1
|
Fiorillo A, Sartorius N. Mortality gap and physical comorbidity of people with severe mental disorders: the public health scandal. Ann Gen Psychiatry 2021; 20:52. [PMID: 34903254 PMCID: PMC8670051 DOI: 10.1186/s12991-021-00374-y] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Accepted: 11/03/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Patients suffering from severe mental disorders, including schizophrenia, major depression and bipolar disorders, have a reduced life expectancy compared to the general population of up to 10-25 years. This mortality gap requires urgent actions from a public health perspective in order to be reduced. MAIN TEXT Factors associated with the high mortality rates in patients with severe mental disorders can be grouped into four groups: those related to the patients, to psychiatrists, to other non-psychiatrist medical doctors and to the healthcare system. Each of these factors should become the target of specific and dedicated interventions, in order to reduce the morbidity and mortality rate in patients with severe mental disorders. All these elements contribute to the neglect of physical comorbidity in patients with severe mental. In particular, the long-standing separation of psychiatry from other branches of medicine and the lack of specific training on this issue further contribute to the poor attention dedicated to management of physical comorbidities. Recently, several professional associations have invited national bodies regulating education of healthcare professionals to include the management of physical health of people with severe mental disorders in undergraduate and postgraduate educational programs. CONCLUSIONS The premature mortality in patients with severe mental disorders is a complex phenomenon resulting by the interaction of several protective and risk factors. Therefore, a multilevel approach is needed, in which the different stakeholders involved in health care provision establish workforces for the long-term management of physical and mental health conditions.
Collapse
Affiliation(s)
- Andrea Fiorillo
- Department of Psychiatry, University of Campania "L Vanvitelli", Naples, Italy.
| | - Norman Sartorius
- Association for the Improvement of Mental Health Programmes, Geneva, Switzerland
| |
Collapse
|
2
|
Fiorillo A, Javed A. Education and training in psychiatry in low- and middle-income countries during and after the COVID-19 pandemic. Asia Pac Psychiatry 2021; 13:e12500. [PMID: 34873838 DOI: 10.1111/appy.12500] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Accepted: 10/06/2021] [Indexed: 12/22/2022]
Affiliation(s)
- Andrea Fiorillo
- Department of Psychiatry, University of Campania "L. Vanvitelli", Naples, Italy.,Chair, WPA Section on Education in Psychiatry, World Psychiatric Association
| | - Afzal Javed
- WPA President, World Psychiatric Association (WPA), Geneva, Switzerland
| |
Collapse
|
3
|
Sampogna G, Fiorillo A, Wasserman D. How to improve the quality of World Psychiatric Association educational activities? Results from an online survey with World Psychiatric Association zonal representatives. Asia Pac Psychiatry 2021; 13:e12497. [PMID: 34873846 DOI: 10.1111/appy.12497] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Accepted: 09/29/2021] [Indexed: 12/26/2022]
Abstract
INTRODUCTION The World Psychiatric Association (WPA), a global association representing 145 psychiatric societies in 121 countries, has a specific focus on education and learning, promoting educational programs on a regular basis. Education in mental health is a continuously evolving phenomenon, although it happens quite often that it is still based on a knowledge formed in the last century and with the latest scientific updates mainly available in English. The WPA is constantly committed in improving and updating the type of educational materials available and ready to be disseminated worldwide. METHODS An online survey has been developed and sent to the 18 WPA zonal representatives in order: to evaluate the educational needs for mental health, to translate materials into native languages or inclusivity, and to prioritize educational activities to be developed by the WPA in the next years. RESULTS Fifteen out of the 18 zonal representatives participated in the study. According to the public mental health perspective, collaboration with general practitioners (GPs) (80%), communities/stakeholders (66.7%) and programs for promoting mental health in schools (53.3%) are the most prioritized activities carried out. Programs for suicide prevention (86.7%) and promotion of mental health and well-being in the general population (66.7%) are considered as the most relevant to be implemented. From the healthcare perspective, new knowledge on pharmacological and non-pharmacological interventions (73%) was requested. The educational packages are mostly available in the English language, although respondents prioritize the translation of WPA educational material into, at least, Spanish and French. The most preferred formats for educational activities are webinar live (80%) and key opinion lectures (66.7%). CONCLUSIONS These findings represent the first step in the continuing promotion of education carried out by the WPA. We aim to run these kinds of initiatives from time to time in order to adapt themes and topics of these materials to the real educational needs of all mental healthcare professionals worldwide.
