MENTAL HEALTH ACTION PLAN
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1 MENTAL HEALTH ACTION PLAN
2
3 MENTAL HEALTH ACTION PLAN 翻訳 :( 独 ) 国立精神 神経医療研究センター精神保健研究所自殺予防総合対策センター協力 : 長崎大学精神神経科学教室 1
4 2013 Mental health action plan World Health Organization
5 66 WHO No health without mental health mental well-being 1 2) 3) 4) (3) WHO WHO WHO 2011 WHO mhgap Preventing Suicide: A global imperative mhgap
6 4
7 WHO WHO WHA WHO WHA WHO 44 5
8 1 mental well-being WHO Universal Health Coverage 4 WHO WHO 6
9 WHO WHA65.4 WHO 02 WHO 1 03 WHO WHO 04 WHO WHO S mental health gap action programme mhgap International Statistical Classification of Diseases and Related Health Problems, Tenth revision: ICD WHO 2 7
10 06 well-being well-being WHO well-being
11 HIV 2 12 HIV AIDS ³ 13 ⁴ WHO
12 HIV/AIDS WHO 2011 WHO ⁵ 2008 WHO mhgap 19 WHO WHO ⁶ WHO QualityRights ⁷ ⁸ 10
13 目標 mental well-being 22 目的 分野横断的原則 アプローチ 1. ユニバーサル ヘルス カバレッジ 2. 人権 3. 科学的根拠に基づく実践 4. ライフコースアプローチ 5. 多部門アプローチ 6. 精神障害と心理社会的障害を有する人々のエンパワメント : 11
14 24 WHO 25 WHO 2 26 WHO NGO NGO 12
15 HIV/ AIDS 政策と法律 36 資源計画立案 37 利害関係者の連携 13
16 38 精神障害と心理社会的障害を有する人々と その団体の強化とエンパワメント : WHO 39 政策と法律 40 資源計画の立案 41 利害関係者の連携 42 精神障害と心理社会的障害を有する人々とその団体の強化とエンパワメント WHO WHO HIV/AIDS
17 2 48 WHO NGO 52 HIV/AIDS
18 55 HIV/AIDS サービスの再構築と適用範囲の拡大 57 統合され 反応性のあるケア 58 人道上の緊急事態におけるメンタルヘルス ( 単発的 反復的 持続的な紛争 暴力 災害を含む ) 59 人的資源の開発 16
19 60 格差への対応 WHO 61 サービスの再構築と適用範囲拡大 62 統合され 反応性のあるケア 63 人道上の緊急事態におけるメンタルヘルス ( 単発的 反復的 持続的な紛争 暴力 災害を含む ) NGO 64 人的資源の開発 65 格差への対応
20 mental well-being ⁹
21 73 メンタルヘルスプロモーションと予防 74 自殺予防 WHO 75 メンタルヘルスプロモーションと予防 76 自殺予防 disability benefits
22 WHO Project ATLAS 84 well-being vs NGO 情報システム WHO 86 科学的根拠と研究 centres of excellence 20
23 WHO 87 情報システム WHO WHO 88 科学的根拠と研究 Annex II provides a glossary of main terms; links to other global action plans, strategies and programmes; international and regional human rights treaties; and selected WHO technical materials and resources on mental health. 2 Alzheimer's Disease International. Dementia: a public health problem. Geneva, World Health Organization, World Economic Forum, the Harvard School of Public Health. The global economic burden of non-communicable diseases. Geneva, World Economic Forum, Mental health and development: targeting people with mental health conditians as a vulnerable graup. Geneva, World Health Organization, WHO-AIMS version 2.2: World Health Organization assessment instrument for mental health systems, Geneva, World Health Organization, 2005 [document WHO/MSD/MER/05.2]. 6 http// [accessed 24 May 2013]. 7 WHO QualityRights tool kit: assessing and improving quality and human rights in mental health and social care facilities. Geneva, World Health Organization, Inter-Agency Standing Committee. IASC guidelines on mental health and psychosocial support in emergency settings. Geneva, Inter-Agency Standing Committee, See Risks to mental health an overview of vulnerabilities and risk factors. Background paper by WHO Secretariat for the development of a comprehensive mental health action plan. 21
24 付録 WHO /
25 WHO
26 / WHO 2 WHO WHO WHO Global Health Observatory 24
27 25 付録 政策と法律 資源計画立案
28 26 利害関係者の連携 精神障害と心理社会的障害を有する人々と その団体の強化とエンパワメント : 2 サービスの再構築と適用範囲の拡大 HIV/AIDS NGO
29 27 統合され 反応性のあるケア well-being WHO mental well-being WHO QualityRights Standards
30 人道上の緊急事態におけるメンタルヘルス ( 単発的 反復的 持続的な紛争 暴力 災害を含む ) Sphere Project 人的資源の開発 WHO mhgap 2010 e 格差への対応 28
31 29 3 メンタルヘルスプロモーションと予防
32 30 自殺予防 mhgap 4 情報システム WHO 2 3 科学的根拠と研究 centres of excellence vs
33 mental well-being 1. ユニバーサル ヘルス カバレッジ : 2. 人権 : 3. 科学的根拠に基づく実践 4. ライフコースアプローチ 5. 多部門アプローチ 6. 精神障害と心理社会的障害を有する人々のエンパワメント : 31
34 メンタルヘルスのための効果的なリーダーシップとガバナンスの強化世界的な目標 世界的な目標 地域ベースの 包括的で 統合され 反応性のあるメンタルヘルスサービスと社会的ケアサービス提供 世界的な目標 メンタルヘルスにおけるプロモーションと予防のための戦略の実施世界的な目標 世界的な目標 メンタルヘルスのための情報システム 科学的根拠と研究の強化 世界的な目標
