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E FFORTS FOR INTEGRATING STRATEGIES IN MENTAL HEALTH CARE FOR PEOPLE WITH DEPRESSION IN COOPERATION WITH NGOs AND WITH EDUCATION SYSTEM SUPPORT. Ph.D.c Vesna Zupancic , School of Health Sciences Novo mesto, Slovenia - PowerPoint PPT Presentation
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Ph.D.c Vesna Zupancic, School of Health Sciences Novo mesto, Slovenia
prof. Majda Pahor, Faculty of Health Sciences, University of Ljubljana, Slovenia
Istanbul, 9–10 September 2013Istanbul, 9–10 September 2013
EFFORTS FOR INTEGRATING STRATEGIES IN MENTAL HEALTH
CARE FOR PEOPLE WITH DEPRESSION IN COOPERATION WITH
NGOs AND WITH EDUCATION SYSTEM SUPPORT
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TO PRESENT:-The care system for people with depression in Slovenia,-The published knowledge on ensuring quality care for people with depression in Slovenia,-The key problems in the integration of care strategies for people with depression,-The possibilities for developing community care for people with depression,-My personal research plan.
TO HIGHLIGHT:-The role of NGOs,-The necessity of support in the health care education system. QUALITY OF TREATMENTEmpowering people QUALITY OF LIFE with depression PROMOTING MENTAL HEALTH
COMMUNITY CARE FOR PEOPLE WITH DEPRESSION
OBJECTIVES & BASIC PRINCIPLES
THE SLOVENIAN CARE SYSTEM FOR THE SLOVENIAN CARE SYSTEM FOR PEOPLE WITH DEPRESIONPEOPLE WITH DEPRESION
• People with depression are not treated separately of the mental health care system.
MENTAL HEALTH ACT (2008)
Changed conceptual framework of care
Orientation of treatment into the living space
FORMAL NETWORK OF PROVIDERS CARRYING OUT MENTAL HEALTH PROGRAMMES AND SERVICES
• Providers of psychiatric treatment (190 psychiatrists),
• Providers of social assistance programmes and services,
• Providers of controlled treatment,
• Providers of community treatment.
NGOs in the area of mental health 44
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REVIEW OF PUBLISHED KNOWLEDGE ON CARE FOR PEOPLE WITH DEPRESSION IN SLOVENIA
The database of written sources encompasses 435 units.-Included viewpoints, categories,-Included areas,-Disciplinary treatment.
QUALITY OF LIFE ELEMENTS QUALITY OF TREATMENT ELEMENTS
-Community care is presented as an ideal concept by introducing interdisciplinary teams in the community (reduced inequality, development of community care),-Research on depression incidence (proving cause-and-effect connection to poverty, unemployment etc.),-Research to develop comprehensive and quality treatment,-Research to prevent secondary consequences of depression.
NOT ENTERING TREATMENT (EARLY ENOUGH), PREMATURE WITHDRAWAL FROM TREATMENT
There is too little empirical evidence for the development of community care in Slovenia.
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KEY PROBLEMS IN THE INTEGRATION OF CARE STRATEGIES IN SLOVENIA
Categories Subcategories
Interprofessional cooperation
Team work, interdisciplinary approach
Continuous treatment Clinical pathways, standards
Informedness Network of providers and their competences, normative level
Responsiveness Quality of life, motivation
Education Formal education, lifelong learning
The data is collected in a cross-sectional study of two Slovenian health regions, combining quantitative and qualitative methods, and using
instruments for gathering data from different perspectives (legal provisions, administrative bodies, healthcare and social assistance
providers on one side, and people with depression on the other) developed during the research process.
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The T test shows statistically significant differences between groups of Year 1 and Year 3 students’ grade (t=-3.995, sig. 0.0).
QUICK TEST - Timed 15 minutes
307 students / 443 enrolled students
109 – Year 1107 – Year 291 – Year 3
59.9% full-time40.1% part-time
22.5% male77.5% female
GRADE RANGE OF GRADES
NO. OF POINTS (OF 27)
10 95.6–100% 26–27
9 84.3–95.5% 23–25.5
8 70.8–84.2% 19–22.5
7 59.6–70.7% 16–18
6 55–59.5% 14–15
5–1 <13.5
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PUBLIC ORGANIZATIONS NON-GOVERNMENTAL NON-PROFIT ORGANIZATIONS (170 / 21%)
EDUCATION SYSTEM - CASE STUDY
Community care for people with depression is not only the result of coordinated team work by specialists in different disciplines,
viewing mental health as an interface between psychical, physical, social, and experience levels, but it is also realized in
one‘s own responsibility for mental health and efforts for mutual solidarity and intergenerational connection.
Comprehensive treatment
Individual work Cooperation
KNOWLEDGE A A1
INFORMEDNESS B B2
RESPONSIVENESS C C2
