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TASK FORCE ON TASK FORCE ON HEALTH PROMOTING PSYCHIATRIC HEALTH PROMOTING PSYCHIATRIC SERVICES SERVICES H. Berger, R. Paul, E. Heimsath H. Berger, R. Paul, E. Heimsath

Task Force on Health Promoting Psychiatric Servicesec.europa.eu/health/ph_information/implement/wp/mental/docs/ev... · Fundamentals of HPH In 1991 the WHO formulated in the Budapest

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TASK FORCE ONTASK FORCE ONHEALTH PROMOTING PSYCHIATRIC HEALTH PROMOTING PSYCHIATRIC

SERVICESSERVICES

H. Berger, R. Paul, E. HeimsathH. Berger, R. Paul, E. Heimsath

TopicsTopics

1. 1. AboutAbout thethe TaskforceTaskforce

2. Status quo of 2. Status quo of thethe network network

3. 3. ActivitiesActivities withinwithin thethe networknetwork

4. 4. ActivitiesActivities outsideoutside thethe networknetwork

5. 5. ScientificScientific ActivitiesActivities

6. 6. PublicationsPublications

7. Models of good 7. Models of good PracticePractice

8. Future 8. Future developmentsdevelopments

Fundamentals of HPHFundamentals of HPH

In 1991 the WHO formulated in the BudapestIn 1991 the WHO formulated in the BudapestDeclaration, that healthDeclaration, that health--promoting hospitalspromoting hospitalsshould commit :should commit :

1. to establish a health1. to establish a health--promoting environmentpromoting environmentand to encourage patients and staff to activelyand to encourage patients and staff to activelyparticipateparticipate

2. to set healthy working conditions2. to set healthy working conditions3. to improve the cooperation with other health 3. to improve the cooperation with other health

servicesservices

ObjectivesObjectives of Mental of Mental HealthHealth Promotion IPromotion I

11. . focusesfocuses uponupon thethe individualindividual personperson in in thethe totalitytotalityof of theirtheir life life referencesreferences

2. 2. improvesimproves thethe activeactive partizipationpartizipation and and sensesense of of responsibilityresponsibility of of patientspatients, , staffstaff membersmembers and and relativesrelatives

3. 3. aimsaims to to supportsupport thethe availableavailable and and naturalnaturalresourcesresources

4. 4. strengthensstrengthens thethe holisticholistic conceptconcept of of healthhealth and and diseasedisease

ObjectivesObjectives of Mental of Mental HealthHealth Promotion IIPromotion II

5. 5. supportssupports healthyhealthy workingworking conditionsconditions forfor thethe staffstaff6. 6. focusesfocuses uponupon thethe entiretyentirety of of thethe healthhealth servicesservices

and and enhancesenhances thethe communicationcommunication and and cooperationcooperation of all of all institutionsinstitutions activeactive in in thethe fieldfield

7. 7. understandsunderstands itsits healthhealth servicesservices as as learninglearningorganisationsorganisations accordingaccording to EFQMto EFQM

8. 8. isis an an instrumentinstrument suitablesuitable forfor integrationintegration and and promotionpromotion of of thethe dialoguedialogue amongamong thethe variousvariousschoolsschools of of psychiatricpsychiatric thoughtsthoughts

Basic Basic PrinciplesPrinciples of of Health Promoting Psychiatric Health Promoting Psychiatric ServicesServices

-- orientate themselves to a holistic concept of health and disorientate themselves to a holistic concept of health and diseaseease

-- orientate their activities to human dignity, equality and soorientate their activities to human dignity, equality and solidarity, lidarity, always in respect of the varying needs of the different culturalalways in respect of the varying needs of the different culturalgroups within the community,groups within the community,

-- orientate themselves to the wellorientate themselves to the well--being of the patients, being of the patients, families and staff and obligate themselves to the protectiofamilies and staff and obligate themselves to the protectionnof the environmentof the environment

-- use their resources wisely in accordance with the measure use their resources wisely in accordance with the measure of their contribution to health and of their contribution to health and

-- apply their efforts to the active cooperation and networkingapply their efforts to the active cooperation and networking with with other health servicesother health services.

