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Regional Convention of the World Psychiatric Society

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Congress on Preventive Psychiatry
Athens, 1999 Feb. 24-28

First things first: Fight the Stigma

Stigma, discrimination and prejudices are closely linked to mental diseases and very specially to schizophrenia. The World Psychiatric Association is launching a very ambitious programme to try to fight this negative attitude and its consequences in discrimination at different levels and environments (legal, social, home, workplace). In the case of schizophrenia, fighting stigma should be done not only because of humanitarian reasons but because it has a negative impact on the course of the disease.

Fighting stigma cannot be done in abstract but should be based on very specific strategies adapted to local situations.

J.J. Lopez-Ibor, Jr.
President-Elect of the World Psychiatric Association,
Professor and Chairman of the Psychiatric Department,
San Carlos University Hospital,
Complutense University, Madrid

Community-based preventive psychiatry - Problems and potential

Scientific and clinical evidence has shown that prevention in psychiatry is possible and effective in several psychopathological and psychosocial conditions, known to be preventable at primary, secondary and tertiary levels. Prevention at each level of the vast majority of these conditions depends on community-based multidimensional activities, aiming at a reduction in the burdens due to mental disorders and avoidance of iatrogenic damage, e.g unnecessary hospital admissions. In this report several paradigms of community-based preventive activities are discussed. Finally, the report emphasizes the main problems at local and central levels and the limitations in the implementation of preventive mental health programs.

M. Madianos
University of Athens, School of Health Sciences,
Faculty of Nursing, Laboratory of Psychopathology,
Social Psychiatry Unit, Athens

Main Menu

- Introduction
- First things first: Fight the stigma.
- Promotion of the psychosocial health of infants through primary health care.
- Teaching Bioethics in Medical School.
- Strategies for the prevention of suicide: emphasis on suicide attempters with concurrent psychiatric disorder.
- The ICD-10 training kit.
- Aniracetam treatment for lithium-produced cognitive deficits of bipolar patients.
- Brain plasticity and the course of mood disorders: Possible implications for secondary prevention.
- Inherited mental disorders can be prevented.
- Methodological issues in the study of Psychiatric Prevention.
- Co-operative management of chronic mental patients to prevent re-hospitalization.
- Components of a community-based chronic illness support system.
- Mobile units for rural areas in the service of psychiatric prevention.
- Prevention of personality disorders: realistic or utopic?.
- Prevention and treatment strategies should be multidimensional, continuous, multimodal and ecclectic.
- Early education intervention in schools and immediate environment.
- Before prevention.
- The relevance of comprehensive clinical diagnosis to prevention and health promotion.
- Preventive interventions for children of parents with a mental disorder: a multicomponent approach.
- Development and implementation of preventive measures for children with mentally ill parents.
- Nutrition and behavior changing concepts, changing concerns.
- The impact of perinatal care on the prevention of mental diseases.
- The WHO educational program on mental disorders in primary care.
- Biopsychosocial background and prevention of suicide.
- Current psychiatric prevention strategies in Japan.
- A case report regarding current psychiatric prevention strategies in Japan.

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