Conference Presentations by Gabriel Ivbijaro
Lead presenter:
Vincenzo Di Nicola (Montreal) “Convergent vs divergent trends in Social and Cult... more Lead presenter:
Vincenzo Di Nicola (Montreal) “Convergent vs divergent trends in Social and Cultural Psychiatry”
Presenters:
Kam Bhui (Oxford): “Future of social-cultural nexus in personal, structural and syndemic care”
Gabriel Ivbijaro (London): “Global Mental Health and primary care: A new approach”
This symposium brings together leaders of three contemporary approaches situated on the social-humanistic side of the spectrum of contemporary psychiatric theory and practice. Following his manifesto for 21st-century Social Psychiatry (SP), Di Nicola contrasts convergent trends in SP and its call for an embracing and unifying approach with divergent trends of Cultural Psychiatry (CP) and its recognition of diversity and particularities of cultures. Bhui examines the future of the social-cultural nexus in domains of personal, structural and syndemic care. Ivbijaro presents a new approach integrating Global Mental Health (GMH) into primary care. At stake is whether these potentially complementary approaches mutually enrich each other or present competing and potentially incongruent visions of psychiatry today: a spectrum or isolated silos? GMH, for example, can be construed as an integration of socio-cultural psychiatry, social determinants of health, and a populational approach with global reach. While these approaches overlap and potentially enrich each other, they may serve contrasting, perhaps incompatible goals. Can CP’s emphasis on diversity be compatible with SP’s social solidarity? Can GMH’s populational approach to global priorities be responsive to the local concerns of communities? And finally, can health care values based in person-centred subjectivity be the clinical bridge to the rigorous aspirations of the scientific evidence base (EBM)?
Papers by Gabriel Ivbijaro
Academia Mental Health and Well-Being, Oct 9, 2024
Dignity is central to good-quality health delivery. Every encounter—whether at home, in education... more Dignity is central to good-quality health delivery. Every encounter—whether at home, in education, at work, or in health settings—has the potential to be a positive dignity encounter. Dignity is rooted in cultural context and based on values that include holiness, freedom, responsibility, duty, and serving others. It comes from a caring community. We need to work in collaboration with citizens, government, and other organizations to ensure that the conditions and support are in place to make this happen. There is a need to deliver evidence-based care that incorporates human experience in guideline development, rooted in dignity for all citizens. This commentary is based on my own personal experience in the field and provides a basis for a future special issue to continue the discourse on dignity.
Oxford University Press eBooks, Jul 1, 2023
CRC Press eBooks, Jan 27, 2022
CRC Press eBooks, Jan 27, 2022
CRC Press eBooks, Jan 27, 2022
CRC Press eBooks, Jan 27, 2022
World Psychiatry, Sep 9, 2021
455 includes studies on the impact of lifestyle behaviors on the prevalence of psychiatric sympto... more 455 includes studies on the impact of lifestyle behaviors on the prevalence of psychiatric symptoms or disorders in general populations, the impact of lifestyle behaviors on symptoms among people at risk for psychiatric disorders, the impact of lifestyle interventions on severity of symptoms among people with a psychiatric disorder, the neuroscience of brain response to lifestyle behaviors, and the science of lifestyle behavior change. The domains of lifestyle behaviors include physical exercise, diet and nutrition, meditation, mind-body practices, sleep, and social relationships. There is now an impressive body of literature on the neuroscience of physical exercise suggesting an upregulation of neurotransmitters associated with positive mood and neurotrophic factors that support neuronal vitality. Neurotrophins promote neoneurogenesis and synaptic proliferation associated with increases in regional brain volume and connectivity and enhanced cognitive function. Sustained exercise leads to epigenetic upregulation of brain-derived neurotrophic factor (BDNF) synthesis, promoting brain health over a lifetime. These regulatory interactions have been correlated with the evolutionary steps allowing early hominids to thrive in a hunter-gather lifestyle. There is a similarly impressive literature demonstrating robust brain functional and volumetric responses to meditation and sleep. We also know that lifestyle factors are powerfully correlated with the prevalence, onset and perpetuation of psychiatric symptoms and syndromes. Sedentary behavior has been correlated with risk for suicidal behavior, depression, cognitive decline of aging, and psychosis, while physical exercise has been correlated with improvements in mood, motivation and cognition. Sleeping less than 6 hours nightly is correlated with risk for major neurocognitive disorders. Mindfulness practices have been associated with improvements in anxiety and treatment-resistant depression. A Mediterranean style diet has been correlated with improvements in depression, and omega-3 fatty acids and N-acetylcysteine appear to have neuroprotective