Overview Many Paths, One Purpose Beda Cara, Satu Tujuan Background - - PDF document

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Overview Many Paths, One Purpose Beda Cara, Satu Tujuan Background - - PDF document

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24th Sept 2013 Overview Many Paths, One Purpose Beda Cara, Satu Tujuan Background & History of Crisis/Disaster in your country Community Mental Healthcare &

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ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM SINGAPORE 24 – 26 SEPTEMBER 2013

Many Paths, One Purpose Beda Cara, Satu Tujuan 殊 殊 殊 殊途同 途同 途同 途同归 归 归 归 หลายเสนทาง สูเปาประสงคเดียวกัน

Hong Deng MD Ph.D Mental Health Center West China Hospital, Sichuan University

  • P. R. China

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

Overview

  • Background & History of Crisis/Disaster in your country
  • Community Mental Healthcare & Priorities
  • Progress Achieved to Date
  • What are the current needs?
  • Progress achieved so far & what is still lacking.
  • Explain how current system can be further improved.
  • Plans moving forward

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

Background & History of Crisis

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

  • China is the 3rd largest country, 9.6 million km²
  • China is one of most countries affected by

disasters

– affecting more than 200 million people every year

  • Disasters become an important restricting factor

for economic and social development.

  • Types of natural disasters occurring in China

– which include floods, droughts, meteorological, seismic, geological, maritime and ecological disasters , forestry and grassland fires

Background & History of Crisis

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SLIDE 2

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ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

Background & History of Crisis

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

  • More recent crisis & disasters :

– 1976 Tangshan earthquake, 240,000 death – 2008 Wenchuan earthquake, 77,587 death and missing – 2013 Yaan earthquake, 196 death

Background & History of Crisis

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

Background & History of Crisis

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

  • Great Tangshan Earthquake

– Time: July 28, 1976 – 8.2 on Richter magnitude scale, last 14~16 seconds, – Death toll: 240,000-255,000

Background & History of Crisis

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SLIDE 3

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ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

Background & History of Crisis

Tangshan Earthquake

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

  • Wenchuan Earthquake

– Time: May 12, 2008 – 8.1 or 7.9 on Richter magnitude scale – Death toll: 69,195 people, with 18,392 missing

Background & History of Crisis

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

  • Yaan Earthquake

– Time: Apr. 20, 2013 – 6.9 on Richter magnitude scale – Death toll: 196 people

  • Specialties

– 5 years after Wenchuan earthquake – same area with Wenchuan earthquake

Background & History of Crisis

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

Background & History of Crisis

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SLIDE 4

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ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

  • Differences among the three:

– 1976 Tangshan earthquake：

  • Hardly no psychology support

– 2008 Wenchuan earthquake：

  • Post disaster psychological intervention was attentioned by public
  • A lot of related job had been done
  • Not organized enough

– 2003 Yaan earthquake:

  • Better prepared and organized than ever

Background & History of Crisis

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

Community Mental Health Model & Priorities (Slide 1)

  • Community mental health models in China

– Initially founded in 1950’s in Shanghai – Following 30 years: developing unbalanced, lacking mental health community service in most rural countryside, mainly depending on natural social support network – Recent 10 years:

  • “686” program: focus on management for psychosis in

community setting

  • Post disaster community mental rehabilitation service

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

Community Mental Health Model & Priorities (Slide 2)

  • Chinese priorities in supporting mental

healthcare and building resilience post-crisis

– Government take the key role in post-crisis supporting mental healthcare and building resilience

  • Power
  • trust

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

Community Mental Health Model & Priorities (Slide 3)

  • Identify challenges in mental health services

to support mental health of the population post-crisis.

– Not enough number the subjects of service providers – Indigenization:

  • integrate western psychology into the intervention

process serving for the people in rural or nationality

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SLIDE 5

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ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

Progress achieved so far & what is still lacking (slide 1)

  • examples of training programs that have

yielded positive results to build capability

– Multidisciplinary team was built by continue training programs on post disaster psycho rehab skill by Hong Kong YF – Dr. Jiang Wei’s group from Duke gave supervise to the team members; Professor Mark Yang’s group gave retreat program to the service providers – Prof. Weining Chu Chang’ comprehensive support

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

Progress achieved so far & what is still lacking (slide 2)

  • examples of intervention programs that have

yielded results to improve population mental healthcare post-crisis stage

– General programs:

  • health education, screening, group and individual

intervention or even medicine treatment

  • PTSD group and growth sky group

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

Progress achieved so far & what is still lacking (slide 3)

  • examples of intervention programs that have

yielded results to improve population mental healthcare post-crisis stage

– Special programs:

  • Embroider group
  • Grief group → weave group→ pregnant group→ baby

support group

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

Explain how systems can be further improved

  • Leadership training program since the

government take the key role.

  • Sharing the existing training collaboration

with regional partners.

– Invite their parents the teachers to participate the training program for school children

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SLIDE 6

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ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

Plans moving forward (Slide 1)

  • Develop working group for mental health care

in the communities

  • Integrate post disaster community mental

health service and routine community mental health service

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

Plans moving forward (Slide 1)

  • Integrate post disaster community mental health

service and routine community mental health service

– Health education, let community people understand psychological reaction at post-crisis stage – Conduct variety of cultural activities in community based on the positive psychological philosophy, to improve resilience – Early detection and psychiatric rehab service in community

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

Plans moving forward (Slide 3)

  • Resources and support

– Building effective community mental health care service programs based on the present resources, and then seeking for the more resources from government and NGO, etc. to build more effective service

  • Clubhouse for psychosis in community
  • PSR program for schizophrenia with high function

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

Thank you

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ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

  • Special groups (group therapy)
  • ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013
  • Embroidering are not only embroidering
  • Function of “embroider”
  • Express willing and feeling
  • Find linkage to indigenization

culture and feeling of support

  • Find reality income, and self value
  • Trauma repairing

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

  • From weaving group to pregnant group

__The disaster people’ needs is the most priority

Weaving group

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Baby Support group

Baby with cleft lip

After repair operation

24th Sept 2013 ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

心理健康教育课程 心理健康教育课程 心理健康教育课程 心理健康教育课程-“成长的天空 成长的天空 成长的天空 成长的天空” ” ” ”校园活动 校园活动 校园活动 校园活动目标 目标 目标 目标

通过“成长的天空”课程，提升学生的抗逆力，培养学生的生活技 能水平，例如情绪管理能力、与人沟通能力、解决问题能力。增强 学生与家人、老师、朋友关系的正常联结等。

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

抗逆力

创伤后应激障碍 创伤后应激障碍 创伤后应激障碍 创伤后应激障碍 （ （ （ （） ） ） ）

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SLIDE 9

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  • PTSD学生的系

学生的系 学生的系 学生的系 统心理干预 统心理干预 统心理干预 统心理干预

ASIAN COMMUNITY MENTAL HEALTH LEADERSHIP FORUM , SINGAPORE : 24 – 26 SEPTEMBER 2013

创伤后应激障碍 创伤后应激障碍 创伤后应激障碍 创伤后应激障碍（ （ （ （PTSD小组 小组 小组 小组） ） ） ）