prevention et promotion de la sante mentale 1. definitions

1
PREVENTION ET PROMOTION
PREVENTION ET PROMOTION
DE LA SANTE MENTALE
DE LA SANTE MENTALE
Éléments généraux
Éléments généraux
Béatrice Lamboy, INPES
Béatrice Lamboy, INPES
beatrice
beatrice. .lamboy lamboy@ @inpes inpes.sante. .sante.fr fr
1. DEFINITIONS
1. DEFINITIONS

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PREVENTION / PROMOTION
PREVENTION / PROMOTION
“
“Mental health promotion Mental health promotion aims to aims to impact on determinants of impact on determinants of
mental health
mental health so as so as to increase to increase positive mental health” positive mental health”
(OMS, 2004)
(OMS, 2004)
«
«Mental Mental health health promotion promotion conceptualises mental conceptualises mental health health in positive in positive rather rather
than
than in in negative negative terms terms ». ».
“
“Mental disorder prevention Mental disorder prevention aims at “ aims at “reducing incidence, reducing incidence,
prevalence, recurrence of mental disorders
prevalence, recurrence of mental disorders, the time spent with , the time spent with
symptoms,
symptoms, or the risk or the risk condition for a mental illness, preventing condition for a mental illness, preventing
or delaying recurrences and also decreasing the impact of
or delaying recurrences and also decreasing the impact of
illness in the affected person, their families and the society”
illness in the affected person, their families and the society”
(
(Mrazek Mrazek & Haggerty, 1994 in OMS, 2004) & Haggerty, 1994 in OMS, 2004)
“
“Prevention Prevention of mental disorders can be considered of mental disorders can be considered one of the aims one of the aims and and
outcomes of a
outcomes of a broader mental health promotion broader mental health promotion strategy” strategy”
(
(Hosman Hosman & & Jané Jané- -
Llopis
Llopis 1999). 1999).
PREVENTION / PROMOTION
PREVENTION / PROMOTION
The distinction
The distinction between health promotion and prevention lies between health promotion and prevention lies in their in their
targeted outcomes
targeted outcomes. . Mental health promotion aims to promote Mental health promotion aims to promote
positive mental health
positive mental health by increasing psychological well by increasing psychological well- -being, being,
competence and resilience, and by creating supporting living
competence and resilience, and by creating supporting living
conditions and environments.
conditions and environments. Mental disorder prevention has as its Mental disorder prevention has as its
target the reduction of symptoms and ultimately of mental disord
target the reduction of symptoms and ultimately of mental disorders ers. .
It uses mental health promotion strategies as one of the means t
It uses mental health promotion strategies as one of the means to o
achieve these goals.
achieve these goals. Mental health promotion Mental health promotion when aiming to when aiming to
enhance positive mental health in the community may
enhance positive mental health in the community may also have the also have the
secondary outcome of decreasing the incidence of mental disorder
secondary outcome of decreasing the incidence of mental disorders s. .
Prevention and promotion elements are often present
Prevention and promotion elements are often present within the within the
same programmes and strategies, involving similar activities and
same programmes and strategies, involving similar activities and
producing different but complementary outcomes
producing different but complementary outcomes. Since mental . Since mental
health promotion and mental disorder prevention both deal primar
health promotion and mental disorder prevention both deal primarily ily
with the enhancement of mental health and the influence of its
with the enhancement of mental health and the influence of its
antecedents, they should be understood as conceptually
antecedents, they should be understood as conceptually distinct but distinct but
interrelated
interrelated approaches. approaches.
(OMS, 2004)
(OMS, 2004)

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CHAMP D’ACTION SPECIFIQUE
CHAMP D’ACTION SPECIFIQUE
Différents champs d’action en santé (mentale) :
Différents champs d’action en santé (mentale) :
Promotion
Promotion
Prévention
Prévention
(anciennement «
(anciennement « prévention primaire) prévention primaire)
Dépistage
Dépistage
(anciennement «
(anciennement « prévention secondaire prévention secondaire ») »)
Soin
Soin
Réadaptation
Réadaptation
(anciennement «
(anciennement « prévention tertiaire) prévention tertiaire)
2. POLITIQUES
2. POLITIQUES
DE SANTE PUBLIQUE
DE SANTE PUBLIQUE

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PLAN PSYCHIATRIE ET SANTE MENTALE
PLAN PSYCHIATRIE ET SANTE MENTALE
2005
2005- -2008 2008
http://www.sante.gouv.fr/htm/dossiers/sante_mentale/plan_2005
http://www.sante.gouv.fr/htm/dossiers/sante_mentale/plan_2005- -2008.pdf 2008.pdf
AXE 1 UNE PRISE EN CHARGE DÉCLOISONNÉE
1.1 MIEUX INFORMER ET PRÉVENIR
1.1.1 Mettre en oeuvre des campagnes grand public
1.1.2 Promouvoir la santé mentale
COMMISSION EUROPÉENNE
COMMISSION EUROPÉENNE
European Pact for Mental Health and Well-being
Conférence "Together for Mental Health and
Wellbeing", (Bruxelles, 13 Juin 2008)
« Call for action » dans 5 domaines prioritaires:
1. Prévention de la dépression et du Suicide
2. Santé mentale des jeunes et dans l’éducation
3. Santé mentale au travail
4. Santé mentale des personnes âgées
5. Lutte contre la stigmatisation et l’exclusion
sociale
Recommandations et conférences thématiques
sur les thèmes prioritaires au cours de 2009-2010.

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OMS Europe
Conférence ministérielle européenne de l’OMS sur la
Conférence ministérielle européenne de l’OMS sur la
santé mentale.(Finlande), OMS Europe, janvier 2005.
santé mentale.(Finlande), OMS Europe, janvier 2005.
Une déclaration sur la santé mentale pour l’Europe
Une déclaration sur la santé mentale pour l’Europe
«
«Relever les défis, trouver des solutions, OMS, Relever les défis, trouver des solutions, OMS,
2006
2006 » »
Un plan d’action avec douze domaines :
1. Promouvoir le bien-être mental pour tous
5. Prévenir les problèmes de santé mentale et le suicide
3. QUELQUES GRANDS PRINCIPES
3. QUELQUES GRANDS PRINCIPES
DE LA PREVENTION/PROMOTION
DE LA PREVENTION/PROMOTION