WPA NEWS Ofﬁcial Quarterly News Bulletin of WPA

March 2009

Improving organizational The WPA Action Plan is in progress identity for the benefit of people with mental illness tal health care in emergencies; d) collaboration in the area of substance abuse; e) partnership WPA is in the process of improving its organi- on involvement of users and carers. The text of zational image and identity and the WPA the work plan is available on the WPA website. media channels are playing an important role Mario Maj Within the frame of this work plan, the WHO in this process. President and the WPA will organize in Geneva, from > > more events see page 11 World Psychiatric Association 27 to 31 July 2009, a training workshop on WPA media channels (the quarterly WPA prevention and management of mental health News, monthly WPA E-Bulletin and the week- During the past few months, the WPA has started consequences of disasters and conflicts. ly revised WPA Online) aim to mirror the voice the implementation of all the items of its Action • The WPA/Lancet Initiative on Continuum of the WPA Member Societies, WPA Sections Plan 2008-2011. Let me list some of the activities of Care for Mental Disorders. The WPA and the Affiliated Associations on one hand which have been initiated: and that of the WPA Executive Committee, Zone Representatives and Member Societies the WPA Board, the WPA Council, and the are participating in a survey on the continuum WPA Standing and Operational Committees • The first WPA International Call for of care for mental disorders in the various on the other, in an harmonized manner. Research Proposals. We have issued a call regions of the world, which is intended for for research projects aimed to explore the publication in the Lancet. Lately, WPA media channels had improved in factors facilitating and those hampering the • The WPA train-the-trainers programme this perspective. WPA Online is being updated choice of psychiatry as a career. The deadline for low-income countries. The first WPA weekly to cover the latest activities of our organ- for submissions is June 30, 2009. train-the-trainers workshop took place in ization. WPA monthly E-Bulletin conveys the • The WPA Guidelines. We have appointed Ibadan, Nigeria, on January 26-30. A report is highlights of the developments to psychiatrists the Task Forces which will produce WPA available on the WPA website. across the world. Member Societies are asked Guidelines on: a) protection and promotion to provide the e-mail addresses of their mem- • The first Call for Research Projects to be of mental health in children of persons with bers, so that the WPA E-Bulletin could reach conducted by WPA Sections. We have is- individual members, especially working in the severe mental disorders; b) steps, obstacles sued the first call for research projects to be underprivileged areas of the world. and mistakes to avoid in the implementation supported by the WPA and conducted by its of community mental health care; c) how to Scientific Sections. The deadline for submis- This issue of the WPA News you are currently combat stigmatization of psychiatry and psy- sions is June 30, 2009. holding reflects these developments. As could chiatrists; d) mental health and mental health • The series of reports on exemplary experi- be read in the following pages, News from care in migrants. ences in the mental health field. A first set of Members Societies, Zonal Representatives, • The programme of fellowships in collabo- reports on exemplary experiences in the men- and Affiliated Associations (pp. 5-7), News ration with centers of excellence. We have from WPA Sections (pp. 8-10), News of the tal health field has been posted on the WPA launched a programme of fellowships for psy- WPA educational activities (pp. 29-30), News website and published in World Psychiatry. of the WPA publications (pp. 30-31), News of chiatrists from low- and lower-middle income Further reports are upcoming. the upcoming WPA and affiliated scientific countries, in collaboration with five centers of • The new editions of World Psychiatry. We events (pp. 24-29) all have their appreciated excellence: the Western Psychiatric Institute, have launched the Russian edition of World rights to be heard. University of Pittsburgh, USA; the Institute Psychiatry (electronic version). Selected arti- of Psychiatry, London, UK; the University cles from the journal are being published also Please particularly mind the advances in the of Maryland School of Medicine, Baltimore, WPA Action Plan (2008-2011) and the news in Polish, Romanian and Bosnian. USA; the Mood Disorders Program, originated from its implementation (pp. 1-3), • The series of workshops on leadership and including calls for proposals for innovative University of Cleveland, USA; the University professional development of young psychi- projects (pp. 3-4). Furthermore, two articles of Melbourne, Australia. The first call for ap- atrists. A workshop was held in Singapore on reflect the exemplary experiences in mental plications, for a fellowship at the Pittsburgh February 24-28. The next one will take place health and psychiatry across the world (pp. University, has been just issued. The deadline in Abuja, Nigeria, in October 2009. 11-23). It is our shared opinion that such for applications is June 30, 2009. • The organization of the Florence Congress. positive illustrations will encourage our col- • The WHO-WPA Work Plan. We have final- The WPA International Congress “Treatments leagues to reach excellence in mental health ized with the WHO leadership a work plan for in Psychiatry: A New Update” will take place and psychiatry for the benefit of people with the next triennium, including the following in Florence on April 1-4, 2009. We will have mental illness. items: a) revision of the ICD-10 chapter on more than 8,000 participants. During the mental and behavioural disorders; b) collabo- Levent Küey Congress there will be a Special Workshop for ration in the mhGAP; c) partnership on men- Editor, WPA News WPA Member Societies and a WPA Forum. mental health and psychosocial consequences of disasters and WHO-WPA WORK PLAN 2008-2011 conflicts according to the Inter-Agency Standing Committee (IASC) Guidelines, with the participation of professionals from 1. Revision of the ICD-10 chapter on mental and behavioural various regions. disorders • Informed by the above-mentioned training, the WPA (with, where • The WPA will be represented by its President in the Advisory feasible, the close collaboration of WHO) will organize a series Group for ICD-10 revision. of workshops on the prevention and management of the mental • The WPA will facilitate resource mobilization for ICD-10 revision health consequences of disasters and conflicts, on the occasion of from sources that are acceptable to the WHO. major WPA meetings. • The WPA will provide aggregate inputs from its Member Societies • The WPA and the WHO will have a regular and structured towards the ICD-10 revision. This will be facilitated by one or collaboration in dealing with the mental health and psychosocial more surveys conducted with the assistance of the WHO. consequences of major disasters, following the model of the • The WPA will collect information regarding national and regional response to the Gaza emergency. adaptations and cultural aspects of classification for WHO’s consideration in the revision process. 4. Collaboration in the area of substance abuse • The WPA will facilitate participation of its Member Societies in • The WPA will collaborate with the WHO in the conduction of the ICD-11 field trials. the Global Survey on Prevention and Treatment Resources for • The WPA will provide the services of experts to the WHO during Substance Use Disorders (ATLAS Project). the drafting of the ICD-11. • The WPA will support the WHO in the dissemination and implementation of WHO normative and other documents 2. Collaboration in the mhGAP regarding substance abuse. • The WPA will provide assistance to the WHO in the preparation • The WPA will provide technical and programmatic input in the of the mhGAP intervention packages, by making available experts implementation of the joint UNODC-WHO programme on drug to aggregate and evaluate evidence and its packaging, as needed. dependence treatment. • The WPA will support the WHO in the country implementation of the mhGAP on a case by case basis. 5. Partnership on involvement of users and carers • The WHO will make available to the WPA its experience and 3. Partnership on mental health care in emergencies access to its network of users and carers towards assisting the WPA • The WPA and the WHO will co-organize in Geneva a train-the- in its project to draft guidelines about best practices in working trainers workshop on the prevention and management of the with users and carers.

in point 2 below. This involvement will be recognized as such, where WPA RESPONSE TO THE GAZA EMERGENCY appropriate, in relevant official documents. Drs. Benedetto Saraceno, Shekhar Saxena and Mark Van Ommeren, of 2. The WPA will provide the WHO and the UNRWA, as part of its the Department of Mental Health and Substance Abuse of the World contribution to the mental health response to the emergency, with a Health Organization (WHO), and Prof. Mario Maj, President of the list of trained mental health professionals who are able to speak Arabic World Psychiatric Association, met in Geneva on January 19, 2009. and are available to work in Gaza. For each professional, the national- ity, the availability in terms of days which can be spent in Gaza, and a They shared the following information concerning the current situa- concise information about expertise should be provided. tion in Gaza: 3. The WPA will be in contact with the Gaza Community Mental Health Programme, in order to support its activity, both in the cur- 1. Three out of five mental health centers in Gaza are functioning regularly. rent acute phase and in the reconstruction phase, in consultation 2. Gaza’s government mental health professionals are working in with the local coordination mechanism, which is co-chaired by WHO crisis teams (in particular, supporting patients in general hospitals, West Bank and Gaza Office. and accepting referrals from the United Nations Relief and Works 4. The interventions coordinated by the WHO and the UNRWA Agency, UNRWA). will be based on the Inter-Agency Standing Committee (IASC) 3. The Mental Health Directorate in Gaza has emphasized the need Guidelines on Mental Health and Psychosocial Support in for psychotropic drugs and vehicles for crisis intervention teams. Emergency Settings, available in several languages, including WHO is coordinating and following up on such requests. Arabic, at http://www.who.int/mental_health/emergencies/en. 4. The WHO is in daily contact with the UNRWA, and both organizations are deeply concerned about the expected uncoordinated influx It was further agreed that: of mental health and psychosocial NGOs to Gaza. 1. The WPA and the WHO will co-organize in Geneva a three-day 5. Two staff of the WHO Department of Mental Health and Substance train-the-trainers workshop on the prevention and management of Abuse are on standby to travel to support WHO in Gaza and/or the mental health and psychosocial consequences of disasters and Jerusalem. conflicts according to the IASC Guidelines, with the participation of 6. Traveling to Gaza is currently made difficult by entry permissions professionals from various regions. by the Israeli government. 2. Informed by the training mentioned in the previous point, the WPA (with, where feasible, the close collaboration of WHO) will It was agreed that: organize a series of workshops on the prevention and management 1. WHO has invited WPA to be involved in the mental health and of the mental health consequences of disasters and conflicts, on the psychosocial support response to the emergency in Gaza as outlined occasion of major WPA meetings.

2 WPA NEWS March 2009

An important highlight of the workshop was the requirement for REPORT OF THE WPA TRAIN-THE-TRAINERS the participants to develop specific plans of action that build on the WORKSHOP outcome of the training. The following were the plans collectively IBADAN, NIGERIA, JANUARY 26-30, 2009 agreed upon: • Provision of written report on the workshop to the authorities at The 5-day WPA training workshop for the teachers of mental health their institutions within one week of completion of workshop. in community health officers’ training institutions in the southwest • Plan to incorporate the contents of the WHO-PHC guidelines into of Nigeria took place at the University of Ibadan Conference Centre, their lecture notes on mental health within the next academic Ibadan from 26 to 30 January 2009. There were 25 participants session. selected from the 6 southwestern states (Lagos, Ogun, Ondo, Osun, • Plan to improve their teaching skills by employing role plays and Oyo, and Ekiti) and the two Yoruba speaking north-central states discussions by their students. (Kogi and Kwara). • Having understood the relationship between mental health and The workshop aimed to provide the participants with: a) knowledge, reproductive health, malaria, HIV/AIDS and child health, the skills and competencies around mental health and mental disorders participants resolved to sensitize teachers of other subjects in as well as common neurological disorders, and their contribution to their institutions to the relevance of mental health to the other physical health, economic and social outcomes; b) understanding courses and subjects. of linkages between mental health and child health, reproductive • Specific plan to forward to Ibadan the academic timetable of health, malaria and HIV; c) understanding of the general policy their institutions indicating when mental health courses would be and implementation contexts for primary care; d) understanding of taught so as to facilitate monitoring and support visit by O. Gureje mental health policy and legislation; e) skills about working with the and his team in Ibadan. community, and supporting volunteer community health workers; f) skills about disaster management.

Selection of participants was made through the National Primary Health Care Development Agency working with the heads of the various institutions. The selected participants were experienced, senior teachers serving in colleges of health technology, community health officers’ training programs in teaching hospitals, and community health officer tutors’ courses in the University College Hospital Ibadan. There were also representatives of the Community Health Officers’ Registration Board (the agency responsible for developing community health officers’ curriculum and licensing of practitioners) and the National Primary Health Care Development Agency.

The program ran daily from 8.00 am to 5.00 pm using an adapted curriculum, following a general health systems approach and compatible with the WHO-PHC guidelines. The curriculum had been previously Group photo of participants and trainers, Ibadan, Nigeria. developed by R. Jenkins for Kenya, and subsequently adapted for and used in Ghana (V. Doku), Malawi (F. Kauye) and Pakistan (R. Taj and R. Jenkins). Short didactic lectures were augmented with 23 role plays It was agreed to have periodic monitoring, evaluation and boosting and case vignette discussions. The resource persons were O. Gureje, R. of the knowledge already acquired through scheduled visits to the Jenkins and V. Doku. Participants were administered a pre- and post- participants in their respective institutions to observe them teaching workshop questionnaire to assess their knowledge of mental health is- their students using the skills acquired during the training. sues and evaluate the changes due to the training. The analysis of the tests will be conducted in due course.

Selection criteria will be: a) being a certified psychiatrist; b) living WPA-WHO WORKSHOP ON MENTAL HEALTH in an area at high risk for disasters or conflicts; c) having previously AND PSYCHOSOCIAL SUPPORT IN AREAS worked in emergency settings; d) being potentially available to work AFFECTED BY DISASTERS AND CONFLICTS abroad in emergency settings under difficult circumstances for at least two months; e) being available to orient other psychiatrists at (WHO HEADQUARTERS, GENEVA – JULY 27-31, 2009) WPA meetings on the content of the IASC Guidelines. CALL FOR APPLICATIONS Applications, accompanied by a short curriculum vitae (no more than The World Psychiatric Association (WPA) and the World Health 2 pages, covering the above five criteria), should be received at the WPA Organization (WHO) will organize in Geneva, from 27 to 31 July 2009, a Secretariat ([email protected]) no later than June 8, 2009. workshop on mental health and psychosocial support in areas affected by disasters and conflicts according to the Inter-Agency Standing Committee Successful applicants will be admitted to the workshop free of charge (IASC) Guidelines (see www.who.int/mental_health/emergencies/en). and will receive a maximum contribution of 2,500 Euros towards Twenty psychiatrists will be admitted to the workshop, which will be their travel and accommodation expenses. held in English.

3 CHOOSING PSYCHIATRY AS A CAREER psychiatric interventions, as well as the motivation of medical students A WPA INTERNATIONAL CALL FOR RESEARCH PROPOSALS to choose psychiatry as a career. The World Psychiatric Association (WPA) is the largest associa- As one of the activities pursuing this institutional goal, the WPA will tion active in the mental health ﬁeld worldwide, with 134 Member fund an international project aimed to assess the factors facilitating Societies (national psychiatric societies), representing more than and those hampering the choice of psychiatry as a career by medical 200,000 psychiatrists, and 65 Scientiﬁc Sections. students, and to suggest strategies to encourage this choice.

In the WPA Action Plan 2008-2011, one of the institutional goals Proposals from individuals, departments or societies are welcome. is to enhance the image of psychiatry worldwide among the general They will have to include a description of the project (max. 1200 public, health professionals and policy makers, counteracting some words), a list of the participating centres, a timetable, a detailed negative messages – often biased by ideological prejudice – which budget, and a short curriculum vitae of the proposed principal are affecting the motivation of persons with mental disorders and investigator(s). Proposals will have to be sent by e-mail to the WPA their families to seek for psychiatric advice and help and to adhere to Secretariat ([email protected]) by June 30, 2009.

1. Depression in persons with physical diseases. 2. Stigmatization of CALL FOR PROPOSALS OF RESEARCH psychiatry and psychiatrists. 3. Integration of mental health care into PROJECTS TO BE SUPPORTED BY THE primary care. 4. Protection and promotion of physical health in per- WPA AND CONDUCTED BY ITS SCIENTIFIC sons with severe mental disorders. 5. Assessment and development of talents and strengths of persons with mental disorders. SECTIONS Proposals from individual Sections or networks of Sections are wel- The World Psychiatric Association (WPA) is the largest associa- come. They will have to include a description of the project (max. tion active in the mental health field worldwide, with 134 Member 3000 words, including an introduction, the objectives, the meth- Societies (national psychiatric societies), in 122 countries, represent- odology and some references), a list of the participating centres, ing more than 200,000 psychiatrists. a timetable, and a detailed budget. A short curriculum vitae of the The scientific backbone of the Association is represented by its 65 proposed principal investigator(s) is also requested (no more than one Scientific Sections, covering practically every aspect of psychiatry. page). Proposals will have to be sent by e-mail to the WPA Secretariat According to the WPA statutes, one of the purposes of these Sections ([email protected]) by June 30, 2009. is the promotion and conduction of international collaborative research, a purpose which has been only partially achieved up to now, mainly due to financial constraints. HAVE YOU RECENTLY VISITED

The WPA is going to fund two high-quality research projects proposed THE WPA WEBSITE? by its Scientiﬁc Sections. The projects will have to deal with one of ➜ WWW.WPANET.ORG the following issues highlighted in the WPA Action Plan 2008-2011:

CALL FOR APPLICATIONS FOR A RESEARCH The successful candidate will spend one year at the UMPC, and will FELLOWSHIP be expected to conduct research in the ﬁeld of mood disorders. Applications are invited from psychiatrists less than 40 years of age or World Psychiatric Association with less than ﬁve years elapsed since completion of residency training. The list of eligible countries (low- or lower-middle income countries) is Department of Psychiatry & Western Psychiatric Institute and available on the World Bank website (http://www. worldbank.org). Clinic, University of Pittsburgh Medical Center (UMPC) The fellowship holder will receive a subsidy of 30,000 Euros plus The World Psychiatric Association, as part of its Action Plan 2008- coverage of travel expenses (economy class). He/she will commit 2011, has launched a programme of research fellowships for early- himself/herself to report to the World Psychiatric Association about career psychiatrists from low- or lower-middle income countries, in the results of his/her activity, and to apply in his/her country of collaboration with internationally recognized Centers of Excellence origin what he/she has learnt. in Psychiatry. Applicants should submit by e-mail their curriculum vitae to the Within this programme, the World Psychiatric Association is funding WPA Secretariat ([email protected]). The deadline for a research fellowship at the Department of Psychiatry & Western applications is June 30, 2009. Psychiatric Institute and Clinic, University of Pittsburgh Medical Center (UMPC).

4 WPA NEWS March 2009

News from Member Societies, Zonal Representatives, and Afﬁliated Associations Contact: WPA Secretary General, Levent Küey, [email protected]

LATEST NEWS FROM THE KYRGYZ PSYCHIATRIC ASSOCIATION The esteemed Professor V. V. Solojenkin was priority of KPA is the organization of activi- Educational activities focus on organization the founder and leader of Kyrgyz Psychiatric ties especially in coordination with WPA, and of clinical case discussions, and educational Association (KPA) until 2007. After the also in coordination with its members within and training seminars, aiming to cover all of the country. Recently in November 14, 2008, the regions of the country. Besides, develop- elections that had taken place in 2007 a new a scientific meeting called “Psychiatric ing international relations on education in Executive Committee was formed. Now under Readings”, dedicated to the memory of psychiatry and narcology is also aimed. the presidency of Doctor Abjalal Begmatov V.V. Solojenkin, was held. Tamilla Kadyrova the KPA EC consists of seven members Secretary for International Relations including the Secretary for International Scientific activities of KPA include the Kyrgyz Psychiatric Association Relations, Doctor Tamilla Kadyrova. development and organization and support of research in psychiatry, including child psy- Activities of KPA cover various aspects of the chiatry and narcology, holding a reformative field of psychiatry and mental health. One perspective.

The Annual Conference of the Russian The Russian Society of Psychiatrists has NEWS FROM THE Society of Psychiatrists was held on 28-30 began to prepare for the 2nd Congress of RUSSIAN SOCIETY October 2008 in Moscow. The title was: PAEEB (Psychiatric Association of Eastern Realization of subprogramme “Mental dis- Europe and Balkans) “Collaborating for OF PSYCHIATRISTS orders” of Federal dedicated programme Mental Health” which is planned to be in “Prevention and control of socially signiﬁcant Moscow on 27-30 October 2009 and to the diseases.” The issues connecting with new WPA Regional Congress “Traditions and classiﬁcation and treatment approaches were Innovations in Psychiatry” in St Petersburg discussed during sessions of the Conference. on 17-19 June 2010.

