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support system

Regional Convention of the World Psychiatric Society

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

Components of a community-based
chronic illness support system

In general, the components of a community-based chronic illness support system consists of the following:
 
Patient identification and outreach: Chronic patients, who have not been compliant to treatment regimens, and admitted to multiple hospitalizations, will be selected for outpatient commitment.
 
A system for management and outreach - in order to accomodate a rapid and timely contact with patients in the community.
 
A transportation system: in order to facilitate the contacts between patients and the resource elements.
 
Mental illness treatment: Diagnostic evaluation: using standard evaluation protocols (Brief Psychiatric Rating Scale and the Global Assessment Scale) and for a measure of substance abuse. CAGE and CAGE, for adjustment levels, the SLOF, Specific Level Of Functioning Scale. Each of the rating scales will be administered at discharge from the hospital and every three months thereafter, for one year and for follow up.
 
Medication management - Supportive counseling - Substance abuse services.
 
Health and dental services: As needed for routine check-ups.
 
Crisis Response services: Crisis telephone systems - Walk-in crisis services (a network of mental health programs) - Mobile response teams for outreach and crisis - Crisis residential services - in patient services.
 
Housing: Supportive Housing programs - Group homes (but not a community hospital - size is crucial).
 
Income Support and Entitlements - Peer Support: Self-help and educational programs - Community consumer operated programs.
 
Family and Community Support: Support and assistance to families - Support and education to community.
 
Rehabilitation Services: Social rehabilitation and habilitation - Vocational rehabilitation
 
Protection and Advocacy
 
Case management and System Coordination

H.M. Visotsky, Prof., MD
Department of Psychiatry
Northwestern University Medical School, Chicago

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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