Collapse
Affiliation(s)
- Gaia Sampogna
- Department of Psychiatry, University of Campania "L. Vanvitelli", Naples, Italy
| | - Andrea Fiorillo
- Department of Psychiatry, University of Campania "L. Vanvitelli", Naples, Italy.,Chair WPA Section on Education in Psychiatry, World Psychiatric Association, Geneva, Switzerland
| | - Danuta Wasserman
- National Centre for Suicide Research and Prevention of Mental Ill-Health, Karolinska Institutet, Stockholm, Sweden.,WPA President Elect, World Psychiatric Association, Geneva, Switzerland
| |
Collapse
|
4
|
Baessler F, Sartorius N, Javed A, Tasman A, Coskun B, Frydecka D, Kazakova O, Sampogna G, Zhabenko O, Koelkebeck K, Hepdurgun C, Zafar A, Fiorillo A. Training the trainers: Finding new educational opportunities in the virtual world. Asia Pac Psychiatry 2021; 13:e12499. [PMID: 34873842 DOI: 10.1111/appy.12499] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Accepted: 10/05/2021] [Indexed: 01/11/2023]
Abstract
The COVID-19 pandemic has disrupted scientific gatherings and conferences, opening up opportunities for virtual learning platforms. Realizing the potential of online academic exchanges, the World Psychiatric Association (WPA) also developed virtual avenues and information systems for capacity building of mental health professionals across the world. Among its first such initiatives, the WPA organized a virtual Train the Trainers workshop, where 123 psychiatrists, psychiatric trainees, and educators from 45 countries participated. The innovative and interactive workshop allowed participants to get to know each other, exchange educational and professional experiences, and ask questions or receive advice from experts. Keynote speakers, including WPA President Prof. Afzal Javed and Prof. Norman Sartorius, stressed upon the importance of finding innovative solutions in psychiatry training and the need to improve teaching and training in the field of psychiatry, especially in the provision of leadership and communication skills. Online training methods can provide easy access to academics and students while reducing the organizational and logistical costs. They have the potential to improve educational equality and allow the voice of the underprivileged scientists to be heard across the globe. The devastating impact on access to mental health services during COVID-19 underscores the urgent need for online training, particularly in countries where the ratio of psychiatrists to patients is inadequate and doctors concentrate more on treatment than on research and education. Virtual educational interventions could prove incredibly useful in the future just as they are being successfully utilized in local and regional contexts during the pandemic.