THE NORWEGIAN 3. Mandatory education on mental health in results, the softer and more time consuming schools aspects of treatments are under pressure. PSYCHIATRIC ASSOCIATION Knowledge about mental health, psychology and treatments must be mandatory in high 8. Reduce coercion The Norwegian Psychiatric Association cel- schools. Reduction in involuntary treatment can be ebrated its 100th anniversary in 2007. One of achieved through an easier access to the serv- the most successful initiatives we undertook 4. Early detection and treatment of severe ices in mental health care. during the celebration was to make a ten mental disorders 9. Users should be given a real possibility to point manifesto on health policy. This mani- Hospitals must develop systems for early influence treatment. Right to work festo has since the celebration often been detection and treatment of psychosis. We want to work towards more influence cited by the media and has proven useful in 5. Better accessibility and low threshold from and closer collaboration with the users. explaining our plans for the future direction Patients should be able to come directly to Workplaces should be organized in a way of psychiatry in our country. the hospitals and be assessed by a psychiatrist that is more including and accepting towards concerning the need for further treatment. all kinds of people. Manifesto on health policy from the Norwegian Psychiatric Association (NPA) 6. Plan for professional upgrading 10. Quality indicators to measure results of This upgrading must be done in close collab- the treatment and customer satisfaction 1. No more stigma and prejudices oration with the user organisations to make We want quality indicators that actually We need a national strategy for continu- sure that the patients’ point of views is taken measure how our patients fare in both the ous work to fight stigma and prejudices into account (or consideration). Psychiatry short and long run. Continuous feedback through / by information. must be based upon best evidence. in the form of patient satisfaction ques- tionnaires. 2. Mental disorders can be prevented 7. Secure and expand the room for psycho- We need a national plan of action aimed at therapy and other psychosocial treatments preventing mental disorders, drug related In times when the health care services are diseases and suicides. focusing more on short term economic 5 University, Faculty of Medicine, Department and checklists for the observers and instruc- PSYCHIATRY BOARD of Medical Education. Certification exami- tional guides for the candidates are prepared. CERTIFICATION IN TURKEY nations are performed in two steps. The Simulated patients take part in five stations. objective of the first step is to assess knowl- One station is designed to evaluate the can- Psychiatry board certification examinations edge and second step is to evaluate skills and didates’ skills in psychiatric forensic report were initiated in Turkey in 2006. The aim attitudes. The first step consists of 100 mul- writing. Candidates stay in each station 10-20 was to motivate psychiatrists who had already tiple choice questions, covering main topics minutes. been qualified in psychiatry to be up to date in of Psychiatry Residency Curriculum, which recent developments in the field, thus improv- has been developed by Educational Program As far as we know, Psychiatry Board of ing good clinical practice and quality of psy- Development Commission of Psychiatry Turkey is the first in incorporating OSCE in chiatric services in the country. As of 2008, Board. Candidates who succeed in the first board certification exams. residents in the final year of their residency step are eligible for taking the second step program are allowed to take the first step of examination. The format of the second step Aylin Uluşahin the exam, they are qualified for taking the sec- is objective structural clinical examination Coordinator, Board Certification ond step after completing their program. (OSCE). Six stations are designed for the Psychiatry Board of Turkey second step of the certification exams. After Psychiatric Association of Turkey Turkish Board of Psychiatry organized the cer- the main topics are established; scripts for tification exams with the collaboration of Ege simulated patients, instructional guides

demics who were nominated for awards. The JD Adeyemi NEWS FROM NIGERIA NNOM is the highest honour given to acad- WPA Representative for Central and West Africa (Zone 13) Oyewusi Gureje PhD, DSc, FWACP(Psych), emicians who have distinguished themselves FMCPsych, FRCANZPsych, FRCPsych, in their ﬁeld of endeavor by the Government Professor and Head, Department of Psychiatry, of Nigeria. Professor Gureje, the youngest of University College Hospital, Ibadan and the three winners of the 2008 prizes, shared College of Medicine, University of Ibadan, the turf with the Nobel Laureate Professor Ibadan who is also the President of the Wole Soyinka and Professor Chuwuemeka Ike Association of Psychiatrists in Nigeria was con- whose contributions are in the literary arts. By ferred with the award of the Nigerian National this award, Professor Oye Gureje has joined Order of Merit (NNOM) by the President of the league of 57 most distinguished Nigerians Nigeria, His Excellency Alhaji Umaru Musa recognized for their excellent contributions in Yar’Adua on the 16th of December 2008 for academia within and outside the country since exceptional industry and academic excellence the commencement of the award 25 years ago. in the ﬁeld of Medicine. The conferment The WPA Zone 13 members congratulate Left to Right: His Excellency, Alhaji Umaru Musa followed his selection in a highly competitive their immediate past representative and wish Yar’Adua, President of the Federal Republic of Nigeria, and rigorous process, by the Nigerian National him more success in life even as he uses his and Professor Oye Gureje displaying the prize at the con- Merit Award Committee, among several new status to project the specialty positively in ferment of the award of Nigerian National Order of Merit at Aso Rock Abuja, Nigeria. distinguished national and international aca- Nigeria and beyond.

The Planned Program •Salary of 2000 USD per month (which is A PSYCHIATRIST WANTED The program will enroll mid level health four times a local psychiatrist would earn FOR GREAT CAUSE professionals (Bachelor degree holder health for the same post) officers) who have worked at primary health •Round trip ticket from home country will The Department of Psychiatry, Jimma care centers for at least two years. The pro- be covered University which is situated in Jimma town gram integrates training clinical, primary •Working in a University with an enormous (350km southwest of Addis Ababa) is plan- care and community psychiatry. culture in community based research activ- ning to launch a two year innovative graduate ities where faculties get both logistic and Duties of the Psychiatrist upon employment training program for mid-level health profes- financial support to undertake research on •Clinical supervision of graduate students (case sionals. The program aims at reducing the their own. presentations, morning rounds, ward rounds) huge mental health treatment gap through •Living the beautiful and evergreen Jimma •Supervising community and primary care developing human resource capacity in town where cost of living is cheaper than activities by students most parts of the world the area of mental health care in Ethiopia. •Offering didactic lectures and moderating Jimma University has only one psychiatrist seminars The contract who is busy teaching medical students and •Supervising graduate students’ research all other trainees in the area of health scienc- The eligible candidate will sign a one or two undertaking year contract with Jimma University that es. He is also keen to start a new program to •Involving in assessment of the program and could be renewed. train mental health professionals with mas- revision of curriculum. ter‘s degree. However, it has been difficult for Contact person: Atalay Alem one person to start this important program. Benefits ([email protected]). Thus, we are looking for a psychiatrist who •The University will offer fully furnished house could help this situation. and local transportation within the town

6 WPA NEWS March 2009

matic Medicine in Athens and has been au- which aims at familiariza- ACTIVITIES OF THE thorized to organize in collaboration with the tion of the membership HELLENIC PSYCHIATRIC Society of Preventive Psychiatry, the World with clinical and research ASSOCIATION Congress of Mental Health of the World practices in other coun- Federation of Mental Health (WFMH) in tries. Up to now, the As- The Hellenic Psychiatric Association is the Athens (2-6 September 2009). The site of the sociation has organized National Psychiatric Association of Greece, Congress is www.wmhc2009.com and the study tours to UK, USA, representing 1500 psychiatrists. deadline for submission of abstracts is the Morocco, China, Hong- 15th March 2009. Kong, Argentina, Peru Its activities World Congress of Mental and we are now planning include the Another important educational initiative Health, Athens 2-6 a study tour to Russia (St. major nation- of the Association is the Training initiative September 2009 Petersburgh and Mos- al scientific addressed to all psychiatric trainees in the cow) in association with event in the country. These courses are organized every the Second Psychiatric Congress for Eastern area of mental four months, they are Europe to be held in Moscow from 27 to 30 Oc- health, name- held each time in a differ- tober 2009 (www.paeeb2009moscow.ru). ly the Panhel- ent Greek city, they cover a great variety of fields (in- Prof. Nikolaos Tzavaras, President lenic Congress In addition to the above educational activi- Hellenic Psychiatric Association of Psychiatry, corporating topics that are ties, the Association is also active in the field held every not addressed by the offi- of prevention and treatment of the psycho- two years, other scientific events organized cial specialty curriculum) social consequences of Disasters and within locally by the regional branches of the As- and they provide trainees the context of the man-made Middle East sociation and training courses organized by with the opportunity to disasters it has taken initiatives along with the sections. In addition, the Association has Prof. George come in contact with vari- the WPA Institutional Program on Disasters organized a very successful WPA Regional Christodoulou Honorary ous teachers and not sole- and the WPA Taskforce on Mass Violence for Congress and the first Intersectional Con- President Hellenic ly these of the facility to issuing of anti-war statements by the Israeli Psychiatric Association gress in the history of the WPA which was which they are allocated and Lebanese psychiatric Associations, with also the first WPA Electronic Congress. for training. This scheme the approval of the Palestinian Psychiatric As- has been greatly appreciated by the trainees. sociation. These activities have been accom- The Association has a rich record of interna- panied by local visits and related conferences tional activities. Within this context it has The study tours to facilities abroad consti- and will be continued in view of the recent organized the World Congress of Psychoso- tute yet another initiative of the Association Mass Violence situation in the Middle East.

The Institute of Mental Health, Belgrade, Theatre from 23-24 April 2009. The President SERBIAN PSYCHIATRIC Serbia, together with the Serbian Psychiatric of the organizing committee is Prof. Dusica ASSOCIATION Association is organizing its fourth Forum. Lecic-Tosevski, WPA Zonal Representative This year it will be the FORUM ON for Central Europe. Plenary lectures will be NEWS PSYCHOTHERAPY – 70 years after given by guest speakers from Netherlands, Freud. The Forum will be organized under UK, France and USA. the auspices of The Ministry of Health, Republic of Serbia, at the Belgrade Drama

approaches set a mission to integrating ef- 2ND EASTERN EUROPEAN forts of mental health professionals for im- PSYCHIATRIC CONGRESS proving the quality of care to patients. So we OF PAEEB, 27-30 OCTOBER have a good opportunity to discuss the actual problems in the friendly atmosphere of mu- 2009, MOSCOW, RUSSIA tual respect and understanding.

We are very pleased to invite you to join us Looking forward to welcoming the Congress for the 2nd Eastern European Psychiatric participants from all over the world in Mos- Congress of the Psychiatric Association for cow in October 2009! Eastern Europe and Balkans (PAEEB) which will take place in Moscow, Russian Federa- Prof. George Christodoulou, President of the tion, October 27-30, 2009 in conjunction with Psychiatric Association for Eastern Europe the Annual Conference of Russian Society of and Balkans (President of the Congress) Psychiatrists. Prof. Valery Krasnov, President of Russian High prevalence of socially signiﬁcant men- Society of Psychiatrists (Chair of the Organ- tal diseases and the wide range of treatment izing Committee)

Deadline for on-line abstracts submission – 15 May 2009 Contacts: City Tourist Ofﬁce – Tel: +7 495 960 21 90. Fax: +7 495 960 21 91 E-mail: [email protected] (Alexey Ryabtsev); [email protected] (Secretary of Organizing Committee – Dr. Maya Kulygina) Website: www.paeb2009moscow.ru Saint Basil the Blessed.

7 News from WPA Sections Contact: WPA Secretary for Sections, Miguel R. Jorge, [email protected]

rapidly approved by a number of national rights, access to health care, and adequate FROM THE WPA SECTION mental health associations, NGOs and indi- food, water, and shelter. Women’s mental ON WOMEN AND MENTAL viduals. Both the International Consensus health requires the elimination of violence Statement on Women’s Mental Health and and discrimination based on sex, age, in- HEALTH: THE INTERNATIONAL the Consensus Statement on Interpersonal come, race, ethnic background, sexual orien- CONSENSUS STATEMENT Violence Against Women were approved by tation or religious beliefs. While both sexes the WPA at its General Assembly in Cairo in benefit from the above factors and the overall ON WOMEN’S MENTAL September 2005. rates of mental illness are similar in men and HEALTH AND THE WPA women, women’s unique roles in reproduc- We urge all WPA Member Societies to dis- tion, the family and society, and their often CONSENSUS STATEMENT ON seminate these Consensus Statements by lower socioeconomic status, necessitate spe- IMPLEMENTATION VIOLENCE posting them on their websites and distribut- cial considerations for their mental health. ing them to their members, in their journals AGAINST WOMEN and other written communications. Even Even in optimal circumstances, some women more importantly, we urge WPA Member will experience mental health problems and DONNA E. STEWART Societies, individual psychiatrists and other illnesses for which adequate diagnosis and University Health Network Women’s Health mental health workers to begin work to imple- Program, University of Toronto, Canada treatment are essential. The identification of ment the recommendations to improve wom- women’s mental health problems should ide- en’s mental health. Please let us know how ally start with women themselves who should In 1999, women’s mental health leaders we can help ([email protected]). be provided with accurate, understandable from Europe, Asia, Africa, North and South information about mental health, psycholog- America and Australia began a fact finding INTERNATIONAL CONSENSUS STATE- ical distress, illnesses, and available services process to determine the psychosocial, cul- MENT ON WOMEN’S MENTAL HEALTH and treatments. Evaluation of mental health tural and environmental factors which were problems in women must consider the full most salient to women’s mental health and Preamble context of their lives, as distress in women mental illness. At the 2001 First World Con- The 1995 United Nations (UN) Beijing Plat- often has social origins and diagnoses should gress on Women’s Mental Health in Berlin, form for Action states that “Women have not be stigmatizing. The role of violence they rank ordered these factors. Discussion the right to the highest attainable standard and discrimination in the genesis of mental among women psychiatrists, psychologists, of physical and mental health. The enjoy- health problems in women requires special social workers, mental health nurses, policy ment of this right is vital to their life and consideration. Social and psychological serv- experts, non-governmental organizations wellbeing...” (2). In September 2000, UN ices and primary care physicians should be (NGOs) and consumers resulted in a pub- agencies, 189 member countries of the UN, able to undertake evaluation, diagnosis and lished summary (1). as well as multilateral and bilateral agen- treatment or offer referral to appropriate spe- cies unanimously endorsed the Millennium cialty services. Women should have access to In 2003-2004, further discussions were held Declaration (3). The Millennium Develop- respectful, knowledgeable mental health care that culminated in a March 2004 roundtable ment Goals, made up of 8 Goals and 48 in a timely fashion, in a nonstigmatizing, suit- at the Second World Congress on Women’s Targets, are recognized as the road map for able setting within their economic means, by Mental Health in Washington, sponsored by implementing the Millennium Declaration. adequately skilled health professionals with the International Association for Women’s The Goals include the achievement of uni- access to appropriate treatments. Mental Health. A decision was made to devel- versal primary education, the promotion of op an International Consensus Statement on gender equality, reduction of child mortality, Treatment settings should be safe, and free Women’s Mental Health that described the is- improving maternal health and combating from breaches of fiduciary trust by health sues and concluded with recommendations. HIV/AIDS, among others. Mental well-be- care providers and staff. Women’s prefer- ing of the mother is integral to the health, ences for informed medical decision mak- A Consensus Statement on Interpersonal Vi- nutrition and educational outcomes of their ing should be respected whenever possible, olence against Women was also written by the children, violence against women erodes gen- and the quality of care should be assessed by WPA Section on Women’s Mental Health, der equality and the empowerment of wom- indicators that are consistent with best cur- and submitted to the WPA Executive Com- en, as well as putting women at increased risk rent knowledge, informed by gender-sensi- mittee and Member Societies for their com- for HIV infection. It is thus imperative that tive research. Women who have been sexu- ments. Work on the International Consensus women’s mentalhealth be prioritized, if the ally abused, or who have strong preferences Statement on Women’s Mental Health was Millennium Development Goals are to be for female health care providers, should be further facilitated by a WPA meeting at Met- achieved. accommodated whenever possible. Appro- ropolitan Hospital in New York City in April priate services for adolescent, peripartum, 2004 and a subsequent meeting hosted by Women’s mental health must be considered midlife, older, immigrant, refugee, disabled the American Psychological Association in within the context of women’s lives and can- and incarcerated women are essential. Acute September2004. This International Consen- not be achieved without equal access to ba- and continuing care, supportive and rehabili- sus Statement on Women’s Mental Health sic human rights: autonomy of the person, tative mental health services across the life was approved by the American Psychologi- education, safety, economic security, prop- span are essential to enable mentally ill wom- cal Association and the American Psychiat- erty and legal rights, employment, physical en to achieve their optimal level of function- ric Association by December 2004 and then health, including sexual and reproductive ing and well-being. Positive women’s mental

8 WPA NEWS March 2009

health benefits the health of women them- promotion within mental health services often portray violence against women as ac- selves, their families, and the general popula- and organizations including equal opportu- ceptable. Although religion may be used as tion and promotes women’s participation in nities for advancement and eradication of a rationalization for violence against women, professions and leadership. gender harassment, intimidation or unjus- reference to core religious documents, such tified discrimination on the basis of sex. as the Bible, the Koran and the Torah, reveal Recommendations in many parts that violence against women is WPA CONSENSUS STATEMENT not acceptable (4-9). Accordingly, we recommend that profession- ON INTERPERSONAL VIOLENCE Understanding male violence against women al mental health and health organizations AGAINST WOMEN and providers, governments, the UN system, requires an examination of the physical, le- the World Health Organization, other inter- Interpersonal violence is a critical public gal and economic power inequality between national health and social organizations and health challenge throughout the world that men and women. Poor and older women, appropriate nongovernmental organizations causes distress, reduced quality of life, physi- mentally ill women, women with disabilities, integrate girls’ and women’s mental health cal and mental health consequences, and women in institutions, ethnic minorities, sex as a priority in policy and program develop- even death (4,5). workers, trafficked women, and other disad- ment and... vantaged women, including women during Although men, women and children may all armed conflict, are all disproportionately at be victims of violence, the perpetrators and - Support psychological health promotion risk for violence (7,8). consequences of violence are usually differ- programs that encompass the life context ent for men and women. While men are most As psychiatrists and other mental health pro- of girls and women to include equal ac- likely to be injured by strangers during the fessionals play vital roles as mental health cess to basic human rights, education and commission of a crime, or in war; women are care service providers, educators, researchers employment, the elimination of violence most likely to be injured by their male part- and policy advocates, who help shape mental and discrimination and the reduction of ners or other family members; often some- health professional practice and public opin- poverty. one they live with and love. In fact, women ion, be it resolved that the World Psychiatric - Support women’s marital, sexual and re- are more likely to be murdered by their in- Association: productive choices and ensure access to timate partners than by strangers. In addi- safe motherhood. tion, men’s greater size and strength, and - Issue a policy statement that recognizes - Support public education and awareness their more frequent use of weapons, result in violence against women as a major deter- campaigns that increase recognition and more serious injuries to women from inter- minant of mental distress and psychiatric reduce the stigma of mental illness in girls personal violence between men and women illness in women and strongly condemns and women. (6). All these differences require special con- all forms of violence against women. - Support safe, respectful, appropriate, gen- sideration for prevention, amelioration and - Support programs to improve the education of practicing and training psychiatrists der sensitive comprehensive mental health policy for each gender, and accordingly, this to recognize and treat victims of violence. and physical health services for girls and consensus statement has been developed on This education should include, as a starting women across the life cycle irrespective of interpersonal violence against women. point, the routine inquiry about violence and their economic and social status, race, na- Research reveals a high prevalence of acute victimization in all psychiatric assessments, tionality or ethnocultural background. and chronic physical and mental health con- the recognition of the role of violence and - Support timely access to adequately skilled sequences of violence against women. Wom- rape in the genesis of many psychiatric ill- mental health professionals who provide en who are victims of violence are more likely nesses and as a treatment issue. quality of care consistent with best current to suffer from depression, anxiety, post-trau- - Promote safe, respectful, non-blaming, am- knowledge and availability of appropriate matic stress disorder, borderline personality bulatory and inpatient treatment programs therapy, technology or drugs and who take disorder, substance abuse, sexual dysfunc- for women victims of violence. women’s special needs into consideration. tion, low self-esteem, and psychological dis- - Support research to develop and evaluate - Support the development and use of cul- tress, as well as a host of acute and chronic the best treatments for women who have turally appropriate diagnostic systems that physical disorders. Violence and abuse in suffered from violence, and for their chil- consider the sociocultural context of wom- early life are strong predictors of later men- dren and the perpetrators. en’s lives, and biological differences when tal illness, especially depression. Moreover, - Support health professionals’ and public they are salient. being assaulted, or witnessing an assault awareness of violence against women as a - Support the provision of accurate informa- on family members in childhood, or adoles- critical women’s mental health determinant. tion and respect choices in treatment deci- cence, increases the risk of mental disorders, - Explore opportunities for greater interpro- sion making by girls and women whenever low self-esteem and subsequent involvement fessional collaboration (legal, social, medi- in abusive relationships for both men and possible. cal, and policy makers) on an international women. Violence against women also has - Support the provision of mental health level to prevent and ameliorate violence negative secondary effects for families, com- against women, including violence during care for girls and women that is free from munities, society and the economy (4-9). breaches in fiduciary responsibility. armed conflict. - Support increased attention to research on Violence against women takes many forms: - Explore wide ranging psycho-educational girls’ and women’s mental health includ- battery, sexual assault, psychological abuse and socio-cultural interventions designed ing those factors which enhance or inhibit and harassment. Cultural norms, social ex- to change the objectification of women, the development of resiliency. pectations, and gender roles and relations which is a major determinant of violence - Support the provision of core training and may promote such violence against women against women. education about gender issues for health, and these social forces may determine the - Censure public statements which seek to and mental health, professionals. consequences to the woman and the re- normalize violence against women as ac- - Support gender equality in practice and sponse of society. Media and advertising too ceptable or a cultural norm.

