| Title | European Alliance Against Depression (EAAD) |
| Settings | Workplace |
| MHP Steps | |
| URL | www.eaad.net |
| Publication Information | ALTHAUS D, HEGERL U (2003): The evaluation of suicide preventive activities: state of the art. World J Biol Psychiatry 4: 156-165. HEGERL U, ALTHAUS D, SCHMIDTKE A, NIKLEWSKI G (2006). The alliance against depression: 2-year evaluation of a community-based intervention to reduce suicidality. Psychol Med 36(9): 1225-33 HEGERL U, ALTHAUS D, STEFANEK J (2003): Public attitudes towards treatment of depression: effects of an information campaign. Pharmacopsychiat 36: 288-291 HEGERL U, WITTMANN M, ARENSMAN E, VAN ADENHOVE C, BOULEAU J-H, VAN DER FELTZ-CORNELIS, GUSMAO R, KOPP M, LÖHR C, MAXWELL M, MEISE U, MIRJANIC M, OSKARSSON H, PEREZ SOLA V, PULL C, PYCHA R, RICKA R, TUULARI J, VÄRNIK A, PFEIFFER-GERSCHEL T: The ‘European Alliance Against Depression (EAAD)’: A multifaceted, community-based action programme against depression and suicidality. World J Biol Psychiatry, 9(1), 51-59. WITTENBURG L, GOTTLEBE K, ARENSMAN E, VAN AUDENHOVE C, BOULEAU J-H, VAN DER FELTZ-CORNELIS CM, GIUPPONI G, GUSMAO R, KOPP M, MARUSIC A, MAXWELL M, MEISE U, OSKARSSON H, PULL C, SCHMIDTKE A, PÉREZ SOLA V, TUULARI J, VÄRNIK A, HEGERL U (submitted). The European Alliance Against Depression: A multilevel approach to the prevention of suicidal behavior. Psychiatric Services |
| Country of Origin | Germany |
| Languages | English | German |
| Tool Description | The “European Alliance Against Depression (EAAD)” is committed to the care of depressed patients and prevention of suicidality in Europe. This aim is being realised by implementing community-based intervention programmes on four different levels. Co-operation with general practitioners and paediatricians: GPs and paediatricians are invited to educational workshops on how to recognise and treat depression and explore suicidality in the primary care setting. Information material (e.g. video tapes) are distributed that can be handed out to patients. Via a hotline GPs and paediatricians can consult a specialist concerning the treatment of individual cases of depression in their practice. Public Awareness Campaign: The broad public will be addressed by large-scaled public awareness campaigns including posters, cinema spots, information leaflets, brochures, public events and internet homepages. The aim is to improve the knowledge about adequate treatments of depression and to reduce the stigmatisation of the topic “depression” and the affected individuals. A close co-operation with the media takes place to strengthen the public discussion. Special guidelines on media coverage of suicidality are distributed to prevent imitative suicides. Training sessions for multipliers: Educational workshops are provided to various target groups ( e.g. health care professionals, priests, counsellors, police) playing an important role in disseminating knowledge about depressive disorders. Particular emphasis is put on special offers for parents, youth workers and teachers in order to reach children and adolescents suffering from depression, deliberate self harm and suicidal behaviour (e.g. information sessions and prevention programmes in schools). Offers for high risk groups and self-help activities: "Emergency Cards” are handed out to high risk groups, first of all young people in adolescent crisis and persons after suicide attempt) guaranteeing direct access to professional help in a suicidal crisis. Initiatives are started to found regional self-help groups and support them with expert advice. Partnerships with patient associations are being established and intensified. |
| Application in the Field | |
| Tool mainly used in | |
| Stage of Development | |
| Evaluation and Research | |
| Beneficiary Involvement in Design | |
| Evaluation | Yes |
| Evaluation Description |