Collapse
Affiliation(s)
- Franziska Baessler
- Center for Psychosocial Medicine, Department of General, Internal and Psychosomatic Medicine, Heidelberg University Hospital, Heidelberg, Germany.,Heidelberg Academy of Sciences and Humanities, Heidelberg, Germany
| | - Norman Sartorius
- Association for the Improvement of Mental Health Programmes (AMH), Geneva, Switzerland
| | - Afzal Javed
- Pakistan Psychiatric Research Centre, Fountain House, Lahore, Pakistan
| | - Allan Tasman
- Department of Psychiatry and Behavioural Sciences, University of Louisville, Louisville, Kentucky, USA
| | - Bulent Coskun
- Association for Community Mental Health Promotion, Kocaeli, Turkey
| | - Dorota Frydecka
- Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland
| | - Olga Kazakova
- Master's Programme in Public Health, Faculty of Medicine, Lund University, Lund, Sweden
| | - Gaia Sampogna
- Department of Psychiatry, University of Campania L. Vanvitelli, Naples, Italy
| | | | - Katja Koelkebeck
- LVR-Hospital Essen, Department of Psychiatry and Psychotherapy, Medical Faculty, University of Duisburg-Essen, Essen, Germany
| | - Cenan Hepdurgun
- Department of Psychiatry, School of Medicine, Ege University, Izmir, Turkey
| | - Ali Zafar
- Center for Psychosocial Medicine, Department of General, Internal and Psychosomatic Medicine, Heidelberg University Hospital, Heidelberg, Germany.,Heidelberg Academy of Sciences and Humanities, Heidelberg, Germany
| | - Andrea Fiorillo
- Department of Psychiatry, University of Campania L. Vanvitelli, Naples, Italy
| |
Collapse
|
5
|
|
6
|
|
7
|
Ojeahere MI, de Filippis R, Ransing R, Karaliuniene R, Ullah I, Bytyçi DG, Abbass Z, Kilic O, Nahidi M, Hayatudeen N, Nagendrappa S, Shoib S, Jatchavala C, Larnaout A, Maiti T, Ogunnubi OP, El Hayek S, Bizri M, Schuh Teixeira AL, Pereira-Sanchez V, Pinto da Costa M. Management of psychiatric conditions and delirium during the COVID-19 pandemic across continents: lessons learned and recommendations. Brain Behav Immun Health 2020; 9:100147. [PMID: 32984854 PMCID: PMC7501517 DOI: 10.1016/j.bbih.2020.100147] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Revised: 09/13/2020] [Accepted: 09/14/2020] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND With the uncertainties of COVID-19, people infected with coronavirus present with diverse psychiatric presentations. Some institutions have had to manage their patients with existing protocols, others have had to create them. In this article we aimed to report the challenges and good practices in the management of psychiatric conditions and delirium coexisting with COVID-19 across continents. METHODS Early Career Psychiatrists (ECPs) from across five continents were approached to share their experiences on the management of psychiatric conditions in patients with COVID-19 during the current pandemic. RESULTS We collected information about the experiences from sixteen countries. Commonalities were similar psychiatric presentations and poor preparedness across countries. Differences were varying adjustments made in the management of psychiatric conditions coexisting with COVID-19 and different innovations. Good practices which can be adopted by other countries are novel approaches such as telepsychiatry, proactive consultation-liaison units and enhanced community services targeted at circumventing challenges faced when providing mental health services. CONCLUSIONS These findings highlight the need for global preparedness in the mental health sector during outbreaks of infectious diseases, and the need for concerted efforts targeted at global and locally sensitive adaptation of existing protocols and the development of new guidelines for the management of psychiatric conditions for the present pandemic and subsequent occurrences.