1. 1. AboutAbout thetheTaskforceTaskforce

1. Information 1. Information aboutabout thethe TaskforceTaskforce

www.hpps.netwww.hpps.net

2. Status quo of 2. Status quo of thethe network Inetwork I

Psych. Services Psych. Services withinwithin thethe networknetwork

Full Full membersmembers 4747

Ass. Ass. membersmembers 1212

InterestedInterested in in cooperationcooperation 1414

TotalTotal 7373

2. Status quo of 2. Status quo of thethe network IInetwork II

Countries Countries involvedinvolved::

IrelandIreland, , DenmarkDenmark, , LituaniaLituania, , EstoniaEstonia, , GreeceGreece, , ItalyItaly, ,

Kasachstan, Kasachstan, NorwayNorway, , AustriaAustria, , SwitzerlandSwitzerland, , SlovakiaSlovakia, ,

United Kingdom, GermanyUnited Kingdom, Germany

3. 3. ActivitiesActivities withinwithin thethe network Inetwork I

8 8 workshopsworkshops aboutabout studiesstudies and and modelsmodels of of good good practicepractice on mental on mental healthhealth promotionpromotionwithinwithin thethe scopescope of of thethe HPH HPH conferencesconferences1998 to 20051998 to 2005

1. 1. conferenceconference on mental on mental healthhealth promotionpromotion in in Dublin 2005Dublin 2005

EMPOWERMENT for

MENTAL HEALTH

FIRST EUROPEAN HPHMENTAL HEALTH PROMOTION

CONFERENCE

in association with the

13th International Conference onHealth Promoting Hospitals.

Burlington HotelDublin

18th May, 2005

Task Force onHealth PromotingPsychiatric Services

HealthPromotingHospitals

A A shortshort reportreport on on thethe Dublin Dublin conferenceconference::

21 21 contributionscontributions at at thethe conferenceconference and and twotwo workshopsworkshopsas well as as well as twotwo posterposter sessionssessions withinwithin thethe scopescope of of thethe HPHHPH--ConferenceConference withwith moremore thanthan 100 100 participantsparticipants fromfrom IrelandIreland, , DenmarkDenmark, , FinlandFinland, , SwedenSweden, , ItalyItaly, Japan and Germany. , Japan and Germany. Main Main topicstopics::

-- EarlyEarly PreventionPrevention of of childrenchildren at high at high riskrisk-- PromotingPromoting empowermentempowerment forfor peoplepeople withwith depressive depressive disordersdisorders-- Information Information campaignscampaigns aboutabout mental mental disordersdisorders-- Evaluation of Evaluation of CommunityCommunity Mental Mental HealthHealth ServicesServices-- EnhancingEnhancing thethe networkingnetworking and and integrationintegration of of CommunityCommunityMental Mental HealthHealth ServicesServices

3. 3. ActivitiesActivities withinwithin thethe network IInetwork II

137 137 contributionscontributions ((thethe worldwideworldwide largestlargest databasedatabaseon Mental on Mental HealthHealth Promotion?) to Promotion?) to thethe workshopsworkshopswithwith followingfollowing mainmain topicstopics::

1. 1. SupportiveSupportive structuresstructures forfor patientspatientspsychodeducationpsychodeducation, job , job agenciesagencies, , cybercyber cafecafe,,earlyearly preventionprevention of depressive of depressive disordersdisorders and and suicidalsuicidal behaviourbehaviour,,detectingdetecting and and consultingconsulting of high of high riskrisk familiesfamilies

3. 3. ActivitiesActivities withinwithin thethe network IIInetwork III

Main Main topicstopics::

