Tuesday, November 25, 2008

Few prevention programs in depression


The Dutch institutions for mental health care together offer 83 programs for people with depression. Most programs were launched after 2005. This was the treatment of these patients tend to place on uncoordinated manner: the Riagg's, the psychiatric outpatient clinics and psychiatric hospitals offered to treat without handlers had agreed. Within one program ordination happen. Julius Adri Researcher Hans Peters (formerly worked as director of Innovation Altrecht) and undersigned examined together with medical students the quality of care programs for people with depression. To this end they asked the texts of all these programs. I presented the results of this research on November 18 at the symposium Depression Treatment: Quo Vadis? that the Amsterdam JellinkeMentrum organized mental health care setting. The congress took place in the beautifully renovated Barbizon Palace opposite Amsterdam's Central Station. Julius from the survey revealed that there will be operated in accordance with the modern insights of the recently realized multi-disciplinary guidelines for the treatment of people with depression. There is little or no gebeunhaasd. The coordination within the mental health care institutions themselves is also well regulated. It is clear which department does what and what the referral criteria. But academic researchers are critical and I had that Barbizon Palace four downsides as: 1. a description of the target and causes of the emergence of the care missing in most programs 2. there are rarely mentioned partnerships with institutions such as GGD'en enhancing prevention and social bodies, with the first line with, for example, labor and services on depressive workers 3. there is usually no separate sections on migrants and depressive 4. there is rarely anything said about crisis interventions such as reports of suicide attempts by depressed patients. Of course, Adri Peters and I welcome what has been achieved in two years time. But a care management is not a disease as long as the four points here said no attention. After my reading at 18.11 was a fierce debate about the role of mental health care in depression. One million Dutch swallows hards daily events in this beautiful country antidepressants. The Groningen Trudie Dehue professor and author of the book The depression epidemic that took many psychiatrists to treat the depressive individuals and making little depressed conditions in the workplace and in society tackle. Dehue at 18.11, earlier the company was feasible and now only the individual. Her opponent, Prof. William Nolensville was this ever end. My suggestion that disease management programs for people with depression both preventive and curative interventions social hear include, was not addressed in this polarizing debate. Want to see my Power Point presentation with a lot more than facts and figures in this message? Go to www.integratedcare.nl / lectures So far this message. On December 10 starts at the Julius Center Masterclass Disease management. It is the design of the guidance and care programs in mental health extensively addressed. There are two places available.

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