effects. However, our societies continue to shape human behavior in unhealthy directions. Sedentary time continues to rise in parallel to increases in substance abuse, suicide and emergency room visits for mental health care. Traditional diets are being progressively displaced by processed foods. Twenty-four hour virtual experiences constrain sleep opportunity, and social interaction is increasingly impersonal. Global health care systems are stressed by escalating rates of lifestyle-related disorders such as diabetes mellitus type 2, cardiovascular disease, cancer and psychiatric disorders. Lifestyle Psychiatry offers a unique opportunity for psychiatrists to join and lead other medical disciplines in promoting attention to the impact of lifestyle on health and disease. When clearly identified, the potential dual benefit for mental and physical health may enhance motivation to adhere to positive lifestyle changes. Psychiatrists also bring expertise in effective behavior change strategies. Lifestyle interventions may be useful for primary prevention, firstline therapy, multimodal therapy, augmentation, precision therapy and relapse prevention. There is an urgent need for psychiatry to step forward to assist governments, employers, corporations and health care systems to effectively position health-promoting lifestyle practices to address the rising tide of distress, disability and loss of life flowing from modern cultural trends in a global society. We must articulate the strength of the current evidence on the impact of lifestyle behaviors on mental and physical health outcomes, while identifying areas where further evidence is needed to offset the influences of globalization and corporate interest on human and societal health. The WPA Section on Medicine, Psychiatry and Primary Care aims to develop aware ness and expand consideration of Lifestyle Psychiatry as a vital component in improving the health and well-being of people around the world.
European Psychiatry, Mar 1, 2011
There are currently over 600 million people aged over 60 and it is predicted that, by 2025, the n... more There are currently over 600 million people aged over 60 and it is predicted that, by 2025, the number will double and, by 2050 there will be over 2 billion people aged 60 and above and the number of over 60&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s will be greater than the number of children under the age of 15. Co-morbid physical and mental health conditions are associated with an aging population and many of this population will suffer from stroke, hypertension, loneliness, depression, dementia, mobility and sight problems. The traditional approach of caring for people in hospitals is increasingly inappropriate for many of the elderly population and primary care is often the first point of contact for many people seeking access to health and social care. In 2008, the WHO and Wonca (World Organisation of Family Doctors) published a document about the integration of mental health into primary care across spectrum. We will be describing the principles and method of integration of mental health problems in old age into primary care using examples from the Australian and UK setting. Also we will examine the role non-governmental organisations can play in the process of integration. Caring for the elderly is rewarding and possible in the primary care setting. The current situation where many elderly people do not have access to an integrated health care system is unacceptable. Using data and a series of case vignettes we will illustrate that primary care has an important role to play within an integrated system.
International Psychogeriatrics, 2022
Primary Care Mental Health in Older People, 2019
Companion to Primary Care Mental Health, 2022
Companion to Primary Care Mental Health, 2022
Companion to Primary Care Mental Health, 2022
Companion to Primary Care Mental Health, 2022
Primary Care Mental Health in Older People, 2019
A possible negative consequence of the rapid aging of the world population is the increase of the... more A possible negative consequence of the rapid aging of the world population is the increase of the number of older adults with mental disorders. More than 20% of people aged 55 and more may suffer from mental health problems. Mental health problems have a significant impact on an older adult’s ability to carry out the basic activities of everyday life and reduce the person’s independence, autonomy, and quality of life. Despite the already significant and increasing number of well-prepared professionals, a well-developed body of knowledge, and a large number of caregivers, it is becoming more and more difficult to persuade the authorities to invest in the overall older adults’ mental health. It is the responsibility of all mental health professionals, together with those involved, to advocate and to act to ensure that the distribution of available mental health resources is done in an equitable manner to adequately meet the needs of all. One of the ways to bring about a real change in the older adults’ mental health care is to rely on the local, national, and international associations and organizations of the persons concerned by this theme. This chapter reviews some of these international organizations and their current projects.
