Prof. Haroon R. Chaudhry Zone 15 – Central and Western Asia January 2006 1. CME Programme 2005 - 2008 Participants: General Practitioners, Medical Specialists Venue: PAKISTAN (Lahore, Peshawar, Rawalpindi, Karachi, Hyderabad, Quetta, Faislaabad, Gujranwala, Sialkot, Kasur) IRAN (Tehran, Dehraan) (in collaboration with Iran Psychiatric Association and Prof. Abdul Malik Achakzai, President Pakistan Psychiatric Society & President SAARC Psychiatric Federation). AFGHANISTAN (Jalalabad, Kabul) (in collaboration with Prof. Khalid A. Mufti Chairman South Asian Forum). Speakers: Prof. Haroon Rashid Chaudhry, WPA Zonal Representative (15) Prof. S. Ahmad Jalili, WPA Zonal Representative Prof. Khalid A. Mufti Prof. Muhammad Afzal Chaudhry, Consultant Family Counselling Prof. Fareed Minhas Prof. Aftab Asif Dr. Altaf Qadir Dr. Saima Niaz Dr. Haris Burki Prof. Azhar Ali Rizvi, Sr. Clinical Psychologist Dr. Feriha N. Piracha, Consultant Psychologist Dr. Rukhsana Kausar, Clinical Psychologist Dr. Saimah Qureshi, Clinical Psychologist Ms. Shaista Jabeen, Sr. Clinical Psychologist Topics to be addressed Introduction to Common Psychiatric Disorder in Primary Care Depression (Recognization and Management) Anxiety Childhood Psychiatric Disorders Psychiatric Issues in Women Psychiatric Issues in Elderly Drug Dependence Epilepsy CME Programme Pakistan Once a month one Lecture (2006 to 2008) 19th January 2006 Dr. Aftab Asif OCD 16th February 2006 Prof. Haroon Rashid Chaudhry Depression 2nd March 2006 Dr. Saima Niaz GAD 6th April 2006 Prof. Haroon Rashid Chaudhry Sleep Disorders 11 May 2006 Dr. Aftab Asif Panic Disorder 8 June 2006 Dr. Saima Niaz Video Presentation/ Clinical Case Discussion 6 July 2006 Prof. Haroon Rashid Chaudhry Dementias Dr. Saima Niaz 10 August 2006 Prof. Haroon Rashid Chaudhry Epilepsy Dr. Buland Akhtar Zaidi 7 September 2006 Dr. Aftab Asif Psychiatric emergencies 5 October 2006 Prof. Haroon Rashid Chaudhry Psychiatric issues in Dr. Saima Niaz Women 2 November 2006 Dr. Haris Burki Psychosexual Disorders 7 December 2006 Dr. Altaf Qadir Personality Disorders Participants: Over 150 GPs representing all four provinces in Pakistan. CME Programme for Punjab Police Department, Clergymen and Teachers Department of Psychiatry, Sir Ganga Ram Hospital, Lahore in collaboration with Punjab Police Department, Ministry of Religious Affairs and Ministry of Education 2. Free psychiatric camps (Reaching the Unreached) Free psychiatric camps are organized on weekly, monthly, quarterly and annually basis (2006-2008). Weekly Free Psychiatric/Epilepsy Clinic Ahbad Hospital, Ravi Road, Lahore Free Psychiatric/Epilepsy Clinic, Ahbad Hospital; Ravi Road Lahore, Pakistan is the largest facility in the country for patients with Epilepsy working since 1985. This clinic completed its 20 years in November 2005. To mark this memorable event annual community education program on epilepsy has been organized on January 21st 2006. Over 400 families of patients with psychiatric disorder and epilepsy are expected to attend to attend this program. During last 20 years around 1,20,000 patients have attended this free clinic so far, representing all four provinces of Pakistan and also Azad Jammu & Kashmir and Afghanistan. Professor Haroon Rashid Chaudhry with a team of clinical psychologists, medical doctors, students and social workers has been visiting this facility regularly on every Wednesday while on Saturday this facility is providing follow- up services for old patients only. Approximately 200 patients attend this facility every week and have been provided free psychotropics and anti-epileptic drugs (AEDs). Free Psychiatric Camps are being organization in remote areas of Pakistan in collaboration with FLAME and World Psychiatric Association (WPA, Zone- 15). Community Educational Programs for the families of patients with Psychiatric Disorders and Epilepsy are organized monthly within the premises, quarterly education programs are held at Fountain House, Lahore (Rehab facility for mentally ill) and Sir Ganga Ram Hospital, Lahore, while annual community education programs has been organized at various hotels in Lahore. Over 900 families of patients with psychiatric disorder and epilepsy participate annually in these programs representing the entire country. A panel of experts comprising of psychiatrists, neurologists, medical doctors, psychologists, social workers, and students attend these meetings, highlighting different aspects of psychiatric disorders. Patients with epilepsy and their families are educated about the various aspects of epilepsy such as clinical diagnosis, treatment, precautions, career selection, education, marriage, pregnancy, nutrition and other issues related to epilepsy. Eminent foreign experts such as Prof. Mike Shooter (President Royal College of Psychiatrists UK), Prof. Tom Craig (Chairman Guys Hospital, London), Prof. Khalid Mufti, (President Pakistan Psychiatric Society), Prof. I.A.K. Tareen (Former Head of Psychiatry Department, King Edward Medical College, Lahore) and Mr. Michael Hills (International