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Mental Health Aid Program to Tsunami Affected Countries

Mental Health Aid Program to Tsunami Affected Countries. Japanese Society of Psychiatry and Neurology Tsuyoshi Akiyama. Inter-governmental Conference. April 4, 5 Jakarta India, Malaysia Thailand Sri Lanaka, Indonesia. Inter-governmental Conference. America, Australia,

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Mental Health Aid Program to Tsunami Affected Countries

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  1. Mental Health Aid Program to Tsunami Affected Countries Japanese Society of Psychiatry and Neurology Tsuyoshi Akiyama

  2. Inter-governmental Conference April 4, 5 Jakarta India, Malaysia Thailand Sri Lanaka, Indonesia

  3. Inter-governmental Conference America, Australia, Iran, Japan, Turkey WHO, UNICEF UNESCO, IOM

  4. India Death: 10,697 Missing: 5,811 Affected: 2,880,468

  5. Malaysia Death: 68 Affected: 7,827

  6. Thailand Death: 5,309 Missing: 3,810 Injured: 10,000

  7. Sri Lanka Death: 2,846 Missing: 1,027 Injured: 2,375 Affected: 250,000 Displaced: 70,000

  8. Indonesia Death: 126,915 Missing: 93,063 Injured: 2,375 Displaced: 795,385

  9. India Psychiatric Symptom 60-80% Grave Psychiatric Disorder 2,250 Training 110 Trainee 4,387 Session 35,000

  10. Thailand Psychiatric Symptom100% Grave Psychiatric Disorder 2,325 Client 9,015

  11. Indonesia Psychiatric Symptom90%

  12. Indonesia, Sri Lanka Lack of Psychiatrist Lack of Primary Mental Health System Huge Disaster Lack of Aid

  13. Number of Psychiatrist 2001 Population 100,000 United States: 10 Japan: 8 Indonesia: 0.21 Sri Lanka: 0.2

  14. Lack of Primary Mental Health System District: No Psychiatrist Coordination with General Primary Health Care (-) Local Policy (-) Lack of Psychiatric Care

  15. Lack of Aid in Aceh Conflict Safety Language Difference Malaysian-Indonesian

  16. Aid ProgramTrauma: OnceStress: ContinuesFew Years Systematic

  17. RecommendationInter-ministry CooperationInter-sectoral CoordinationPublic Awareness

  18. Psychosocial SupportMental Health Care

  19. Psychosocial Areas Formal Education Non-formal Education Social and Economic Cultural and Religious Environmental

  20. Formal Education Group Activities Children & Parents Teacher Support / Training Curriculum on the Issues Student Guidance Center

  21. Non-formal Education Community Center Youth Center Drop-out – Reintegration Life Skill Vocational Training Peer to Peer Support

  22. Social and Economic Media Campaign Community Participation Income Generating Program Culturally Appropriate Support Services

  23. Social and Economic Continued Commemorative Activities Training of Support Service Providers Lost Documents Legal Support

  24. Cultural and Religious Training Religious Leaders Community Leaders Traditional, Religious Healing Community Activities

  25. Environmental Resettlement On Higher Ground Protection Re-planting of Mangrove Natural or Artificial Reefs

  26. How to Strengthen Mental Health Care Access to Basic Care All People All Kinds of Problems General Mild Severe

  27. Important Issues Anti Stigma Inter-ministry Cooperation Integration with General Health Care System Protection to Workers Information System

  28. MIX OF SERVICES high low Frequency of need Cost low high Need WHO Dr. Van Ommeren, modified by Akiyama, 2005 Adapted from WHO (2003)

  29. Specialty Sector MEMBER Psychiatrist Psychologist Psychiatric Nurse Clinical Social Worker

  30. Specialty Sector ROLE Inpatient/Outpatient Treatment Outreach Community Treatment

  31. Specialty Sector RECOMMENDATION Acute Treatment Ward Community Mental Health Team Training to PHC

  32. Primary Health Sector MEMBER General Physician Nurse Midwife Assistants

  33. Primary Health Sector ESSENTIEL ROLE Early Detection Referral Basic Mental Health Care Case Follow-up

  34. Primary Health Sector ADDITIONAL ROLE Counseling Psychosocial Education Prevention Inter-sectoral Linkage

  35. Primary Health Sector RECOMMENDATION Referral System Family Folder Method Training Supervision

  36. Community Sector MEMBER Counselors Teachers Self-help Group NGO Workers Community Leaders

  37. Community Sector ROLE Early Detection Referral Basic Support Prevention Health Promotion

  38. Community Sector RECOMMENDATION Guideline Development Training Supervision Prevention Linkage

  39. Self and Family Sector MEMBER Self Family Relative Friend

  40. Self and Family Sector ROLE Basic Knowledge Disaster Mental Health Networking

  41. Self and Family Sector RECOMMENDATION Information Education / Basic Training Peer Support Activity Self-help Group

  42. Japanese Society Aid Program Fund: Initial Phase Training Primary System Trauma Care Center

  43. Fund in Initial Phase Malaysian Psychiatric Association Japanese Business Federation

  44. Training Key Persons Disaster Preparation WHO Model Specific Program

  45. Specific Program According to the Interests Cognitive Therapy Industrial Mental Health Psychiatric Nursing

  46. Primary Mental Health System 8 Districts in Aceh Coordination by WHO 1, 2 Districts by Japan?

  47. Trauma Care Center Center of Excellence Coordination Center Selected Sites

  48. Collaboration with World Bank Training: Community Sector Primary Mental Health System? Trauma Care Center?

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