Collapse
Affiliation(s)
- Margaret Isioma Ojeahere
- Department of Psychiatry, Jos University Teaching Hospital, Jos, Plateau State, Nigeria
- Noetic Minders Health Services, Jos, Plateau State, Nigeria
| | - Renato de Filippis
- Psychiatric Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Viale Europa, Catanzaro, 88100, Italy
| | - Ramdas Ransing
- Department of Psychiatry, BKL Walawalkar Rural Medical College, Ratnagiri, 415606, Maharashtra, India
| | - Ruta Karaliuniene
- Carl Gustav Carus University Hospital, Technical University Dresden, Germany
| | - Irfan Ullah
- Kabir Medical College, Gandhara University, Peshawar, Pakistan
- Undergraduate Research Organization, Dhaka, Bangladesh
- Naseer Teaching Hospital, Peshawar, Pakistan
| | - Drita Gashi Bytyçi
- Hospital and University Clinical Service of Kosovo, Mental Health Center Prizren, Republic of Kosovo
| | | | - Ozge Kilic
- Department of Psychiatry, Koç University Hospital, Turkey
| | - Mahsa Nahidi
- Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Nafisatu Hayatudeen
- Medical Services Unit, Federal Neuropsychiatric Hospital, Opposite Shagari Lowcost, Barnawa, Kaduna, Nigeria
| | - Sachin Nagendrappa
- National Institute of Mental Health and Neurosciences, Bengaluru-29, India
| | - Sheikh Shoib
- Department of Psychiatry, Jawahar Lal Nehru Memorial Hospital (JLNMH), Srinagar, Jammu and Kashmir, India
| | - Chonnakarn Jatchavala
- Department of Psychiatry, Faculty of Medicine, Prince of Songkla University, Thailand
| | - Amine Larnaout
- Department of Psychiatry D, Razi Hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia
| | - Tanay Maiti
- All India Institute of Medical Science, Bhubaneswar, India
| | | | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Maya Bizri
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Andre Luiz Schuh Teixeira
- Department of Psychiatry and Legal Medicine, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil
| | - Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, NY, USA
| | - Mariana Pinto da Costa
- Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK
- Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
- Hospital de Magalhães Lemos, Porto, Portugal
| |
Collapse
|
8
|
|
9
|
Schulze TG. WPA Scientific Sections: a strengthened backbone for the 2020-2023 triennium. World Psychiatry 2020; 19:408-410. [PMID: 32931126 PMCID: PMC7491617 DOI: 10.1002/wps.20789] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
|
10
|
|
11
|
Affiliation(s)
- Afzal Javed
- WPA President-Elect and Chair of WPA Planning Committee 2017-2020
| |
Collapse
|
12
|
Herrman H. The practice of psychiatry in health care and sustainable development: progress on the WPA Action Plan 2017-2020. World Psychiatry 2020; 19:256-257. [PMID: 32394553 PMCID: PMC7215063 DOI: 10.1002/wps.20750] [Citation(s) in RCA: 38] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
|
13
|
|
14
|
Affiliation(s)
- Mariana Pinto da Costa
- Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK,Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal; Hospital de Magalhães Lemos, Porto, Portugal
| |
Collapse
|
15
|
Affiliation(s)
- Andrew Forrester
- Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK
- University of Manchester, Manchester, UK
| | - Mary Piper
- University of Manchester, Manchester, UK
| |
Collapse
|
16
|
Campion J, Javed A, Vaishnav M, Marmot M. Public mental health and associated opportunities. Indian J Psychiatry 2020; 62:3-6. [PMID: 32001924 PMCID: PMC6964446 DOI: 10.4103/psychiatry.indianjpsychiatry_687_19] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Accepted: 11/18/2019] [Indexed: 12/01/2022] Open
Affiliation(s)
- Jonathan Campion
- Director for Public Mental Health, South London and Maudsley NHS Foundation Trust, London, England, UK
| | - Afzal Javed
- President Elect, World Psychiatric Association, Geneva, Switzerland.,Chairman, Pakistan Psychiatric Research Centre, Fountain House, Lahore, Pakistan.,Honorary Associate Clinical Teacher, University of Warwick, London, England, UK
| | - Mrugesh Vaishnav
- Director, Samvedana Happiness Hospital, Ahmedabad, Gujarat, India.,National President, Indian Psychiatry Society, Ahmedabad, Gujarat, India.,Direct Council Member Indian Association of Social Psychiatry, Ahmedabad, Gujarat, India
| | - Michael Marmot
- Department of Epidemiology and Public Health, Institute of Health Equity, UCL, London, England, UK
| |
Collapse
|
17
|
Herrman H. Psychiatry, human rights and social development: progress on the WPA Action Plan 2017-2020. World Psychiatry 2019; 18:368-369. [PMID: 31496080 PMCID: PMC6732682 DOI: 10.1002/wps.20686] [Citation(s) in RCA: 41] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
|