2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Somersalo ◽  
J Mäki-Opas ◽  
A E Castaneda

Abstract Issue Previous migrant population studies have shown that immigrants experience higher level of psychological load than the overall population. This is especially prevalent in those with refugee background. The PALOMA project (Developing National Mental Health Policies for Refugees) was launched in 2016 to tackle this wellbeing cap. One outcome of the project was a PALOMA handbook, which includes recommendations as well as methods and tools for decision-makers, supervisors and professionals for promoting refugees' mental health and preventing, identifying and treating the problems. During the PALOMA project, the need for national coordination, establishing regional Centre of Expertises and support on refugees mental health work was recognized. Results To fulfill this need, the PALOMA2 project (National support system for refugee mental health work and the knowhow dissemination) started in February 2019. The PALOMA2-project establishes a Centre of Expertise for mental health work among refugees. The project personnel includes five regional experts, that each know the specific strengths and challenges of their region, and an expert from the 3rd sector, that ensures that the target group's and the 3rd sector's voice is heard throughout the project. Each of these six experts also pilot two tools from the PALOMA handbook. Lessons As a result of the PALOMA work, the mental health and mental health work with the refugees will be improved. The PALOMA Centre of Expertise will be a place of consultation, influencing, education, networking, developing and work guidance, and it will help all professionals that work in the field. Key messages The PALOMA Centre of Expertise is involved in developing different services in ways that improve refugee’s mental health and equal access for the developed services. The PALOMA Centre of Expertise will be a permanent part of the Finnish social and health care structure.


2021 ◽  
Vol 26 (4) ◽  
pp. 3-7
Author(s):  
Fabien Gagnon ◽  
Les Kertay

Abstract Claims of occupational psychiatric disability have increased considerably over the past 20 years. To avoid psychiatric disability overdiagnosis, it is important to improve the clinical assessment of mental health work disability. This article discusses general disability issues and their impact on individual well-being, social participation, and frequently associated poverty. It defines the difference between impairment assessment and disability assessment, explores three common disability models, and raises issues about psychiatric disability and its potential overdiagnosis.


2021 ◽  
Vol 26 (6) ◽  
pp. 15-18
Author(s):  
Fabien Gagnon ◽  
Les Kertay

Abstract Given the increase in psychiatric occupational disability claims over the past 20 years, better patient psychiatric assessment and management is critical. To minimize iatrogenic psychiatric disability and maximize positive outcomes, it is important to understand the issues involved and establish better procedures for diagnosing conditions and assessing any associated impact on function. This second article in a three-part series focuses on ways to improve the diagnosis and assessment of mental health work disability.


2017 ◽  
Vol 47 ◽  
pp. 63-70
Author(s):  
Traci H. Abraham ◽  
Christopher J. Koenig ◽  
Kara Zamora ◽  
Coleen Hill ◽  
Madeline Uddo ◽  
...  

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