35 資料 Ⅰ 66 WHO WHA WHO WHO WHO WHO WHO A 4 65 WHO WHA WHO 2 WHA55.10 well-being 65/95 WHO 33
36 HIV/AIDS 34
37 mhgap WHO WHO 2 WHO
38 3 NGO WHO A 1 ¹ A66/10 Rev.1 ² A65/10 36
39 資料 Ⅱ 1. Mental health a state of well-being 出典 :Promoting mental health: concepts, emerging evidence, practice, WHO, Mental disorders WHO 10 International Statistical Classification of Diseases and Related Health Problems, Tenth revision: ICD-10 5 F00-F99 F00-F09 F10-F19 F20-F29 F30-F39 F40-F49 F50-F59 F60-F69 F70-F79 F80-F89 F90-F98 F99 出典 :International Statistical Classification of Diseases and Related Health Problems 10th Revision Version, WHO, Disability 出典 :World report on disability 2011.WHO, Mental health policy and mental health plan 37
40 出典 :Mental health Atlas WHO, 出典 :Mental Health policy, Plans, and programmes, WHO, Mental health legislation 出典 :Mental health Atlas WHO, 出典 :Drew, N., Funk, M., Tang, S. et al. Human rights violations of people with mental and psychosocial disabilities: an unresolved global crisis. The Lancet, 378(9803), , Mental health services 出典 :Organization of services for mental health. WHO, Mental Health Atlas WHO, eng.pdf Recovery 出典 :WHO QualityRights tool kit: assessing and improving quality and human rights in mental health and social care facilities. WHO,
41 Psychosocial disabilities 出典 :Drew, N., Funk, M., Tang, S. et al. Human rights violations of people with mental and psychosocial disabilities: an unresolved global crisis. The Lancet, 378(9803), , e7f:2e5f8cf2:13a9c2030d0: Vulnerable groups 出典 :Mental Health and Development report.. WHO, アルコールの有害な使用を低減するための世界戦略 (2010) 全文入手可能な URL: 健康の社会的決定要因に関する世界行動計画 (2012) 39
42 健康の社会的決定要因に関する世界行動計画 健康の社会的決定要因に関するリオ政治宣言 ( ) の全文入手可能な URL: sdhconference/declaration/en/index.html 非感染性疾患の予防 管理の世界戦略のためのアクションプラン ( ) 全文入手可能な URL: 労働者の健康 : 世界行動計画 ( ) 全文入手可能な URL: 暴力防止の世界キャンペーン : 行動計画 ( ) 全文入手可能な URL: plan_of_action.pdf WHO メンタルヘルスのための地域戦略 - アフリカ ( ) 全文入手可能な URL: 40
43 アフリカ地域の非感染性疾患に関する戦略的計画 ( ) NCD に関するブラザヴィル宣言 の全文入手可能な URL: docman&task=doc_download&qid+6304 アルコールの有害な使用の低減 :WHO アフリカ地域の戦略 (2010) 全文入手可能な URL: 東地中海地域におけるメンタルヘルスと物質乱用に関する戦略 (2011) 全文入手可能な URL: メンタルヘルスに関する全米保健医療機関の戦略と行動計画 (2009) 全文入手可能な URL: アルコールの有害な使用を低減するための全米保健医療機関の地域的行動計画 (2011) 全文入手可能な URL: 23<emid=4139&lang=en 物質使用と公衆衛生に関する全米保健医療機関の地域行動計画 (2011) 全文入手可能な URL: =doc_ メンタルヘルスのための地域戦略 - 西太平洋地域 (2002) 全文入手可能な URL: アルコールの有害な使用を低減するための欧州行動計画 ( ) 全文入手可能な URL: Alcohol_111372_ver2012.pdf 東地中海地域の母親 児童と青年のメンタルヘルス (2011) 全文入手可能な URL: 欧州メンタルヘルス戦略 - 策定中 International Governmental Organization; IGO IGO 1. DESA 41
44 2. IASC 2007 IASC 3. ILO 4. IOM psychosocial-support.html 5. UNFPA UNFPA 6. UNESCO INEE psychosocial well-being 7. UNICEF 8. UNRWA 5 2 UNRWA WHO 9. UNHCR UNHCR UNPDC UNPDC WHO
45 11. UNU UN Action UNDP UNDAF 3 WHO well-being CRPD
46 CRPD CESCR CCPR CAT CEDAW CRC 4 WHO 1. mhgap ( WHO, 2008, WHO, メンタルヘルスと発達 ( WHO, 政策 サービス 人権 ( 14 WHO, WHO, 2009 WHO WONCA, 2009 WHO QualityRights WHO, 2012 ( 4. 人権と法律 ( WHO, WHO,
47 5. 情報とサーベイランス 2011 ( ) WHO-AIMS ( 6. 緊急時のメンタルヘルス ( WHO IASC てんかん ( WHO, 2009, WHO, 認知症 ( WHO, アルコールと物質使用障害 ( abuse/en/), 2009, 2008 HIV/AIDS, 2006 HIV/AIDS WHO/UNODC/ UNAIDS, 2004 AUDIT 2, 2001 ASSIST 3 ASSIST 45
48 目標 mental well-being Department of Mental Health and Substance Abuse World Health Organization (WHO 精神保健 物質乱用部 ) Avenue Appia 20 CH-1211 Geneva 27 Switzerland 独立行政法人国立精神 神経医療研究センター精神保健研究所自殺予防総合対策センター 東京都小平市小川東町
49 people with mental disorders and psychosocial disabilities disorder WHO 10 5 mental disorders people with mental disorders and psychosocial disabilities mental illness Preventing Suicide: A global imperative 47
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