Thread by @MQmentalhealth

1/18 Recommendations from the #GoneTooSoon paper published in todays @TheLancetPsych.

(Warning: This thread references suicide)

1. Eliminating the silos of physical and mental health care will make healthcare more holistic.

@TheLancetPsych @ProfAnnJohn @suicideresearch @DaveHendMD @DrLaifChan @UnitedGMH @MondelliValeria @parisamansoori @afspnational @YoungMindsUK @samaritans 2/18 Collaborative care models integrate a range of carers, including primary care providers, mental health staff, social workers and other healthcare professionals working together to provide holistic care.

3/18 Improving training and building capacity in the #MentalHealth workforce is vital, especially in low and middle income countries and other low resource settings.

4/18 According to the World Health Organization @WHO, up to 3.5 billion people – almost half the world’s population – lack access to the health services they need.

You can find all 18 recommendations and the full paper here: mqmentalhealth.org/a-roadmap-to-p…

@WHO @BMCPsychRes @BristolUni @UCLMentalHealth @georgetownsfs @online_his @IndiaSanofi @medarrive @datrigub @MercyShips @PharmAccessNIG 5/18 Comorbidities and multimorbidities are the primary source of early death among those with severe mental illness. Compared with the general population, people with mental illness have more health-related behaviours that put them at greater risk.
#EarlyIntervention is key.

@WHO @BMCPsychRes @BristolUni @UCLMentalHealth @georgetownsfs @online_his @IndiaSanofi @medarrive @datrigub @MercyShips @PharmAccessNIG @PAPYRUS_Charity @afspnational @KingsCollegeLon @blackdoginst @APPGGlobHealth @fhcappg @childMHcharter @BeGOOD_EIE @idea_mq @TheEIFoundation 6/18 The criminalisation of #Suicide has been associated with increased suicide rates.

Continued criminal sanctions for suicidal behaviour despite technical decriminalization, as happens for instance in the UK, must be addressed.

We should not be penalising vulnerable people.

7/18 The most important element in successfully tackling stigmas is placing lived and living experience at the center of the implementation.
Messaging and solutions must be fit for purpose and co-designed by the people they impact the most.

@admeierlab @YorkSamaritans @theCALMzone @SFIMediaFutures @BBCBreakfast @SmartSocialKids @SociallyBlog @KU_Leuven @CMHR_ANU @MedUni_Wien 8/18 Public health policies can encourage healthy behaviours.
This doesn’t just involve education, although that is important. Cash transfer or food subsidy programmes effectively reduce food insecurity, which can have a major impact on #MentalHealth.

@admeierlab @YorkSamaritans @theCALMzone @SFIMediaFutures @BBCBreakfast @SmartSocialKids @SociallyBlog @KU_Leuven @CMHR_ANU @MedUni_Wien @MirandaLabCUNY @HMSHCP @MHARG_york @aliveagain14 @UniIbadan @KingsIoPPN @EmoryUniversity @HarvardChanSPH @HEResearch @WFP 9/18 Employers have a role in preventing people from being #GoneTooSoon.
Encouraging healthy workplaces, reducing stress, allowing time off to access health services and initiatives such as mental health 1st aiders can keep us all healthy.

@admeierlab @YorkSamaritans @theCALMzone @BBCBreakfast @SmartSocialKids @SociallyBlog @KU_Leuven @CMHR_ANU @MedUni_Wien @MirandaLabCUNY @HMSHCP @MHARG_york @aliveagain14 @UniIbadan @KingsIoPPN @EmoryUniversity @HarvardChanSPH @HEResearch @WFP @MHFirstAidUSA @MHFAIreland @work_mental @MentalHealthRec @MUnsilenced @DrJenWild @HM_Christensen @SimonGilbody @unisontheunion @RMTunion 10/18 75% of mental health problems start before adulthood, and 50% of lifetime mental health problems start before age 14.
#EarlyIntervention such as maternal support and education can prevent lifetimes of mental illnesses.

@admeierlab @YorkSamaritans @theCALMzone @BBCBreakfast @SmartSocialKids @SociallyBlog @KU_Leuven @CMHR_ANU @MedUni_Wien @MirandaLabCUNY @HMSHCP @MHARG_york @aliveagain14 @UniIbadan @KingsIoPPN @EmoryUniversity @HarvardChanSPH @HEResearch @WFP @MHFirstAidUSA @MHFAIreland @work_mental @MentalHealthRec @MUnsilenced @DrJenWild @HM_Christensen @SimonGilbody @unisontheunion @RMTunion @Earlychildhood @MMHAlliance @mirandarwolpert @BAPTplaytherapy @acamh @Tamsin_J_Ford @Prof_AmyBrown @IMHJournal @PIMHScot @SRCDtweets 11/18 An MQ funded study by @ethelmpungu showed that group therapy for isolated communities living in Uganda improved both symptoms of #depression and adherence to HIV medication.