9 References 4. United Nations. Report of the special 7. Jecks N. Ending violence against women: rapporteur on violence against women, regional scan for East and Southeast Asia. 1. Stewart DE, Rondon M, Damiani G et al. its causes and consequences. New York: New York: United Nations Development International psychosocial and systemic United Nations, 2003. Fund for Women, 2002. issues in women’s mental health. Archives of Women’s Mental Health 2001;4:13-7. 8. Committee on the Elimination of Dis- 5. World Health Organization. World report crimination against Women. General rec- 2. United Nations. The Beijing platform for on violence and health. Geneva: World ommendation No. 19. New York: United action. Report of the Fourth World Con- Health Organization, 2002. Nations, 1992. ference on Women. New York: United Na- tions, 1995. 6. Stewart DE, Robinson GE. Violence against 9. Parliamentary Assembly of the Council of women. In: Oldham JM, Riba MB (eds). Europe. Domestic violence against women. 3. United Nations. The millennium declara- Review of psychiatry, Vol. 14. Washington: Recommendation 1582. Strasbourg: Coun- tion. New York: United Nations, 2000. American Psychiatric Press, 1995: 261-82. cil of Europe, 2002.

FROM THE WPA SECTION South America mainly, but also from Spain the publication of with a Latino background. Furthermore, the product of the ON TRANSCULTURAL many international colleagues from Europe, congress is very PSYCHIATRY: A BOOK North America and Asia took a part of the important. It pro- BY GLADET (GROUP OF congress to support this special event. For vides the opportu- the scientific program, in addition to plenary nity for colleagues LATINO AMERICAN FOR lectures, 20 symposia were held including from Mexico and STUDY OF TRANSCULTURAL topics of various kinds, as reflected by its various countries PSYCHIATRY) theme: Psychiatry, nature and culture: from in South America singular to universal. to get together, Psychiatry, Nature and Culture, to identify them From Singular to Universal This book is composed of selected articles a group, to examine and learn together from papers that were presented at the con- what the cultural issues that need attention This book is the gress. The authors are mainly from Mexico, related to people living in Central and South product of the Brazil, Chile, and Venezuela. It also includes America with Latino cultural background. First International articles presented by colleagues from Spain, But furthermore, it provides an opportunity Congress that has France and Andorra in Europe and USA to connect to cultural psychiatrists from vari- been organized by and Canada in North America. The articles ous regions of the globe. We are very pleased GLADET, which not only included issues related to Latin that GLADET is affiliated with the World was successfully America but also those related to culture and Associations of Cultural Psychiatry, to work held on April literature, human psychology and others. 17-20, 2008 in together with colleagues from Europe, North Guadalajara, America, Asia and other parts of the globe The need of concern and attention to cultural Mexico. to promote the knowledge and experiences aspects of human psychology and behavior relating to culture and mental health and as well as clinical assessment and care of GLADET or Group Latino Americano de cultural psychiatry. patients has become a common knowledge Estudios Transculturales, A.C. (Group of and forceful movement around the world. It We congratulate under the editorship of Latino American for Study of Transcultural is very important not only to develop cultural Professor Sergio J. Villaseñor Bayardo, this Psychiatry) is revived under the leadership psychiatry knowledge and experience locally book is published which will be enjoyed not of Professor Sergio J. Villaseñor Bayardo, in its own region but also particularly perti- only by colleagues with Latino American a cultural psychiatrist and anthropologist, nent to compare with that derived from other background but also by colleagues with other presently working as a faculty member at regions and cultures. There is a great need regions and cultural background. the University of Guadalajara, Mexico. The of communication, sharing, and comparison committee members of GLADET are com- to obtain the higher level of understanding. Wen-Shing Tseng, M.D. posed of a group of colleagues from Mexico This is the base for the establishment of and various countries in South America, World Association of Cultural Psychiatry, Professor, Department of Psychiatry, including: Bolivia, Brazil, Chile, Columbia, to promote the development of cultural psy- University of Hawaii School of Medicine, Ecuador, Perú, and Venezuela. chiatry around the world. and President, World Association of Cultural Psychiatry The first international congress included In this regard, the reviving of GLADET for many colleagues not only from Central and the Latino American is very significant and

10 WPA NEWS March 2009

able of successful experiences implemented HASI was established in 2003, with key EXEMPLARY EXPERIENCES in other regions and of guidelines produced objectives to: IN MENTAL HEALTH AND by international organizations such as the • Improve housing stability for participants; WHO, while at the same time being aware of • Reduce demand on psychiatric inpatient PSYCHIATRY ACROSS THE the specific challenges posed by local reali- services; WORLD: THE ASIA-PACIFIC ties and of the strategies which have already • Reduce calls to emergency services; proved to be effective locally, is probably the • Demonstrate an independent living, COMMUNITY MENTAL HEALTH best which can be done to foster the develop- community-based model of psychosocial DEVELOPMENT (APCMHD) ment of community mental health care at rehabilitation, support and case the regional level. management; PROJECT This lively and interesting collection of • Improve quality of life through social, exemplary experiences can be extremely vocational, educational, life-skills useful to psychiatrists, other mental health Introduction professionals and policy makers of the Asia- development and family connections. Pacific region as well as of other areas of the HASI is a three-way partnership between: The Asia-Pacific Community Mental world, representing a source of inspiration Health Development (APCMHD) project has and encouragement. • Specialist mental health non-government been established in 2005 to explore diverse The World Psychiatric Association will be organisations funded by NSW Health leading models or approaches to community pleased to support the further development of providing support and psychosocial mental health service delivery in the Asia- this initiative, and to provide its help and advice rehabilitation; Pacific region. The objective is to illustrate to other regions wishing to follow this example. • Specialist local mental health services and promote best practice in mental health (part of Area Health Services) providing care in the community through use of infor- clinical mental health care and mation exchange, current evidence and prac- Australia rehabilitation; • Public and community housing, funded tical experience in the region. Editor: Rosemary Calder, First Assistant Sec- by NSW Housing, providing long-term, The project is based on the work of an retary, Mental Health and Workforce Divi- secure, affordable housing, and property emerging network of mental health leaders sion, Australian Government Department of and tenancy management. from 14 countries or regions in the Asia- Health and Ageing. Pacific, working to build culturally appropri- Sub-Editors: Nathan Smyth, Colleen Kreste- The purpose of the HASI partnership is to: ate mental health policy frameworks and nsen, Lana Racic; Contributors: Aaron workforce in the implementation of com- Groves, Ruth Vine, David McGrath, Jake • Co-ordinate care; munity mental health services. Initiated in Matthews, Simon Wells. • Enhance the interface between specialist collaboration with the WHO Western Pacific mental health services, General Regional Office, the APCMHD project Practitioners and non government Australia’s Mental Health System organizations; is led by Asia-Australia Mental Health, a • Provide stable housing outcomes; consortium of the University of Melbourne The Commonwealth Government priorities for mental health include working in partner- • Facilitate consumer, family and carer (Department of Psychiatry and Asialink), participation. and St. Vincent’s Health. ship with States and Territories on an inte- The project, which brought many key grated national approach to service delivery; HASI is targeted to individual needs, with a mental health bodies to work collaboratively, developing an open, transparent system of staged support continuum ranging from very is consistent with the WHO Global Action evaluation and accountability of existing high support of 8 hours per day, 7 days per week Programme for Mental Health. A key out- mental health services; and ensuring that to lower support of up to 5 hours per week. come is the documentation of the current mental health services are well integrated status, strengths and needs of community with other primary care and specialist ser- Accommodation options include: mental health services in the region, in the vices. The Commonwealth Government • Individual self-contained accommodation; hope to translate current understanding into recognises the vital need for initiatives to pre- • One or two bedroom places; practical changes in the future. The result is vent or delay the onset of mental illness, to • ‘Salt and pepper’ approach: HASI a collection of exemplary community mental intervene early, and to ensure access to and properties are sprinkled through the health models and key guiding principles for continuity of appropriate treatment and care community; development of services in the region. for people with mental health problems. • Small clusters (up to four HASI places A best practice example from each partici- in one site) are acceptable when deemed pating country/region is provided in this sec- State and Territory governments have primary to be clinically viable. Virtual clusters tion to illustrate the diversity of community responsibility for direct delivery of public men- are the preferred options, e.g. several mental health approaches. The Summary tal health services. Hospital and community HASI places within a few streets. Report of the APCMHD Project and the Full mental health services include accommoda- Country Report can be found on the website HASI does not support “asylums in the com- tion, outreach support for people in their own www.aamh.edu.au. munity” or congregate care. In conjunction homes, residential rehabilitation, recreational with the local Area Mental Health Service, programs, carer respite and self-help. HASI support services: Commentary from WPA President Professor Mario Maj Total spending on mental health services in • Provide comprehensive, client-centred, 2004–05 was $3.9 billion, representing 7.3% strengths-based assessment, care Although the steps, the obstacles to remove of government health spending. Subsidy of planning and intervention which target self-maintenance, productivity levels and the mistakes to avoid in the implementa- psychiatric medicines contributed 17% of including education and employment tion of community mental health care are total mental health funding. and leisure needs; to some extent similar worldwide, there are • Are based on the principle of consumer certainly some differences from one region A Best Practice Example recovery through fostering hope, to another, which limit the transferability of Housing and Accommodation Support Initiative supporting consumer empowerment and models and experiences. Being knowledge- (HASI), New South Wales (NSW) supporting self-determination;

11 • Ensure intervention strategies utilise Graeme Doyle states openly that he suffers tal health training and may therefore cause mainstream community service from schizophrenia. He believes that his art harm. NGOs have worked to forge links networks and resources to encourage should be shown to help others understand between primary care and traditional work- community inclusion. the experience of mental illness in order not ers; however a mechanism for an effective, to be afraid of it. The artist wants audiences sustainable system of communication has Eligibility criteria for HASI: to appreciate that people with mental illness not been found. • 16 years of age or more until age-related frailty inhibits ongoing involvement in can still be very creative. the program; To address these deficits, the Mental Health A non-exclusive copyright license to publish this Policy and Strategic Plan includes the Mental • Diagnosis with a mental illness image has been obtained from the artist or his family. or functional impairment due to Reproduction of this image cannot take place without Health Care Service Package, which is a ver- psychological disturbance identified by a written permission from Asia-Australia Mental Health. tically integrated system with services both mental health professional; within the general health care system and the • Eligibility for social (public) housing; © 2008 Asia-Pacific Community Mental community-based health care centres. Devel- • High levels of psychiatric disability and Health Development Project. A full country oped for use within referral hospitals, the low level of functioning; report can be found at www.aamh.edu.au. Complementary Package of Activities (CPA) • Capacity to benefit from provides specialised mental health care accommodation support services; and • Informed consent to participate in the services which are distinct and complemen- program. Cambodia tary to general health care. The CPA allows management of complex health problems, Editor: Sophal Chhit, Deputy Director, provides follow-up and continuing care, and Achievements and outcomes: National Mental Health Program Cambodia. supports the health care system with mental Sub-Editor: Lo Veasna Kiry; Contributors: health clinical training and supervision. Addi- The Social Policy Research Centre (Univer- Staff of the National Mental Health Program sity of NSW) undertook a two-year longitu- Cambodia. tionally, the Minimum Package of Activities dinal evaluation of the initial stage (100 high (MPA) was developed for community health support places) of the Housing and Accom- care centres and aims to provide integrated, modation Support Initiative. The final report Cambodia’s Mental Health System high-quality mental health care which is both has now been published on www.health.nsw. The National Programme for Mental Health efficient and affordable. gov.au/pubs/2007/hasi_evaluation. aims to improve the quality of life for people with mental illness through education and A Best Practice Example Findings show: promotion of mental health care and substance abuse services, with a special empha- A New Model for Mental Health in Cambodia • HASI has provided secure, affordable sis on equity, quality and efficiency. housing with 85% of participants Due to limited human and financial resourc- remaining with the same housing Funding for Mental Health has recently been es, the delivery of mental health care in provider; heavily supported by international bodies, Cambodia has previously focused on primary • 94% of people had established mental health care. The new Mental Health most notably WHO and Norway, with other friendships at completion of evaluation; Care model aims to extend this care to an • 73% of participants were participating in organisations running independent projects. integrated community service through the social and community activities; Many private hospitals also exist in Cambo- use of several guiding principles: • 43% of participants were working and/or dia; however there is no formal information studying at the end of the evaluation; as to how many of these provide mental • Integrated approach to service delivery • Hospitalisation rates of admission and health services. – including community health centres length of stay were reduced for 84% of and systems such as education and participants; Cambodia’s turbulent past has caused not social services. • Time spent in hospital and emergency only great trauma and loss for its people, but departments decreased by 81%. • Universal access to care – equitable, also destroyed any pre-existing mental health affordable and high-quality care that From 2008, the HASI in the Home stage will resources and prohibited the development is geographically accessible, culturally increase to over 1,000 places across NSW. of a new mental health system. The Pol Pot relevant and culturally competent. regime of 1975–1979 was responsible for • Upholding a right to confidentiality mass genocide and the complete degradation – ensuring that all information gathered of Cambodia’s infrastructure. Of the 1,000 about a person including identity shall doctors trained prior to 1975, less than 50 be kept confidential by the mental health survived, none of whom were mental health provider. professionals. Cambodia’s only mental • Informed consent – including the right health hospital, and the only access point for to make decisions regarding treatment. mental health care, was also destroyed by the • Quality assurance – mental health Pol Pot regime. issues such as diagnosis and choice of treatment shall be assessed in The mental health workforce deficit caused accordance with nationally accepted by Cambodia’s turbulent past has resulted principles and standards. in most mental health care being provided • Community-based care – emphasis on by physicians who can often offer only basic care in the least restrictive environment care. Traditional healers are often a point possible and use of restrictive Graeme Doyle (Australia), No title, 1990, oil of contact for people with mental illness in environments only when necessary for on masonite, 50.5 x 40.5 cm Artwork supplied the community; however it should be noted the safety of the client and public, and courtesy of the Cunningham Dax Collection that these healers do not have explicit men- only for as long as that situation exists.

12 WPA NEWS March 2009

• Efficiency and accountability – resource In April 2002, the first Mental Health Plan violent tendencies received regular follow- allocation and their use will be examined (2002–2010) was signed by the Ministries of up, over 9,000 poor patients with violent in a transparent manner according to Health, Security and Civil Affairs and the tendencies received free medication, over agreed principles. China Disabled Persons’ Federation. In 2004, 2,600 people exhibiting violent behaviours there were 565 psychiatric hospitals, 499 psy- received free crisis management and more The new Mental Health Care model highlights chiatric departments in general hospitals, 57 than 1,000 poor patients with violent the importance of strong leadership to allow mental health stations and 19 mental health behaviours accessed free hospitalisation. For effective patient advocacy and lobbying. clinics. There were also 16,103 psychiatrists patients who received follow-up, the level of The model also highlights the importance and 24,793 psychiatric nurses, however the violent incidents decreased. of integrating mental health issues into all professional competence of many of them is levels of medical training to increase the limited. In 2007, the budget was increased to 15 million mental health knowledge and skill base of RMB for continued service provision across general health practitioners. A Best Practice Example the 60 sites. Case-management training for the demonstration areas was provided jointly by The University of Melbourne and the By strengthening community links, the model The 686 Project Chinese University of Hong Kong (CUHK). aims to encourage the role of families, NGOs After SARS, the Chinese Government The budget for 2008 is 27.35 million RMB, and community agencies in mental health rebuilt the public health system. In 2004, the enabling more patients to receive free care. Further, the model aims to coordinate China–Centre for Disease Control (CDC) and medication and hospitalisation, and the interaction between mental health care and Peking University visited community mental establishment of a new demonstration area local resources such as primary care and health services in Melbourne, and decided in Xinjiang Province. traditional healers to avoid fragmentation to use the Victorian Model for reference. In of care. It is anticipated that these measures September 2004, after competing with over It is projected that new demonstration areas will also result in a decrease in stigma and fifty proposals, the Mental Health Service will gradually be set up across China. Future discrimination for both patients and service Model Reform Program was the only non- directions may also include the National providers. communicable disease program included in Mental Health Reform Program Office the national public health program. delegating its management role to each © 2008 Asia-Pacific Community Mental province to oversee its own demonstration Health Development Project. A full country In December 2004, the Mental Health area, thereby delegating the rapidly increasing report can be found at www.aamh.edu.au. Reform Program was formally supported workload as the program expands. More by the Ministry of Finance, and named officials will be encouraged to provide local the “686 Program” because of its funding resources to enable mental health to become China of 6.86 million RMB. The National Centre core business and to adapt the reform model to for Mental Health and China-CDC took their local context. As the Program develops, Editor: Jin Liu, Chief of Executive Office, charge of the program and established a staff training and project management will become more challenging, and local National Center for Mental Health, China- national working group as well as a foreign experts will need to take responsibility for CDC (Peking University Institute of Mental consultant group with experts mainly from supervision and monitoring. The Ministry Health), China. the University of Melbourne. of Health has already established standard Sub-Editors: Hong Ma, Xin Yu, Mingyuan evaluation forms and all provinces will use Zhang, Yanling He, Bin Xie, Yifeng Xu, In 2005, 60 demonstration sites were these forms to report their progress. Lianyuan Cao, Wei Hao, Min Li. established in 30 provinces in China: one urban and one rural site in each province, covering a population of 43 million. 602 As a result of this program, more local officials pay attention to mental health China’s Mental Health System training courses were held and nearly 30,000 people were trained, including psychiatrists, issues and psychiatric hospitals now consider In China, where primary mental health community physicians, case managers, integrated prevention and comprehensive care or community mental health is not community workers, public security staff and treatment. A community-based network well developed, development of community family members of the patients. A national has been established, led by the psychiatric hospitals, and supported by general hospitals based mental health services has been led computerised case database was established. and the CDC. Further, the program has through the psychiatric hospitals, supported benefited patients, particularly those of low- by general hospitals and the Centre for Dis- In 2006, this program received increased socioeconomic status, and has promoted ease Control. A national centrally driven funding of 10 million RMB, enabling social harmony. program is a very rapid way to implement a improved monitoring and intervention for psychoses, as well as the establishment new service model throughout a large and diverse country. of a local comprehensive prevention and treatment team in each demonstration area. Staff including 15% psychiatrists The sheer numbers of people who experience and psychiatric nurses from over 12,000 mental illness indicate the pressing need facilities were trained. Nurses were recruited for improved mental health services. It is from psychiatric hospitals or departments, estimated that 16 million people suffer from community and village health centres, and psychotic illness, with 0.3 million new cases neighbourhood or village committees. 686 Annual Meeting in November 2006. per year, of which between 50 – 70% have © 2008 Asia-Pacific Community Mental been untreated (source: National Institute of By December 2006, more than 65,000 patients Mental Health, Peking University). Health Development Project. Full country were registered, nearly 22,000 patients with reports found at www.aamh.edu.au

