scholarly journals Mortality gap and physical comorbidity of people with severe mental disorders: the public health scandal

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Andrea Fiorillo ◽  
Norman Sartorius

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.

2014 ◽  
Vol 66 (1) ◽  
pp. 131-136
Author(s):  
Aleksandra Jovanovic-Galovic ◽  
Vesna Milosevic ◽  
Ivana Hrnjakovic-Cvjetkovic ◽  
Gordana Kovacevic ◽  
Jelena Radovanov ◽  
...  

In this study the presence of anti-Toxoplasma IgM and IgG antibodies in sera of 245 children, aged 1 to 18 years, was determined. In the eldest group (15-18), 29.2% of the sera were positive for the IgG antibody. Toxoplasma gondii infection in pregnant women and immunosuppressed patients produces severe consequences, while in immunocompetent individuals it is considered asymptomatic and latent. Recent emerging links to mental disorders has shed a completely new light on the public health view of this common infection. It calls for a new approach in the prevention and screening of a population, children being the target group.


2003 ◽  
Vol 1 (1) ◽  
pp. 49-59
Author(s):  
Mark Tomita

The Global Health Disparities CD-ROM Project reaffirmed the value of professional associations partnering with academic institutions to build capacity of the USA public health education workforce to meet the challenges of primary prevention services. The Society for Public Health Education (SOPHE) partnered with the California State University, Chico to produce a CD-ROM that would advocate for global populations that are affected by health disparities while providing primary resources for public health educators to use in programming and professional development. The CD-ROM development process is discussed


Author(s):  
Michael Westerlund ◽  
Karolina Krysinska

An overview of research on suicide and the internet, as well as the practical applications of online interventions in suicide prevention efforts is given. The text presents how much material about suicide is available online and what are the contents, with a special focus on pro-suicide and harmful online material and communication, and how people at risk of suicide use the internet. The topic of advantages and dangers of suicide-related material available on social media platforms will be covered. The range and effectiveness of online and web-based crisis interventions are discussed, along with support available online for people bereaved by suicide. The text also presents existing efforts on regulation and legislation in relation to suicide-related websites and content.


1991 ◽  
Vol 20 (2) ◽  
pp. 191-213 ◽  
Author(s):  
Rob Baggott

ABSTRACTThis article explores the role of political agents, institutions, circumstances, and ideas in the development of public health policies in Britain. The first part attempts to define public health. The second section of the article looks at the experience of the Victorian public health movement. The final part considers the re-emergence of the public health perspective. The underlying theme of the article is that an awareness of the political dimension, both contemporary and historical, improves our understanding of developments in the field of public health. The main conclusions reached are: first, that given the formidable political obstacles which exist, public health reform will only succeed if the reformers themselves operate with full awareness of the political dimension; second, that the modern public health debate is unlikely to be resolved in the short term.


2019 ◽  
Vol 35 (7) ◽  
Author(s):  
Shamyr Castro ◽  
Camila Ferreira Leite ◽  
Michaela Coenen ◽  
Cassia Maria Buchalla

Functioning and disability are concepts in increasing use in clinical settings and in public health. From the public health perspective, the use of functioning as a third health indicator could show more than the frequency of a disease and its death rates, offering information on how the population performs its activities and participation. Clinically, the functioning assessment can provide information for patient-centered health care and specific clinical interventions according to their functioning profile. WHODAS 2.0 is a generic tool to assess health and functioning according to the ICF functioning model. It is an alternative to assess functioning in a less time-consuming way, whereas the duration of the application is one of the main ICF critiques. This paper aims to present some of WHODAS 2.0 inconsistencies and weaknesses as well as strategies to cope with them. In this paper, we present some weaknesses related to the WHODAS layout; wording and scoring process. Some suggestions for strategies to correct these weaknesses are presented, as well.


10.5772/59069 ◽  
2015 ◽  
Author(s):  
Charles Fokunang ◽  
Estella Tembe-Fokunang ◽  
Zacharia Sando ◽  
Marceline Ngounoue Djuidje ◽  
Barbara Atogho Tiedeu ◽  
...  

Author(s):  
David A. Korn

Public health has a tradition of addressing emerging and complex health matters that affect the whole population as well as specific groups. AIDS, environmental tobacco smoke and violence are examples of contemporary health concerns that have benefited from public health analysis and involvement. This article encourages the adoption of a public health perspective on gambling issues. Gambling has been studied from a number of perspectives, including economic, moral, addiction and mental health. The value of a public health viewpoint is that it examines the broad impact of gambling rather than focusing solely on problem and pathological gambling behavior in individuals. It takes into consideration the wider health, social and economic costs and benefits; it gives priority to the needs of vulnerable and disadvantaged people; and it emphasizes prevention and harm reduction. This paper looks at the public health foundations of epidemiology, disease control and healthy public policy, and applies them to gambling. Major public health issues are analyzed within a North American context, including problem gambling trends amongst the general adult population and youth, and their impact on other specific populations. There is significant opportunity for public health to contribute its skills, methodologies and experience to the range of gambling issues. By understanding gambling and its potential impacts on the public's health, policy makers, health practitioners and community leaders can minimize gambling's negative impacts and optimize its benefits.


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