Federation for Mental HealthL.Patt Franciosi Ph.D.L.Patt Franciosi Ph.D.Chair of WMHD 2010Chair of WMHD 2010

The World Federation for Mental Health envisions a world in which mental health is a priority for all people, and where public policies and programs reflect the crucial importance

of mental health in the lives of individuals.

WFMH’s Mission is to promote the advancement of mental health awareness, prevention of mental disorders, advocacy, and best practice recovery-

focused interventions worldwide.

WORLD MENTAL WORLD MENTAL HEALTH DAYHEALTH DAY

The Global Mental Health The Global Mental Health Awareness Campaign of the Awareness Campaign of the World Federation for Mental World Federation for Mental

HealthHealth

RICHARD C. HUNTER, DEPUTY SECRETARY GENERAL OF WFMH FROM 1983 THROUGH 2002, ENVISIONED WORLD MENTAL HEALTH DAY AS A GLOBAL AND UNIFIED EFFORT TO PROMOTE GREATER PUBLIC AWARENESS AND UNDERSTANDING OF MENTAL HEALTH AND MENTAL ILLNESS.

HIS DREAM CONTINUES TO BE REALIZED EACH YEAR ON OCTOBER 10 – NOW CELEBRATED ANNUALLY AS WORLD MENTAL HEALTH DAY IN OVER 100 COUNTRIES!

WORLD MENTAL HEALTH DAYWORLD MENTAL HEALTH DAYWorld Mental Health Day is the largest and mostWorld Mental Health Day is the largest and mostwidely celebrated program of the WFMH. For 18 widely celebrated program of the WFMH. For 18 years the WFMH has been using the WMHDAY years the WFMH has been using the WMHDAY campaign to draw attention to some of the worlds campaign to draw attention to some of the worlds most important mental health issues. Written so most important mental health issues. Written so everyone can use the material, increasing the reach everyone can use the material, increasing the reach by expanding our translations and distributing the by expanding our translations and distributing the material for free – the WMHDAY campaign is material for free – the WMHDAY campaign is celebrated all over the world, officially proclaiming celebrated all over the world, officially proclaiming October 10 as World Mental Health Day. October 10 as World Mental Health Day.

Over the years we have seen a significant increase in Over the years we have seen a significant increase in requests, languages, events and media attention and requests, languages, events and media attention and we know the program will continue to grow with the we know the program will continue to grow with the help of those that continue to celebrate and support help of those that continue to celebrate and support this amazing idea. this amazing idea.

2010 WMHDay Campaign Theme“Mental Health and CHRONIC PHYSICAL

ILLNESSES”

2010 THEME2010 THEMEThe 18The 18thth annual World Mental Health Day global annual World Mental Health Day global

awareness campaign theme - awareness campaign theme -

““Mental Health and CHRONIC PHYSICAL Mental Health and CHRONIC PHYSICAL ILLNESSES”ILLNESSES”

addresses one of the increasingly important trends in addresses one of the increasingly important trends in the way that mental illnesses are being treated the way that mental illnesses are being treated

worldwide. The campaign intended to draw attention to worldwide. The campaign intended to draw attention to the growing body of knowledge which emphasizes the the growing body of knowledge which emphasizes the

benefits of enhancing overall health and promoting benefits of enhancing overall health and promoting mental health by integrating health care services. mental health by integrating health care services.

WMHDay 2010 aimed to provide consumers, families, WMHDay 2010 aimed to provide consumers, families, and advocacy organizations with accessible information and advocacy organizations with accessible information

on this extremely important topic.on this extremely important topic.

2010 CAMPAIGN PACKET OUTLINE2010 CAMPAIGN PACKET OUTLINETABLE OF CONTENTS

WORLD FEDERATION FOR MENTAL HEALTH AGENDA...... MENTAL HEALTH AND CHRONIC PHYSICAL ILLNESSES:

INTRODUCTION.

SECTION ONE .......... Chronic Physical Illnesses and Mental Health: Fact Sheets, Overviews and Resource Material

Cardiovascular Disease and Mental Illnesses ..........

Diabetes and Mental Illnesses....

Respiratory Diseases and Mental Illnesses.......

Obesity and Mental Illnesses.......

Cancer

SECTION TWO..... The Need for Integrated Care

There is No Health without Mental Health...Dr. Michelle Riba The Role of Primary Care in Improving Access to Care for Persons with Mental Health Problems and Chronic Physical Illnesses...Dr. Gabriel Ivbijaro Mental Health as an Investment: Cost Savings and Improved Quality of Care...Dr. David McDaid

SECTION THREE.....

Strategies for Consumers and Family Caregivers

Building Resilience Resource Material: 10 Ways to Build Resilience

Building Support Systems Resource Material: Building Social Support

Self Management Resource Material: Ten Essentials for Managing Chronic Illnesses

Caregivers and Support Persons Resource Material: Family Caregivers: What You Should Know about Burnout Resource Material: Chronic Physical Illness - The Effects on Mental Health: Information for Parents,

Carers and Anyone Who Works with Young People

SECTION FOUR.... A Call to Action - Integrated Care: It Takes a Village

.SECTION SIX

2010 WMHDAY Proclamation Media Release Sample Article, Letter to the Editor

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Empowerment of Patients

Gaining Psychological Control of Your Chronic Illness, Dr Vijai P. Sharma, PhD, gives some important advice:

―If a disease becomes for you a life-long companion, the more determined you feel to manage it, the more you can improve on the quality of life you live. Whether you have arthritis, diabetes, heart disease, cancer, emphysema, or any other chronic illness, you can make a difference in what happens to you. You can learn to play a more active role, cope better, and exercise greater control over the outcome of your illness and your capability to function in life.

