Psychiatric Bulletin (2003) 27: 157. doi: 10.1192/pb.27.4.157-a
© 2003 The Royal College of Psychiatrists
Psychiatric Bulletin (2003) 27: 157
© 2003 The Royal College of Psychiatrists
Prevention in Psychiatry CR104, February 2002, 94 pp, £7.50 Summary
It is a truism that prevention is better than cure, yet preventive
activities generally have low priority among interventions undertaken by
psychiatrists. This report aims to provide psychiatrists and others involved
in the promotion of mental health and the care of people with mental illnesses
with an evidence-based approach to preventive interventions.
It begins with a background section, introducing concepts related to mental
health promotion and the prevention of psychiatric disorders. Prevention is
then considered in relation to the different stages of the life cycle,
beginning in the womb and ending with the approach of death. Life cycle
chapters are provided for the prenatal period and infancy; childhood, puberty
and early adolescence; late adolescence and young adulthood; adulthood; older
people; and the stage of approaching death. Account is taken of the fact that
the influences acting at one stage of the life cycle will impact on the rates
of disorder in later stages. Further, traumatic events such as physical or
sexual abuse will impact not only on the individual concerned throughout the
life cycle, but on subsequent generations.
Preventive activities are then considered in relation to the different
settings in which they can take place. Settings considered include the
neighbourhood and the community; early years provision, school and higher
education; the work-place; residential care settings; the criminal justice
system and prisons; primary care settings; the general hospital; and
specialist psychiatric settings. In all of these, preventive activities
relevant to psychiatric disorders need to be placed and maintained on the
agenda, and the report provides practical, evidence-based information on how
this may be achieved.
The Working Party has tried to keep the report brief and clear. To make the
material more accessible, some information has been summarised and presented
in the form of bullet points. A small number of key references to each section
are provided for those readers wishing to pursue the subject further.