World Health Report 2001 : Mental Health: New Understanding, New Hope.
Title:
World Health Report 2001 : Mental Health: New Understanding, New Hope.
Author:
Organization, World Health.
ISBN:
9789240681705
Personal Author:
Physical Description:
1 online resource (198 pages)
Contents:
CONTENTS -- MESSAGE FROM THE DIRECTOR-GENERAL -- OVERVIEW -- Three scenarios for action -- Outline of the report -- CHAPTER 1 A PUBLIC HEALTH APPROACH TO MENTAL HEALTH -- Introduction -- Understanding mental health -- Advances in neuroscience -- Advances in behavioural medicine -- Understanding mental and behavioural disorders -- Biological factors -- Psychological factors -- Social factors -- An integrated public health approach -- CHAPTER 2 BURDEN OF MENTAL AND BEHAVIOURAL DISORDERS -- Identifying disorders -- Diagnosing disorders -- Prevalence of disorders -- Disorders seen in primary health care settings -- Impact of disorders -- Economic costs to society -- Impact on quality of life -- Some common disorders -- Depressive disorders -- Substance use disorders -- Schizophrenia -- Epilepsy -- Alzheimer's disease -- Mental retardation -- Disorders of childhood and adolescence -- Comorbidity -- Suicide -- Determinants of mental and behavioural disorders -- Poverty -- Sex -- Age -- Conflicts and disasters -- Major physical diseases -- Family and environmental factors -- CHAPTER 3 SOLVING MENTAL HEALTH PROBLEMS -- The shifting paradigm -- Principles of care -- Diagnosis and intervention -- Continuity of care -- Wide range of services -- Partnerships with patients and families -- Involvement of the local community -- Integration into primary health care -- Ingredients of care -- Pharmacotherapy -- Psychotherapy -- Psychosocial rehabilitation -- Vocational rehabilitation and employment -- Housing -- Examples of effectiveness -- Depression -- Alcohol dependence -- Drug dependence -- Schizophrenia -- Epilepsy -- Alzheimer's disease -- Mental retardation -- Hyperkinetic disorders -- Suicide prevention -- CHAPTER 4 MENTAL HEALTH POLICY AND SERVICE PROVISION -- Developing policy -- Health system and financing arrangements.
Formulating mental health policy -- Establishing an information base -- Highlighting vulnerable groups and special problems -- Respecting human rights -- Mental health legislation -- Providing services -- Shifting care away from large psychiatric hospitals -- Developing community mental health services -- Integrating mental health care into general health services -- Ensuring the availability of psychotropic drugs -- Creating intersectoral links -- Choosing mental health strategies -- Purchasing versus providing: public and private roles -- Developing human resources -- Promoting mental health -- Raising public awareness -- Role of the mass media -- Using community resources to stimulate change -- Involving other sectors -- Labour and employment -- Commerce and economics -- Education -- Housing -- Other social welfare services -- Criminal justice system -- Promoting research -- Epidemiological research -- Treatment prevention and promotion outcome research -- Policy and service research -- Economic research -- Research in developing countries and cross-cultural comparisons -- CHAPTER 5 THE WAY FORWARD -- Providing effective solutions -- Overall recommendations -- Action based on resource realities -- REFERENCES -- STATISTICAL ANNEX -- Explanatory notes -- Annex Table 1 Basic indicators for all Member States -- Annex Table 2 Deaths by cause, sex and mortality stratum in WHO Regions, estimates for 2000 -- Annex Table 3 Burden of disease in disability-adjusted life years (DALYs) by cause, sex and mortality stratum in WHO Regions, estimates for 2000 -- Annex Table 4 Healthy life expectancy (HALE) in all Member States, estimates for 2000 -- Annex Table 5 Selected National Health Accounts indicators for all Member States, estimates for 1997 and 1998 -- LIST OF MEMBER STATES BY WHO REGION AND MORTALITY STRATUM -- ACKNOWLEDGEMENTS -- INDEX -- A -- B -- C.
D -- E -- F -- G -- H -- I -- J -- K -- L -- M -- N -- O -- P -- Q -- R -- S -- T -- U -- V -- W -- Y -- Z.
Abstract:
An estimated 400 million people suffer from mental or neurological disorders or from psychosocial problems such as those related to alcohol and drug abuse. Many of them suffer silently. Many suffer alone. Many never receive treatment of any kind. Between the suffering and the prospect of care stand the barriers of stigma, prejudice, shame and exclusion. In devoting The World Health Report 2001 to mental health, WHO is making one clear, emphatic statement. Mental health - neglected for far too long - is crucial to the overall well-being of individuals, societies and countries and must be universally regarded in a new light. This book is a landmark report that aims to raise professional and public awareness of the real burden of mental and neurological disorders and the cost in human, social and economic terms. At the same time it aims to dismantle many of those barriers which prevent millions of sufferers from receiving the treatment they need and deserve. The report comes at a critical time for the mental health of the world. One person in every four will be affected by a mental disorder at some stage of life.Major depression already ranks fifth in the leading ten causes of the global burden of disease. If projections are correct, within the next 20 years it will have risen to second place. Globally, 140 million people suffer from alcohol dependence. About 50 million have epilepsy; another 45 million have schizophrenia. Between ten and 20 million people attempt suicide every year. One million of them - including many who are very young - do kill themselves. The World Health Report 2001 provides a new understanding that offers new hope to the mentally ill. It comes from the great wealth of knowledge that has been gathered, particularly in the last 50 years, of the human brain and the basis of mental illness. The report is about understanding how
genetic, biological, social and environmental factors come together to cause mental and neurological disorders as well as physical illnesses. It is about understanding how inseparable mental and physical health really are, and how their influence on each other is complex and profound. It is about understanding that mental disorders occur in all countries and all societies - and that more often than not, they can be treated effectively. And not least, it is about how human understanding can make such a huge difference to the mentally ill. The report is a comprehensive review of what we know about the current and future burden of all these disorders and their principal contributing factors. It examines the effectiveness of prevention and the availability of, and barriers to, treatment. It deals in detail with service provision and service planning. And finally, it outlines the policies that are urgently needed to ensure that stigma and discrimination are broken down, and that effective prevention and treatment are put in place and adequately funded. This report is sending a message primarily to those who have the power or the means to make these things happen. Foremost among them are governments, who must recognise that they are just as responsible for the mental health of their citizens as for their physical health. The message is not only for health ministers. Other departments - education, employment and legislation among them - also have major responsibilities in promoting good mental health. It is a message that goes beyond governments, towards all those in both the public and private domains who can exert a positive influence. Finally, it is a message for all those who have a mental or neurological disorder, and their families. The message is contained in the title of this report. With the new understanding of mental health at our disposal,
there really is new hope.
Local Note:
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2017. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
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