The community-based intervention programme was implemented in a pilot study in Nuremberg and showed clearly effective in reducing suicidality and in improving the care of depressed patients. Compared to the control region, a significant reduction in frequency of suicidal acts was observed in Nuremberg during the 2-year intervention (2001 vs. 2000: -19.4%; P<0.1; 2002 vs. 2000: -24%, P<0.005). Considering suicide attempts only (secondary outcome criterion), the same effect was found (2001 vs. 2000: -18.3%, P<0.05; 2002 vs. 2000: -26.5%, P<0.001). The reduction was most noticeable for high-risk methods (e.g. hanging, jumping, shooting). Additional analyses of the year after the end of the intervention (2003) revealed a further reduction of the frequency of suicidal acts in Nuremberg (2003 vs. 2000; -32.2%; P<0.001) (Hegerl et al., 2006). Further analyses (changes in media coverage, changes in prescription of antidepressants) supported the efficiency of the intervention programme, whereas no systematic effects on public attitude towards depression were detected (Hegerl et al. 2003). |
| Available Formats | Other |
| Free | No |
| Restrictions on Use | Yes |
| Tool Focus | Individual and Organisation |
| Tool Type | Other |
| Download(s) |
|
| Contact Name | EAAD Project Office, University Leipzig, Prof. Dr. Ulrich Hegerl |
| Organisation Name | University Leipzig, Department of Psychiatry |
| info@eaad.net | |
| Telephone | +49-341-97-24583 |
| Address | Semmelweisstraße 10 , 04103 Leipizg |
| Country | Germany |
| Code | Element | |
|---|---|---|
| b110, b114 | Consciousness and Orientation | |
| b117, b160, b164 | Intellectual, Thought and Higher-Level Cognitive Functions | |
| b122 | Global Psychosocial Functioning | |
| b126 | Temperament and Personality | |
| b130 | Energy, Drive and Sleep Functions | |
| b140, b144 | Attention and Memory | |
| b147 | Psychomotor Functioning | |
| b152 | Emotional Functioning | |
| b156 | Perceptual Functioning | |
| b180 | Experience of Self and Time |
| Code | Element | |
|---|---|---|
| d160, d163, d166,d170,d172 | Applying Knowledge -Focusing Attention, Thinking, Reading, Writing, Calculating | |
| d175, d177 | Solving Problems and Making Decisions | |
| d230 | Carrying out Daily Routine | |
| d240 | Handling Stress and Other Psychological Demands | |
| d310, d315, d325, d330, d335, | Effective Communicating | |
| d710, d720, | Basic and Complex Interpersonal Interactions | |
| d730, d740, d750, d770 | Relationships - Strangers, Formal, Informal Social, Intimate | |
| d760 | Family Relationships | |
| d825 | Vocational Training | |
| d845 | Acquiring, keeping and terminating a job | |
| d855 d910 | Community Life and Engagement | |
| d870 | Economic Self-Sufficiency | |
| d920 | Recreation and Leisure | |
| d930 | Religion and Spirituality | |
| d940 d950 | Human Rights & Political Life and Citizenship |
| Code | Element | |
|---|---|---|
| e120, e125, e130 | Assistive and Augmentative Technology for Personal Mobility, Communications and Education | |
| e310, e315, e320, e325, e330, e340, e355, e360 | Physical and Emotional Support | |
| e410, e415, e420, e425, e430, e440, e450,e455 | Attitudes of individuals | |
| e460 | Societal Attitudes | |
| e465 | Social Norms, Practices and Ideologies | |
| e525, e530, e570, e575 | Services, Systems and Policies - Housing, Utilities, General Social Support | |
| e560 | Media Services, Systems and Policies | |
| e570 | Social Security Systems and Policies | |
| e580 | Health Services, Systems and Policies | |
| e585 | Education and Training Services, Systems and Policies | |
| e590 | Workplace Services, Systems and Policies |
| Code | Element | |
|---|---|---|
| FGP | General Population | |
| F00-F09 | Organic & Neurological (Dementia in Alzheimers Disease) | |
| F10-F19 | Mental Health Conditions due to Substance Misuse | |
| F20-F59 & F80-F99 | Mental Health Conditions | |
| F70-F79 | Intellectual Impairment |
| Code | Element | |
|---|---|---|
| Or11.1 | Stress Prevention | |
| Or11.2 | Critical Incident Management | |
| Or11.3 | Occupational Health | |
| Or11.4 | Anti-Bullying and Anti-Harassment | |
| Or11.5 | Anti-Drugs and Anti-Alcohol Abuse | |
| Or11.6 | Anti-Smoking | |