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When you become an expert in your disease, you manage it better. Learn everything you can find about your condition. That will give you ideas as to what actions to take to minimize your disability and complications.

Become an active partner in your treatment and rehabilitation and help your doctor to help you

To do this effectively a patient must have emotional resources

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Mental Health and Chronic Illnessesmessages to patients:

Maintain a hopeful outlook. An optimistic outlook enables you to expect that good things will happen in your life.

Try visualizing what you want, rather than worrying about what you fear.

Take care of yourself. Pay attention to your own needs and feelings. Engage in activities that you enjoy and find relaxing.

Exercise regularly. Taking care of yourself helps to keep your mind and body primed to deal with situations that require resilience.

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Meditation and spiritual practices help some people build connections and restore hope.

The key is to identify ways that are likely to work well for you as part of your own personal strategy for fostering resilience.

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Building Social Support Social support means having relationships that

are positive, rewarding and helpful

Supportive relationships can help people reduce stress and reduce relapses.

It is important to develop a support system that works for you as an individual

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•The Role of Consumers, Families and the Public

The Institute for Patient and Family Centered Care (http://www.ipfcc.org/advance/topics/pc -selfmgmt.html) describes self-management support as :

―the education and resources that are offered to individuals with chronic conditions to support them in building their confidence and competence to manage their conditions. Health care providers work collaboratively with patients and their families to make decisions about their care. For people with chronic conditions, this means making lifestyle changes as well as following through with treatment and medication regimens. patients' and family members' goals, priorities, values, and needs as well as evidence-based clinical options. Together they create a plan that guides care in the clinical setting and at home.

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Caregiver Support

Health care provider must recognize signs and symptoms of caregiver burnout.

the demands of long term care for a caregiver of a person with a chronic illness can lead to overwhelming stress in the caregiver’s life which may result in depression or other mental health symptoms.

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Signs and Symptoms of Caregiver Burnout Include:

low energy poor sleep habits constant alert to bad news impatience and irritability feelings of being

overwhelmed,helpless and hopeless feelings of guilt for any sense of joy

in their own lives, never being able to do enough for the other person.

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Helpful Strategies for Caregivers

self expression self care support system education on illness communication with others “not their fault”

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We need your help WMHD 2010 highlights the role of

clinical leaders and champions among primary and specialty care physicians in each nation who will advocate for the need to manage both the physical and mental health care needs of each of our patients with chronic health concerns.

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Key Messages Primary care services need to improve

ways of screening for depression and other mental health conditions associated with chronic illnesses for patients and caregivers

Mental Health care must be incorporated into primary care and should be a public health mandate.

Communication,collaboration and evidenced based care are key factors ffor quality 2020

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WMHD Call to Action The need to create awareness and change public

perception of mental health. Reduction of stigma essential.

Sensitize the public on the issues of mental health.

Strongly encourage a commitment to education and training, with emphasis on the importance of addressing the mental health concerns of our patients with chronic health conditions.

This includes education and training of our medical students and junior doctors, and also needs to be included as part of the continuing life-long professional development of all medical practitioners.

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conclusion

Optimal care of patients requires integration of divergent concepts about health and disease, as well as the involvement of people and providers across numerous disciplines. For both the treatment and prevention of illness, we need to overcome the understandable tendency to see medical and psychiatric conditions as separate and unrelated, World Mental Health Day gives us an opportunity to reach out and bring together patients, medical clinicians, health care systems, and the general public.

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Additional InformationAdditional Information

Included in all WMHDay material are Sample Included in all WMHDay material are Sample Proclamations, Sample Media Releases and Public Proclamations, Sample Media Releases and Public Service Announcements and this year we included a Service Announcements and this year we included a new piece on Marching for Mental Health!new piece on Marching for Mental Health!

In addition to English, the materials were provided in In addition to English, the materials were provided in the following languages:the following languages:

*ARABIC *ARABIC

*CHINESE, FRENCH, SPANISH *CHINESE, FRENCH, SPANISH

*HINDI - *HINDI -

*JAPANESE – *JAPANESE –

*RUSSIAN –*RUSSIAN –

JUST A FEW OF THE PLACES WHERE JUST A FEW OF THE PLACES WHERE WMHDay EVENTS HAVE TAKEN PLACE ON WMHDay EVENTS HAVE TAKEN PLACE ON

OCTOBER 10!OCTOBER 10!India SingaporeIndia Singapore

LiberiaLiberia

South Africa United KingdomSouth Africa United Kingdom

Pakistan Nepal USAPakistan Nepal USA

East Timor GermanyEast Timor Germany

Spain Russia PolandSpain Russia Poland

Botswana MexicoBotswana Mexico

Portugal Canada FinlandPortugal Canada Finland

2007 RICHARD C. HUNTER WMHDAY 2007 RICHARD C. HUNTER WMHDAY AWARD OF EXCELLENCEAWARD OF EXCELLENCE

AGARWAL NEUROPSYCHIATRIC CENTER

2008 RICHARD C. HUNTER WMHDAY 2008 RICHARD C. HUNTER WMHDAY AWARD OF EXCELLENCEAWARD OF EXCELLENCE

MENTAL HEALTH WELFARE & AWARENESS TRUST

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A special thank you on behalf of the Federation to:

Dr. Michelle Riba, Dr. Gabriel Ivbijaro and Dr. David McDaid for their contributions to the WMHD materials for 2010.

Dr.Ivbijaro has been a consultant to WFMH for a number of years and we are indebted to him for his time and commitment to our work.

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Thank You Thank You

World Federation for Mental Health World Federation for Mental Health

A list of resources for this A list of resources for this presentation can be found atpresentation can be found at

info@wfmh.cominfo@wfmh.com

www.wfmh.orgwww.wfmh.org