13 Hong Kong four years. Commencing in 2000 in three phases, EXITERS is a pilot project aimed at Editor: Se-fong Hung, Chief Executive, Kwai early integration of long-stay inpatients back Chung Hospital, and President, Hong Kong to the community. College of Psychiatrists, Hong Kong. Sub-Editor: Wing-yuen Tse; Contributors: A Multidisciplinary Team including two Chi-chiu Lee, Po-man Chan. medical doctors, seven nurses, two medical social workers, one occupational therapist, and a team of twelve supporting staff for Hong Kong’s Mental Health System each hospital unit were recruited to address the patients’ complex needs. In Hong Kong, mental health care is largely provided in the public sector through the In Phase I, vacant hospital quarters at three Hospital Authority (HA), a statutory body major mental hospitals in Hong Kong were converted to create supported group homes established in 1991 to manage all the public Ching Wai (Hong Kong) b. 1972 Breakthrough hospitals and institutions in Hong Kong. with home-like settings to facilitate intensive rehabilitation. In Phase II, appropriate the darkness, head into the sunlight 145 x Through its network of 74 general out-patient 190 mm sign pen Notes accompanying the patients with a hospital length of stay over 6 clinics and seven hospital clusters, people artwork: Emerging from the darkness comes a months were recruited and each was assigned with mental illness can seek help at the pri- bright broad avenue. Life contains bitterness a case manager. These patients were often mary care level and if necessary be referred and joy, sadness and happiness. Be deter- not suitable for half-way-houses, or had fre- to specialist clinics. Inpatient, ambulatory mined and brave, only through an unyielding quent admissions and discharges from half- and community psychiatric services are also spirit can you head into brightness. way houses. Those with illicit drug addic- provided in all seven clusters to ensure con- tion, moderate or severe mental handicap Bitterness is inevitable, but as long as you tinuity of care. and dementia were not included. Intensive have the strength to somehow recognise it for rehabilitation was provided to improve social what it is, one can endure, turning negative The Government spends about HK$3 billion and vocational functioning, and various com- to positive. At the low tide of your life wipe (0.24% of GDP) on mental health care per munity options were explored to bridge the the tear, it will be soon sweet. annum, which is allocated to the Hospital gaps in residential services that were avail- Authority and eleven Non-Government able. In Phase III, active community support After stepping over your difficulties you will see the sunlight… life is more brilliant. Life is a bless- Organisations (NGOs) for medical treat- and follow-up were offered for discharged ing no matter if it contains bitterness or joy! ment, residential support and rehabilitation patients. Several evaluation tools for assess- for patients with mental illness. ing symptoms, needs, function and quality of A non-exclusive copyright license to publish this image life were administered quarterly to evaluate has been obtained from the artist or his family. Repro- In accord with Government policy to outcomes. duction of this image cannot take place without written strengthen both community care and pri- permission from Asia-Australia Mental Health. mary care in mental health, a strategic plan During the first three years, 387 patients were was formulated to downsize the two largest discharged from the three hospitals. The dis- © 2008 Asia-Pacific Community Mental Health Development Project. A full country stand-alone psychiatric hospitals in Hong charge destinations included living at home, report can be found at www.aamh.edu.au. Kong. Following completion of the plan in either singly or with relatives, resettling in a 2006, Hong Kong now has approximately private housing unit, re-housing in a public 4,600 psychiatric beds (6.4 per 10,000 popu- housing unit or staying in a private hostel. lation), consisting of a mix of large mental Analysis of the first 190 patients discharged India hospitals and psychiatric units in general from hospital in one year showed significant hospitals. The target is now to shorten the improvement in the patients’ psychiatric Editor: R.N. Salhan, Additional Director, length of stay of acute inpatients. Increasing symptoms, behavioural problems, function- General of Health Services, Directorate the community psychiatric team workforce ing levels and quality of life. However these General of Health Service, Ministry of is crucial for providing more intensive care patients remained quite functionally disabled Health and Family Welfare, India. Sub-Editors: S.K. Sinha, Jagdish Kaur. to patients following discharge as well as for on discharge, with a large number remaining urgent psychiatric referrals. Having a range unemployed and requiring financial support of well-differentiated community treatment from social welfare. India’s Mental Health System options will enable more patients to be cared The prevalence of mental disorders in the for in the community. The project identified a group of patients population is in the range of six to seven with complex disabilities that required flex- percent, which represents a huge number of ible matching of resources in the community. A Best Practice Example people. Before 1960, mental health services It utilised the case management model in the were mostly provided by mental hospitals. Extended-care patients Intensive Treatment, reintegration of patients to the community. With the advent of psychotropic drugs, Gen- Early diversion and Rehabilitation Stepping The EXITERS hostels situated in the neigh- eral Hospital Psychiatry Units were estab- Stone (EXITERS) Project bourhood of the hospital provided a home- lished in many hospitals in the sixties and like environment for disabled patients to Despite advances in pharmacological and following decades. Community-based men- adapt slowly to community living, and with tal health services began in the seventies on community psychiatric treatments, a large adequate resources it demonstrated that dif- proportion of psychiatric inpatients remained a small scale by incorporating mental health ficult-to-place patients could be successfully long-term in mental hospitals in Hong Kong. in primary health care through short-term In a survey in June 2000 by the Hospital reintegrated back to the community. Despite training of general health personnel. Authority on the length of stay of psychiatric having some persistent disability, the dis- in-patients, it was revealed that 1138 (23.1%) charged patients have an improved quality of In 1987, a modern Mental Health Act was had an average length of stay greater than life outside mental hospitals. enacted. Its implementation is being moni-

14 WPA NEWS March 2009

tored by the Central Mental Health Author- program through WHO Consultants in the © 2008 Asia-Pacific Community Mental ity. Disability benefits for persons with men- Ministry of Health. Health Development Project. A full country tal disorders are covered under the ‘Persons report can be found at www.aamh.edu.au. with Disability Act’ (1995). Basic mental health services are also provided by the extensive network of trained A comprehensive community-based mental health staff in the general health care sys- Indonesia health service, the District Mental Health tem. The DMHP model has demonstrated Editor: HM Aminullah, Director of Mental Programme (DMHP) was started in 1996. The that, by training primary care physicians, Health, Directorate General Medical Service, DMHP was expanded to 27 districts across basic mental health care delivery can be Ministry of Health, Indonesia. 22 States and Union Territories in the Ninth provided in primary care settings. Provision Sub-Editor: Eka Viora; Contributors: Pandu Five-Year Plan period from 1997–2002. of supervision and support from the mental Setiawan, Yulizar Darwis, Albert Maramis, health program officer and/or the psychia- Suryo Darmono, Diding Sawaludin, Hervita trist, empowers staff in the public health care Diatri.

A Best Practice Example system to respond to the mental health needs of the population. The District Mental Health Programme Indonesia’s Mental Health System Several reviews and consultations have identi- The District Mental Health Programme The number of mental health beds in (DMHP) was launched in 1996 under the fied barriers to implementation of the DMHP Indonesia is insufficient to meet the needs National Mental Health Programme. Its as well as identifying the need for mental of the population, such that many people objectives are: health promotion. This has led to modifica- with mental illness live in the community tion of the DMHP in the Eleventh Plan. without proper treatment. Further, the • To provide sustainable basic mental health poorly developed primary health care system services to the community and to integrate In the Eleventh Plan, the DMHP team is is insufficient to support the integration of primary mental health care. Building the these services with other health services. able to hire trained medical officers if a psychiatrist is not available for the programme. capacity of the health workforce to deliver • Early detection and treatment of patients mental health services has become a major within the community itself. Other members of the team will include a focus. Training programs for primary care • To avoid patients and their relatives having psychologist, a social worker, a nurse and an physicians in treating mental disorders to travel long distances to hospitals or office assistant, who will receive brief skill- have been established, with some primary nursing homes in the cities. based training with a uniform curriculum care professionals now receiving regular • To reduce pressure on the mental hospitals. at identified centres. According to demand, training in mental health. In the last two • To reduce the stigma attached towards new mental health promotion services will years approximately 500 personnel received mental illness through change of atti- be added, and credible organisations and training, especially in Aceh, South Sulawesi tudes and public education. and West Sumatra. private practitioners will actively participate • To treat and rehabilitate mental patients discharged from mental hospitals within in providing services and implementing the the community. DMHP. In order to address the shortage of A Best Practice Example trained mental health practitioners, govern- The DMHP is run by a core team of mental ment doctors will be trained as sub-special- Community Mental Health Nursing in health professionals including a psychiatrist, ists in Psychiatry through the introduction Aceh, Indonesia, following the tsunami and earthquake a clinical psychologist, a psychiatric social of one year in-service certificate courses worker, a psychiatric nurse, a nursing orderly in Psychiatry. In addition, Institutes of The earthquake and tsunami disaster in and a record keeper. The Programme’s catch- Mental Health and Neurosciences will be Nanggroe, Aceh, Darussalam, and Nias ment area is the district and adjoining areas. established to develop the mental health has had lasting effects on the mental workforce. Upgrading of psychiatry facilities The components of the Programme are: health of the Indonesian community. This of medical colleges and general hospitals is compounded by an absence of effective and modernisation of mental hospitals will • Community Mental Health Services and adequate community mental health continue. A strategy with strong emphasis on - these include a psychiatric Outpatient services even prior to the disaster. Prior information, education and communication Department at the district hospital as to 2004, Aceh, the Indonesian province is needed to improve awareness of mental well as outreach services in Primary most affected by the tsunami, had only health issues and to reduce stigma. Health Centres on designated days one mental hospital for a population of that provide follow-up care of patients, 4,220,000. In keeping with international dispensing of psychotropic medication, good practice and recommendations from record keeping and referral to an WHO, it was regarded as important to take appropriate level of care as needed. • Training of general physicians, the opportunity of external funding coming paramedical workers and non-medical into Aceh to develop an integrated system of workers in mental health care. services for the first time. Three months after • Information, communication and the tsunami, a programme was developed education services. to train community mental health nurses • Technical and managerial support from (CMHN) based at the Puskesmas (Public the district medical college/ psychiatric Health Centre) to deliver a range of mental institution. health services. The curriculum is divided into three phases: Basic Course Community The State Government monitors the Banner at an Awareness and Diagnostic Mental Health Nursing (BC–CMHN), programme through the nodal institution, Camp organized through the District Mental Intermediate Course Community Mental and the Central Government monitors the Health Programme in Delhi. Health Nursing (IC–CMHN), and Advanced

15 Course Community Mental Health Nursing • An inadequate referral system largely due A Best Practice Example (AC–CMHN). The CMHN project has also to limited pre-existing services and poor been kindly supported by HSPP USAID, secondary services. Mitaka, Tokyo — Sudachi-kai WHO and ADB–ETESP. • Problems in access to the Public Health Centre owing to geographical conditions This program is chosen as an example of best and transportation limitations. practice because community mental health Community Mental Health Nursing (CMHN) services provided by NGOs in the urban set- training is divided into 3 steps: • Limited range of medications. • Inadequate recording-reporting/ ting is a key issue. However, other practice • Basic: focuses on caring for the patient monitoring-evaluation in some districts. examples in Japan are no less important. and family. • Inadequate allocation of funds for • Intermediate: management of mental health as it is not a mandatory Based in Mitaka city of Tokyo, Sudachi-kai psychosocial problems, training of programme. (Japanese for ‘Flight from the Nestgroup’) is • An irregular supply of medication in community leaders to form a cadre of a social welfare corporation which actively mental health providers, develop village some areas because of inadequate logistical planning. promotes discharge from hospital. Over its awareness of mental health issues via 15 years of history, more than 130 long stay the Desa Siaga Sehat Jiwa (‘Village Future directions include: inpatients have been discharged. Its hous- of Mental Health Alertness’) project. ing and vocational facilities are located in To date the community mental health • Creating networks of care with local NGOs. • Involvement of religious and female Mitaka city (population: 178,000; area: 16.5 nurses have identified 8016 patients 2 leaders. km ) and Chofu city (population: 21,600; with severe mental health problems, and km2 awareness has been raised in 343 villages. • Maintaining advocacy to ensure that area: 21.5 ). Both cities are located in the • Advanced: leadership, advocacy, future budgets allow for allocation of centre of Tokyo Metropolis. research, mental health promotion, and finances to community mental health case management training. nursing activities. Sudachi-kai started in 1992, when there was • Working towards CMHN becoming a com- strong stigma against people with mental dis- The successes of the Community Mental pulsory program at the primary care level. orders who faced much difficulty in housing Health Nurse Training Program include: rental. The first group home was started with © 2008 Asia-Pacific Community Mental cooperation between the landlord, hospital • Increase in resources to provide mental Health Development Project. A full country report can be found at www.aamh.edu.au. staff and families. With their support, many health services in the community. patients were discharged to group homes and • Improvement in community services: other neighbouring rooms. o Many patients received treatment and support for the first time. Japan o Families had an opportunity to Importantly, a sheltered workshop was discuss problems in coping with Editor: Tadashi Takeshima, Director, Depart- opened in response to a need for vocational their family members and to receive ment of Mental Health Administration Studies, activities during the day. From these facilities, support. National Institute of Mental Health, National the basic concept of Sudachi-kai as a place o Enhanced community awareness. Centre of Neurology and Psychiatry, Japan. for consumers to live, work, and find sup- o Improvement in community Sub-Editor: Yutaro Setoya. port from both staff and peers was formed. members’ ability to take care of and Their activities were gradually expanded and refer patients. Japan’s Mental Health System they currently have eight housing facilities o Improved community cooperation (capacity 61) and three vocational facilities with CMH nurses. The Japanese government has recently o Enhanced CMH nurse motivation and released, in rapid succession, policies, laws (capacity 90), with about 20 full-time and 20 satisfaction. and regulations relevant to mental health. part-time staff. o A greater percentage of patients This process began in 2002, stemming from a received regular medication and Ministry of Health, Labour and Welfare report From their experience, Sudachi-kai has supervision in some areas. called Future Direction of Mental Health and developed the following model pathway for o Prevention of admission to mental Welfare Policy, which aims to shift from hos- discharge from hospital: pital-based medical treatment to community hospitals for many patients visited by centred health care and welfare. a CMH nurse. • First, the staff and peer supporters (past inpatients) of Sudachi-kai deliver talks to • Improved resources through Japan has one of the highest number of psychi- inpatients in hospital. The stories the peer collaboration with other stakeholder atric beds per capita in the world. 1,379 (83%) organisations: of hospitals are privately owned, and 1,086 consumers tell about their lives outside are stand-alone psychiatric hospitals. Though the hospital convey strong messages to the o Provision of motorbikes for CMH community mental health services are increas- inpatients, thus motivating them towards Nurses by NGOs (CBM) to improve ing rapidly, they remain inadequate. discharge from hospital. access to patients in more remote Future directions for expansion of community • Next they consult with the candidate and areas. their family to make a support plan with o Funding in some districts for CMHN mental health are: them. training at the intermediate level and • Support for consumers to build con- advanced level covered by USAID. sumer-centred services; • When candidates are motivated, discharge o Funding of training for nurses in • Development of more community servic- training is provided and they begin attend- psychiatric intensive care for the acute es especially housing support, vocational ing the vocational facility in the commu- units in district hospitals covered by rehabilitation and outreach services; nity during the day. • Dissemination of good quality care man- USAID. agement and building close community • Next, Sudachi-kai helps the candidate find networks; suitable housing which could be a group The challenges faced in implementation • Quality improvement such as staff train- home or other rooms. Overnight training include: ing, consumer and carer involvement using a short stay facility also begins. and outcome measurement.

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• Preparation for discharge takes place, Korea mental health problems of this population such as a patient managing own medica- were great compared to other parts of the city. tions, money. Editor: Tae-Yeon Hwang, Director, WHO The Centre assessed the mental health needs • After discharge from hospital, staff (24 Collaborating Centre Yongin Hospital and of chronically mentally-ill people and their hour coverage) and peers support them Head, Mental Health Division, Korean families and started psychosocial rehabilita- to live in the community. Neuropsychiatric Association. Sub-Editor: tion services and home-visiting programs for Dong Hyeon Kim. alcohol-dependent patients isolated from the Data of 126 patients discharged from hospi- community. tal with the support of Sudachi-kai is as fol- Korea’s Mental Health System lows: the average length of hospital stay was Seoul City also increased funding for other 11.5 years and the longest was 42.2 years; Strategic collaboration between the public CMHCs and, by 1998, there were seven 59 patients were in their fifties (46%) when and private sectors has involved public sector CMHCs with each area providing ‘semi-met- the support started, 39 patients (31%) were funding and professional human resources ropolitan’ mental health services. Located in in their forties and 17 patients (13%) were in and community mental health programs the Public Health Centre, these CMHCs pro- their sixties. 65% were men, and the majority from the private sector. Since 1995, 151 com- vided primary mental health services, estab- had schizophrenia (88%). Of the 126 patients, munity mental health centres, 170 rehabili- lished psychosocial rehabilitation services 61 (48%) were discharged to group homes, 48 tation centres and 56 long-term residential for the chronically mentally-ill population, (38%) to affiliated rooms rented by Sudachi- facilities have been established. Community mental health promotion for the general pop- kai, 10 (8%) to private rooms and 7 (6%) went Mental Health Centres provide counselling, ulation and gradually increased services for to other residential facilities. Of the discharged home visits, case management, psycho-edu- children, adolescents and old people. These patients, 85 (68 %) utilised Sudachi-kai’s ser- cation, vocational rehabilitation and mental CMHCs were funded by the local districts vices, 12 (13%) terminated their use of services health promotion activities. Rehabilitation and Seoul City and operated autonomously due to moving to other rooms or facilities, 10 services are also provided by the private or in each local district. As a result, there was a (8%) had a hospital admission, 11 (9%) were nongovernment sector. Funding for commu- need to develop a system to coordinate and deceased and 3 (2%) discontinued use of the nity care is increasing and community care integrate the operation of these CMHCs. The services. The Sudachi-kai program has shown is planned to increase tenfold over the next mental health planning committee and city that many inpatients can be discharged and decade. Vocational rehabilitation programs government officials discussed the metro- successfully live in the community if there is including sheltered workshops and sup- politan mental health service system in order continuous support and a place to stay avail- ported employment are also increasing, with to expand the community mental health able on a 24 hour basis. support from the Korea Employment Promo- services to other districts of the city. tion Agency for the Disabled. Seoul City commissioned the Gangnam Despite the growth in community-based CMHC to develop a centralised data gathering mental health services in Korea, large-scale and management system, and evaluation deinstitutionalisation is not yet in sight. was conducted through the Mental Health Under the present circumstances, private Information System (MHIS) to examine mental hospitals and asylums are unlikely mental health outcomes separately from to discharge patients into community-based general services to the local community. services, to shorten the average length of In response to the increasing demands on the patients’ stay or voluntarily decrease the metropolitan mental health centre, which number of beds. It is very important that the was responsible for supporting and coordi- government declare its intentions to support nating all the CMHCs and the development the development of community-based mental of new mental health policies and programs, health programs by presenting a long-term Seoul City established the Seoul Metro- plan for deinstitutionalisation. politan Mental Health Centre (SMMHC) in the downtown area in 2004. Staff from the Y. A. (Japan), b. 1969, No title, oil on masonite, 45 x 38 cm. A Best Practice Example Gangnam CMHC moved to this metropolitan mental health centre and commenced Seoul Metropolitan Mental Health Centre service provision. Notes accompanying the artwork: The artist from Gangnam Community Mental Health learned to paint from another artist during Centre In 2004, a Taskforce Team established the group work for patients with mental illness Seoul Mental Health 2020 Project, so that The first community mental health centre was at a public health centre. He doesn’t like to the City of Seoul could develop mental established in the southern area of Seoul in leave indoors, so his work is mainly of people health services to meet future needs. The 1995. Through a contract between the Seoul and landscapes as seen through windows. goals of the Seoul Mental Health 2020 Proj- Department of Health and Seoul Municipal ect are to: Mental Hospital in Yongin Mental Hospital, A non-exclusive copyright license to publish this image the Seoul city government provided fund- • Analyse the present state of Seoul Men- has been obtained from the artist or his family. Repro- ing to establish the Gangnam Community tal Health Services and predict demand duction of this image cannot take place without written Mental Health Centre (CMHC) and Yongin for future resources and infrastructure; permission from Asia-Australia Mental Health. mental hospital sent trained staff, including • Establish the Metropolitan Mental a psychiatrist, nurses and a social worker. Health Centre to facilitate deinstitution- © 2008 Asia-Pacific Community Mental The Centre was located in an area where the alisation and crisis management systems; Health Development Project. A full country City of Seoul had constructed apartment • Establish an organisation to support the report can be found at www.aamh.edu.au. complexes for rental to poor citizens. The development of policy and research.

