1. ADI-Ky04 1 Care for people with dementia in an aging society Dr J. M. BERTOLOTE Management of Mental and Brain Disorders Department of Mental Health and Substance Abuse World Health Organization

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3. ADI-Ky04 3 Projected support needed ratios

4. ADI-Ky04 4 <755 756-2999 2996-9625 >9266

5. ADI-Ky04 5 Resources

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11. ADI-Ky04 11 WHO Strategy

12. ADI-Ky04 12 Main areas Policy & Programmes Care & Support Education & Training

13. ADI-Ky04 13 Policy & Programmes Based on real needs Consultation & negotiation Values, principles & objectives Areas for action Role and responsibility Broad intersectoral involvement Pilot projects

14. ADI-Ky04 14 Care & Support Comprehensive Accessible Responsive Individualised Trans-disciplinary Accountable Systemic

15. ADI-Ky04 15 Education & Training Clear objectives Active learning Attitudes, skills & knowledge Culturally appropriate Appropriate curricula Systematically evaluated Multi-level (including general population)

16. ADI-Ky04 16 Special issues Human rights Discrimination Stigma

17. ADI-Ky04 17 The World Health Report – 2001 Overall recommendations ２ Make psychotropic drugs available ５ Involve communities, families and consumers １ Provide treatment in primary care ３ Give care in the community １０ Support more research ４ Educate the public ７ Develop human resources ６ Establish national policies, programmes and legislation ９ Monitor community mental health ８ Link with other sectors

18. ADI-Ky04 18 Minimum actions required for mental health care (WHR-2001) RecommendationScenario A: Low level of resources Scenario B: Medium level of resources Scenario C: High level of resources ４．Educate the public Promote public campaigns against stigma and discrimination Support non- governmental organizations in public education Use mass media to promote mental health, foster positive attitudes, and help prevent disorders Launch public campaigns for the recognition and treatment of common disorders ５．Involve communities, families and consumers Support the formation of self-help groups Fund schemes for non-governmental organizations and mental health initiatives Ensure representation of communities, families, and consumers in services and policy-making Foster advocacy initiatives

19. ADI-Ky04 19 Contacts www.who.int/mental_health/ mbd@who.int bertolotej@who.int Tel.: +41 22 791 3627 Fax: +41 22 791 4160