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Prevention strategies

Challenging roles to play

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

Prevention strategies should be multidimensional, continuous, multimodal and ecclectic

The prevention and treatment of personality disorders is surrounded with pessimism and controversy. Most clinicians believe that these disorders are untreatable, that individuals with personality disorder have little capacity for change and not surprisingly, many remain sceptical about the prospects for their prevention. However, whilst the innate temperament cannot be changed, understanding factors that influence the development of personality disorders (genetic risks, predisposing and precipitating factors) or leave the child resilient in response to childhood trauma (protective factors) might help prevention and treatment. Mental health professionals have challenging roles to play in preventing malignant memories of traumatic experiences and subduing their pernicious effects as well as examining the chain of interactions among environment, personality and behavior initiated by early trauma.
 
Prevention strategies should be multidimensional, continuous, multimodal and ecclectic, and a part of community programs with wide coverage. The identification of high risk groups at an early stage before delivery and the intervention at that stage, should be a target of the primary care group, by providing individuals with information about the problem and organizing antenatal groups and support for women both during pregnancy and during and after delivery.
 
Primary prevention should include education of current and future parents and primary health care workers, as well as early psychotherapy and protection of traumatised children, which can be carried out in child developing services. The evidence suggests that traditional helper-client relationships are of much less value than programs which enable parents to see their own role as a paramount, their own action able to bring changes for the better in their children's behavior, and an awareness of the family's strengths rather than weaknesses. High quality parenting plays a critical role in the child development.
 
Early intervention

D. Lecic-Tosevski, MD, PhD
Institute for Mental Health, School of Medecine, Belgrade

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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