17 The model for organising the SMMHC has vices. In 2005, a total of 763 Health Clinics time medical assistants, two fulltime staff been adapted from St. Vincent’s Mental (88.9%) provided mental health services in the nurses and two full-time attendants. There Health in Melbourne, Australia, through community, including mental health promo- are two nursing supervisors for the nursing a contract between Seoul and Melbourne. tion, follow-up of stable cases and tracing of staff. The home-care team operates during The SMMHC now has four teams: the Com- non-compliant patients. In addition, twenty- office hours and the case-load for each nurs- munity Assessment and Linkage System five of these clinics also provided psychosocial ing staff is 1: 15–20 patients. (CALS), the Crisis Intervention Team (CIT), rehabilitation services for patients with severe the Mental Health Promotion Team (MHPT) mental illnesses. NGOs also provide residen- The home-care services in HBUK consist of and the Homeless Mobile team (HM). tial care, day-care services and psychosocial five components: Acute home care, Early rehabilitation services in the community. discharge program (EDP), Assertive community treatment (ACT), Family intervention There are concerted efforts towards promo- programme (FIP), and Follow-up services for tion of mental health in both the psychiatric stable cases with complex needs. units and primary health care settings. The HBUK home-care service has successfully reduced patients’ relapses and readmis- A Best Practice Example sion rates within 6 months after discharge, from about 25% before services were started, Hospital-based community psychiatric ser- to 0.56% in 2005 and 0.5% in 2006. vices in a psychiatric institution – Hospital Bahagia Ulu Kinta, Perak This service model is in line with plans to Hospital Bahagia Ulu Kinta (HBUK) dem- down-size the mental institution. Our strate- onstrates how a large psychiatric hospital gies include: reduction of acute admissions Promotion of SMMHC Mental health can reorganise its services to incorporate by setting up small acute units with home- brand, “Blutouch”, October 2007. comprehensive community outreach services care services (e.g. resident psychiatrists at for a large population. In 1970s, the Commu- district hospitals); development of alternative nity Psychiatric Unit (CPU) was established appropriate residential facilities with varying © 2008 Asia-Pacific Community Mental to provide domiciliary services. Evening levels of care (high-level support, low-level Health Development Project. A full country psychiatric clinics were operated by staff of report can be found at www.aamh.edu.au. support, respite care and group homes); sup- HBUK after regular office hours in public ported education and employment; and places such as a church, community hall or strengthening inter-sectoral collaboration Malaysia temple. Peripheral psychiatric clinics operat- between related agencies (such as social wel- ing during regular office hours at distances fare, education, labour department), carers, more than 30 kilometres from HBUK were and NGOs. Editor: Suarn Singh a/l Jasmit Singh, Chief established to provide psychiatric follow-up Psychiatrist, Ministry of Health, Malaysia. care services nearer to patients’ homes. In Sub-Editors: Ahmad Rashidi Saring, Cheah 1997, follow-up of stable psychiatric patients Yee Chuang, Chandra Mohan, Salina Abdul commenced in primary health care centres Aziz, Nor Hayati Ali, Ruzanna Zam Zam, in Perak, including assessment and review Marhani Midin. of patients, provision of medication, psycho- education and support, and defaulter tracing Malaysia’s Mental Health System to ensure that patients were compliant with prescribed medication. Funding for mental health services in Malay- sia is provided largely by the Government. In March 2001, HBUK started home-care Malaysia spends 5% of its GDP on health- services which aimed to provide continuous care, of which about 3% is spent on mental and comprehensive services at home, cater- health care. Most insurance agencies do not ing for the needs of the patients and carers. cover treatment for mental illness. The specific objectives are to: Community mental health education in • Provide treatment and rehabilitation to Malaysia. The government facilities providing psychiat- psychiatric patients. ric care include four mental institutions and • Enlist family members in the manage- © 2008 Asia-Pacific Community Mental twenty-six government hospitals. Of 5428 ment of patients at home, improving com- Health Development Project. A full country psychiatric beds in Ministry of Health facili- munication and problem-solving skills. report can be found at www.aamh.edu.au. ties, 4640 (85.5%) are in mental institutions • Reduce relapses and re-hospitalisation to and 748 (14.5%) are in general and district less than 30%. hospitals. In addition, the three University • Promote adherence to medication and Hospitals have about 130 acute care beds. Psy- illness self-management for which the Mongolia compliance rate should be more than 60%. chiatric care covers acute episodes, follow-up • Provide supported employment (job Editor: G. Tsetsegdary, Senior Officer, Mental and long-term care, and includes outpatient, search, job match and job coach) for at Health Department of Ministry of Health, community and home-care services. These least 10% of the patients. Mongolia. Sub-Editors: L. Erdenebayar, S. services were strengthened in the 1990s and Byambasuren, Nalin Sharma; Contributors: are currently available in almost all hospitals Home-care services in HBUK are provided N. Altanzul, V. Bayarmaa, B. Ayushjav, N. with resident psychiatrists. through clearly delineated geographical Tuya, Lieve Strager. zones, serving a population of about 800,000 The Ministry of Health is in the process of in the Kinta district. There are seven zones Mongolia’s Mental Health System integrating psychiatric care with mainstream based on geographical locality. Each zone is general hospital and primary health care ser- headed by a psychiatrist, working together Currently, Mongolia spends 2% of its total with two to four medical officers, two full- health budget on mental health. Within the

18 WPA NEWS March 2009

mental health budget, funding is mainly chiatrist, nurse and occupational therapist Singapore directed towards mental hospitals, accounting assess the patient’s life skills, self care and for 64% of all mental health expenditure. All social life to determine what activities will Editor: Kim-Eng Wong, Chair, Medical Board, severe and some mild mental disorders are benefit them. The occupational therapist and Institute of Mental Health, Singapore. covered by social insurance schemes. nurse, who have attended psychosocial reha- Sub-Editors: Hong-Choon Chua, Derrick Heng. bilitation training for one to three months, The mental health system in Mongolia is still are responsible for teaching and monitoring largely hospital-based. Mental hospitals treat the patient’s physical exercise and relaxation, Singapore’s Mental Health System 17.7 patients per 100,000 population and life skills, self care and vocational skills, such have an occupancy rate of above 80%. The as handicraft, vegetable-growing, gardening, Singapore has reached a somewhat balanced majority of beds are provided by stand-alone carpentry and embroidery. psychiatric care model, where the Institute mental hospitals, followed by community- for Mental Health (IMH), a large psychiatric based psychiatric inpatient units. The Ger project also provides psycho-edu- hospital with a daily census of around 1600 cation, counselling, continuing psychiatric patients is responsible for the care and man- A number of good results have been achieved agement of 33,000 outpatients in the com- treatment and family support for patients in the development of community mental munity. In all, IMH is responsible for close and their families. The psycho-educational health services, such as the establishment to 80% of public mental health care, with the of a mental health database and the program provides patients and their families remaining 20% provided by the psychiatric introduction of psychosocial rehabilitation with information about mental illness, cop- departments of the general hospitals. services. Deinstitutionalisation has been ing skills and how to manage stress. gradually implemented but is not currently The National Mental Health Blueprint for comprehensive. The percentage of patients The Ger project not only includes medical 2007–2011 is helping to galvanise the devel- who receive primary mental health care services, but also employment services, social opment of community-based programmes and the number of primary health care welfare and transportation services. with the establishment of community men- units that provide mental health care have tal health teams for patients of all ages. For slightly increased but have not reached the A total of 500 clients have attended the Ger children and adolescents, multidisciplinary targeted goals. In addition, mental health project and relapse of mental disorders has teams work closely with school counsellors programs in schools have been developed been reduced by 95% from 2002 to 2007. to detect and manage early problems in and now economic entities and organisations schools. For adults with established serious with more than 50 employees implement Through these psychosocial programs, mental disorders such as schizophrenia, mental health sub-programs and projects the principal lesson learnt is that there are multidisciplinary community mental health according to the Government mental health reduced rates of relapse for patients with teams provide support in the community framework. mental illness, when they are cared for in with case management, home visits, psycho- community settings. Also people with mental social rehabilitation and crisis management illness can be supported in the community in their homes. For the elderly, community A Best Practice Example psychogeriatric teams work with social agen- and through inter agency collaboration and cies and primary care physicians to detect cooperation. We need to increase the partici- Ger Project and manage the elderly with mental disor- pation of families, consumers and NGOs in ders, either in their own homes or at clinics Community-based day centres in Mongolian community based psychosocial rehabilita- in the community. For those with addiction tented and portable round houses called gers tion programs. Government funding should disorders, the Community Addiction Man- were started in 2000 in the grounds of two be provided for the Ger program. agement Programme (CAMP) manages the district health care centres and four regional patients in the community with a multidis- health centres. The Ger Project is staffed by The Ger project successfully delivers psycho- ciplinary team. general health care staff (nurses and occu- social programs close to the patient’s home pational therapists) and a psychiatrist, and at the district level. Key advantages include funded by WHO and the SOROS Founda- the low cost of the ger, its mobility and the A Best Practice Example tion. The aim of the Ger project is to give reduction of stigma and discrimination people with chronic mental illness an oppor- through the involvement of the community Early Psychosis Intervention Programme tunity to increase their social and living skills and families. Advocacy at the government (EPIP) through psychosocial rehabilitation activities level is important for the sustainability of the focusing on life skills, such as self-care, cook- project. The Ministry of Health awarded Singapore’s ing and leisure skills (handicraft, vegetable Institute of Mental Health a special 5- year growing and other vocational training). fund in 2001 to run the EPIP, a programme to provide early intervention for young adults Ger day programs are placed in the commu- and tertiary students with emerging mental illnesses within the community. EPIP offers nity especially near the sub-districts where three key activities: provision of clinical ser- people are living in gers. 15 to 20 people with vices to persons with early psychosis, training mental illness per month are involved in the to frontline staff in schools and social agen- program. The Ger Project is staffed by a psy- cies to allow them to identify young people chiatrist, nurse and an occupational therapist with mental health problems, and training who are paid by the government. The program of primary care physicians to conduct initial runs from 9.00 am to 3.00 pm each day. screening and to manage stable persons with Tented and portable round houses (Gers) mental health problems. With the patient’s consent, psychiatrists in used in the Ger Project. outpatient settings and general practitioners The frontline staff are trained to identify and can refer patients to the Ger project. © 2008 Asia-Pacific Community Mental refer young people with suspected mental Health Development Project. A full country health problems to primary care physicians. On their first day at the Ger project, the psy- report can be found at www.aamh.edu.au. They include counsellors from various edu-

19 cational institutions, officers from the Police Taiwan institutes to patients with severe mental Force and Ministry of Defence, counsellors illness discharged from the TCPC. Mentally from Family Service Centres, Community Editor: Erin Chia-Husan Wu, Taiwanese ill patients are continuously tracked, Development Councils and other grass root Society of Psychiatry, Taiwan. evaluated and treated in a hierarchical organisations. Training includes major men- Sub-Editors: Ming-Jen Yang, Joseph Jror- style of management. Utilisation of other tal illnesses (mood disorders, anxiety and Serok Cheng, Chang-Jer Tsai, Steve Chih- social resources is made as individual needs psychosis), and refresher courses are also con- Yuan Lin, Jia-Shin Chen, Keh-Ming Lin, change. Health information and resources ducted for new staff. Joint case conferences Chiao-Chicy Chen. with referring agencies are also organised to related to disease, drugs, family planning ensure continuity of care for the client. and occupational rehabilitation are provided Taiwan’s Mental Health System to individuals and family members. Although historically Singapore’s primary care physicians had not been involved in the As of March 2007, Taiwan had 37 psychiatric The psychiatrists from TCPC, as well as management of mental disorders, EPIP man- hospitals with 19,127 psychiatric beds core hospitals in the city, provide a range aged to engage their participation through training in diagnosing psychoses and refer- (6,130 acute beds and 13,132 chronic beds, of supervision in a fixed-term period. The ral to EPIP for timely intervention. Patients 2.6 and 5.5 beds per 10,000 population), of involvement of public health nurses in the identified with other mental health problems which 55.9 % are located in public hospitals. assessment, planning, implementation and are either managed by the primary care Psychiatric day care centres are available in evaluation of the community psychiatric physicians, or are referred to public hospi- all psychiatric hospitals, regional hospitals services has been a key element for the tals. They are also trained to manage stable and some district hospitals. In addition, success of the `Taipei Model’. patients from EPIP for continued treatment. 61 community rehabilitation centres and A support system of telephone/email consul- To provide optimal treatment for people with tations for EPIP’s community partners has 81 half-way houses operated by psychiatric common mental disorders, TCPC initiated been established. institutions or non-professional groups provide community care for people with the Taipei City Depression Collaborative EPIP ensures that patients with early psycho- severe mental illnesses. The existing mental Care System under the endorsement of the sis are given community-based treatment, health network has been extended to meet health authorities of the city government including a case manager to enhance appro- the varied community mental health needs in 2003. Primary care physicians, mostly priate follow-up and compliance with therapy of a rapidly changing society. internists and family medicine specialists, and to reduce defaults. Through early detec- were invited to participate in the training tion and early intervention in psychosis, the workshop to form an inter-divisional and outcome is improved along with a reduction Two major noteworthy events made such inter-professional network. In 2005, all in the duration of untreated psychosis. Case developments possible: the Mental Act management ensures integrated and indi- enacted in 1990 and the National Health the municipal hospitals and 177 primary vidualised care for first-episode psychosis Insurance (NHI) launched in 1995. The care clinics joined the collaborative care network while TCPC continued its role of patients, as well as continuity of care through Mental Act represents a significant advance, providing educational courses. In addition, the different phases of the illness. Evidence- as it ensures the protection of human rights based treatment is provided by a multi-disci- the executive board continued to facilitate and calls for ethical practice of all mental plinary team. referral between mental health services and health professionals. The NHI reimburses a primary care, and to negotiate with National wide range of medical expenditure related to The focus is on promoting recovery and Health Insurance for a study project looking integrating patients back to the community. the treatment of mental illnesses, including at incentives and outcomes of the program. EPIP is widely acclaimed as a successful the fees for psychiatric rehabilitation. community-based programme, recognised People with severe mental illnesses such as In July 2005, the TCPC commenced internationally by WHO and awarded the schizophrenia and bipolar affective disorder inaugural State of Kuwait Prize for Research ‘individual psychological consultation in Health Promotion in 2006. It has shown a do not need to provide the co-payment, which services’ at the twelve district health institutes, significant reduction in patient default rates, usually constitutes 10% of the total medical which made psychological consultation with improved functioning and increased expenses. available, affordable and easily accessible for employment of patients. Based on this the community. success, EPIP has continued beyond the initial five years, to enable expansion of the A Best Practice Example The ‘Research and Development Center programme nation-wide. It blazed the trail for Suicide Prevention’ was established in Singapore’s mental health services for The Taipei City Psychiatric Center (TCPC) training and deploying case managers and to work with social workers in the district primary care physicians in its programme. social welfare centres to follow up persons The Taipei City Psychiatric Center (TCPC), who attempted suicide and presented to the Current challenges faced by the programme founded in 1969, has been dedicated to emergency rooms at the hospitals in the city. include the engagement of non-traditional provide psychiatric services to 2.6 million healthcare providers (folk and religious residents in Taipei City. Professor E.K. Yeh, The harm-reduction anti-drug policy healers), who are seeing a number of the first superintendent of this municipal (methadone maintenance program) was individuals when they first present with hospital, established the innovative and introduced to the community in 2006, mental disturbances, and persuasion of widely known ‘Taipei Model’ for community when the number of HIV-infected patients employers and educational institutions care of psychiatric patients in 1970s. in Singapore to accept individuals who (mostly needle-sharing heroin users) sharply have received or are receiving psychiatric increased. Since 1993, TCPC has built a treatment. The key element of the ‘Taipei Model’ is rehabilitation model which includes physical the development of a network between the detoxification, psychological rehabilitation © 2008 Asia-Pacific Community Mental hospital and the public health sector, and and follow-up counselling. At the same time, Health Development Project. A full country facilitation of follow-up visits by public an information system was established to report can be found at www.aamh.edu.au. health workers from twelve district health monitor drug abuse trends.