| Or11.7 | Anti-Violence and Crime (including Sexual) | |
| Or11.8 | Prevention of Child Abuse | |
| Or11.9 | Discipline |
| Code | Element | |
|---|---|---|
| Or12.1 | Mental | |
| Or12.2 | Physical (e.g. Healthy Eating, Physical Activity, Recreation) |
| Code | Element |
|---|
| Code | Element |
|---|
| Code | Element |
|---|
| Code | Element | |
|---|---|---|
| Or16.1 | Work-Life Balance Policy | |
| Or16.2 | Age Management Policy | |
| Or16.3 | Broad Focus Absenteeism Policy | |
| Or16.4 | Return to Work/School Policy | |
| Or16.5 | Disability Management Policy | |
| Or16.6 | Diversity Management Policy | |
| Or16.7 | Integration | |
| Or16.8 | Corporate Social Responsibility |
| Code | Element |
|---|
| Code | Element | |
|---|---|---|
| Or21.1 | Mission, Vision, Values, Traditions | |
| Or21.2 | Participation | |
| Or21.3 | Empowerment | |
| Or21.4 | Person Centred Approach | |
| Or21.5 | Interaction Climate | |
| Or21.6 | Social Atmosphere | |
| Or21.7 | Bullying and Harassment/Abuse |
| Code | Element |
|---|
| Code | Element | |
|---|---|---|
| Or23.1 | Participative | |
| Or23.2 | Supportive | |
| Or23.3 | Partnerships | |
| Or23.4 | Feedback Considered | |
| Or23.5 | Management Leadership of MHP |
| Code | Element | |
|---|---|---|
| Or24.1 | Roles and Responsibilities | |
| Or24.2 | Healthcare | |
| Or24.3 | Ratios | |
| Or24.4 | Attitudes | |
| Or24.5 | Training and Development | |
| Or24.6 | Commitment and Resources | |
| Or24.7 | Partnerships - Management and Staff | |
| Or24.8 | Involvement in Change |
| Code | Element | |
|---|---|---|
| Or31.1 | Whole Organisation Planning | |
| Or31.2 | Job Design | |
| Or31.3 | Individualised Plans | |
| Or31.4 | Shift Work | |
| Or31.5 | Education Processes | |
| Or31.6 | Flexible Work Patterns/ Work-Life Balance | |
| Or31.7 | Work Organisation | |
| Or31.8 | Job Enrichment | |
| Or31.9 | Feedback Considered | |
| Or31.10 | Parent-Teacher Meetings | |
| Or31.11 | Peer Support | |
| Or31.12 | Supervision | |
| Or31.13 | Parent, Teacher and Student Committee | |
| Or31.14 | Communications Practice | |
| Or31.15 | Interactive e-Communication (Online) | |
| Or31.16 | Health and Safety Hazard Control | |
| Or31.17 | Care Processes | |
| Or31.18 | Family Involvement | |
| Or31.19 | Housekeeping Processes | |
| Or31.20 | Nutrition Processes |
| Code | Element | |
|---|---|---|
| Or32.1 | Health Needs Assessment | |
| Or32.2 | Health Planning | |
| Or32.3 | Evaluation of Health Promotion Actions | |
| Or32.4 | Risk Assessment | |
| Or32.9 | Marketing of MHP |
| Code | Element | |
|---|---|---|
| Or41.1 | Physical | |
| Or41.2 | Mental |
| Code | Element | |
|---|---|---|
| Or42.1 | Organisational Performance | |
| Or42.2 | Satisfaction of Beneficiaries | |
| Or42.3 | Effects on Educational Success | |
| Or42.4 | Effects on Absence |
| Code | Element | |
|---|---|---|
| Or43.1 | Beneficiary Wellbeing | |
| Or43.2 | Individual Performance | |
| Or43.3 | Motivation | |
| Or43.4 | Quality of Life | |
| Or43.5 | Independence and choice | |
| Or43.6 | Attendance | |
| Or43.7 | Job Satisfaction |
| Code | Element | |
|---|---|---|
| Or44.1 | Staff, Student or Client Morale | |
| Or44.2 | Mutual Support | |
| Or44.3 | Social Integration |
| Code | Element | |
|---|---|---|
| En11.1 | Buildings | |
| En11.2 | Exposures | |
| En11.3 | Quality of Living Space | |
| En11.4 | Proximity to the Community |
| Code | Element | |
|---|---|---|
| En12.1 | Sports, Leisure and Recreation Facilities | |
| En12.2 | Provision of Health Promotion Facilities | |
| En12.3 | Support of Health Promotion Facilities | |
| En12.4 | Health and Safety Services & Professionals | |
| En12.5 | Committee on MH Protection and Promotion | |
| En12.6 | Professional Support |
| Code | Element |
|---|
| Code | Element | |
|---|---|---|
| En14.1 | Physical Ergonomics | |
| En14.2 | Cognitive Ergonomics |
| Code | Element | |
|---|---|---|
| En21.1 | Peer Support Programme | |
| En21.2 | Peer Mentoring | |
| En21.3 | Peers | |
| En21.4 | Sports & Recreation Programme | |
| En21.5 | Social Activities/Leisure Programme/Team Events | |
