Transcript SVLFG_Presentation MH_ENASP_24 June 2014 final

SVLFG
Accident Insurance
Old-age Insurance
Health Insurance
Long-term Care Insurance
safe & healthy from a single source
Mental Health Morbidity and
Well-Being
in Aging Agricultural
Populations
Social Insurance for Agriculture, Forestry and Horticulture
Mental Health and Well-Being (at Work)
Stress = Entirety of all comprehensible
outside influences that affect the individual
psychologically
(by definition DIN EN ISO 10075-1 (1a))
e. g.Burnout
State of International Research
 Scientific evidence for mental strain
representing a strong risk factor for chronic
diseases, disabilities and occupational safety
 Higher perceived stress often precedes
greater depressive symptoms
State of International Research
 Farmers experience high rates of
psychological distress and (occupational)
suicide around the globe (suicide rates
increase with age)
 Strongest stressors in farming: overwork,
generational conflicts, disorders and the
financial situation
State of International Research
 (Older) farmers define health as the ability to work
 Limited ability to acknowledge or talk about mental
health problems and seek help among farmers
 Mental health in agricultural population is an
under-researched issue (in Germany)
Structural Characteristics
 Frequent family farming based structures
(private/family life and working life unified in one
location)
 Limited accessibility to and stigmatisation of
mental health care; greater concerns about
confidentiality
 Institutional mental health care programmes are
not readily compatible with the profession
Prevalence of Mental Disorders
 We face a trend of an ever-rising number of cases
reported (mental health problems)
 conservative estimates put the prevalence down to
38.2 % of EU 27 population suffering from mental
disorders (at any point in time)
 No substantial cultural or country variations
 Most people affected don’t receive any treatment
 One of the most frequent mental health disorders in the
EU is the major depression
Mental Disorders – A Growing Challenge
Disability (sick leave) in percentage terms
Mental
Disorders
Cardiovascular
Disorders
Airway
Disorders
Digestive
Disorders
Musculoskeletal
Disorders
Injuries
Source: Fehlzeitenreport 2012
The Economic Impact is Immense
 One third of all new disability benefit claims in OECD
countries is linked to mental health problems
 Projections put the total costs of depression alone to an
amount of 600+ billion Euro p. a.
 Employers: €272bn
 Economy: €242bn
 Health system: 63bn
 Social welfare system: €39bn
The Economic Impact is Immense
 Severe mental disorders (e. g. Alzheimer’s disease,
schizophrenia and depression) have a high prevalencecost ratio
 Costs are expected to increase sharply
Mental disorders as the core health challenge of the
21st century
Prevention Works
 Studies show well-elaborated interventions to be
effective in improving mental health
 Above all: gains in health and quality of life
 Also: very significant economic benefits
Prevention is Good Value
 Many interventions are very low cost
 Small shift in expenditure generates efficiency gains
 Most interventions are outstandingly good value for
money
 ROI can be as high as €13.62
 Broad range of payoffs: within public sector and beyond
 Well-designed interventions towards mental health can
tip the balance for a healthier and longer life
Need of Innovation Research and Action
– Horizon 2020
 Mental Health Study fostering methodological
innovations such as new/improved test instruments
 Mental health promotion and disorder prevention as
well as psychotherapeutic interventions in working and
living contexts to strengthen resilience and to reduce
psychological distress in farmers
 Innovation Action Programmes as clinical-psychological web
based interventions, telephone councelling
 De-stigmatization
Model of Multi-Level Resilience
Factors of Resilience
First Ideas Towards Possible Future
Interventions
Universal:
 web-tool incl. e-mentalhealth and access
control
 resilience-workshop
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Selective:
workshop for informal
caregivers
anti-fall curses
PSN (Psychosocial
Network)
workshop “transfer of
business”
dementia-related offers
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web-tool for managers incl.
e-BGM
business counseling by a
safety advisor regarding
OHM (occupational health
management) and OIM
(occupational integration
management)
domestic councel by a care
consultants
business-workshop
PSN (Psychosocial Network)
after trauma
(family/business)
workshop “transfer of
business”
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case-manager SVLFG
responsible for holistic processing
training of professional multipliers
regarding the recognition of
burnout, depression, addiction (e.
g. prevention service, care
consultants, profession, family
doctors)
training of low-threshold
multipliers (e. g. profession
regarding PSN)
cross-linkage of SVLFG with
stationary and ambulant
institutions (psychosomatics,
peasant family counseling, etc.)
group concepts in stationary
institutions
WG HPDP
Many thanks for your attention
and
interest in mental health!