20 WPA NEWS March 2009

vide outpatient services for common psychi- of life. The ‘Mental Health Recovery Centre’ atric disorders, continuity of care for chronic was established in the most seriously affected patients and mental health care to general area, to collaborate with other organisations hospital patients. Specialised comprehensive involved with mental health rehabilitation. psychiatric care is provided by regional hos- Collaborative research between the DMH pitals, university hospitals and psychiatric and the US Centre for Disease Control and hospitals or institutes. Total psychiatric beds Prevention Collaboration, to assess the men- number 8,700 (13.8 beds per 100,000 popula- tal health problems among adults in affected tion), with 9% of beds reserved for children area, found an elevated rate of post-traumatic and adolescents. stress disorder (PTSD), anxiety and depression two months after the Tsunami. Taipei City Psychiatric Center. A Best Practice Example At follow-up after nine months, the rates of these symptoms decreased. The DMH Crisis mental health intervention following © 2008 Asia-Pacific Community Mental the Tsunami developed a ‘National Guideline for Mental Health Development Project. A full country Health Intervention in Natural Disasters’ report can be found at www.aamh.edu.au. On 26 December 2004, the Tsunami severely based on the lessons learnt from the response affected the south-western area of Thailand: to the Tsunami. 5,395 individuals died, 2,991 were unac- Thailand counted for, and 8,457 were injured. People Key success factors were the following: living in the disaster area were psychological- • A well-established chain of command. Editor: M.L. Somchai Chakrabhand, Direc- ly affected to varying degrees. A crisis mental • A well-developed existing health and tor General, Department of Mental Health, health intervention plan was established by mental health care delivery system with the Department of Mental Health (DMH). Ministry of Public Health, Thailand. the village health volunteer network work- The objectives were: ing in the community. Sub-Editors: Phunnapa Kittirattanapaiboon, • A comprehensive data and information- Suchada Sakornsatian, Taweesin Visanuyo- • To provide mental health support for gathering system. thin, Pattama Sirivech, Wiranpat Rattana- survivors of the Tsunami. • Participation of partners, such as teachers satien, Apisamai Srirangson; Contributors: • To establish a mental health care deliv- and monks. Udom Laksanavicharn, Sujarit Suvanashiep, ery system in collaboration with other • One commander-in-charge to minimise Apichai Mongkol, Wachira Pengjuntr, Seree organisations and community networks. staff confusion. Hongyok, Yongyud Vongpiromsarn, Achara • A lead coordinator who is identified to Fongkhum, Benjaporn Panyayong, Boonchai The phases of intervention were the following: work with the different organisations Nawamongkolwatana, Damrong Waealee, involved in order to prevent secondary 1. Emergency Phase Duangta Graipaspong, Dusit Liknapichitkul, trauma from repeated interviews. Kiattibhoom Vongrachit, Krissana Jantree, During this phase, the aim was to provide • Appropriate mental health interventions Nattakorn Jampathong, Oraphun Lueboon- emotional support. Mobile mental health for each phase or time period. thavatchai, Panpimol Lotrakul, Paritat teams were sent out to evaluate the situation, • Health personnel are sensitive and aware Silpakit, Pichet Udomratn, Pitakpol Boonya- gather information, work closely with local of the beliefs, religion and culture of the malik, Prasert Palitponganpim, Somkuan health personnel and provide psychological local people. • The Centre reports all urgent physical Hanpatchayakul, Somrak Choovanichvong, first-aid, triage and acute mental health care. needs other than mental health to the Suchitra Usaha, Supavadee Nuanmanee, The ‘Mental Heath for Thai Tsunami Centre’ organisations responsible for meeting Thavatchai Kamoltham, Unchalee Silaket, was established in the Department of Mental these needs. Wasana Pattanakumjorn. Health, and a front-line centre was established • The mobile team is rotated every week in the South to facilitate daily teleconferences and works less than twelve hours a day to for developing work plans and reporting data prevent burnout. Thailand’s Mental Health System for policy and decision-making. • The Village Health Volunteers are the main personnel to deliver psychosocial Community mental health services in Thai- 2. Post-Impact Phase (two weeks to three relief efforts to the community. land have been integrated into the public months after the Tsunami) health service system throughout the Min- istry of Public Health administrative infra- The aim in this phase was to provide mental structure, from village to regional levels. health assessment and early intervention. Outreach services focused on ‘at risk’ Primary mental health care at the village level groups. The most severe cases were referred is provided by village health volunteers, who to psychiatric centres. The Ministry of Public are the main community mental health care Health established a ‘Surveillance Centre’ personnel and who encourage community in the South to coordinate service activities participation in mental health activities. At and develop health monitoring information the sub-district level, primary care units and systems including general health, disease health centres staffed by health personnel control, physical and mental health care and provide primary medical services, including identification of dead bodies. Mental Health Recovery Center, Thailand. mental health screening and monitoring to 3. Recovery Phase (three months after the ensure psychiatric continuity of care. Tsunami) © 2008 Asia-Pacific Community Mental Community hospitals at the district level and The aim in the Recovery phase was to reduce Health Development Project. A full country general hospitals at the provincial level pro- psychological morbidity and improve quality report can be found at www.aamh.edu.au. 21 Vietnam • Although still inadequate, the mental national collaboration, and from 2008 to health care network in the whole country expand mental health care for children and Editor: Than Thai Phong, Line Direction and has gradually been established and spread older people. As there is currently only a Training Department, National Psychiatric from the central to the regional areas. small capacity to train mental health workers Hospital No. 1, Vietnam. and social workers, there is a great need to Sub-Editor: Tran Van Cuong. The obstacles and challenges encountered build up the workforce to meet the needs of were: people with mental health problems. Vietnam’s Mental Health System • The system of mental health networks remains insufficient. Several regional Currently there are thirty psychiatric hospitals, areas remain unsupported and lacking in including three major on-call duty centres local treatment centres. run by the National Psychiatric Hospital • Mass public education and communica- No. 1, National Psychiatric Hospital No. 2 tion are still limited, especially in moun- and the Bach Mai Mental Health Institute. tainous and rural areas. Twenty-seven provinces in Vietnam have • Specialist doctors and the mental health hospitals with psychiatric services, of which workforce are still inadequate. twenty-six are also involved in prevention • Public awareness of mental illnesses is of public health-related illnesses. There are limited, leading to prejudices towards a total of 5000 psychiatric beds and 2500 patients with psychiatric illnesses. beds for serious mental illness nation-wide Further, a large proportion of psychiatric (for chronic mental illness). There are also patients in the community are still not 850 doctors with varying levels of specialty National Psychiatric Hospital No. 1, being treated. training; a ratio of one mental health doctor Vietnam. • Resources for travelling for for every 100,000 people. administration, and examination and © 2008 Asia-Pacific Community Mental supervision of patients are non-existent. Health Development Project. A full country report can be found at www.aamh.edu.au. A Best Practice Example The Project is a driving force for the devel- Community-based mental health care project opment of networks and services for mental (CMHCP) health in the community, covering the whole country (64 provinces). The priority is to In 1998, Prime Minister Phan Van Khai approved increase public awareness of mental illness, DR. PEDRO RUIZ this national community-based project. early detection and access to treatment RECOGNIZED centres, so there are better opportunities for Although from 2001 to 2005 the expenditure patients to be re-integrated in the community Dr. Pedro Ruiz received the only met 38.6% of the project design cost, without neglect or abuse. “Distinguished Service in there was extra financial support from every Psychiatry Award” from the province. The CMHCP received enthusiastic The Project has also enabled psychiatric American College of Psychiatrists on February support from the provinces, districts and vil- patients from remote areas to benefit from 28, 2009, in Tucson, Arizona, during the community-based mental health care. Seri- lages. Family members of people with mental Annual Meeting of the American College of ous mental health illnesses like schizophre- Psychiatrists. This award is conferred annually illness were particularly interested because nia, epilepsy and depression were diagnosed to a psychiatrist who has distinguished himself they were mostly from underprivileged back- and treated without cost to families. grounds and could not afford medications for or herself for outstanding achievements in the long-term treatment. Therefore, the CMHCP The achievements have been possible due to field of psychiatry. The awardee does not have achieved good results from 2001 to 2005 the attention to mental health given by The to be a member of the American College of Psychiatrists to receive this recognition. despite a low budget and short duration. Party, Congress, Government and Ministry of Health, as well as the hard work and dedi- cation of the mental health staff. Dr. Ruiz is a Past President of the American Results of an epidemiological study of 10 College of Psychiatrists (2000-2001), as well as common psychiatric illnesses from 2001 to The next stage of the project aims to increase a Past President of the American Psychiatric 2003 were as follows: Schizophrenia 0.47%; the quality of services for people with mental Association (2006-2007), a Past President of the Epilepsy 0.33%; Head Trauma/Postconcus- health problems. Although the emphasis dur- American Board of Psychiatry and Neurology sion syndrome 0.51%; Mental Retardation ing the period 2006–2010 is still on schizo- (2002-2003), and Past President of The American 0.63%; Dementia 0.88%; Major Depressive phrenia, there are plans to include other non- Association for Social Psychiatry (2000-2002). Disorders 2.8%; Anxiety Disorders 2.6%; transmissible illnesses, such as epilepsy and Currently, Dr. Ruiz is a Tenured Professor and Conduct Disorders in Adolescents 0.9%; depression, within the CMHCP. Interim Chair of the Department of Psychiatry Alcohol Abuse 5.3%; Opioid abuse 0.3%. and Behavioral Sciences of the University of From the end of the 20th century, in line Texas Medical School at Houston, as well as The factors that facilitated the progress of with WHO recommendations, many coun- President Elect and Vice President of the World the project were: tries stopped building large scale psychiatric Psychiatric Association (2008-2011). Dr. Ruiz is hospitals and increased the management of also a well known international scholar with over • The Party, Government, and Ministry of psychiatric illnesses in the community. This 600 publications, including being one of the edi- Health have provided support towards is consistent with the aim of the CMHCP. tors of the well recognized textbook “Substance mental health from the beginning of the Abuse: A Comprehensive Textbook” and also Other future strategies of the project include: project. of the Ninth Edition of the “Kaplan & Sadock’s establishing mental health counselling cen- • Strong support given by various public Comprehensive Textbook of Psychiatry” which organisations. tres or telephone help lines, increasing men- is currently in press. • Despite being low in numbers and tal health service research to improve quality capacity, the specialist teams were of care, increasing community mental health enthusiastic and highly responsible in care, advocating for the development of carrying out the project. mental health legislation, increasing inter-

22 WPA NEWS March 2009

cational assistance to children of disabled cupational therapy and Nursing. Students EXEMPLARY EXPERIENCES clients as well as family empowerment pro- gain valuable experience in working with the IN MENTAL HEALTH AND grams and job placement for sufficiently chronic mentally ill, through SCARF’s treat- recovered clients. All these services are pro- ment and rehabilitation programs. PSYCHIATRY ACROSS THE vided absolutely free of cost to the patients WORLD: SCHIZOPRENIA and their families. SCARF also runs three residential centers, RESEARCH FOUNDATION with a combined capacity of 150 beds. Each SCARF is the acronym for the Schizophrenia center is manned by a qualified multidisciplinary team who offer rehabilitation inputs Research Foundation, a non-governmental, to discharge patients at the earliest, and re- non-profit organization based in Chennai unite them with their families. (formerly Madras) in South India. SCARF was established in 1984 by a group of phi- Community outreach programs lanthropists and mental health professionals Over the past 15 years, SCARF has estab- led by Dr. M. Sarada Menon, an internation- lished community mental health programs ally renowned psychiatrist. In the twenty five in several distinct geographical areas, both The President of India Dr. Abdul Kalam inaugurating the Anti-stigma program of SCARF years since, SCARF has reinforced itself as a rural and urban. More recently, SCARF has center of repute in rehabilitation and research extended the reach of this program by estab- in disorders of the mind. The present team lishing a telemedicine network that connects SCARF also trains primary care physicians, remote areas to a central hub in Chennai. At multi-purpose workers and health workers in present the community outreach program both urban and rural areas to enable early de- of SCARF covers a population of about 200 tection. As part of a collaborative effort with villages and 5 urban slums. SCARF aims to the Disability Commissioner of the Govern- cover an additional 200 villages under its pro- ment of Tamil Nadu, several groups of program in the coming years. fessionals including doctors, nurses, staff of SCARF is also working in schools and colleg- NGOs and teachers have been trained. es to improve the mental health of students, Research through the School Mental Health Program. SCARF has completed several research proj- Anti stigma and Awareness programs ects on biological, social and psychological Inauguration of IConS 2008 SCARF’s core objectives include educating aspects of Schizophrenia in collaboration the public about schizophrenia to create aware- with reputed national and international orga- led by Dr. R. Thara (Director) includes psy- ness and understanding, facilitate early detec- nizations including the World Health Orga- chiatrists, psychologists, social workers, rehab tion, and help eliminate social stigmatization. nization, the Institute of Psychiatry, London, personnel, administrative and support staff. To achieve this, SCARF launched Frame of Douglas Hospital, Canada, Crichton Royal

Mind in 2006, a film festival on mental health Hospital, Dumfries, Scotland and many SCARF is one of few NGOs in the world to issues. Over the last three years, the festival has more SCARF has over 200 publications to its be named as a Collaborating Centre of the brought in newer audiences, and initiated pub- credit in peer reviewed international journals World Health Organization (WHO) for Men- lic discussions about mental illness. and has also been instrumental in designing tal Health Research and Training. SCARF several scales and instruments to measure is also recognised by the Department of Sci- SCARF has organized several awareness pro- different aspects of schizophrenia. ence and Technology of the Government of grams using indigenous modes of communi- India and is the Indian co-ordinating site for cation such as street plays and folk theater, as Every two years, SCARF hosts the Interna- the anti-stigma programme of the World Psy- well as screening specially made educational tional Conference on Schizophrenia (ICONS), chiatric Association. films and other audiovisual material. Manu- bringing together delegates from around als have been brought out for primary health the world to debate current issues in mental In recognition of its outstanding services for care workers, teachers and families. health. In 2008, the third edition of ICONS the welfare of the disabled, SCARF received was attended by over 300 delegates, includ- the “National Award to Outstanding Employ- Training and Teaching ing representatives from over 15 countries. er 1995” from the President of India. In 2001, SCARF offers internship and training for Inaugurated by Dr. Benedetto Saraceno, Di- SCARF was the recipient of the Helen Keller students of Social work, Psychology, Oc- rector of the Mental Health Division (WHO), Award instituted by the National Centre for ICONS was co-sponsored by the World Health the Promotion of Employment of Disabled Organisation, the World Psychiatric Associa- People in New Delhi. In 2006 SCARF be- tion and the Indian Psychiatric Society. came the first and only Indian organization to receive a Certificate of Excellence from Lobbying the Geneva Human Rights Association for SCARF continues to actively lobby with the its work in protecting and promoting the Government and other apex bodies for new rights of the mentally ill. programs that will benefit the mentally disabled. SCARF has successfully ensured that Treatment and Rehabilitation disability caused by mental illness is recog- SCARF provides its services to the mentally nized by the Indian Government and includ- ill through an out-patient clinic, a day care ed in the Persons with Disabilities Act. centre and a comprehensive rehabilitation centre that provides social and vocational Frame of Mind - A film festival on mental health organized For more details, please visit our website: training. Additionally, SCARF offers edu- by SCARF www.scarfindia.org 23 Upcoming WPA Major Meetings

June 2009 II Thematic Conference on Legal Organizer: Spanish Society of Legal Psychiatry Contact: Dr. Alfredo Calcedo Barba and Forensic Psychiatry E-mail: [email protected] 16-20 June 2009, Madrid, Spain Website: www.forensicpsychiatry2009.org

October 2009

Abuja meeting now holds in October 2009!

�� WPA Regional Meeting �� 22-24 October 2009 Abuja, Nigeria

The WPA Regional Meeting in Abuja now holds researchers and clinicians in the ﬁelds of mental � �� on 22nd to 24th October 2009. It is being held health and psychiatry, but also policy makers at

�� in collaboration with the African Association of national and international levels. It will therefore �� Psychiatrists and Allied Professions (AAPAP) include lectures, symposia and poster presentations �� and hosted by the Association of Psychiatrists as well as high level roundtable policy discussions ��

��

� �

� in Nigeria (APN). The theme is “Scaling Up and and workshops. �� Reaching Down – Addressing Unmet Need for �� Service”. The meeting will bring together not only Details are available at: www.aapap.org/abuja2009 ��

January 2010 WPA Regional Meeting and 2nd International The Bangladesh Association of Psychiatrists (BAP) announces with Conference of South Asian pleasure to hold the WPA Regional Meeting from 21-23 January, 2010 in Dhaka, Bangladesh, a very prestigious meeting in the South Forum International on Mental Health Asia region on mental health. Along with this the South Asian and Psychiatry, 21-23 January 2010 Forum International on Mental Health and Psychiatry will hold its Dhaka, Bangladesh 2nd international conference. We hope the leaders of WPA, various international organizations on mental health, and the Member Community Menthal Health: Goals and Challenges Societies of different countries in the region will take part in the scientiﬁc and social interaction of this mee ting to make the conference a great success.

Organized by: - Bangladesh Association of Psychiatrists (BAP) - South Asian Forum International on Mental Health & Psychiatry- (SAF) Bangladesh Chapter - World Association for Psycho-social Rehabilitation (WAPR) - Asian of Federation of Psychiatric Associations (AFPA)

Contact persons: (1) Prof. Dr. AH Mohammad Firoz (Bangladesh) Tel: 880-1713-111234. Fax: 880-2-9111362. E-mail: [email protected] Website: www.bap.org.bd; (2) Dr. E. Mohandas (India) Tel: 00919447086355. E-mail: [email protected]; The Cox‘s Bazar sea beach, the longest sea beach in the world, and about 350 (3) Dr. Afzal Javed (U.K.) Tel: 00447879496203. kilometers from Dhaka. E-mail: [email protected]

24 WPA NEWS March 2009

SeptemberJune 2010 2008 WPA Regional Meeting, Organizer: Russian Society of Psychiatrists Contact: Dr. Valery Krasnov 17-19 June 2010 E-mail: [email protected] St Petersburg, Russia

September 2010

WPA Regional Meeting Organizer: Chinese Society of Psychiatry Contact: Dr. Wang Gang Beijing, China E-mail: [email protected] 1-5 September 2010 Website: www.psychiatryonline.cn

September 2011 investigators from all over the world; to make psychia- XV World Congress of try more visible at the international level. Its attend- Psychiatry ance usually varies from 6,000 to 10,000 participants. The 15th World Congress of Psychiatry, taking place 18-22 September 2011 in Buenos Aires in September 2011, aims to provide a Buenos Aires, Argentina comprehensive overview of those achievements which have stood the test of time (our heritage) and of the The World Congress of Psychiatry, organized by the World most promising current trends (our future) in the Psychiatric Association every three years, is the most ecu- various areas of psychiatric research and practice (e.g., menical scientific meeting in the field of psychiatry. It aims classification, mental health promotion, genetics, neu- to promote exchange of information among psychiatrists roimaging, pharmacotherapy, psychotherapies, advo- from all parts of the world; to promote educational activi- cacy, etc.). The most prominent experts of the various ties; to boost collaborative research by bringing together topics will be invited to provide their contribution.

Other Upcoming Events

June 2009 IPOS 11th World Congress of Psycho-Oncology Vienna, Austria 21-25 June 2009

Dear friends and colleagues, Interaction and Integration,” will give us the opportunity to share the varied expertise It is a great pleasure for us to invite you cor- and different experiences of professionals Please join us for the IPOS 11th World Congress of Psycho-Oncology dially to the IPOS 11th World Congress of worldwide who are involved in the care of and Psychosocial Academy in Vienna, Austria! IPOS expects more than 800 a�endees from over 50 countries at this Psycho-Oncology in Vienna, Austria, 21 – 25 Congress dedicated to the theme of Multi-disciplinary Perspectives in patients with cancer and their families and in Psycho-oncology: Interaction and Integration. The 11th World Congress will include Psychosocial Academy workshops (21 - 22 June 2009) June 2009. and plenary and concurrent sessions (23 - 25 June 2009), in both psycho-oncology research. The Psychosocial English and German, dedicated to building and developing thriving scientiﬁc societies, health care agencies and academic institutions in all parts of the world. The Congress aims to integrate a�endees’ Academy, 21 – 22 June 2009, will offer the knowledge into a common language of accepted standards in It is our mission to advance and to optimize opportunity to participate in interactive work- comprehensive cancer care. the standards of care for cancer patients as shops lead by international experts and will Registration Opens in February 2009 well as to encourage ongoing research. IPOS include different practical, methodological More information is available online at www.ipos-society.org/ipos2009. activities inspire collaboration between pro- and scientiﬁc topics.

About the 11th World Congress Logo fessionals in cancer care and science using The logo for the 11th World Congress of Psycho-Oncology symbolizes the interaction and integration of different disciplines within Psycho-Oncology. Although each discipline can exist by itself, it is the We are looking forward to welcoming and integration and interaction between them that best defines Psycho-Oncology. The varying and complex cooperation between all professionals in Psycho-Oncology provides the best support for the individual IPOS World Congresses as a platform to needs of patients and their families. The different disciplines are represented by the different colours and unique shapes. The interlocking pa�ern represents the team-play that, while supporting patients, meeting you in Vienna! also enhances the mutual support of professional caregivers for each other. communicate. Elisabeth Andritsch PhD The theme of this upcoming Congress, “Multi- Hellmut Samonigg MD disciplinary Perspectives in Psycho-Oncology: Chairs of the Congress

25 September 2009

The 2nd European on Schizophrenia Research – Jim van Os on gene-environment interactions, (ECSR) will be held from 21 to 23 September Patrick McGorry on early detection and inter- 2009 Conference in Berlin. This year’s ECSR will vention and Philippa Garety on psychotherapy in 2nd European Conference on be a joint thematic conference of the Competence schizophrenia – are already confirmed. Besides Schizophrenia Research – Network on Schizophrenia and the German and symposia arranged by the organizers, the con- From Research to Practice Joint thematic congress of the German Competence Network on Schizo- phrenia, the German Society of Psychiatry, Psychotherapy and Nervous the European Psychiatric Association. The WPA cept of the ECSR allows for active participation Diseases and the European Psychiatric Association and its section on schizophrenia are co-sponsor- from the scientific com-munity. Slots are spared in cooperation with WPA World Psychiatric Association and its Section on Schizophrenia ing this scientific event as they had already done for symposia, oral presentations and posters sub- in 2007. Prof. Wolfgang Gaebel is the congress mitted to the scien-tific committee. 21 – 23 September 2009 president of the ECSR 2009. Berlin, Germany •Submission of proposals for symposia will be 2nd Announcement and The ECSR 2009 is themed “From Research to accepted until 16 February 2009 Call for Proposals Practice” and is explicitly meant to bridge basic •Submission of abstracts for oral presentations research and clinical application. Accordingly, and posters is possible until 16 March 2009 the scientific program will have a research track as well as a clinical track in order to address To handle online submission and registration, CME accreditation is being applied for the interests of both researchers and clinicians. and for more information see: www.schizophrenianet.eu Keynote lectures by distinguished speakers http://www.schizophrenianet.eu

November 2009

European Conference on Children of Parents with Mental Illness Vilnius, Lithuania 26-27 November 2009

For more information, please log onto the EUFAMI website:

www.eufami.org or mail: Tel: +32 16 74 50 40 [email protected] Fax: +32 16 74 50 49

26 WPA NEWS March 2009

Future WPA Scientiﬁc Meetings

Prof. Tarek Okasha, Secretary for Meetings, Professor of Psychiatry, Institute of Psychiatry Faculty of Medicine, Ain Shams University, 3 Shawarby Street, Kasr El Nil, Cairo, Egypt Tel: +202 29200900/1/2/3/4 Fax: +202 29200908 E-mail: [email protected]

March 2009 May 2009

14 March 2009: “Covering mental health needs: Challenges of an 27-31 May 2009: “IV Macedonian Psychiatric Congress and Inter- emerging relationship between the public and the private sector”, national Meeting”, Ohrid, Macedonia. Organizer: The Psychiatric Veroia, Greece. Organizer: International Society on Neurobiology and Association of Macedonia (FYROM). Contact: Dr. Antoni Novotni. Psychopharmacology (ISNP). Collaboration: WPA Section on Private E-mail: [email protected] Website: www.mpaohrid2009.com.mk Practice. Contact: Dr. Kostas N. Fountoulakis. E-mail: [email protected] Website: www.psychiatry.gr 29-30 May 2009: “XI Jornada Nacional de Patologia Dual (AEPD)”, Madrid, Spain. Organizer: Spanish Association of Dual Pathology. Contact: Dr. Nestor Szerman. E-mail: [email protected] 20-21 March 2009: “Sexual Disorders and their Treatment”, Beirut Website: www.patologiadual.es (Hospital of the Cross), Lebanon. Organizer: Lebanese Association for CBT. Collaboration: Lebanese Society of Psychiatry. Contact: Prof. Charles Baddoura. E-mail: [email protected] June 2009

