Preventive psychiatry at a glance.

1. Preventive Psychiatry
Rehabilitation in Psychiatry

2. Prevention literally means “to
keep something from happening”.

5. Preventive Psychiatry
Discipline of psychiatry
focussing on prevention
of psychiatric disorders

6. Preventive psychiatry emphasizes on
Considering risk and protective factors
Epidemiology
Population-based findings
Evidence-based preventive interventions
Health promotion, and
Cost-effectiveness
Ref: Kaplan et al;2007

7. Minimizing the
risk factors
Strengthening the
protective factors
Promoting mental
health
Early detection and
appropriate intervention
Prevention
of mental
illnesses
can be
achieved
by

8. RISK FACTORS PROTECTIVE FACTORS
Access to drugs and alcohol
Displacement
Isolation and alienation
Lack of education, transport, housing
Neighbourhood disorganization
Peer rejection
Poor social circumstances
Poor nutrition
Poverty
Racial injustice and discrimination
Social disadvantage
Urbanization
Violence and delinquency
War
Work stress
Unemployment
Empowerment
Ethnic minorities integration
Positive interpersonal interactions
Social participation
Social responsibility and tolerance
Social services
Social support and community networks
Preventive aspect of psychiatric illness

9. Rehabilitation in Psychiatry
• Classification
• According to the target (individual & Environment)
• According to the domain of rehabilitation (Cognitive, Vocational)
• According to settings (Hospital based, Half-way home, Community settings)

10. RehabilitationIndividual Environment

11. Rehabilitation
• Derived from Roman Latin word habilitas
“to restore to a former capacity, to reinstate, to restore former rights”

12. Who needs rehabilitation?
• Disorder – Schizophrenia, Schizoaffective disorder, Bipolar Disorder,
OCD
• Deficits
• Disability

13. When patients are referred for rehabilitation?
• Residual symptoms/ deficits after conventional treatment
• After being discharged
• Before community integration
• Availability of better training facilities at REHAB CENTRES

14. Aims of psychiatric rehabilitation
• To learn or re-learn life skills.
• To get your confidence back.
• To cope better without so much help.
• To achieve the things you want to, like living in your own flat, getting a
job or starting a family.
• To feel independent and comfortable with your life.

16. Target …….so far

17. Obstacles faced
Erasing the efforts

18. Path …….. So long

19. Obstacles are many. . .

20. Commitment…………Questionable

21. Still ,
there is
a hope

22. Suggested readings
• http://www.rcpsych.ac.uk/healthadvice/treatmentswellbeing/rehabili
tationservices.aspx

23. Thank You