The World Health Report 2001 / Mental Health : New Understanding New Hope
İÇİNDEKİLERcontentsmessage from the director-general overview Three scenarios for action Outline of the report chapter 1 A PUBLIC HEALTH APPROACH TO MENTAL HEALTH Introduction Understanding mental health Advances in neuroscience Advances in behavioural medicine Understanding mental and behavioural disorders Biological factors Psychological factors Social factors An integrated public health approach chapter 2 burden of mental and behavioural disorders Identifying disorders Diagnosing disorders Prevalence of disorders Disorders seen in primary health care settings Impact of disorders Economic costs to society Impact on quality of life Some common disorders Depressive disorders Substance use disordersAge Conflicts and disasters Major physical diseases Family and environmental factors chapters solving mental health problems The shifting paradigm Principles of care Diagnosis and intervention Continuity of care Wide range of services Partnerships with patients and families Involvement of the local community Integration into primary health care Ingredients of care Pharmacotherapy Psychotherapy Psychosocial rehabilitation Vocational rehabilitation and employment Housing Examples of effectiveness Depression Alcohol dependence Drug dependence Schizophrenia Epilepsy Alzheimer's disease Mental retardation Hyperkinetic disorders Suicide prevention chapter 4 mental health policy and service provis?on Developing policy Health system and financing arrangements Formulating mental health policy Establishing an information base Highlighting vulnerable groups and special problems Respecting human rights Mental health legislation Providing services Shifting care away from large psychiatric hospitals Developing community mental health services Integrating mental health care into general health servicesEnsuring the availability of psychotropic drugs Creating intersectoral links Choosing mental health strategies Purchasing versus providing: public and private roles Developing human resources Promoting mental health Raising public awareness Role of the mass media Using community resources to stimulate change Involving other sectors Labour and employment Commerce and economics Education Housing Other social welfare services Criminal justice system Promoting research Epidemiological research Treatment, prevention and promotion outcome research Policy and service research Economic research Research in developing countries and cross-cultural comparisons chapter 5 THE WAY FORWARD Providing effective solutions Overall recommendations Action based on resource realities references statistical annex Explanatory notes Annex Table 1 Basic indicators for all Member States Annex Table 2 Deaths by cause, sex and mortality stratum in WHO Regions, estimates for 2000 Annex Table 3 Burden of disease in disability-adjusted life years (DALYs) by cause, sex and mortality stratum in WHO Regions, estimates for 2000 Annex Table 4 Healthy life expectancy (HALE) in all Member States, estimates for 2000 Annex Table 5 Selected National Health Accounts indicators for all Member States, estimates for 1997 and 1998  |
