创新的心理健康方法.pdf

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1、Julian Eaton,BSc,MSc,MBBS,MRCPsychMental Health Director CBM GlobalAssistant Professor London School of Hygiene and Tropical MedicineKeynote PresentationWhy the Eye:Innovative Mental Health Approaches Mental health and visual impairment Increased prevalence of mental conditions in people losing visi

2、on or with vision loss Mainly common mental conditions,some other symptoms Widely varying prevalence of comorbidity in research Better mental health improves not only quality of life,but social and physical outcomes Increase in physical problems in people with MH diagnosisMental health and visual im

3、pairment 2 Mechanisms A grief reaction Profound change in lifestyle,self-sufficiency and functioning Loss of employment,social role,status Biological mechanisms Coping and resilienceTrania J-F,Ballard E,Peac J.Stigma of persons with disabilities in Afghanistan:Examining the pathways from stereotypin

4、g to mental distress.Social Science&Medicine 2016;153:258265 Structural equation modelling indicates the effect of Disability on Mental Distress largely mediated by Social ExclusionWhy are the links between eye care,stigmaand mental health important?To ensure health programmes meet peoples needsTo i

5、mprove social and health outcomesEnsure services receive the resources they deserve for comprehensive approaches to be deliveredTo support people to thrive!Integrating into existing systemsTargeting key stakeholdersCommunity anti-stigma workLinking to specialist servicesAccessible treatment/therapeu

6、tic skills in local servicesRecognising mental ill health and comm skillsLancet 2008,after Alma AtaResearch evidenceKey messagesPriority for people affectedShould be part of comprehensive programmingNegative impact on overall outcomes,and prognosisWe can intervene at different points in the cycleKey