Mild & Moderate Mental Health Disorders: Stress and burnout
Work-related stress and burnout form a significant burden for individuals, society, and economies; these conditions stem from prolonged exposure to stressful working environments. Psychosocial risks for work-related stress and burnout can arise from:
- poor supervision and lack of role clarity;
- lack of control;
- conflict with peers and customers; and
- excessive workload.
On an individual level, work-related stress and burnout lead to emotional exhaustion, depersonalization, depression, and a feeling of lack of personal accomplishment. In addition to mental health problems, they may lead to physical ailments such as cardiovascular disease or musculoskeletal problems.
For an organization, costs arising from work-related stress and burnout among employees are significant. Presenteeism, absenteeism, and increased accident and injury rates cost businesses and society billions of euros every year at the national level.
The Trimbos Institute strives to help organizations by maintaining and improving the mental health of employees and helping employees to get back to work safely. For this aim the Trimbos Institute provides expert advice, as well as trainings and services to companies and organizations.
Mild and Moderate Mental Health Disorders: Psychosocial Care
Primary care clinicians see many individuals with psychosocial problems such as loneliness, anxiety or problems in relationships. Those with psychosocial problems make more use of primary care than those without such issues. However, these complaints do not always require care from medical professionals; in many instances, those with psychosocial problems may be better served by community-based social welfare programs. One example is the program Prescription for Well-being. In this program, primary care clinicians and social welfare professionals work together through well-being interventions to improve the mental health of those with psychosocial problems. Examples of such well-being interventions include programs that help people to: identify and make use of their positive and strong traits; understand the role of volunteering in improving and strengthening mental health; make positive future plans and dreams; and experience positive outcomes from creative courses, walking in nature, improving one's lifestyle, learning mindfulness, and conducting a life review.
In Amsterdam, the aim of the Prescription for Well-being program is to connect formal care by professionals with informal care by civilians. Through the program, formal caregivers and professionals are informed about the power of public awareness and are encouraged to promote public awareness of mental health and psychosocial problems. Members of the public can volunteer or work as lay experts in mental health and social welfare programs. By connecting professionals and members of the public in this way, it is hoped that the health of the population will improve, leading to a decrease in the demand for formal, medicalized care.
Mild & Moderate Mental Health Disorders: Depression
Depression is the leading global cause of disability and affects over 350 million people world-wide. Depression causes psychological as well as physical complaints and can have a negative impact on work, school, families, and society. At worst, depression may lead to suicide, which is the second leading cause of death in 15- to 29-year-olds. Though effective treatment for depression is available, less than half of those effected receive treatment.
The Trimbos Institute works at an international level to reduce the toll of depression by providing projects, programs, and services focusing on:
- preventing depression;
- helping care providers recognize the signs of depression;
- developing guidelines and care trajectories;
- evaluating costs associated with depression and programs to treat depression;
- self-help and family support; and
- mental healthcare system reforms.
Mild & Moderate Mental Health Disorders: Anxiety
Anxiety disorders are the most common mental health disorders globally and occur more frequently in the more highly developed countries. Anxiety disorders include a wide range of disorders such as panic disorders, post-traumatic stress disorder, phobias, and separation anxiety disorder. Stigmatization and shame can be barriers to seeking treatment. As such, the provision of accessible and accurate information about anxiety disorders is a fundamental component to their prevention and treatment. The Trimbos Institute plays a role in the dissemination of this information through researching anxiety, developing guidelines for managing anxiety, and training care providers in new strategies for treating and managing anxiety.
Mental healthcare in the Netherlands
The Dutch government highlights the need for those with a mental illness to receive the right kind of care in the right place. In the Netherlands, the GP is responsible for the treatment and management of mild & moderate mental health disorders.
Severe Mental Health Disorders: Schizophrenia
Schizophrenia is a severe and chronic mental health disorder which can have a significant impact on quality of life. Currently, approximately 50% of people world-wide with schizophrenia lack access to adequate treatment. With appropriate treatment, people diagnosed with schizophrenia can live a full life. Appropriate treatment does not merely consist of anti-psychotic medication but requires a holistic, multidisciplinary approach.
The Trimbos Institute aims to improve the lives of people with schizophrenia through the development and dissemination of appropriate holistic treatment options for schizophrenia. To this end, the Trimbos Institute has provided support to the Multidisciplinary Guideline for Schizophrenia task force, as well as conducting research and implementing programs to enhance treatment for schizophrenia.
Severe Mental Health Disorders: Dual diagnosis
Dual diagnosis refers to patients who simultaneously suffer from a substance abuse problem and a mental illness. Dual diagnosis encompasses a wide range and combination of substance abuse disorders and mental illnesses. The interaction and comorbidity between disorders are often very complex. A dual diagnosis calls for a tailored, integrated treatment approach carried out by a multidisciplinary team. The Trimbos Institute offers help and support to professionals, institutes, and organizations on how to deal with dual diagnoses. More information can be found here.
Severe Mental Health Disorders: Geriatric psychiatry
Working with the elderly with complex mental health concerns can be tricky. Treatment and management of these complex mental health concerns should take into account declining physical condition, changes in social and living conditions, and comorbidities. The Trimbos Institute offers support and information to caregivers and organizations working with elderly clients with complex mental health concerns; this support is offered through the Netherlands Knowledge Center for Geriatric Psychiatry (NKOP).
Severe Mental Health Disorders: Bipolar disorder
Bipolar disorder is a severe, chronic condition which impacts mood, energy, and ability to function. People who suffer from bipolar disorder frequently suffer simultaneously from other mental disorders and physical illnesses. If left untreated, bipolar disorder can be very disabling. Nevertheless, appropriate treatment for bipolar disorder is available and can have a significant positive impact on quality of life.
The Trimbos Institute aims to improve the organization and delivery of care for severe mental health conditions, including bipolar disorder. To do so, Trimbos has been involved in the development of appropriate evidence-based guidelines to treat bipolar disorder since 2015.
Severe Mental Health Disorders: Dementia
Dementia is a growing concern in most aging societies. The Trimbos Institute works to reduce the harms and consequences associated with dementia. This work comes via researching the living situations of those with dementia, developing and researching e-health interventions for family members of those with dementia, and exploring treatment and management activities to improve the quality of life of those with dementia.
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