2. 2. SupportiveSupportive structuresstructures forfor staffstaffPreventionPrevention of of violentviolent behaviourbehaviour,,General General educationeducation in in strategiesstrategies of of healthhealth promotionpromotion

3. 3. SupportiveSupportive structuresstructures in in communitiescommunitiesNetworkingNetworking withwith otherother servicesservicesSupportingSupporting patientpatient movementsmovements und und selfself helphelpinitiativesinitiatives

4. 4. ActivitiesActivities outsideoutside thethe network Inetwork I

LecturesLectures and and posterposter presentationspresentations on Mental on Mental HealthHealthPromotionPromotion

TeachingTeaching PsychoeducativePsychoeducative FamilyinterventionFamilyinterventionas a as a modelmodel of good of good practicepractice of Mental of Mental HealthHealthPromotion at Promotion at workshopsworkshops

4. 4. ActivitiesActivities outsideoutside thethe network IInetwork II

CoorganisationCoorganisation of of thethe 2. German 2. German conferenceconference aboutaboutpsychoeducationpsychoeducation in in thethe treatmenttreatment of of SchizophreniaSchizophreniain in MunichMunich FebruaryFebruary 20052005

CoorganisationCoorganisation of of thethe 1. German 1. German conferenceconference aboutaboutnewnew chronicalchronical illill patientspatients in Wiesbaden April 2005in Wiesbaden April 2005

Organisation of Organisation of thethe gftsgfts conferenceconference aboutabout newnewstrategiesstrategies in in thethe treatmenttreatment of of schizophreniaschizophrenia in in Riedstadt September 2005Riedstadt September 2005

4. 4. ActivitiesActivities outsideoutside thethe network IIInetwork III

CooperationCooperation withwith IMHPA /European IMHPA /European PlatformPlatform,,Mental Mental HealthHealth WorkingWorking Group Group withinwithin HPHHPH––NetworkNetwork,,DGPPNDGPPN--GuidelineGuideline--WorkingWorking Group, DNGFK, Group, DNGFK, PolishPolish--German German PsychiatricPsychiatric Society and Society and withwith thethe Mental Mental HealthHealth WorkingWorking Party (?) Party (?)

5. 5. ScientificScientific ActivitiesActivities

Evaluation of Evaluation of thethe effectseffects of of PsychoeducativePsychoeducativeFamilyinterventionFamilyintervention, 2. , 2. stagestage: Examination of : Examination of controlcontrolgroupsgroups

Evaluation of Evaluation of thethe impactimpact of of integratedintegrated treatmenttreatmentplanningplanning

Analysis of Analysis of thethe patientspatients needsneeds questionnairequestionnaire

6. 6. PublicationsPublications II

1. Berger, H., H. 1. Berger, H., H. GuniaGunia, K. Nürnberger, A. , K. Nürnberger, A. TeschnerTeschner (1997) (1997) PsychoedukativePsychoedukativeGruppen für Familien. Erste Erfahrungen. In: Dittmar V. (Hrsg.):Gruppen für Familien. Erste Erfahrungen. In: Dittmar V. (Hrsg.): Die Behandlung Die Behandlung schizophrener Menschen. schizophrener Menschen. RodererRoderer Regensburg Regensburg

2. Berger, H., R. Paul, H. 2. Berger, H., R. Paul, H. GuniaGunia (1999) Gesundheitsförderung als Beratungsform: (1999) Gesundheitsförderung als Beratungsform: PsychoedukativePsychoedukative Gruppen in der Behandlung schizophrener Patienten. In: Gruppen in der Behandlung schizophrener Patienten. In: Pelikan, J.M., Wolff, S. (Hrsg.): Das gesundheitsfördernde KrankPelikan, J.M., Wolff, S. (Hrsg.): Das gesundheitsfördernde Krankenhaus als enhaus als Projekt. Projekt. JuventaJuventa, Weinheim., Weinheim.

