Welcome to the Congress
It is a great honour and privilege to be invited to the prestigious Congress on Mental Health:Meeting the Needs of the XXI Century from 7-8 October 2016, to mark the World Mental Health Day, in Moscow, Russia.
The programme and proceedings promises to be a truly exciting and stimulating event.
I would firstly like to convey greetings form our Chief Executive, Mr Matthew Patrick and the South London and Maudsley NHS Foundation Trust, one of the largest mental health trusts in the UK and a unique component of Kings Health Partners Academic Health Sciences Centre. The Centre encompasses three of the UKs leading NHS Foundation Trusts and Kings College University with the main objective of translating cutting edge research into excellent patient care through world class education and training. Services are provided to the diverse, urban and often deprived areas in parts of central and outer London. The combined services see over 4 million patients a year, have 3,600 staff and 25,000 students.
More specifically the Child and Adolescent Clinical Academic Group at the Maudsley includes both inpatient and outpatient services and a highly productive and thriving academic department. In addition to the children’s community clinics, services are provided for British Forces in Germany and the Falklands, in Gibraltar and in the Middle East. Generic child and adolescent services in the community form the bulk of the services but we also provide national services and specialize in a range of disorders including autism and other neurodevelopmental disorders, eating disorders, depression and bipolar disorders, obsessive compulsive disorders and services for children with learning difficulties.
I would also like to extend to you greetings form the World Psychiatric Association Scientific Section of Child and Adolescent Psychiatry, (WPA CAP) and my co-officers Professor Bennett Leventhal from the University of California, San Francisco and Professor Norbert Skokauskas, Centre for Child and Adolescent Mental Health and Protection, Department of Neuroscience, University of Trondheim, Norway. The WPA CAP Section counts numerous members from across the world. The Section publishes the quarterly on line Journal of World Child and Adolescent Psychiatry and welcomes contributions from all regions of the world. Its other main activities have focused on educational events and the organization of symposia and seminars at large WPA meetings, international and local conferences. The issues of migrant and refugee children and traumatized and abused children in all societies have been at the centre of its policy making.
The mental health needs of children and adolescents are not being met adequately anywhere in the world! Epidemiological studies conducted from across different cultures and regions have established that one in four people on average experience a mental health problem. The majority of mental health problems start in childhood with 50 per cent of adult mental health problems starting before the age of 15 and 75 per cent before the age of 18.
We now know that children are particularly sensitive and vulnerable to early stressors from the moment of their conception onwards resulting in immediate and longer term adverse effects upon their wellbeing. Therefore intervening early is of essence, particularly in the critical periods of childhood and adolescence. Through the implementation of effective preventive and treatment strategies we can avoid adverse mental health outcomes and ameliorate the effects of disorders when they do arise. This can be done through tackling stigma and improving attitudes to mental illness, identifying those children who are at risk, making services more accessible and adhering to effective and well researched methods of treatment and follow up.
In order to bridge the gap between demand and capacity child and adolescent mental health services are best delivered across stratified services ranging from primary care to specialist services. The basic principles of a tiered approach include the involvement of primary care services in addressing the wellbeing of children and young people’s emotional and mental health needs through to the establishment of specialist services in multidisciplinary teams and hospital settings. Thus General Practitioners, Health Visitors, School Nurses, Social Services, Teachers, Voluntary agencies and juvenile justice workers may be trained to identify mental health problems early in their development, to offer general advice and to refer on if problems persist or become severe. Specialist services may be reserved for the more severe, complex and chronic disorders. The specialist staff may include child and adolescent psychiatrists,clinical psychologists, social workers, nurses and child psychotherapists.
All children and young people under the age of 18, irrespective of their gender, sexuality, race, religion, ability and culture should have access to a comprehensive child and adolescent mental health service. Emergency services should be provided on a 24 hour basis. The commissioning and provision of services needs to be based on good epidemiological knowledge, cultural values and local demographic characteristics. Health, Education and Social Services and voluntary agencies must work together. For the past decade the voice of children, young people and their families has become increasingly important and needs to be incorporated into any planning of services. Quality of services and monitoring of outcomes are the hallmark of good practice. The safety and security of children and young people are paramount. Good quality care depends on thorough training and ongoing supervision and constant efforts to keep abreast of the latest research findings.