Bureau of Epilepsy) visited this free clinic. In this free clinic various Research Projects have been completed and published in national and international journals. Monthly visit of psychiatrist, psychologist, social worker and volunteers to Farm House Farooqabad in collaboration with NGOs (activities details are below): 70% of population of Pakistan lives in rural areas depending mostly on agricultural or agro-based activities. With a view to serving psychiatric patients of rural areas. On request the government of the Punjab allocated 40 acres of agricultural land on long lease of the Fountain House Lahore. Members are engaged in various agricultural activities such as cultivation of various crops, vegetables and fruits, work on the fish farm, bee farm, teddy goad farm, poultry farm and looking after a mini zoo. In near future, we are intending to start Rehab services for Drug Addicts in collaboration with Richmond Fellow Society, Pakistan. It is a matter of great satisfaction that Foundation House since its inception has been able to rehabilitate over 3000 members (patients). Presently they are associated with different fields and are contributing to the society. Foundation House maintains a good contact with its ex-members and renders to them any service, which they need from time to time. Free camps in other Provinces in collaboration with PPS & WPA on Quarterly basis. Annual Free Medical Camps were will be organized in the far flung area of Pakistan these included rural area of Faisalbad, Chotti (D.G. Khan), Chitral & Kalash Vallies. 3. Community educational programmes addressing: 1. Teachers 2. Journalists 3. Clergymen 4. Mothers 5. Caregivers & Families of Patients with Psychiatric Disorders Child and adolescent mental health services Quarterly meetings of Psychiatrists from all over the Pakistan to improve the child and adolescent mental health services in Pakistan Plan to develop camps setup in earthquake-affected areas, Muzaffarabad in collaboration with South Asian Forum, International Division of Royal College of Psychiatrist and WPA Section on Psychiatry in Developing Countries. Mental health relief activities for earthquake survivors at Muzaffarabad Centre in collaboration with WPA Zone 15 These activities are continued for the last 4 months. Regular Visit of the following members of Mental health team are conducted 3 weekly rotation. o Psychiatrist o Psychologist o Social Worker Regular visit of mental health team to different camps at Muzaffarabad Grunanak Camp Turkish Red Crescent Camp Alkhidmat Foundation Camp Meera Tanolian Camp Thuri Camp University Groun Camp ICRC Camp Following Services will be provided: o Daily outdoor psychiatric facility at Abbas Hospital, Muzaffarabad o Individual Counseling o Group Counseling o Income Generation Training o Support to Relief Personnel o Coordination with other mental health teams Relief activities at Lahore o Attending patients admitted in Sir Ganga Ram Hospital, Lahore. o Weekly visit to Earthquake Affectees staying at Social welfare Complex Township, Lahore (Addressing psychological and psychiatric issues of 600 families residing in this complex). Publication of education materials The anxiety Management Guidelines for General Practitioners developed by the Anxiety Awareness Board Pakistan in collaboration with World Psychiatric Association is the first of its kind in the country. Such type of publications will be continued in future to promote the better management of mental illnesses and to encourage primary health care professionals to become more informed and involved in the diagnosis and management of mental health disorders. Publication of such guideline provide easy approaches in both psychotherapeutic and pharmacological areas as most of these conditions response well to treatment and may save many such patients to suffer from serious outcomes of mental disorders. In future plans are to extend this activity in the other areas of WPA Zone -15. Future Plans: o Regional Meeting on Old Age Psychiatry o Extensive Training of General Practitioners (GPs) o Quarterly Workshops for Caregivers o Community psychiatry education programme for families, psychiatric patients, journalists and teacher Upcoming events 1. International Seminar on Psychiatry, (Disaster Management & Psychosocial Rehabilitation /Community Education Programme in Psychiatry), January 21-22, 2006, Fountain House, 37-Lower Mall, Lahore – Pakistan, Organized By WPA (Zone-15) & WPA Section on Psychiatry in Developing Countries In collaboration with WHO, South Asian Forum, Asian Federation of Psychiatric Associations, Pakistan Psychiatry Society, World Association of Psychosocial Rehabilitation and International Bureau of Epilepsy. 2. International Conference on Media and Mental Health – Organized by World Psychiatric Association, South Asian Forum on Mental Health & Psychiatry and Indo Pak Punjab Psychiatric Society in collaboration with Department of Psychiatry, FJMC/Sir Ganga Ram Hospital, Lahore On 10-13, March 2006 at Fountain House, Lahore – Pakistan.