| En21.6 | ICT Communication (e.g. social networking sites) | |
| En21.7 | Management & Colleagues | |
| En21.8 | Management Support Programmes | |
| En21.9 | Beneficary Panels |
| Code | Element | |
|---|---|---|
| En22.1 | Discussion Forums and Information Sessions | |
| En22.2 | Home School Liaison | |
| En22.3 | Support and Empowerment | |
| En22.4 | Parents Association | |
| En22.5 | Parents and Parent-Teacher Association | |
| En22.6 | Family Friendly Organisation | |
| En22.7 | Family Health Programmes | |
| En22.8 | Family Social Programmes | |
| En22.9 | Rooms for Couples |
| Code | Element | |
|---|---|---|
| En23.1 | Community Links (e.g. Volunteering Programme) | |
| En23.2 | Extended Schools Concept |
| Code | Element | |
|---|---|---|
| En24.1 | Programme to Support Teachers or Carers |
| Code | Element | |
|---|---|---|
| En31.1 | Physical Health Promotion Services | |
| En31.2 | Mental Health Services | |
| En31.3 | Counselling | |
| En31.4 | Psychological Assessment | |
| En31.5 | Primary and Community Health Services | |
| En31.6 | Occupational Health Services |
| Code | Element | |
|---|---|---|
| En32.1 | Health and Safety | |
| En32.2 | Public Health | |
| En32.3 | Quality Standards | |
| En32.4 | Education | |
| En32.5 | Mainstreaming and Diversity | |
| En32.6 | Welfare (Social Security) | |
| En32.7 | Environmental | |
| En32.8 | Employment | |
| En32.9 | Retirement Policy | |
| En32.10 | Independent Living |
| Code | Element | |
|---|---|---|
| Pr11.1 | Health Screening | |
| Pr11.2 | Exercise and Nutrition Programmes | |
| Pr11.3 | Sexuality | |
| Pr11.4 | Health and Safety Interventions |
| Code | Element | |
|---|---|---|
| Pr12.1 | Anti - Bullying, - Harassment - Abuse | |
| Pr12.2 | Substance misuse prevention (including smoking) | |
| Pr12.3 | Active and Positive Ageing | |
| Pr12.4 | Physical Health |
| Code | Element | |
|---|---|---|
| Pr13.1 | Mental Health Screening | |
| Pr13.2 | Coping Skills Education | |
| Pr13.3 | Stress Management & Prevention | |
| Pr13.4 | Mental Health Education, Raising Awareness | |
| Pr13.5 | Destigmatisation | |
| Pr13.6 | Emotional Wellbeing | |
| Pr13.7 | Suicide Prevention | |
| Pr13.8 | Safe Self-Disclosure Programmes |
| Code | Element | |
|---|---|---|
| Pr14.1 | Orientation and Induction | |
| Pr14.2 | Social Support | |
| Pr14.3 | Social & Leisure Activities | |
| Pr14.4 | Volunteering |
| Code | Element | |
|---|---|---|
| Pr15.1 | Work-Life Balance Programme | |
| Pr15.2 | Absenteeism & Return to Work Programmes | |
| Pr15.3 | Recruitment & Staff Development Programmes |
| Code | Element |
|---|
| Code | Element | |
|---|---|---|
| Pr17.1 | Cognitive Training | |
| Pr17.2 | Personal Development | |
| Pr17.3 | Career Development | |
| Pr17.4 | Life Skills Programmes | |
| Pr17.5 | Raising Self Awareness | |
| Pr17.6 | Goal Setting | |
| Pr17.7 | Problem Solving & Decision Making | |
| Pr17.8 | Social Competence | |
| Pr17.9 | Lifestyle Awareness Programmes |
| Code | Element |
|---|
| Code | Element |
|---|
| Code | Element | |
|---|---|---|
| Pr23.1 | Young Offenders | |
| Pr23.2 | Pupils at Risk of Early Leaving | |
| Pr23.3 | Pupils in Transition | |
| Pr23.4 | Poverty/Social Exclusion | |
| Pr23.5 | Persons at Risk of Violence or Abuse | |
| Pr23.6 | Family Issues | |
| Pr23.7 | Parents or Carers | |
| Pr23.8 | People with Special Requirements or Disabilities | |
| Pr23.9 | People Experiencing Illness |
| Code | Element | |
|---|---|---|
| Pr31.1 | Personal Development Programme | |
| Pr31.2 | Coping Skills Training | |
| Pr31.3 | Problem Solving, Decision Making & Goal Setting | |
| Pr31.4 | Activities of Daily Living | |
| Pr31.5 | Social Competence | |
| Pr31.6 | Raising Self Esteem |
| Code | Element | |
|---|---|---|
| Pr32.1 | Peer Support Programme | |
| Pr32.2 | Counselling | |
| Pr32.3 | Life Skills, Relationship and Social Programmes | |
| Pr32.4 | Bereavement Support | |
| Pr32.5 | Needs Analysis & Individual Plans | |
| Pr32.6 | Adjustments and Accommodations |
| Code | Element |
|---|