У цьому модулі описано основні принципи медичної допомоги людям, які її потребують, зокрема людям з ПНПР-розладами, а також їхнім доглядачам.
У першому підрозділі ...ього модуля подаються загальні принципи клінічної практики.
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MhGAP-IG – это примерное руководство, поэтому крайне важно адаптировать его в соответствии с уникальной национальной или местной ситуацией. Пользователи могут выбра...ь свои варианты приоритетных состояний или мер по адаптации и реализации Руководства в зависимости от имеющихся в наличии и преобладающих ресурсов.
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Le manuel de formation Guide d’intervention humanitaire mhGAP (GIH-mhGAP), est conçu pour guider les animateurs dans la formation des prestataires de soins de santé non spécialisés à la gestion des troubles mentaux, neurologiques et liés à la consommation de substances dans les situations d...'urgence humanitaire.
Le manuel comprend des propositions de formation, , des objectifs d'apprentissage et des conseils pour la planification et l’animation de la formation. Il comprend également des modules de formation étape par étape pour les différentes conditions couvertes dans le Guide d'intervention humanitaire mhGAP (GIH-mhGAP). Des diapositives PPT sont également incluses sur le lien ci-dessous.
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Le manuel de formation Guide d’intervention humanitaire mhGAP (GIH-mhGAP), est conçu pour guider les animateurs dans la formation des prestataires de soins de santé non spécialisés à la gestion des troubles mentaux, neurologiques et liés à la consommation de substances dans les situations d...'urgence humanitaire.
Le manuel comprend des propositions de formation, , des objectifs d'apprentissage et des conseils pour la planification et l’animation de la formation. Il comprend également des modules de formation étape par étape pour les différentes conditions couvertes dans le Guide d'intervention humanitaire mhGAP (GIH-mhGAP). Des diapositives PPT sont également incluses sur le lien ci-dessous.
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Le manuel de formation Guide d’intervention humanitaire mhGAP (GIH-mhGAP), est conçu pour guider les animateurs dans la formation des prestataires de soins de santé non spécialisés à la gestion des troubles mentaux, neurologiques et liés à la consommation de substances dans les situations d...'urgence humanitaire.
Le manuel comprend des propositions de formation, , des objectifs d'apprentissage et des conseils pour la planification et l’animation de la formation. Il comprend également des modules de formation étape par étape pour les différentes conditions couvertes dans le Guide d'intervention humanitaire mhGAP (GIH-mhGAP). Des diapositives PPT sont également incluses sur le lien ci-dessous.
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The number of general health staff skilled in psychological treatment for depression is limited, and learning psychological treatments tends to require considerable training and supervision. Relaxation may be a relatively simple form of psychological treatment. It has been frequently studied in rese...arch studies as an active condition and as a control condition.
Q 5: Is relaxation training better (more effective than/as safe as) than treatment as usual in adults with depressive episode/disorder?
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Q7. SCOPING QUESTION: In adults with moderate-severe depressive disorder, what is the effectiveness and safety of antidepressant medication (ADM) in comparison with psychological treatment?
The WHO mhGAP programme’s existing guidelines recommend that either structured brief psychological treatm...ents (e.g., interpersonal psychotherapy or cognitive behavioural therapy, including behavioural activation) or antidepressant medication (e.g., SSRIsi and tricyclic antidepressants) be considered in adults with moderate-severe depression. Health care workers need to know whether these treatments have different effects, including side-effects, in treating depressive disorder in the short and long term, in order to improve clinical decision-making.
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Q13: Are strategies aimed at improving community attitudes towards mental, neurological and substance use conditions (e.g. anti-stigma campaigns) feasible and effective?
Advice on physical activity should be encouraged as part of treatment for adults with depressive episode/disorder with inactive lifestyles. In moderate and severe depression, this intervention should be considered as adjunct to antidepressants or brief structured psychological treatments.
Session outline
•Introduction to self-harm/suicide.
•Assessment of self-harm/suicide.
•Management of self-harm/suicide.
•Follow-up.
Session outline
•Introduction to depression
•Assessment of depression
•Management of depression
•Follow-up
•Review
Key messages include Effective communication skills should be used for everyone seeking health care,
including people with MNS conditions and their carers; Effective communication skills enable health-care providers to build rapport and trust with people as well as enabling health-care providers to... understand the health and social needs of people with MNS conditions; Health-care providers have a responsibility to promote the rights and dignity of
people with MNS conditions and more
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As part of the Mental Health Gap Action Programme, WHO has developed training manuals (Training of trainers and supervisors training manual and Training of health-care providers training manual) to support implementation of the mhGAP Intervention Guide for mental, neurological and substance use (MNS...) disorders in non-specialized health settings, version 2.0. These manuals can be used to build capacity among non-specialist health-care providers in the assessment and management of people with priority MNS conditions in low resource settings.
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DEM supporting material
• Person stories
• Role plays
• Case scenarios
• Treatment planning handouts
• Treatment planning suggestions
• Multiple choice questions
• Video link
Activity 3: mhGAP DEM module – assessment
Common presentations of other significant mental health complaints include: depressed mood, irritability, anxiety, stress, extreme tiredness, unexplained physical complaints. Other significant mental health complaints are frequently seen in non-specialized health settings, but are often treated inap...propriately, with excess investigations and inappropriate medications.
OTH supporting material: Role plays, LIVES intervention, Case scenarios, Alternative relaxation exercises, Multiple choice questions, Video link
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PSY supporting material
• Person stories
• Case scenarios
• Role plays
• Multiple choice questions
• Video links
Session outline
•Introduction to psychoses.
•Assessment of psychoses.
•Management of psychoses.
•Follow-up.
•Review.
Q11. SCOPING QUESTIONS: In people with psychotic disorders (including schizophrenia and bipolar disorder) are recovery-oriented psychosocial strategies enhancing independent living and social skills (such as life skills and social skills training) feasible and effective?
Q4: In individuals with long term and/or recurrent psychotic disorders (including schizophrenia), should individuals be maintained on pharmacotherapy indefinitely or withdrawn from treatment in order to allow for the best outcomes?
Q2: In individuals with psychotic disorders (including schizophrenia), is the use of two or more antipsychotic medications concurrently more effective and safer than the use of one antipsychotic only?