3. Kilian, R., R. Paul, H. Berger, M.C. 3. Kilian, R., R. Paul, H. Berger, M.C. AngermeyerAngermeyer (1997) (1997) EmpowermentEmpowerment und und Gesundheitsförderndes Krankenhaus. In: Gesundheitsförderndes Krankenhaus. In: GrundböckGrundböck, A., P. Nowak, J.M. Pelikan , A., P. Nowak, J.M. Pelikan (Hrsg.): Gesundheitsförderung (Hrsg.): Gesundheitsförderung -- eine Strategie für Krankenhäuser im Umbruch. eine Strategie für Krankenhäuser im Umbruch. FacultasFacultas, , WienWien. 137 . 137 -- 142142--

4. 4. BergerBerger, H., H. , H., H. GuniaGunia, R. , R. PaulPaul (1998) (1998) Health Promotion as a forum of counselling Health Promotion as a forum of counselling -- PsychoeducativePsychoeducative patient and family groups. In: patient and family groups. In: PelikanPelikan J.M., H. J.M., H. LobnigLobnig, K. , K. KrajicKrajic ((HrsgHrsg.): Feasibility, Effectiveness, Quality and Sustainability of He.): Feasibility, Effectiveness, Quality and Sustainability of Health alth Promoting Hospital Projects. Conrad, Promoting Hospital Projects. Conrad, GamburgGamburg 1998. 651998. 65--6969

5. Berger, H., R. Paul (1999)Das psychiatrische Krankenhaus Ph5. Berger, H., R. Paul (1999)Das psychiatrische Krankenhaus Philippshospital. Was ilippshospital. Was ist der Unterschied zu anderen gesundheitsfördernden Krankenhäusist der Unterschied zu anderen gesundheitsfördernden Krankenhäusern. In: ern. In: Wege zum gesundheitsfördernden Krankenhaus. ConWege zum gesundheitsfördernden Krankenhaus. Conradrad, , GambergGamberg 19991999

6. 6. PublicationsPublications IIII

6. Berger, H., R. Paul (1999) The Health Promoting Psychiatric H6. Berger, H., R. Paul (1999) The Health Promoting Psychiatric Hospital ospital -- What is the difference? Experiences from the What is the difference? Experiences from the PhilippshospitalPhilippshospital Pilot Pilot Hospital Project in Riedstadt. In: Hospital Project in Riedstadt. In: PelikanPelikan J.M, M. GarciaJ.M, M. Garcia--BarberoBarbero, H. , H. LobnigLobnig, K. , K. KrajicKrajic ((HrsgHrsg.): Pathways to a Health Promoting Hospital. .): Pathways to a Health Promoting Hospital. Conrad, Conrad, GamburgGamburg. 71 . 71 –– 9494

7. Berger, H., K. 7. Berger, H., K. KrajicKrajic, R. Paul (Hrsg.) (1999) , R. Paul (Hrsg.) (1999) Health Promoting Hospitals: Health Promoting Hospitals: Healthy Workplace, Clinical Centre of Excellence, Partner foHealthy Workplace, Clinical Centre of Excellence, Partner for r Comprehensive Care, Ally for Public Health Comprehensive Care, Ally for Public Health -- Health Promoting Health Promoting Hospitals. Proceedings of the 6th International Conference oHospitals. Proceedings of the 6th International Conference on Health n Health Promoting Hospitals. Conrad, Promoting Hospitals. Conrad, GamburgGamburg 19991999

8. 8. KilianKilian, R., R. , R., R. Paul,HPaul,H. Berger (1998) The role of staff empowerment in . Berger (1998) The role of staff empowerment in the prevention of patient aggression and staff burnout at pthe prevention of patient aggression and staff burnout at psychiatric sychiatric hospitals. In: hospitals. In: PelikanPelikan, J.M., H. , J.M., H. LobnigLobnig, K. , K. KrajicKrajic ((HrsgHrsg.): Feasibility,.): Feasibility,Effectiveness, Quality and Sustainability of Health PromotiEffectiveness, Quality and Sustainability of Health Promoting Hospital ng Hospital Projects. Conrad, Projects. Conrad, GamburgGamburg 1998. 110 1998. 110 –– 116116

