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primary health care

Infant Mental Health

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

Promotion of the psychosocial health
of infants through primary health care

The need for promotional and preventive action in the infant mental Health has become imperative as research evidence indicates high prevalence rates as high as 20% of emotional and behavioral problems in children. On the other hand, only a relatively small proportion of these individuals (10-15%) find their way to psychiatric services.
 
In this paper the early intervention for the promotion and prevention of the psychosocial health in infants and children under three through the primary health care services will be described.
 
The philosophy and the characteristics of this approach are: 1. the interventions are implemented through services which are community-based, 2. the application of promotional and preventive activities through the existing primary Health care services ensures access to greater proportion of the population within an area as well as multiplication of the effort within the services themselves, 3. the sensitization and training of primary health care workers (PHCWs) to improve their ability to assess factors that may promote the psychosocial development and/or put an infant's development at risk, building on the families' strengths, and 4. the focus is the primary care-giver and the infants themselves.
 
This approach will be illustrated by the presentation of an EU/WHO multicenter project implemented in six Southern European countries. The preliminary results from the implementation and the evaluation of this project in Greece will be presented.

J. Tsiantis
Athens University Medical School
Department of Child Psychiatry
"Aghia Sophia" Children's Hospital, 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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