The title is confused, but delaying and analyzing: "Management of physical health conditions in adults with mental disorders". This is the first guide of the World Health Organization (WHO), presented this week and offering an original cut in mental health. Because the guide is not the most obvious, ie the special features of this or that psychic situation. examine accessory pathologiesPreviously or, conversely, hand in hand with mental illness. Those doubling the patient's problem, because they control their physical health the average mortality rate for them is two to three times higher than the general population.
Smoking, obesity tendency and the possibility of more heart disease, mental illness, moderate-severe depression, bipolar disorder, schizophrenia or other psychotic disorders are some of the problems falling on the shoulders of those who have. These are not a pair: these pathologies 14% of global diseasesWHO is a percentage that says "rising".
This is an issue in Argentina. Mental Health Directorate of Nations Health Secretariat pipe "National Epidemiological Study of Mental Health of the General Population in Argentina" in 2015. Then one out of three people had presented a mental health disorder for 20 years. Common psychosocial: 16.4%, anxiety; 12.3%, mood disorders; 10.4%, substance use. Total of only 16% agreed to treatment.
66% of people with severe mental disorders smoke.
The causes of these people's tendency to die from "unnatural" in the flood of social imagination: accidents, murders and suicides. The WHO report reveals this: sağlık Most of the deaths can be attributed to physical health conditions. A Blunt data? Cardiovascular diseases ten times higher risk death from suicide in people with mental problems.
What is the connection between a mental disorder and, for example, heart disease? Experts know that the bridge between mental disorder and bir noncommunicable diseases ”(ENT) is like a guideline defined as a) complex KB relationship, such as a transparent thread that does not stop revealing the material.
But the numbers speak for themselves, says WHO: lar From an epidemiological point of view, the mental disorder itself is a well-known risk factor for NCDs., These people are 1.53 times more likely to have cardiovascular disease and 1.85 times the death caused by these pathologies. moreover, the risk of diabetes from the general population was found to be 1.85 times higher. "
Also, 61% of patients with mental disorders smoke cigarettes, the overall average is almost double (33%). And 50% is more likely to suffer from obesity.
The most critical point is that public policies can be a message that flies across the WHO guide. Severe mood leads to worse access to health systems..
In dialogue with pipeShekhar Saxena, former director of the Mental Health and Drug Abuse User of this institution, said, Ruh access to physical health care for people with mental health and also serious mental illness Bu Missing in all countries, including Argentina".
Everything falls to a sağlayıc lack bakım, there is a shortage in all orders, the expert says: ve Lack of knowledge about their needs, lack of adequate and adequate services, stigmatization, discrimination and fear among family and care providers. The most important reason is the lack of resources. Governments spend less money on mental health; your health budget is less than 1%, and needs are 10%."said.
The consequences are: ilaç lack of adequate training for health professionals, serious consequences for people with serious mental disorders, lack of medication and time for psychosocial interventions. they usually die 10 to 20 years before other people".
The WHO Guidelines examine the interaction of psychiatric drugs with those for treating noncommunicable diseases.
Along the same lines, Alberto Trímboli, World Mental Health Federation (WFMH) and Hospital Addiction Sector Coordinator of Álvarez, "Since 2010 in Argentina, a National Mental Health Act, which is an example in the world, is in force, because it is targeted at people with mental illness because in the world right issues and full access to the health system is guaranteed. "
However, it is far from occupancy: interests of institutional and economic order In many cases, the law was especially downgraded, especially because it was related to hospitalizations. "
"The law requires general hospitals to keep people with mental illness," he explained.The authorities have nothing to do. Thus, in many jurisdictions, many end up in a single hospital or in a health clinic, cardiology, or traumatology room. sometimes".
Intermediate devices are missing, resulting in the Trímboli: "Day hospitals, half-way houses, residences among others,"
In the same sense, this week's guide published "recommendations" and Emphasizes the importance of close monitoring of the patient by a special team.. Because, they say, people with mental disorders are more likely to have a lifestyle that contributes to or contributes to noncommunicable diseases. Risk factors that can be changed.