Schizophrenia is the name given to a group of mental disorders in which delusions and hallucinati... more Schizophrenia is the name given to a group of mental disorders in which delusions and hallucinations predominate, and there are alterations in a person’s perception, thoughts, feelings and behaviour. Each person with the disorder will have a unique combination of symptoms and experiences. Typically, there is a prodromal period, often characterised by some deterioration in personal functioning. This period may include memory and concentration problems, unusual behaviour and ideas and disturbed communication and affect. Schizophrenia affects approximately 7 per 1000 people from adolescence onwards. It is an illness with low incidence and high prevalence, due to the effects of chronicity, and is of importance to primary care because of a shortage of mental health specialists globally, especially in low and middle-income countries. In most countries, whatever their income, primary care will be the first contact for many people who suffer from mental health conditions. KEY MESSAGES
Primary Care Mental Health in Older People, 2019
Primary care mental health in older adults: a global perspective is a resource to support improve... more Primary care mental health in older adults: a global perspective is a resource to support improved care for a growing population of older adults with mental health difficulties that recognises innovative solutions to support the dignity of older adults whilst embracing new technology.
Uploads
Conference Presentations by Gabriel Ivbijaro
Vincenzo Di Nicola (Montreal) “Convergent vs divergent trends in Social and Cultural Psychiatry”
Presenters:
Kam Bhui (Oxford): “Future of social-cultural nexus in personal, structural and syndemic care”
Gabriel Ivbijaro (London): “Global Mental Health and primary care: A new approach”
This symposium brings together leaders of three contemporary approaches situated on the social-humanistic side of the spectrum of contemporary psychiatric theory and practice. Following his manifesto for 21st-century Social Psychiatry (SP), Di Nicola contrasts convergent trends in SP and its call for an embracing and unifying approach with divergent trends of Cultural Psychiatry (CP) and its recognition of diversity and particularities of cultures. Bhui examines the future of the social-cultural nexus in domains of personal, structural and syndemic care. Ivbijaro presents a new approach integrating Global Mental Health (GMH) into primary care. At stake is whether these potentially complementary approaches mutually enrich each other or present competing and potentially incongruent visions of psychiatry today: a spectrum or isolated silos? GMH, for example, can be construed as an integration of socio-cultural psychiatry, social determinants of health, and a populational approach with global reach. While these approaches overlap and potentially enrich each other, they may serve contrasting, perhaps incompatible goals. Can CP’s emphasis on diversity be compatible with SP’s social solidarity? Can GMH’s populational approach to global priorities be responsive to the local concerns of communities? And finally, can health care values based in person-centred subjectivity be the clinical bridge to the rigorous aspirations of the scientific evidence base (EBM)?
Papers by Gabriel Ivbijaro
Vincenzo Di Nicola (Montreal) “Convergent vs divergent trends in Social and Cultural Psychiatry”
Presenters:
Kam Bhui (Oxford): “Future of social-cultural nexus in personal, structural and syndemic care”
Gabriel Ivbijaro (London): “Global Mental Health and primary care: A new approach”
This symposium brings together leaders of three contemporary approaches situated on the social-humanistic side of the spectrum of contemporary psychiatric theory and practice. Following his manifesto for 21st-century Social Psychiatry (SP), Di Nicola contrasts convergent trends in SP and its call for an embracing and unifying approach with divergent trends of Cultural Psychiatry (CP) and its recognition of diversity and particularities of cultures. Bhui examines the future of the social-cultural nexus in domains of personal, structural and syndemic care. Ivbijaro presents a new approach integrating Global Mental Health (GMH) into primary care. At stake is whether these potentially complementary approaches mutually enrich each other or present competing and potentially incongruent visions of psychiatry today: a spectrum or isolated silos? GMH, for example, can be construed as an integration of socio-cultural psychiatry, social determinants of health, and a populational approach with global reach. While these approaches overlap and potentially enrich each other, they may serve contrasting, perhaps incompatible goals. Can CP’s emphasis on diversity be compatible with SP’s social solidarity? Can GMH’s populational approach to global priorities be responsive to the local concerns of communities? And finally, can health care values based in person-centred subjectivity be the clinical bridge to the rigorous aspirations of the scientific evidence base (EBM)?