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SVLFG Accident Insurance Old-age Insurance Health Insurance Long-term Care Insurance safe & healthy from a single source Mental Health Morbidity and Well-Being in Aging Agricultural Populations Social Insurance for Agriculture, Forestry and Horticulture Mental Health and Well-Being (at Work) Stress = Entirety of all comprehensible outside influences that affect the individual psychologically (by definition DIN EN ISO 10075-1 (1a)) e. g.Burnout State of International Research Scientific evidence for mental strain representing a strong risk factor for chronic diseases, disabilities and occupational safety Higher perceived stress often precedes greater depressive symptoms State of International Research Farmers experience high rates of psychological distress and (occupational) suicide around the globe (suicide rates increase with age) Strongest stressors in farming: overwork, generational conflicts, disorders and the financial situation State of International Research (Older) farmers define health as the ability to work Limited ability to acknowledge or talk about mental health problems and seek help among farmers Mental health in agricultural population is an under-researched issue (in Germany) Structural Characteristics Frequent family farming based structures (private/family life and working life unified in one location) Limited accessibility to and stigmatisation of mental health care; greater concerns about confidentiality Institutional mental health care programmes are not readily compatible with the profession Prevalence of Mental Disorders We face a trend of an ever-rising number of cases reported (mental health problems) conservative estimates put the prevalence down to 38.2 % of EU 27 population suffering from mental disorders (at any point in time) No substantial cultural or country variations Most people affected don’t receive any treatment One of the most frequent mental health disorders in the EU is the major depression Mental Disorders – A Growing Challenge Disability (sick leave) in percentage terms Mental Disorders Cardiovascular Disorders Airway Disorders Digestive Disorders Musculoskeletal Disorders Injuries Source: Fehlzeitenreport 2012 The Economic Impact is Immense One third of all new disability benefit claims in OECD countries is linked to mental health problems Projections put the total costs of depression alone to an amount of 600+ billion Euro p. a. Employers: €272bn Economy: €242bn Health system: 63bn Social welfare system: €39bn The Economic Impact is Immense Severe mental disorders (e. g. Alzheimer’s disease, schizophrenia and depression) have a high prevalencecost ratio Costs are expected to increase sharply Mental disorders as the core health challenge of the 21st century Prevention Works Studies show well-elaborated interventions to be effective in improving mental health Above all: gains in health and quality of life Also: very significant economic benefits Prevention is Good Value Many interventions are very low cost Small shift in expenditure generates efficiency gains Most interventions are outstandingly good value for money ROI can be as high as €13.62 Broad range of payoffs: within public sector and beyond Well-designed interventions towards mental health can tip the balance for a healthier and longer life Need of Innovation Research and Action – Horizon 2020 Mental Health Study fostering methodological innovations such as new/improved test instruments Mental health promotion and disorder prevention as well as psychotherapeutic interventions in working and living contexts to strengthen resilience and to reduce psychological distress in farmers Innovation Action Programmes as clinical-psychological web based interventions, telephone councelling De-stigmatization Model of Multi-Level Resilience Factors of Resilience First Ideas Towards Possible Future Interventions Universal: web-tool incl. e-mentalhealth and access control resilience-workshop Selective: workshop for informal caregivers anti-fall curses PSN (Psychosocial Network) workshop “transfer of business” dementia-related offers web-tool for managers incl. e-BGM business counseling by a safety advisor regarding OHM (occupational health management) and OIM (occupational integration management) domestic councel by a care consultants business-workshop PSN (Psychosocial Network) after trauma (family/business) workshop “transfer of business” case-manager SVLFG responsible for holistic processing training of professional multipliers regarding the recognition of burnout, depression, addiction (e. g. prevention service, care consultants, profession, family doctors) training of low-threshold multipliers (e. g. profession regarding PSN) cross-linkage of SVLFG with stationary and ambulant institutions (psychosomatics, peasant family counseling, etc.) group concepts in stationary institutions WG HPDP Many thanks for your attention and interest in mental health!