Tuesday, October 26, 2010

[EQ] WHO: mhGAP Intervention Guide for mental, neurological and substance use disorders in non-specialized health settings

mhGAP Intervention Guide for mental, neurological and substance use disorders in non-specialized health settings

Version 1.0

World Health Organization 2010

Available online [PDF 107p. 2.8MB] at: http://bit.ly/adAkXL

“…..The mhGAP Intervention Guide (mhGAP-IG) for mental, neurological and substance use disorders for non-specialist health settings, is a technical tool developed by WHO to assist in implementation of mhGAP. The Intervention Guide has been developed through a systematic review of evidence followed by an international consultative and participatory process.

The mhGAP-IG presents integrated management of priority conditions using protocols for clinical decision-making. The priority conditions included are: depression, psychosis, bipolar disorders, epilepsy, developmental and behavioural disorders in children and adolescents, dementia, alcohol use disorders, drug use disorders, self-harm/suicide and other significant emotional or medically unexplained complaints.

The mhGAP-IG is a model guide and has been developed for use by health-care providers working in non-specialized health-care settings after adaptation for national and local needs…..”

Content

Foreword

I Introduction

II General Principles of Care

III Master Chart

IV Modules

1. Moderate-Severe Depression

2. Psychosis

3. Bipolar Disorder

4. Epilepsy / Seizures

5. Developmental Disorders

6. Behavioural Disorders

7. Dementia

8. Alcohol Use and Alcohol Use Disorders

9. Drug Use and Drug Use Disorders

10. Self-harm / Suicide

11. Other Significant Emotional or Medically Unexplained Complaints

V Advanced Psychosocial Interventions

WHO Mental Health Gap Action Programme (mhGAP)

“…..The mental health Gap Action Programme (mhGAP) aims at scaling up services for mental, neurological and substance use disorders for countries especially with low and middle income.

There is a widely shared but mistaken belief that mental health interventions are sophisticated and can only be delivered by highly specialized staff. Research in recent years has demonstrated the feasibility of delivery of pharmacological and psychosocial interventions in non-specialized health-care settings. The present model guide is based on a review of all the science available in this area and presents the interventions recommended for use by non-specialized health care providers.

 


The Intervention Guide is brief so as to facilitate interventions by busy non-specialists in low- and middle-income countries. The Guide includes a Master Chart which provides information on common presentations of the priority conditions to guide the clinician to the relevant modules. The modules provide information on assessment and management for the priority conditions in form of simple flow charts.….”

 

Dr Shekhar Saxena, Director, Department of Mental Health and Substance Abuse

World Health Organization, Geneva, Switzerland

 http://www.who.int/mental_health/en/

 

 

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