It is meetings like this Congress in Moscow that enable global cooperation, collaboration in research and exchange of good practice principles. Once again I am truly grateful to the organizers for inviting me to the conference.
Dr Gordana Milavic M.D., F.R.C.Psych.,
Consultant Child and Adolescent Psychiatrist
Maudsley Child and Adolescent International
MD., F.R.C.Psych., Consultant Child and Adolescent Psychiatrist, Co-Chair of the Child and Adolescent Psychiatry Section of the WPA
Dr. Oleg P. Chestnov
Assistant Director–General on Noncommunicable Diseases and Mental Health of the World Health Organization
Prof. Roy Abraham Kallivayalil
Secretary General of the World Psychiatric Association (2014-2020), President Elect of the World Association of Social Psychiatry
Mr. Hans-Horst Konkolewsky
The Secretary General of the International Social Security Association (ISSA)
Vitaliy V. Rubtsov
Rector of the Moscow State University of Psychology and Education (MSUPE), President of the Federation of Russian Educational Psychologists, Ph.D. in Psychology
Zurab I. Kekelidze
Director General of the V. Serbsky Federal Medical Research Centre for Psychiatry and Narcology, psychiatrist, psychotherapist, anesthesiologist, psychologist, Doctor of Medicine, Professor, Honored Doctor
Dr. Bonnie Kirsh
Associate Professor in the Department of Occupational Science and Occupational Therapy (University of Toronto)
Dr. Judy Kuriansky
Clinical Psychologist, Professor at Columbia University Teachers College, United Nations Representative of the World Council of Psychologists (WCP), author and journalist
Nikita S. Mikhalkov
President of the Russian Cultural Fund, Chairman of the Union of Cinematographers of Russia, People's Artist of RSFSR, Honorary Member of Russian Academy of Arts
Russian rapper, composer, TV and radio presenter, actor, scriptwriter, film director and producer
Natalia V. Parshikova
State Secretary-Deputy Minister of Sports of the Russian Federation, Doctor of Education, Professor
Alexey S. Akindinov
Regional General Manager of AZIMUT Hotel Olympic Moscow & AZIMUT Hotel Tulskaya Moscow
Vladimir D. Mendelevich
Director of Institute for Research of Problems of Mental Health, WHO-expert, MD, Professor
Prof. Dr. Wolfgang Gaebel
President of the European Psychiatric Association (EPA), M.D., Professor of Psychiatry
Nikolay G. Neznanov
President of the Russian Society of Psychiatrists, Director St.Petersburg V.M. Bekhterev Psychoneurological Research Institute, President World Association for Dynamic Psychiatry (WADP), MD, Professor
Dr. Mohammad Khodayarifard., Ph. D.
Vice-president of the World Council for Psychotherapy, Professor and Dean of the Faculty of Psychology and Education, The University of Tehran
Dr. Edward Chan
President of the Asian Federation of Psychotherapy (AFP), President of the Malaysian Association of Psychotherapy (MAP)
Darlyne G. Nemeth
Co-Secretary General of the World Council for Psychotherapy, Member of the American Psychological Association’s Council of Representatives, Ph.D., M.P., M.P.A.P.
President of Brazilian Association of Psychotherapy – ABRAP, President of Latin-American Federation of Psychotherapy - FLAPSI
Prof. Dr. Ganesh Shankar
President of the World Council for psychotherapy (Asian Chapter), Founder President of the Asian Federation for Psychotherapy (AFP), Hon. Gen. Secretary of Yoga&Psychotherapy Association of India, Ph.D , D.Litt. (Yoga Psychotherapy)
Prof. Alfred Pritz
President of the World Council for Psychotherapy, General secretary of the European Association for Psychotherapy, Ph.D in Psychopathology and Pedagogics, Rector of the Sigmund Freud University, Vienna
Professor psychoanalyst, Rector of the Sigmund Freud University Paris, Executive member of the World Council for Psychotherapy and the European Association for Psychotherapy, Vice President of European Confederation for Psychoanalytic Psychotherapy
Yuri P. Zinchenko
President of the Russian Psychological Society, Dean of the Department of Psychology at Moscow State University, Psy.D., Professor
Viktor V. Makarov
President of the Russian professional psychotherapeutic league of Russia, Vice-President of the World Council for Psychotherapy, MD, Professor