6. 6. PublicationsPublications IIIIII

9. Paul, R., H. Berger, R. Kilian (1996) 9. Paul, R., H. Berger, R. Kilian (1996) Health Promotion in a Psychiatric Health Promotion in a Psychiatric Healthcare Institution. In: Newsletter Health Promotion HospitalHealthcare Institution. In: Newsletter Health Promotion Hospitals 8, 4 s 8, 4 -- 559. 9.

10. Berger, H. (1999) Health Promotion 10. Berger, H. (1999) Health Promotion -- A Change in the Paradigms of Psychiatry. A Change in the Paradigms of Psychiatry. In: Berger, H., K. In: Berger, H., K. KrajicKrajic, R. Paul (, R. Paul (HrsgHrsg.): Health Promoting Hospitals in Practice: .): Health Promoting Hospitals in Practice: Developing Projects and Networks. Conrad, Developing Projects and Networks. Conrad, GamburgGamburg

11. Berger, H., R. Paul (1999) The Vision of the Health Promotin11. Berger, H., R. Paul (1999) The Vision of the Health Promoting Hospital. In: g Hospital. In: Berger, H., K. Berger, H., K. KrajicKrajic, R. Paul (, R. Paul (HrsgHrsg.): Health Promoting Hospitals in Practice: .): Health Promoting Hospitals in Practice: Developing Projects and Networks. Conrad, Developing Projects and Networks. Conrad, GamburgGamburg

12. Kilian, R., R. Paul, H. Berger, M. C 12. Kilian, R., R. Paul, H. Berger, M. C AngermeyerAngermeyer (1999)(1999)The Psychiatric Hospital The Psychiatric Hospital as a Health Promoting Hospital. In: Berger, H., K. as a Health Promoting Hospital. In: Berger, H., K. KrajicKrajic, R. Paul (, R. Paul (HrsgHrsg.): Health .): Health Promoting Hospitals in Practice: Developing Projects and NetworkPromoting Hospitals in Practice: Developing Projects and Networks. Conrad, s. Conrad, GamburgGamburg 19991999

13. Berger, H., R. Paul (1999)From Establishing a HPH13. Berger, H., R. Paul (1999)From Establishing a HPH--Taskforce on Health Taskforce on Health Promoting Mental Health Services to HPMHS Network Activities. InPromoting Mental Health Services to HPMHS Network Activities. In: Berger, H., : Berger, H., K. K. KrajicKrajic, R. Paul (, R. Paul (HrsgHrsg.): Health Promoting Hospitals in Practice: Developing .): Health Promoting Hospitals in Practice: Developing Projects and Networks. Projects and Networks. Conrad, Conrad, GamburgGamburg

6. 6. PublicationsPublications IVIV

14. Berger, H. (2003) Gesundheitsförderung 14. Berger, H. (2003) Gesundheitsförderung -- Ein neuer Weg in der Psychiatrie. In: Ein neuer Weg in der Psychiatrie. In: Klug, G. (Klug, G. (HrsgHrsg) Dem Menschen in seiner Welt begegnen. Psychiatrische Praxis. ) Dem Menschen in seiner Welt begegnen. Psychiatrische Praxis. Supplement 1 Band 30 S14Supplement 1 Band 30 S14--2015. 2015.