Community based interventions can be a key tool for both remote communities & marginalised groups.

@admeierlab @YorkSamaritans @theCALMzone @BBCBreakfast @SmartSocialKids @SociallyBlog @KU_Leuven @CMHR_ANU @MedUni_Wien @MirandaLabCUNY @HMSHCP @MHARG_york @aliveagain14 @UniIbadan @KingsIoPPN @EmoryUniversity @HarvardChanSPH @HEResearch @WFP @MHFirstAidUSA @MHFAIreland @work_mental @MentalHealthRec @MUnsilenced @DrJenWild @HM_Christensen @SimonGilbody @unisontheunion @RMTunion @Earlychildhood @MMHAlliance @mirandarwolpert @BAPTplaytherapy @acamh @Tamsin_J_Ford @Prof_AmyBrown @IMHJournal @PIMHScot @SRCDtweets @ethelmpungu @SeekGsp @friendshipbench @nusuk @wellcometrust @Autistica @BlackThriveLbth @gatesfoundation @BipolarScotland @BipolarUK @MMHPuk 12/18 There is no one size fits all approach to #MentalHealth treatment. Investment in research is vital if we are to build effective and scalable personalised treatment options for individuals.

You can read all 18 recommendations and the full paper here: mqmentalhealth.org/a-roadmap-to-p…

@admeierlab @YorkSamaritans @theCALMzone @BBCBreakfast @SmartSocialKids @SociallyBlog @KU_Leuven @CMHR_ANU @MedUni_Wien @MirandaLabCUNY @HMSHCP @MHARG_york @aliveagain14 @UniIbadan @KingsIoPPN @EmoryUniversity @HarvardChanSPH @HEResearch @WFP @MHFirstAidUSA @MHFAIreland @work_mental @MentalHealthRec @MUnsilenced @DrJenWild @HM_Christensen @SimonGilbody @unisontheunion @RMTunion @Earlychildhood @MMHAlliance @mirandarwolpert @BAPTplaytherapy @acamh @Tamsin_J_Ford @Prof_AmyBrown @IMHJournal @PIMHScot @SRCDtweets @ethelmpungu @SeekGsp @friendshipbench @nusuk @wellcometrust @Autistica @BlackThriveLbth @gatesfoundation @BipolarScotland @BipolarUK @MMHPuk 13/18 People who are discriminated against, marginalised or who are victims of violence are at a higher risk of mental illness and mental distress. Reducing racism, homophobia, other forms of discrimination and gender based violence are urgent public and mental health issues.

@admeierlab @YorkSamaritans @theCALMzone @BBCBreakfast @SmartSocialKids @SociallyBlog @KU_Leuven @CMHR_ANU @MedUni_Wien @MirandaLabCUNY @HMSHCP @MHARG_york @aliveagain14 @UniIbadan @KingsIoPPN @EmoryUniversity @HarvardChanSPH @HEResearch @WFP @MHFirstAidUSA @MHFAIreland @work_mental @MentalHealthRec @MUnsilenced @DrJenWild @HM_Christensen @SimonGilbody @unisontheunion @RMTunion @Earlychildhood @MMHAlliance @mirandarwolpert @BAPTplaytherapy @acamh @Tamsin_J_Ford @Prof_AmyBrown @IMHJournal @PIMHScot @SRCDtweets @ethelmpungu @SeekGsp @friendshipbench @nusuk @wellcometrust @Autistica @BlackThriveLbth @gatesfoundation @BipolarScotland @BipolarUK @MMHPuk 14/18 Income inequality and limited financial resources directly affect mental and physical health.
The relationship is bidirectional as people with severe mental illnesses are less likely to be in employment and have less access to support.

