// VLADIMIR HACHINSKI Vladimir Hachinski
by taking advantage of existing services that can be united under a unifying goal of integral brain health. 3. Defying stigma and discrimination, and increasing awareness. Integral brain health is especially important to the G7 members because of the rapidly expanding mismatch of more people getting old than are being born. Little has been done to foster integral brain health so far, so G7 members not only have the greatest need to implement integral brain health, but also have the greatest capacity to do so. RECOMMENDATIONS Therefore, we propose that G7 members do the following: 1. Adopt a working definition of integral brain health (cerebral, mental and social) and a corresponding integral brain health index to measure change, 2. Adopt integral brain health as a unifying goal in all policies, and 3. Fund new approaches to integrate and accelerate the relevant activities to integral brain health at the G7, national and community levels, to build brain capital and delay, allay and prevent brain and mental disorders. “Psychiatry and neurology as specialities began together, but have grown apart. It is unrealistic to expect busy and scarce specialists to begin learning more about each other’s specialities. However, it is possible to start reuniting them selectively and strategically through integral brain health goals”
is a professor of neurology and scientist at
Western University in London, Canada.
He has made major contributions to the understanding, diagnosis, treatment, and prevention of stroke and dementia, most notably his concept of vascular cognitive impairment and the Hachinski ischemic score. He currently leads a multi-disciplinary team of experts in Western’s Community Integral Brain Health Initiative. Guy Rouleau is director of The Neuro (Montreal Neurological Institute-Hospital), chair of the Department of Neurology and Neurosurgery of McGill University, director of the Department of Neuroscience of McGill University Health Centre, and co-founder of the Tanenbaum Open Science Institute. In 2022, he was elected First Vice-President of the World Federation of Neurology. // GUY ROULEAU
These plans need to be complemented by community-level initiatives. Desirable characteristics include being simple and inexpensive enough to be embedded into ongoing services and organisations, to minimise costs and assure sustainability. MOVING FORWARD BY INTEGRATING EXPERTISE These efforts need to be backed up and linked to health professionals, including psychiatrists and neurologists. Psychiatry and neurology as specialities began together, but have grown apart. It is unrealistic to expect busy and scarce specialists to begin learning more about each other’s specialities. However, it is possible to start reuniting them selectively and strategically through integral brain health goals. Professional organisations have a major role to play. Indeed, the World Federation of Neurology and the World Psychiatric Association have already begun cooperating, and propose: 1. Fostering interdisciplinary research and joint education curricula. 2. Closing the treatment gap by embedding interventions into existing systems. This saves time by skipping the knowledge and mobilisation step, and saves money
// DANUTA WASSERMAN Danuta Wasserman is a professor of psychiatry and suicidology at Karolinska Institutet in Stockholm and
president (2023–2026) of the World Psychiatric Association, representing 147 associations and 250,000 psychiatrists in 123 countries from all continents. She founded Sweden’s National Centre for Suicide Research at KI and has led the World Health Organization Collaborating Centre for Suicide Research and Prevention since
1997. She is also the former president of the European
Psychiatric Association and the International Academy of Suicide Research.
95 globalgovernanceproject.org
Made with FlippingBook Digital Proposal Creator