15. Berger, H., H. 15. Berger, H., H. GuniaGunia, J. Friedrich (2004) Handbuch , J. Friedrich (2004) Handbuch PsychoedukativePsychoedukativeFamilienintervention. Familienintervention. SchattauerSchattauer Stuttgart New YorkStuttgart New York

16. 16. SahmlandSahmland I, S. Trosse, C. Vanja, H. Berger, K. Ernst (2004) Haltestelle I, S. Trosse, C. Vanja, H. Berger, K. Ernst (2004) Haltestelle Philippshospital. Jonas MarburgPhilippshospital. Jonas Marburg

17. 17. BäumlBäuml, J, G. , J, G. PitschelPitschel--WalzWalz, H. Berger, H. , H. Berger, H. GuniaGunia, A. , A. Heinz,GHeinz,G JuckelJuckel (2005) (2005) Arbeitsbuch Arbeitsbuch PsychoeduaktionPsychoeduaktion bei Schizophrenie. bei Schizophrenie. SchattauerSchattauer Stuttgart New York Stuttgart New York

18. Paul, R. (2005) Aggressionen in der Psychiatrie. Interventi18. Paul, R. (2005) Aggressionen in der Psychiatrie. Interventionsschritte nach onsschritte nach einem Angriff einem Angriff –– ein Leitfaden für Führungskräfte. Pflege aktuell Band 59 290ein Leitfaden für Führungskräfte. Pflege aktuell Band 59 290--294294

19. Berger, H. (2005) What is empowerment of users in mental he19. Berger, H. (2005) What is empowerment of users in mental health care. HENalth care. HEN--Report Report

7. Models of good 7. Models of good practicepractice IIPsychoeducativePsychoeducative FamilyinterventionFamilyintervention

Relapse-rates after one year (Berger 2004)

80

40

20

0102030405060708090

WithoutWithout Med.Med.WithoutWithout PEPE

WithWith Med.Med.withoutwithout PEPE

WithWith Med.,Med.,withwith PEPE

7. Models of good 7. Models of good practicepractice IIPsychoeducationPsychoeducation::MethodsMethods of of interventionintervention

MultifamilyinterventionMultifamilyintervention: : PatientsPatientsand Relatives and Relatives togethertogether

extendedextended PsychoeducationPsychoeducation: : ImpartingImparting KnowledgeKnowledge and and CopingCoping-- StrategiesStrategies

bifocalbifocal: : PatientsPatients and Relatives and Relatives separatedseparated

Pure Pure PsychoeducationPsychoeducation: : ImpartingImpartingKnowledgeKnowledge

unifocalunifocal: : onlyonly PatientsPatients ororRelativesRelatives

ContentsContents::StructureStructure::

7. Models of good 7. Models of good practicepractice IIPsychoeducativePsychoeducative FamilyinterventionFamilyintervention::ObjectivesObjectives of of interventionintervention

ImpartingImparting of:of:KnowledgeKnowledge aboutabout thethe disorderdisorder and and thethe treatmenttreatment,,SelfhelpstrategiesSelfhelpstrategies,,ImprovingImproving thethe communicationcommunication,,StrategiesStrategies of of relapserelapse preventionprevention,,

ObjectivesObjectivesMental Mental HealthHealth PromotionPromotionImprovingImproving thethe Sense of Sense of CoherenceCoherenceRelapseRelapse PreventionPrevention

7. Models of good 7. Models of good practicepractice IIPsychoeducativePsychoeducative FamilyinterventionFamilyintervention::StructureStructure of of thethe programprogram

Get togetherGetGet togethertogether

All about disorderAll All aboutabout disorderdisorder

Treatment ITreatment ITreatment I

Treatment IITreatment IITreatment II

Early signsEarlyEarly signssigns

Consciousness of the selfConsciousnessConsciousness of of thethe selfself

Making entitled DemandsMakingMaking entitledentitled DemandsDemands

Active ListeningActiveActive ListeningListening

Problem SolvingProblem Problem SolvingSolving

Problem SolvingProblem Problem SolvingSolving

7. Models of good 7. Models of good practicepractice IIPsychoeducativePsychoeducative FamilyinterventionFamilyintervention::ResultsResults (Berger H, J Friedrich, H (Berger H, J Friedrich, H GuniaGunia 2004)2004)