@admeierlab @YorkSamaritans @theCALMzone @BBCBreakfast @SmartSocialKids @SociallyBlog @KU_Leuven @CMHR_ANU @MedUni_Wien @MirandaLabCUNY @HMSHCP @MHARG_york @aliveagain14 @UniIbadan @KingsIoPPN @EmoryUniversity @HarvardChanSPH @HEResearch @WFP @MHFirstAidUSA @MHFAIreland @work_mental @MentalHealthRec @MUnsilenced @DrJenWild @HM_Christensen @SimonGilbody @unisontheunion @RMTunion @Earlychildhood @MMHAlliance @mirandarwolpert @BAPTplaytherapy @acamh @Tamsin_J_Ford @Prof_AmyBrown @IMHJournal @PIMHScot @SRCDtweets @ethelmpungu @SeekGsp @friendshipbench @nusuk @wellcometrust @Autistica @BlackThriveLbth @gatesfoundation @BipolarScotland @BipolarUK @MMHPuk 15/18 Mental health has long been the ‘Cinderella service’ as investment has lagged behind other healthcare services.

25 x more is invested in cancer research than mental health research, meaning our understanding of #Mentalhealth conditions is far behind where it should be.

@admeierlab @YorkSamaritans @theCALMzone @BBCBreakfast @SmartSocialKids @SociallyBlog @KU_Leuven @CMHR_ANU @MedUni_Wien @MirandaLabCUNY @HMSHCP @MHARG_york @aliveagain14 @UniIbadan @KingsIoPPN @EmoryUniversity @HarvardChanSPH @HEResearch @WFP @MHFirstAidUSA @MHFAIreland @work_mental @MentalHealthRec @MUnsilenced @DrJenWild @HM_Christensen @SimonGilbody @unisontheunion @RMTunion @Earlychildhood @MMHAlliance @mirandarwolpert @BAPTplaytherapy @acamh @Tamsin_J_Ford @Prof_AmyBrown @IMHJournal @PIMHScot @SRCDtweets @ethelmpungu @SeekGsp @friendshipbench @nusuk @wellcometrust @Autistica @BlackThriveLbth @gatesfoundation @BipolarScotland @BipolarUK 16/18 Integrating mental and physical health care and focusing on #EarlyIntervention isn’t just good for individuals. It’s good for the economy too.

@Rethink_ found that over a ten-year period £15 in costs could be saved for every £1 invested in Early Intervention.

@admeierlab @YorkSamaritans @theCALMzone @BBCBreakfast @SmartSocialKids @SociallyBlog @KU_Leuven @CMHR_ANU @MedUni_Wien @MirandaLabCUNY @HMSHCP @MHARG_york @aliveagain14 @UniIbadan @KingsIoPPN @EmoryUniversity @HarvardChanSPH @HEResearch @WFP @MHFirstAidUSA @MHFAIreland @work_mental @MentalHealthRec @MUnsilenced @DrJenWild @HM_Christensen @SimonGilbody @unisontheunion @RMTunion @Earlychildhood @MMHAlliance @mirandarwolpert @BAPTplaytherapy @acamh @Tamsin_J_Ford @Prof_AmyBrown @IMHJournal @PIMHScot @SRCDtweets @ethelmpungu @SeekGsp @friendshipbench @nusuk @wellcometrust @Autistica @BlackThriveLbth @gatesfoundation @BipolarScotland @BipolarUK @Rethink_ 17/18 Wearable tech, apps and e-health interventions are creating a wealth of data that can be used to spot trends and identify people at risk.
However, ethical protocols for real-time digital monitoring of peoples health require consensus.

@admeierlab @YorkSamaritans @theCALMzone @BBCBreakfast @SmartSocialKids @SociallyBlog @KU_Leuven @CMHR_ANU @MedUni_Wien @MirandaLabCUNY @HMSHCP @MHARG_york @aliveagain14 @UniIbadan @KingsIoPPN @EmoryUniversity @HarvardChanSPH @HEResearch @WFP @MHFirstAidUSA @MHFAIreland @work_mental @MentalHealthRec @MUnsilenced @DrJenWild @HM_Christensen @SimonGilbody @unisontheunion @RMTunion @Earlychildhood @MMHAlliance @mirandarwolpert @BAPTplaytherapy @acamh @Tamsin_J_Ford @Prof_AmyBrown @IMHJournal @PIMHScot @SRCDtweets @ethelmpungu @SeekGsp @friendshipbench @nusuk @wellcometrust @Autistica @BlackThriveLbth @gatesfoundation @BipolarScotland @BipolarUK @Rethink_ 18/18 Further research is needed if we are to prevent more people from being #GoneTooSoon.

You can read more about all 18 of these recommendations here: mqmentalhealth.org/a-roadmap-to-p…