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Mental Health Aid Program to Tsunami Affected Countries

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Mental Health Aid Program to Tsunami Affected Countries Japanese Society of Psychiatry and Neurology Tsuyoshi Akiyama Inter-governmental Conference April 4, 5 ... – PowerPoint PPT presentation

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Title: Mental Health Aid Program to Tsunami Affected Countries


1
Mental Health Aid Program to Tsunami Affected
Countries
  • Japanese Society of Psychiatry and Neurology
  • Tsuyoshi Akiyama

2
Inter-governmental Conference
  • April 4, 5
  • Jakarta
  • India, Malaysia
  • Thailand
  • Sri Lanaka, Indonesia

3
Inter-governmental Conference
  • America, Australia,
  • Iran, Japan, Turkey
  • WHO, UNICEF
  • UNESCO, IOM

4
India
  • Death 10,697
  • Missing 5,811
  • Affected 2,880,468

5
Malaysia
  • Death 68
  • Affected 7,827

6
Thailand
  • Death 5,309
  • Missing 3,810
  • Injured 10,000

7
Sri Lanka
  • Death 2,846
  • Missing 1,027
  • Injured 2,375
  • Affected 250,000
  • Displaced 70,000

8
Indonesia
  • Death 126,915
  • Missing 93,063
  • Injured 2,375
  • Displaced 795,385

9
India
  • Psychiatric Symptom 60-80
  • Grave Psychiatric Disorder
  • 2,250
  • Training 110
  • Trainee 4,387    
  • Session 35,000

10
Thailand
  • Psychiatric Symptom 100
  • Grave Psychiatric Disorder
  • 2,325
  • Client 9,015

11
Indonesia
  • Psychiatric Symptom 90

12
Indonesia, Sri Lanka
  • Lack of Psychiatrist
  • Lack of Primary
  • Mental Health System
  • Huge Disaster
  • Lack of Aid

13
Number of Psychiatrist 2001
  • Population 100,000
  • United States 10
  • Japan 8
  • Indonesia 0.21
  • Sri Lanka 0.2

14
Lack of Primary Mental Health System
  • District No Psychiatrist
  • Coordination with General
  • Primary Health Care (-)
  • Local Policy (-)
  • Lack of Psychiatric Care

15
Lack of Aid in Aceh
  • Conflict
  • Safety
  • Language Difference
  • Malaysian-Indonesian

16
Aid ProgramTrauma OnceStress
ContinuesFew Years Systematic
17
Recommendation Inter-ministry
CooperationInter-sectoral CoordinationPublic
Awareness
18
Psychosocial SupportMental Health Care
19
Psychosocial Areas
  • Formal Education
  • Non-formal Education
  • Social and Economic
  • Cultural and Religious
  • Environmental

20
Formal Education
  • Group Activities
  • Children Parents
  • Teacher Support / Training
  • Curriculum on the Issues
  • Student Guidance Center

21
Non-formal Education
  • Community Center
  • Youth Center
  • Drop-out Reintegration
  • Life Skill
  • Vocational Training
  • Peer to Peer Support

22
Social and Economic
  • Media Campaign
  • Community Participation
  • Income Generating
  • Program
  • Culturally Appropriate
  • Support Services

23
Social and Economic Continued
  • Commemorative
  • Activities
  • Training of Support
  • Service Providers
  • Lost Documents
  • Legal Support

24
Cultural and Religious
  • Training
  • Religious Leaders
  • Community Leaders
  • Traditional, Religious
  • Healing
  • Community Activities

25
Environmental
  • Resettlement
  • On Higher Ground
  • Protection
  • Re-planting of Mangrove
  • Natural or Artificial
  • Reefs

26
How to Strengthen Mental Health Care
  • Access to Basic Care
  • All People
  • All Kinds of Problems
  • General Mild Severe

27
Important Issues
  • Anti Stigma
  • Inter-ministry Cooperation
  • Integration with General
  • Health Care System
  • Protection to Workers
  • Information System

28
MIX OF SERVICES
high
low
Frequency of need
Cost
low
high
Need
WHO Dr. Van Ommeren, modified by Akiyama, 2005
Adapted from WHO (2003)
29
Specialty Sector
  • MEMBER
  • Psychiatrist
  • Psychologist
  • Psychiatric Nurse
  • Clinical Social Worker

30
Specialty Sector
  • ROLE
  • Inpatient/Outpatient
  • Treatment
  • Outreach
  • Community Treatment

31
Specialty Sector
  • RECOMMENDATION
  • Acute Treatment Ward
  • Community Mental
  • Health Team
  • Training to PHC

32
Primary Health Sector
  • MEMBER
  • General Physician
  • Nurse
  • Midwife
  • Assistants

33
Primary Health Sector
  • ESSENTIEL ROLE
  • Early Detection
  • Referral
  • Basic Mental Health Care
  • Case Follow-up

34
Primary Health Sector
  • ADDITIONAL ROLE
  • Counseling
  • Psychosocial Education
  • Prevention
  • Inter-sectoral Linkage

35
Primary Health Sector
  • RECOMMENDATION
  • Referral System
  • Family Folder Method
  • Training
  • Supervision

36
Community Sector
  • MEMBER
  • Counselors
  • Teachers
  • Self-help Group
  • NGO Workers
  • Community Leaders

37
Community Sector
  • ROLE
  • Early Detection
  • Referral
  • Basic Support
  • Prevention
  • Health Promotion

38
Community Sector
  • RECOMMENDATION
  • Guideline Development
  • Training
  • Supervision
  • Prevention
  • Linkage

39
Self and Family Sector
  • MEMBER
  • Self
  • Family
  • Relative
  • Friend

40
Self and Family Sector
  • ROLE
  • Basic Knowledge
  • Disaster
  • Mental Health
  • Networking

41
Self and Family Sector
  • RECOMMENDATION
  • Information
  • Education / Basic Training
  • Peer Support Activity
  • Self-help Group

42
Japanese Society Aid Program
  • Fund Initial Phase
  • Training
  • Primary System
  • Trauma Care Center

43
Fund in Initial Phase
  • Malaysian Psychiatric
  • Association
  • Japanese Business
  • Federation

44
Training
  • Key Persons
  • Disaster Preparation
  • WHO Model
  • Specific Program

45
Specific Program
  • According to the Interests
  • Cognitive Therapy
  • Industrial Mental Health
  • Psychiatric Nursing

46
Primary Mental Health System
  • 8 Districts in Aceh
  • Coordination by WHO
  • 1, 2 Districts by Japan?

47
Trauma Care Center
  • Center of Excellence
  • Coordination Center
  • Selected Sites

48
Collaboration with World Bank
  • Training Community Sector
  • Primary Mental Health System?
  • Trauma Care Center?
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