Relapserates after 1 year

60

19

010203040506070

beforebefore afterafter

7. Models of good 7. Models of good practicepractice IIIILisrelLisrel pathpath modelmodel on on jobjob--relatedrelated qualityquality of life of of life of psychiatricpsychiatric hospitalhospital staffstaff membersmembers (Kilian R, R Paul, (Kilian R, R Paul, H Berger 1998)H Berger 1998)

--. 310. 310

.359.359 --.244.244--.181 .181

.439.439

--.197.197.178.178

.206.206.210.210

PercievedPercievedjob stressjob stress

PsychosomaticPsychosomaticsymptomssymptoms

JobJobsatisfactionsatisfaction

CorporateCorporateidentityidentity

DegreeDegree ofofparticiationparticiation

ProblemfocusedProblemfocusedcopingcoping

AgeAge

7. Models of good 7. Models of good practicepractice IIIIIICopingCoping withwith violentviolent BehaviourBehaviour: : ObjectivesObjectives

ReductionReduction of of violentviolent behaviourbehaviour

EmpowermentEmpowerment of of staffstaff

ImprovementImprovement of of CommunicationCommunication and and cooperationcooperation

ImprovementImprovement of of competencecompetence

ReductionReduction of of failurefailure raterate

7. Models of good 7. Models of good practicepractice IIIIIICopingCoping withwith violentviolent BehaviourBehaviour: : MethodMethod

-- RoleplaysRoleplays

-- TeamworkingTeamworking

-- ExercisesExercises

-- SelfexperienceSelfexperience

-- ReflectionReflection of of dailydaily practicespractices

7. Models of good 7. Models of good practicepractice IIIIIICopingCoping withwith violentviolent BehaviourBehaviour: : StructureStructure

3 components:

obligedobliged forfor all all staffstaffmembersmembers3 3 daysdays of of trainingtrainingtheorytheory, , techniquestechniques of of copingcoping voluntaryvoluntary

4 4 daysdays of of trainingtrainingDeescalationDeescalation strategiesstrategies

voluntaryvoluntaryBooster Booster sessionssessions

8. Future 8. Future developmentsdevelopments II

DevelopingDeveloping focalfocal pointspoints of of thethe futurefuture network network

ImprovementImprovement of of networkingnetworking ((chatforumchatforum))

Design of Design of guidelinesguidelines forfor mental mental healthhealth promotionpromotion ininpsychiatricpsychiatric servicesservices

HandbookHandbook aboutabout modelsmodels of good of good practicepractice of mentalof mentalhealthhealth promotionpromotion withinwithin mental mental healthhealth servicesservices

8. Future 8. Future developmentsdevelopments IIII

ImplementationImplementation of a of a modelmodel forfor integratedintegrated carecare to to preventprevent and and treattreat depressive depressive disordersdisorders togethertogetherwithwith a network of a network of GP‘sGP‘s

DevelopingDeveloping guidelinesguidelines forfor thethe treatmenttreatment of of depressive depressive disordersdisorders togethertogether withwith DGPPNDGPPN

CooperationCooperation withwith umbrellaumbrella organisationsorganisations andandWorkingWorking groupsgroups likelike European European PlatformPlatform, Mental, MentalHealthHealth WorkingWorking Party (?), IUHPE, APK, DGPPN,Party (?), IUHPE, APK, DGPPN,EAP, WPAEAP, WPA

that‘s the end !

This paper was produced for a meeting organized by Health & Consumer Protection DG and represents the views of its author on the subject. These views have not been adopted or in any way approved by the Commission and should not be relied upon as a statement of the Commission's or Health & Consumer Protection DG's views. The European Commission does not guarantee the accuracy of the data included in this paper, nor does it accept responsibility for any use made thereof.