27-29 March 2009: “Ninth Workshop on Costs and Assessment in 3-5 June 2009: Annual Meeting of the Egyptian Psychiatric Association Psychiatry – Quality and Outcomes in Mental Health Policy and “Mental Health versus Mental Disorders”, Cairo, Egypt. Organizer: Egyptian Economics”, Venice, Italy. Organizer: WPA Section on Mental Psychiatric Association. Collaboration: Arab Federation of Psychiatrists. Health Economics. Contact: Dr. Massimo Moscarelli. E-mail: Contact: Dr. Tarek Okasha. E-mail: [email protected] Website: [email protected] Website: http://www.icmpe.org www.psychiatryegypt.com

28-29 March 2009: “Third Italian International Workshop of 3-6 June 2009: “XXIV Congreso de la Asociacion Española de Neuropsi- Franciacorta on Mood Disorder”, Iseo, Italy. Organizer: Centro Studi quiatria”, Cadiz, Spain. Organizer: Spanish Society of Neuropsychiatry. Psichiatrici. Collaboration: WPA Private Practice Section. Contact: Contact: Dr. Fermin Perez. E-mail: [email protected] Website: Dr. Giuseppe Tavormina. E-mail: [email protected] www.24congresoaen.com Website: www.censtupsi.or 15-19 June 2009: “16th ISPA Congress Differentiation Integration and Development”, Copenhagen, Denmark. Organizer: International April 2009 Society for the Psychological Treatment of Schizophrenias and Other Psychosis (ISPS). Contact: Dr. Erik Simonsen. E-mail: 1-4 April 2009: WPA International Congress “Treatments in [email protected] Website: www.ISPS2009.ics.dk Psychiatry: A New Update”, Florence, Italy. Organizer: Italian Psychiatric Association. Contact: Dr. Mario Maj. E-mail: 16-20 June 2009: “II Thematic Conference on Legal and Forensic [email protected] Website: www.wpa2009Florence.org Psychiatry”, Madrid, Spain. Organizer: Spanish Society of Legal Psychiatry. Contact: Dr. Alfredo Calcedo Barba. E-mail: 7-11 April 2009: 5th Ain Shams International Congress on Psychiatry [email protected] with the theme “New Strategies in Psychiatric Practice”, Cairo, Egypt. Organizer: Institute of Psychiatry, Ain Shams University. 21-25 June 2009: 11th World Congress of Psycho-Oncology “Multi- Collaboration: a) Egyptian Psychiatric Association (EPA) b) World disciplinary Perspectives in Psycho-Oncology: Interaction and Integra- Health Organization (WHO). Contact: Prof. Afaf H. Khalil. E-mail: tion”, Vienna, Austria. Organizers: The International Psycho-Oncology [email protected] Website: www.asuip.net Society (IPOS) and Österreichische Plattform für Psychoonkologie (ÖPPO). Contact: Jennifer Alluisi, IPOS (Program Director). E-mail: 17-19 April 2009: “Stress and its Management”, Beirut (Hospital [email protected] Website: www.ipos-society.org/ipos2009 of the Cross), Lebanon. Organizer: Lebanese Society of Psychiatry. Collaboration: Saint Joseph University. Contact: Prof. Charles 22-26 June 2009: “VIII Symposium on Biological and Pharmacological Baddoura. E-mail: [email protected] Aspects of Mental Disorders”, Havana, Cuba. Organizer: Colegio Cubano de Neuropsicopharmacology. Contact: Dra. Ana Sarracent. 23–26 April 2009: “XXV Argentinean Psychiatric Congress”, E-mail: [email protected] Sheraton Mar del Plata Hotel, Argentina. Organizer: Argentinean 26-27 June 2009: “Third Simposium de Psiquiatria Transcultural: Psychiatrists Association (APSA). Contact: Dr. Alfredo H. Cía. Salud Mental en el Paciente de America Central y Caribe”, Barcelona, E-mail: [email protected] Website: www.apsa.org.ar Spain. Organizer: University Hospital Vall d’Hebron. Collaboration: University Autonoma of Barcelona. Contact: Dr. Miguel Casas. 28-30 April 2009: 5th International Conference on Psychiatry E-mail: [email protected] “Challenges in the outcome of Psychiatric Disorders”, Jeddah, Kingdom of Saudi Arabia. Organizers: a) Saudi German Hospital b) Saudi Psychiatric Association. Collaboration: World Federation of July 2009 Societies of Biological Psychiatry b) Egyptian Psychiatric Association c) Arab Federation of Psychiatrists. Contact: Dr. Mohamed Khaled. 5 July 2009: “Interdisciplina – Mass Media and Salud Mental”, E-mail: [email protected] Buenos Aires, Argentina. Organizer: WPA Section on Mass Media and Mental Health. Collaboration: FINTECO. Contact: Dr. Miguel A. Materazzi. E-mail: [email protected]

27 23-25 July 2009: “III Congreso Latinamericano de Adicciones”, Santiago, 26-29 November 2009: “First International Congress on Chile. Organizer: Asociacion Latinoamericana de Adiccionologia Neurobiology and Clinical Psychopharmacology and (ALAD). Contacts: a) Claudia Bravo Riquelme; b) Dra. Elvia European Psychiatric Association Congress on Treatment Velazquez. E-mail: [email protected] Guidance”, Thessaloniki, Greece. Organizer: International Society on Neurobiology and Psychopharmacology (ISNP). Collaboration: WPA Section on Private Practice. Contact: September 2009 Dr. Kostas N. Fountoulakis. E-mail: [email protected] Website: www.psychiatry.gr 2-6 September 2009: “World Federation of Mental Health World Congress”, Athens, Greece. Organizer: World Federation of Mental Health. Contact: Dr. George Christodoulou. E-mail: [email protected] January 2010

11 September 2009: “FINTECO Annual Meeting: Truma, Social y A.H. 21-23 January 2010: “WPA Regional Meeting”, Dhaka, Salud Mental”, Buenos Aires, Argentina. Organizer: WPA Section on Bangladesh. Organizer: Bangladesh Association of Psychiatry. Mass Media and Mental Health. Collaboration: FINTECO. Contact: Contact: Prof. A.H. Mohammad Firoz. E-mail: [email protected] Dr. Miguel A. Materazzi. E-mail: [email protected] February 2010 21-23 September 2009: “Second European Conference on Schizophrenia Research (ECSR)”, Berlin, Germany. Organizer: German Research 25-27 February 2010: “III Congreso Internacional de Medicina Network on Schizophrenia. Contact: Dr. Wolfgang Gaebel. E-mail: y Salud Mental de la Mujer”, Medellin, Colombia. Organizer: [email protected] Website: http://www.schizophrenianet.eu Universidad CES. Contact: Dra Silvia L. Gaviria. E-mails: a) [email protected] b) [email protected] 23-27 September 2009: “Annual Meeting of the International Society of Websites: a) www.eventosperfectos.com.co Addiction Medicine (ISAM)”, Calgary, Canada. Organizer: International b) www.saludmentaldelamujermedellin2010.com.org Society of Addiction Medicine (ISAM). Contact: Nady El-Guebaly, M.D. E-mail: ofﬁ[email protected] Website: www.isamweb.org April 2010 24-26 September 2009: “VII World Congress of Depressive Disorders 5-9 April 2010: “Psicohabana 2010”, Habana, Cuba. Organizer: and International Symposium on Posttraumatic Stress Disorder”, WPA Section on Classiﬁcation, Diagnostic Assessment and Mendoza, Argentina. Organizer: University of Cuyo. Contact: Nomenclature. Collaboration: Cuban Society of Psychiatry. Dr. Jorge Nazar. E-mail: [email protected] Contact: Dr. Wilfredo Castillo Donate. E-mail: [email protected]

October 2009 June 2010

6-9 October 2009: “16th World Congress of the World Association 16-19 June 2010: “20th International Federation for Psychotherapy for Dynamic Psychiatry (WADP)”, Munich, Germany. Organizer: World Congress of Psychotherapy”, Lucerne, Switzerland. Organizer: World Association for Dynamic Psychiatry. Contact: Dr. Sabine International Federation for Psychotherapy (IFP). Collaboration: Funk. E-mail: [email protected] Website: www.wadp-congress.de Swiss Association for Psychiatry and Psychotherapy. Contact: Dr. Ulrich Schnyder. E-mail: [email protected] Website: 19-24 October 2009: “XIII Spanish Congress of Psychiatry”, Madrid, http://www.ifp.name Spain. Organizer: Spanish Society of Psychiatry. Collaboration: Spanish Society of Biological Psychiatry. Contact: Prof. Jeronimo Saiz. E-mail: 17-19 June 2010: “WPA Regional Meeting”, St. Petersburg, [email protected] Website: http://www.psiquimadrid2009.org/ Russia. Organizer: Russian Society of Psychiatrists. Contact: Dr. Valery Krasnov. E-mail: [email protected] 22-24 October 2009: “WPA Sponsored Regional Meeting”, Abuja, Nigeria. Organizer: African Association of Psychiatrists and Allied 25-26 June 2010: “Fourth Symposium of Transcultural Psychiatry”, Professions. Collaboration: Association of Psychiatrists in Nigeria. Barcelona, Spain. Organizer: University Hospital Vall d’Hebron. Contact: Dr. Oye Gureje. E-mail: [email protected] Collaboration: University Autonoma of Barcelona. Contact: Dr. Miguel Casas. E-mail: [email protected] November 2009 July 2010 4-7 November 2009: “XXVII Congresso Brasileiro de Psiquiatria”, Sao Paulo, Brazil. Organizer: Brazilian Psychiatric Association. 7-11 July 2010: “IV Pan-American Congress on Child and Adolescent Contact: Prof. Joao Alberto Carvalho. E-mails: [email protected] Mental Health”, Havana, Cuba. Organizer: Cuban Society of and [email protected] Psychiatry. Collaboration: Cuban National Group for Child and Adolescent Psychiatry. Contact: Dr. Cristobal Martinez Gomez. E-mail: [email protected] 12-15 November 2009: “10th World Congress of the World Association of Psychosocial Rehabilitation”, Bangalore, India. Organizer: World 10 July 2010: “Arte, Salud y Comunidad”, Buenos Aires, Argentina. Association of Psychosocial Rehabilitation. Contacts: a) Dr. Afzal Javed; Organizer: WPA Section on Mass Media and Mental Health. b) T. Murali. E-mails: a) [email protected] b) [email protected] Collaboration: FINTECO. Contact: Dr. Miguel A. Materazzi. Website: www.wapr.info E-mail: [email protected]

25-28 November 2009: “Mental Health in Iberoamerica: Science, September 2010 community and human rights”, Guayaquil, Ecuador. Organizer: Ecuadorian Psychiatric Association (AEP). Collaboration: Latin American 1-5 September 2010: “WPA Regional Meeting”, Beijing, China. Psychiatric Association (APAL). Contact: Fabrizio Delgado, MD. E-mail: Organizer: Chinese Society of Psychiatry. Contact: [email protected] Dr. Wang Gang. E-mail: [email protected] Website: www.psychiatryonline.cn 25-28 November 2009: “DGPPN Congress 2009”, Berlin, Germany. Organizer: German Society for Psychiatry, Psychotherapy and Nervous 18 September 2010: “Sociedad, Multitud Y Salud Mental”, Disorders (DGPPN). Contact: Ms. Bettina Heidemann. E-mail: Buenos Aires, Argentina. Organizer: WPA Section on Mass [email protected] Website: www.dgppn-kongress.de Media and Mental Health. Collaboration: FINTECO. Contact: Dr. Miguel A. Materazzi. E-mail: [email protected] 28

21-23 January 2010: “WPA Regional Meeting”, Dhaka, Bangladesh. Organizer: Bangladesh Association of Psychiatry. Contact: Prof. WPA NEWS March 2009

October 2010 WPA EDUCATION ACTION 28-31 October 2010: “Pacific Rim College of Psychiatrists (PRCP) PLAN FOR 2008-2011 14th Scientific Meeting”, Brisbane, Queensland, Australia. Organizer: Pacific Rim College of Psychiatrists. Collaboration: Allan Tasman, MD a) Australian and New Zealand Association of Mental Health; Secretary for Education b) Royal Australian and New Zealand College of Psychiatrists. Contact: Prof. Philip Morris. E-mail: [email protected] Upgrade and Revise the WPA website: Over the last two years, I Website: http://www.prcp.org have worked with the WPA executive committee, Anna Engstrom of our Secretariat staff, John Cox, former WPA Secretary General, 25-27 February 2010: “III Congreso Internacional de Medicina y Salud Mental de la Mujer”, Medellin, Colombia. Organizer: and a technical consultant, Kathie Sauer of Lumins Associates, to Universidad CES. Contact: Dra Silvia L. Gaviria. E-mails: a) completely revise and upgrade the website. New technical advances [email protected] b) [email protected] now allow more ease of use by those with both fast and slow con- Websites: a) www.eventosperfectos.com.co b) www.saludmentald nections. Capacity to develop online interactive CME, and to post elamujermedellin2010.com.org online lectures and seminars is now available, bringing many new opportunities for online CME. Also, enhanced availability of list serves, online conferencing, and eventually, online teleconferences January 2011 have been accomplished. These and many more technical changes provide the potential to vastly expand the utility of our website as an 26-28 January 2011: “WPA Regional Meeting”, Cairo, Egypt. organizational communicational tool. Further revision of the web- Organizer: Egyptian Psychiatric Association. Contact: site has now moved to the oversight of the new Secretary General, Dr. Tarek A. Okasha. E-mail: [email protected] Levent Kuey, with staff support from the WPA Geneva office. The Secretary for Education will consult as needed on this project. April 2011 Revision of the WPA Educational Program in Depression: The orig- inal program was produced in the 1990’s. With the major advances 14-17 April 2011: “WPA Regional Meeting”, Yerevan, Armenia. in diagnosis and treatment of depression and bipolar illness since that Organizer: Armenian Association of Psychiatrists. Contact: time, a revision was needed. Funded by a substantial unrestricted Dr. Armen Soghoyan. E-mail: [email protected] educational grant from Lilly, one of the only extramurally funded WPA projects over the 2005-2008 period, a task force co-chaired by June 2011 Professors Norman Sartorius, past WPA President, and Allan Tasman has produced an extensive program for use around the world. The program will be translated into Spanish, French, Russian, Chinese, and 9-12 June 2011: “WPA Thematic Conference: Rethinking Arabic as part of the project. The entire program, including power Quality in Psychiatry: Education, Research, Prevention, point slides, will be made available throughout the WPA in 2009. Diagnosis and Treatment”, Istanbul, Turkey. Organizers: a) Psychiatric Association of Turkey; b) Turkish An important component of this project will be the development of Neuropsychiatric Association. Contact: Dr. Levent Küey. a major initiative to improve education of primary care clinicians E-mail: [email protected] around the world in the recognition and treatment of depression. Collaboration with global primary care organizations and the WHO September 2011 is being developed in this regard. Further, a small, inexpensive handbook for primary care clinicians will be produced in 6 languages for 18-22 September 2011: “XV World Congress of Psychiatry”, global distribution with the collaboration of Helen Hermann, WPA Buenos Aires, Argentina. Organizers: a) Argentina Association Secretary for Publications. of Psychiatrists (AAP) b) Association of Argentinean CME Advances: WPA CME credits can now be made transferable Psychiatrists (APSA) c) Foundation for Interdisciplinary for UEMS and APA CME credits, vastly expanding CME opportuni- Investigation of Communication (FINTECO). Contact: ties for WPA members who participate in WPA sponsored or co-spon- Mariano R. Castex. E-mail: [email protected] sored CME programs. We have developed a system whereby WPA Website: www.congresosint.com.ar certified programs can apply and qualify for both UEMS and APA CME credits. This new system opens a wealth of new possibilities for November 2011 CME for members living in UEMS affiliated countries in Europe and the United States who attend WPA CME certified congresses. The 12-13 November 2011: “WPA Regional Meeting”, Taipei, Secretary for Meetings will work with applicants for sponsorship by Taiwan. Organizer: Taiwanese Society of Psychiatry. Contact: the WPA, to ensure the process is more widely utilized, making more Dr. Chiao-Chicy Chen. E-mail: [email protected] sanctioned opportunities available for members around the world.

February 2012 Projects initiated by Education Committee members: - Dan Stein has initiated a Wikipedia project to develop a WPA 9-11 February 2012: “Community Psychiatry and Family education committee sponsored open access textbook for medical Medicine: Joint Promotion of Mental Health Care“, Granada, students in psychiatry. This will be a major educational contribu- Spain. Organizers: a) World Psychiatric Association b) Spanish tion for medical students. Since it will be posted on Wikipedia, the Association of Neuropsychiatry. Collaboration: a) WONCA online encyclopedia website, it will be available free of charge for International & WONCA Europe b) University of Granada. medical students. Contact: Dr. Francisco Torres. E-mail: [email protected] - Brian Martindale has put together a work group to on the draft of an educational program on Early Intervention in Psychosis. The March 2012 program has been highly regarded by several WPA section reviews, 29-31 March 2012: WPA Thematic Meeting “Addiction and ﬁnal revisions are being undertaken prior to WPA executive Psychiatry”, Barcelona, Spain. Organizer: Socidrogalcohol. committee approval. Contact: Dr. Julio Bobes Garcia. E-mails: a) [email protected] b) - Savita Malhotra, responding to a national need in her home coun- [email protected] try of India, has developed a WPA education committee sponsored series of workshops on psychotherapy training. The ﬁrst of these was held in mid September, 2008. Plans include future annual or semiannual programs. 29

Other Activities of the Secretary for Education: A close collaboration fessor Jerald Kay, USA, and co-chaired by Professor Pichet Udomratn, has developed with WPA publication activities, collaborating with WPA Thailand. Secretary for Publications Helen Hermann, on planning for WPA educa- • There will be a major initiative regarding public education activities, par- tion related publication activities. There is an ongoing collaboration with ticularly focused on use of the WPA web site for materials based in the the WPA young psychiatrists group and the World Association for Young major national languages in use around the world. Eventually the goal is Psychiatrists and Trainees (WAYPT). Other collaborations have been to have the material available in the native languages of each WPA mem- developed to further the initiative for primary care education in recogni- ber society. This will include a collaborative effort with the WPA Section tion and treatment of psychiatric illnesses in the primary care setting. on Education and a variety of national societies. • WPA will develop interactive online CME activities through the WPA Education Initiatives and Programs Related to the 2008-11 WPA website. This will be developed in conjunction with the WPA Secretary Action Plan: General, Levent Kuey. • A collaboration to develop web based educational materials in child • Plans have been formulated to initiate a revision of the WPA curricu- and adolescent psychiatry is being developed with the Middle East Kids lar guidelines for medical student and post graduate training, based Initiative, a project organized by globally prominent psychiatrists includ- on the proposed triennial plan of incoming WPA president Mario ing Tarek Okasha, Sam Tyano, and David Fassler. The liaison with WPA Maj. The task force in charge of development will be chaired by pro- is Dr Siham Muntasser, at the University of Pittsburgh in the US.

A MEDIA CONSULTANT FOR THE WPA Considering the need to promote the voice of the WPA, for the beneﬁt of Emma Ross, a former medical correspondent for the Associated Press the people with mental health problems and mental health professionals and news team leader at the World Health Organization, will act as media across the world, WPA has taken an innovative action. The Association liaison for the WPA. In addition to highlighting news emerging from the has recently engaged a health communications consultant to highlight to World Psychiatry journal, WPA scientiﬁc congresses and other projects, the international media news relating to WPA activities and to communi- she will be developing a database that will offer a WPA resource to jour- cate the organization’s perspective on topical issues in mental health. nalists seeking expert sources on a variety of mental health topics.

WPA PUBLICATIONS Contact: WPA Secretary for Publications, Helen Herrman, [email protected]

in other languages are under exploration. The journal is now indexed by Pub THE WPA PUBLICATIONS PROGRAM: Med, and full articles and abstracts from its inception in January 2002 are PAST, PRESENT, FUTURE available online through PubMed as well as the WPA website. In July 2006 World Psychiatry was accepted for inclusion in the Current Contents and in Helen Herrman, Secretary for Publications the Science Citation Index.

