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Evaluation of a regional mental health policy: the Ostrobothnia Study

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Evaluation of a regional mental health policy: the Ostrobothnia Study

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    1. 19.08.06 1 Evaluation of a regional mental health policy: the Ostrobothnia Study

    2. 19.08.06 2 Mental health is an essential part of public health -a fourth of burden of disease is due to mental disorders -a good mental health is essential for productivity and societal wellbeing

    3. 19.08.06 3 Finland has made commitments to promote mental health WHO European Ministerial Conference on Mental Health 2005 The European Commission’s Green Book on mental health Pilot project was needed

    4. 19.08.06 4

    5. 19.08.06 5 Suicide rates in Finland 1979-2001

    6. 19.08.06 6 Alcohol sales per inhabitant 2004 (liters 100% alcohol)

    7. 19.08.06 7 Number of psychiatric beds per inhabitant (national average = 100)

    8. 19.08.06 8

    9. 19.08.06 9 Ostrobothnia Project Regional mental health strategy Mental health promotion Prevention and early detection Integration of services Capacity building in primary and social care Labour market actions Regional development of specialist services for children Regional development of adult special services Promoting social inclusion by social economy See www.osterbottenprojektet.fi

    10. 19.08.06 10 Ostrobothnia Study –the evaluation of the Ostrobothnia Project Participatory action research Outcome research Health economic research

    11. 19.08.06 11 Ostrobothnia Study: Outcome resesearch ”Controlled interrupted time series” Register based outcomes from 1990: disability pensions due to mental disorders suicides suicide attempts alcohol deaths fetal alcohol sndrome children taken into custody crime rates

    12. 19.08.06 12 Ostrobothnia Study: Outcome research Population survey -2005, 2007,2009, 2011, 2013, 2015... -random sample of 10 000 inhabitants -GHQ, EVI from SF-36, social support, psychological role limitation from SF-36, CIDI-SF for depression, CAGE, use of services -attitudes

    13. 19.08.06 13 Baseline measurement: Mental health survey 2005

    14. 19.08.06 14 Baseline: prevalence of depressive disorder in Ostrobothnia 2005

    15. 19.08.06 15 Baseline in Ostrobothnia 2005 35 % of people with depression had sought professional help during the preceding year (40 % of women, 24 % of men) people with depression sought help from a range of services: Community mental health centres 13 % Community health centres 12 % Occupational health services 11 % Private practices 11 %

    16. 19.08.06 16 Attitudes: Baseline in Ostrobothnia 2005 80 % agree that recovery from depression is possible 60 % agree that a depressed person should ”pull herself together” Few know how to enter the services and few know the benefits of antidpressants One in three would oppose if a nursing home for psychiatric patients would be located in the neighbourhood

    17. 19.08.06 17 Attitudes in Ostrobothnia 2005 The population supports development of community mental health services There is a common belief, that health staff will not take clients with mental problems seriously Self-help is supported, but there is disbelief towards antidepressant medication Few know that primary care is the point of entry to mental health services

    18. 19.08.06 18 Views on mental health services: Baseline qualitative analysis 2005 1055 answers to open question were analysed with QSR NVivo Access to care, quality of care, medication and increase of available services were major topics Support for mental health promotion and peventive activities

    19. 19.08.06 19 Conclusions Also complex, policy-level interventions should be rigorously evaluated The Ostrobothnia Project is a pilot for future nationwide programmes A European network of regions of excellence in mental health is needed

    20. 19.08.06 20 Doctoral students Esa Aromaa, Vasa Timo Hujanen, Helsinki Minna Laitila, Seinäjoki Jyrki Tuulari, Lapua Expert group Ulla Aspvik, Gamlakarleby Kjell Herberts, Vasa Esa Nordling, Seinäjoki Hannu Pajunpää, Gamlakarleby Timo Toikko, Seinäjoki Carita Tuohimäki, Vasa Kristian Wahlbeck, Helsinki Ostobothnia Study: people

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