What Is Tertiary Treatment?

The goal of tertiary prevention is to reduce the harm and sequelae of psychological disorders (mental diseases), do a good job in the rehabilitation of patients, delay the process of decline, especially prevent the psychological disorders of inpatients from becoming chronic, so that they return to society as soon as possible Production and self-reliance in life; at the same time, try to reduce the degree of damage to patients who have entered chronic, so as to reduce pain and improve the quality of life. ^[1]

First, prevent deterioration: enable patients to continue to receive treatment in family and social life, and urge patients to take medicine and receive it on time and in the right amount

In the prevention of psychological disorders, the tertiary prevention plan is just a humanitarian act, or is it a real preventive plan like the primary and secondary prevention plans? At present, there is still controversy on this issue. Some have argued that tertiary prevention programmes should be implemented even if people with mental illness have lost hope of cure. Even if there is little gain in doing so, if the same manpower and financial resources are used to implement a primary or secondary prevention plan, it is more likely to be effective, and a tertiary prevention plan should also be resolutely pursued. The opposite view argues that priority should be given to the implementation of primary prevention programmes and the use of power in children. In their view, looking at the future, this is a very cost-effective investment. ^[2]

With the implementation of the "full-course treatment" strategy for the prevention, treatment and rehabilitation of mental disorders, the tertiary prevention model fails to organically integrate the three aspects of prevention, treatment and rehabilitation. To date, the etiology of most mental disorders is unknown, and although primary prevention is "most active and proactive", it lacks a clear concept. Mrazek and Haggerty proposed a more elaborate conceptual framework, which has certain operability and inspiration. The main contents are as follows: Prevention is only used for intervention before mental disorders, and secondary and tertiary prevention are replaced with treatment and rehabilitation So that the prevention, treatment and rehabilitation of mental disorders are unified and become a continuum.

Prevention can be divided into 3 different levels:

1. Universal preventive interventions are targeted at the general public or the general population, such as publicizing and disseminating mental health knowledge to them, and improving the public's mental health.

2. Selective preventive interventions are targeted at sub-populations who are at risk for mental disorders, such as educating accompanied women to use condoms to avoid or reduce the risk of HIV infection. Mental disorders.

3. Indicated preventive interventions are targeted at individuals who have early manifestations of mental disorders or who have mental disorder qualities but who do not yet meet diagnostic criteria. Therefore, according to specific actual conditions and available resources, targeted preventive interventions are targeted at the entire population, subpopulations, and individuals. ^[3]