The series Evidence and Experience in Psychiatry is a highly successful The WPA publications program aims to promote the goals of the Association publishing venture that compares research evidence and clinical experience and specifically to: 1) disseminate information about clinical, service and concerning the diagnosis and management of the most common mental research developments in the mental health field to the largest possible disorders. Each volume of the series covers a specific mental disorder, by number of psychiatrists and health professionals across the world; 2) promote means of a set of systematic reviews of the research evidence, each followed and give visibility to good quality research carried out in low and middle by commentaries produced by psychiatrists from various countries and income countries; and 3) upgrade the publishing capacity of WPA. representing different schools of thought. Nine volumes exist, several in second edition and several translated into various languages including These goals are pursued through the official journal of the Association, World Russian, Spanish, Portuguese, Italian and Turkish. The third edition of the Psychiatry, continuation of successful book series, the publication of books volume on Depressive Disorders, editors H Herrman, M Maj, N Sartorius on topics relevant to the ethical and successful practice of modern psychiatry 2009. A new volume is planned on Substance Abuse Disorders and a and illustrating partnerships with important groups in doing this, efforts to program established for issuing new editions of existing volumes in the next promote online availability and wider dissemination triennium and beyond. World Psychiatry of published materials, and offering support to OFFICIAL JOURNAL OF THE WORLD PSYCHIATRIC ASSOCIATION (WPA) WVolume 8, NumberP 1 FebruaryA 2009 psychiatric journals in low- and middle-income Volumes originating from the 13th World Congress of Psychiatry. The EDITORIAL The role of efficacy and effectiveness trials 34 Physical health care in persons with severe 1 A.J. RUSH mental illness: a public health and ethical priority Social functioning and quality of life as measures 35 M. MAJ of effectiveness in the treatment of schizophrenia countries. J.S. KWON, J.-S. CHOI Mental Health of Children and Adolescents: An area of global neglect, documents SPECIAL ARTICLES RESEARCH REPORTS Enhancing research and treatment of mental 3 disorders with dimensional concepts: toward Migraine in affectively ill Mexican adolescents 37 DSM-V and ICD-11 S.C. DILSAVER, F. BENAZZI, K.J. OEDEGAARD, ASMER KISKAL KISKAL R.F. KRUEGER, S. BEZDJIAN O.B. F , K.K. A , H.S. A Relationship problems and the DSM: needed 7 Indexation of psychiatric journals from 40 improvements and suggested solutions low- and middle-income countries: a survey the extensive work from the WPA Institutional Program on Child and R.E. HEYMAN, A.M.S. SLEP, S.R.H. BEACH, and a case study IELING ERRMAN ATEL M.Z. WAMBOLDT, N.J. KASLOW, D. REISS C. K , H. H , V. P , J.J. MARI Metabolic syndrome in people with 15 schizophrenia: a review MENTAL HEALTH POLICY PAPERS M. DE HERT, V. SCHREURS, D. VANCAMPFORT, R. VAN WINKEL Mental health policies on reporting child sexual 45 World Psychiatry, edited by WPA President Prof abuse and physician-patient sexual relationships Adolescent Mental Health. The book was launched and distributed to D.E. STEWART, E. VENOS, I.J. ASHRAF FORUM – WHAT ARE WE LEARNING FROM PRAGMATIC TRIALS OF PSYCHOTROPIC DRUGS? Community mental health care in the Asia-Pacific 49 region: using current best-practice models Effectiveness as an outcome measure for 23 to inform future policy treatment trials in psychiatry C. NG, H. HERRMAN, E. CHIU, B. SINGH, ON BEHALF W.W. FLEISCHHACKER, G.M. GOODWIN OF THE EDITORIAL GROUP OF THE ASIA-PACIFIC COMMUNITY Mario Maj, continues to develop as a high quality MENTAL HEALTH DEVELOPMENT PROJECT attendees at the WPA Regional Meeting in Nairobi Kenya in March 2007. Commentaries Clinical trial design: horses for courses 28 WPA SECTION REPORT J.R. GEDDES Embodiment and schizophrenia 56 Much ado about small differences 29 G. STANGHELLINI J.P. MCEVOY journal of international mental health, widely The silver lining of recent effectiveness trials 30 LETTER TO THE EDITOR 60 A.F. SCHATZBERG It was also distributed to attendees at the WPA Regional Congress in Do “real world” studies on antipsychotics 32 WPA NEWS tell us the real truth? The WPA General Assembly in Prague 62 H.-J. MÖLLER and the new WPA leadership The quest for a meaningful evidence base 33 The WPA International Congress 62 in psychiatry “Treatments in Psychiatry: A New Update” disseminated to all countries. It supports publication R. EMSLEY, S. HAWKRIDGE (Florence, April 1-4, 2009) Shanghai September 2007. Contemporary Issues in Women’s Mental Health

ISSN 1723-8617 of material from authors of all regions and countries. and Psychiatric Diagnosis: Patterns and Prospects will be published by Wiley- It publishes research articles from around the world, Blackwell in 2009. balanced with a significant proportion of Special Articles, Forums, Mental Health Policy Papers, Section Reports and WPA News, with the participation The series Anthologies of International Psychiatric Texts (Series Director of many of the most highly cited authors in our field, aiming to keep the D. Moussaoui) and Anthologies Online. The books in this series include readership informed on significant clinical, service and research developments classical texts produced by psychiatrists of a given country or group of in mental health as well as on WPA initiatives. It is now distributed to more countries published in English for the first time, accompanied by essays than 32,000 psychiatrists worldwide. It is produced in English, Spanish and on their authors. In recognition of their value to psychiatrists everywhere, Chinese languages. The long-term possibilities of publishing World Psychiatry electronic versions of the first three volumes in the series, that is the French,

30 WPA NEWS March 2009

Spanish and Italian volumes, are now published online by Wiley-Blackwell. Evidence and Experience in Psychiatry Series: The electronic versions are available through the WPA website and link to Bipolar Disorders. Editors: Mario Maj, Hagop S. Akiskal, Juan José López-Ibor and Wiley-Blackwell Interscience. The German Anthology of Psychiatric Texts, Norman Sartorius. 2002. ISBN 9780471560371 editor Henning Sass was published in April 2007 and electronic publication Dementia, 2nd Edition. Editors: Mario Maj and Norman Sartorius. 2003. ISBN by this same means is in discussion. 9780470849637 Depressive Disorders, 2nd Edition: Editors: Mario Maj and Norman Sartorius. 2003. Other books are forthcoming in 2009 from the WPA Scientific Sections ISBN 9780449657 including Public Policy and Psychiatry, Transcultural Psychiatry and Religion Eating Disorders. Editors: Mario Maj, Katherine Halmi, Juan José López-Ibor and and Psychiatry, and the Institutional Program on Psychiatry for the Person. Norman Sartorius. 2003. ISBN 9780470848654 The program for new books publication in the current triennium will be Obsessive-Compulsive Disorders, 2nd Edition. Editors: Mario Maj, Norman Sarto- outlined in the next issue of World Psychiatry. rius, Ahmed Okasha and Joseph Zohar. 2003. ISBN 9780470849668 A project to promote research dissemination through support for psychiatric Personality Disorders. Editors: Mario Maj, Hagop S. Akiskal and Juan E. Mezzich. 2005. ISBN 9780470090367 journals from low- and middle-income countries has been established with appointment of a Task Force in 2008. A report on the first phase of the work, Phobias. Editors: Mario Maj, Hagop S. Akiskal, Juan José López-Ibor and Ahmed preliminary to appointment of the Task Force, was published in World Psychiatry Okasha. 2004. ISBN 9780470858332 in February 2009 ‘Indexation of psychiatric journals from low- and middle-income Schizophrenia, 2nd Edition. Editors: Mario Maj and Norman Sartorius. 2003. ISBN countries: a survey and a case study’ (Kieling, Herrman, Patel, Mari). The Task 9780470849644 Force met at the XIV WCP with invited editors of journals selected after a process Somatoform Disorders. Editors: Mario Maj, Hagop S. Akiskal, Juan E. Mezzich and developed in consultation with the WPA Board. Ahmed Okasha. 2005. ISBN 9780470016121 Publishing developments in partnership with WPA. All Wiley-Blackwell books Anthologies and Online Anthologies of International Psychiatric Texts (Series Di- rector D. Moussaoui) Online at: www.interscience.wiley.com/onlinebooks (via link published for WPA are available online and form part of the HINARI offering from www.wpanet.org/publications) to low- and middle-income countries. People in some of these countries have free access, others pay a small amount. Publishing agreements with Rowman & Anthology of German Psychiatric Texts. Editor: Henning Sass. 2007 / 526 pages. ISBN 9783000204258 Littlefield allow books published by Rowman & Littlefield to be placed on the WPA website for free access 18 months after publication date. Translation into Anthology of French Language Psychiatric Texts. Editors: François-Régis Cou- sin, Jean Garrabé and Denis Morozov. 2008 / 552 pages. Adobe E-Book. ISBN additional languages (current for World Psychiatry and volumes in Evidence and 9780470986721 Experience series), and appropriate ways to disseminate books and electronic content to colleagues in low- and middle-income countries are under continuing Anthology of Italian Psychiatric Texts. Editors: Mario Maj and Filipo M. Ferro. 2008 / 432 pages. Adobe E-Book. ISBN 9780470986707 discussion with publishers. Anthology of Spanish Psychiatric Texts. Editor: Juan José López-Ibor, Carlos Carbonell Masiá and Jean Garrabé. 2008 / 552 pages. Adobe E-Book. ISBN WPA Publications by Wiley-Blackwell 9780470986745 Available through link from www.wpanet.org/publications Other WPA Publications Forthcoming Advances in Psychiatry. Editor: George N. Christodoulou, Beta Medical Arts, Ath- Recovery in Mental Health: Reshaping scientific and clinical responsibilities. Mi- ens, Greece, 2002 (232 pages). chaela Amering and Margit Schmolke. Translation: Peter Stastny. June 2009 / Hard- back / 280 pages. ISBN 9780470997963 Advances in Psychiatry, Second volume. Editor: George N. Christodoulou, World Psychiatric Association, Paris, France, 2005 (282 pages). Depressive Disorders, 3rd Edition. Editors: Helen Herrman, Mario Maj and Norman Sartorius. September 2009 / Hardback / 344 pages. ISBN 9780470987209 Advances in Psychiatry, Third volume. Editors: George N. Christodoulou, Miguel Jorge, Juan E. Mezzich, Beta Medical Arts, Athens, Greece, 2009 (in preparation). Contemporary Topics in Women’s Health: Global perspectives in a changing society. Editors: Prabha S. Chandra, Helen Herrman, Jane Fisher, Marianne Kastrup, Essentials of Clinical Psychiatry for sub-Saharan Africa. Editors: Frank G. Njenga, Unaiza Niaz, Marta Rondon and Ahmed Okasha. September 2009 / Hardback / 544 Wilson Acuda, Vikram Patel and Mario Maj. Published by Masson, Milano 2005. pages. ISBN 9780470754115 Images in Psychiatry: An Arab Perspective. Editors: Ahmed Okasha and Mario Maj. Co-editors: Aida Seif El Dawla and Tarek Okasha. Published by Scientific Book New House, Cairo 2001. Handbook of Service User Involvement in Mental Health Research. Editors: Jan Images of Psychiatry: The Caribbean. Editors: Frederick W. Hickling and Eliot Sorel. Wallcraft, Beate Schrank and Michaela Amering. Foreword: George Szmukler. April Published by Stephenson’s Press Limited, Jamaica 2005. 2009 / Hardback / 272 pages. ISBN 9780470997956 Images in Psychiatry: Poland. Editors: Adam Bilikiewicz and Janusz Rybakowski. Psychiatrists and Traditional Healers: Unwitting partners in global mental health. Published by Via Medica, Gdansk 2002. Editors: Mario Incayawar, Ronald Wintrob and Lise Bourchard. Honorary Editor: Goffredo Bartocci. March 2009 / Hardback / 296 pages. ISBN 9780470516836 Images of Psychiatry: Romania. Editors: Eliot Sorel and Dan Prelipceanu. Published by InfoMedica, Bucharest 2004. Psychiatric Diagnosis: Challenges and prospects. Editors: Ihsan M. Salloum and Juan E. Mezzich. March 2009 / Hardback / 328 pages. ISBN 9780470725696 Images of Spanish Psychiatry. Editors: Juan José López-Ibor, Carmen Leal Cercós and Carlos Carbonnell Masiá. Editorial Glosa 2004. Already Published Psychiatry and Sexual Health: An Integrative Approach. Editors: Juan E Mezzich Disaster and Mental Health. Editors: Juan José López-Ibor, George Christodoulou, and Ruben Hernandez-Serrano on behalf of the WPA Educational Program on Mario Maj, Norman Sartorius and Ahmed Okasha. 2004. ISBN 9780470021231 Sexual Health. Published by Jason Aronson, USA 2006 (an imprint of Rowman & Littlefield Publishers). Available on-line at www.rowmanlittlefield.com. Early Detection and Management of Mental Disorders. Editors: Mario Maj, Juan José López-Ibor, Norman Sartorius, Mitsumoto Sato and Ahmed Okasha. 2005. ISBN 9780470010839 Families and Mental Disorder: From Burden to Empowerment. Editors: Norman WILEY-BLACKWELL PSYCHIATRY BOOKS Sartorius, Julian Leff, Juan José López-Ibor, Mario Maj and Ahmed Okasha. 2005. From Wiley-Blackwell ISBN 9780470023822 To WPA Members Psychiatry as a Neuroscience. Editors: Juan José López-Ibor, Wolfgang Gaebel, Mario Maj and Norman Sartorius. 2002. ISBN 9780471496564 20% Discount on Wiley-Blackwell Psychiatry Books Psychiatry in Society. Editors: Norman Sartorius, Wolfgang Gaebel, Juan José López- Ibor and Mario Maj. 2002. ISBN 9780471496823 • Fast, simple and secure ordering! You can order books online Psychiatric Diagnosis and Classification. Editors: Mario Maj, Wolfgang Gaebel, Juan at www.wiley.com. Alternatively, please call the Wiley customer José López-Ibor and Norman Sartorius. 2002. ISBN 9780471496816 services department on 0800 243407 (UK customers) or +44 1243 843294 (overseas customers). The Mental Health of Children and Adolescents: An area of global neglect. Editors: • Please quote the promotion code VA114 for the offer listed above. Helmut Remschmidt, Barry Nurcombe, Myron Lowell Belfer, Norman Sartorius and Ahmed Okasha. 2007. ISBN 9780470512456 • This offer is not available in bookshops. • The promotion code is active and expires in 2012.

31 WPA NEWS Ofﬁcial Quarterly News Bulletin of WPA

March 2009

WPA Executive Committee WPA Board (Zonal Representatives) The World Psychiatric Association (WPA) President: Z1 Canada: Z10 Eastern Europe: Prof. Mario Maj (Italy) Prof. Raymond Tempier (Canada) Prof. Armen Soghoyan (Armenia) The WPA is an association of national psychi- President-Elect: Z2 United States of America: Z11 Northern Africa: atric societies aimed to increase knowledge and Prof. Michelle B. Riba (USA) Prof. Driss Moussaoui (Morocco) Prof. Pedro Ruiz (USA) skills necessary for work in the field of mental Z3 Mexico, Central America and the Z12 Middle East: Secretary General: health and the care for the mentally ill. Its Caribbean: Prof. Charles Baddoura (Lebanon) Prof. Levent Küey (Turkey) Dr. Mauricio Sanchez (Nicaragua) Z13 Central and Western Africa: member societies are presently 134, spanning Secretary for Education: Z4 Northern South America: Dr. Joseph Adeyemi (Nigeria) 112 different countries and representing more Prof. Allan Tasman (USA) Dr. Fabrizio Delgado (Ecuador) Z14 Eastern and Southern Africa: than 200,000 psychiatrists. Z5 Southern South America: Secretary for Finances: Prof. Solomon Rataemane (South Africa) Dr. Luis Risco (Chile) Prof. Tsuyoshi Akiyama (Japan) Z15 Central and Western Asia: Z6 Western Europe: The WPA organizes the World Congress of Dr. S. Ahmad Jalili (Iran) Secretary for Meetings: Prof. Linda Gask (UK) Psychiatry every three years. It also organ- Z16 Southern Asia: Prof. Tarek Okasha (Egypt) Z7 Northern Europe: izes international and regional congresses and Dr. E. Mohandas (India) Secretary for Publications: Dr. Henrik Wahlberg (Finland) meetings, and thematic conferences. It has Z8 Southern Europe: Z17 Eastern Asia: Prof. Helen Herrman (Australia) 65 scientific sections, aimed to disseminate Prof. Miguel Roca Bennasar (Spain) Prof. Naotaka Shinfuku (Japan) Secretary for Sections: Z9 Central Europe: Z18 Australasia and the South Pacific: information and promote collaborative work in Prof. Miguel R. Jorge (Brazil) Prof. Dusica Lecic-Tosevski (Serbia) Dr. Julian Freidin (Australia) specific domains of psychiatry. It has produced several educational programmes and series of books. It has developed ethical guidelines WPA Council for psychiatric practice, including the Madrid Prof. E. Peter Berner (France) Prof. Juan J. López-Ibor (Spain) Prof. Norman Sartorius (Switzerland) Declaration (1996). Prof. Jorge A. Costa e Silva (USA) Prof. Juan E. Mezzich (USA) Prof. Fini M. Schulsinger (Denmark) Prof. John Cox (UK) Prof. Ahmed Okasha (Egypt) Prof. Costas Stefanis (Greece) Prof. Felice Lieh-Mak (China) Prof. Pierre Pichot (France) Prof. Sam Tyano (Israel)

WPA Standing and Operational Standing Committee on Review Operational Committee on Meetings Committees Ahmed Okasha (Chair) Tarek Okasha (Chair) Standing Committee on Ethics Donna Stewart (Co-chair) Wolfgang Gaebel (Co-chair) Sam Tyano (Chair) Oye Gureje (Member) Haroon Chaudhry (Member) Rodrigo Cordoba (Member) Paul Appelbaum (Member) Otto Steenfeldt-Foss (Member) Alberto Monchablon (Member) Julio Arboleda-Florez (Member) Nada Stotland (Member) Jiri Raboch (Consultant) Afzal Javed (Member) Driss Moussaoui (Consultant) Fuad Antun (Consultant) Constantin Soldatos (Member) Norman Sartorius (Consultant) Operational Committee on Publications Standing Committee on Nominations Operational Committee on Education Helen Herrman (Chair) What are its Aims? Mario Maj (Chair) Allan Tasman (Chair) Helen Chiu (Member) Tsuyoshi Akiyama (Member) Jerald Kay (Member) Jair Mari (Member) Sheila Hollins (Member) Anne Lindhardt (Member) Christopher Szabo (Member) The core missions of WPA include the Fred Kigozi (Member) Dan Stein (Member) Peter Tyrer (Member) following: Fernando Lolas (Member) Pichet Udomratn (Member) Christian Kieling (Consultant) Vikram Patel (Consultant) Bulent Coskun (Consultant) • To encourage the highest possible stand- Standing Committee on Planning Savita Malhotra (Consultant) Garry Walter (Consultant) Pedro Ruiz (Chair) Brian Martindale (Consultant) Michelle Riba (Special Adviser) ards of clinical practice Levent Kuey (Co-chair) Driss Moussaoui (Special Adviser) • To increase knowledge and skills about Helen Herrman (Member) Operational Committee on Finances Operational Committee on Sections mental disorders and how they can be Juan Mezzich (Member) Tsuyoshi Akiyama (Chair) Miguel Jorge (Chair) prevented and treated Tarek Okasha (Member) Florence Baingana (Member) Michaela Amering (Member) Edgard Belfort (Consultant) Francois Ferrero (Member) Luis Salvador-Carulla (Member) • To promote mental health Tania Peon Valdes (Consultant) Marianne Kastrup (Member) Russell D’Souza (Member) • To promote the highest possible ethical Parameshvara Deva (Consultant) Massimo Moscarelli (Member) Ron Wintrob (Member) standards in psychiatric work • To disseminate knowledge about evidence- based therapy and values based practice WPA Secretariat Geneva University Psychiatric Hospital Tel: +41 22 305 5737 • To be a voice for the dignity and human Adminstrator Bâtiment Les Voirons Fax: +41 22 305 5735 rights of the patients and their families, and Ms. Anna Engstrom (Sweden) 2 Chemin du Petit Bel-Air Email: [email protected] to uphold the rights of psychiatrists Deputy Adminstrator 1225 Chêne-Bourg, GENEVA • To facilitate communication and assistance Ms. Pamela Atiase (Switzerland) Switzerland WEBSITE: WWW.WPANET.ORG especially to societies who are isolated or whose members work in impoverished circumstances

This WPA News March 2009 issue is printed on re-cycled paper.