Intervention of the President of the Portuguese Bar Association on Physiotherapy in Mental Health

Intervenção do Bastonário sobre a Fisioterapia na Saúde Mental

The President of the Order of Physiotherapists considers that "(...) despite the legislative measures, the responses implemented are still insufficient, with notable geographical asymmetries and a clear lack of health professionals integrated into mental health teams, as well as an omission to include physiotherapists in these teams". 
 
In a message video For the conference "Current and Future Challenges for Physiotherapy in Mental Health", organised by the Portuguese Association of Physiotherapists APFISIO, António Lopes stressed that although physiotherapists and other health professionals may not be aware of the role and benefits of intervention, the scope of practice of Physiotherapy in Mental Health and Psychiatry "is holistic, eclectic and dynamic - as it is constantly informed by evidence - and as such is able to respond to the health needs of people and society."
 
In his speech, broadcast on 22 October, which took place at the Escola Superior de Saúde - Instituto Politécnico de Leiria, António Lopes gave an overview of the various dimensions of Physiotherapy in Mental Health and the specific theoretical, practical and interpersonal skills that Physiotherapists should have, pointing out that one of the reasons why the benefits of Physiotherapy interventions don't always reach users with mental health problems is the lack or inadequate training of Physiotherapists in this area. 
 
Despite this, according to the declarations submitted when registering with the Order, of the more than 9,000 already registered, "around 700 physiotherapists report having obtained additional qualifications in the area of mental health, and around 600 physiotherapists report having, or having had, clinical activity in mental health".

In order to improve this situation, he emphasised the commitment of the Order of Physiotherapists to promoting access to physiotherapy care in the area of mental health, to supporting and valuing those who already work in this field and to studying solutions together with higher education institutions. In this context, he also recalled the process of creating a framework of professional specialities in Physiotherapy in Portugal, which is currently underway, guaranteeing: "We will work to promote Physiotherapy in Mental Health! 

Portuguese Physiotherapists Order marks the World Mental Health Day

DIA MUNDIAL SAUDE MENTAL

World Mental Health Day is celebrated annually on 10 October, a date established by the World Federation for Mental Health (FMSM). Today, the World Health Organisation also recognises and marks this day. This year's theme is "Making mental health and well-being a global priority".

O World Mental Health Report of the WHO, published in June 2022, revealed that already before the pandemic, in 2019, around one billion people were struggling with some kind of mental disorder.

Physiotherapy in Mental Health

On this World Mental Health Day, the Board of the Order salutes the work done by physiotherapists in the field of mental health.

In Portugal, of the 8905 Physiotherapists registered with the Order, 693 report having obtained additional qualifications in the area of Mental Health and 598 report having clinical activity in Mental Health (graph 1. distribution by district). There are also 185 physiotherapists with additional qualifications and clinical activity in Mental Health, according to the information extracted from the registration form.

Note: the data does not include members who have suspended or cancelled their membership.

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Physiotherapy in Mental Health is a transversal and specific area of Physiotherapy, which operates in different health, mental health, psychiatric and psychosomatic medicine environments. Its aim is to optimise well-being through health education strategies and the promotion of 1) awareness of the body, movement and emotions 3) functionality, 4) exercise and physical activity, always integrating the physical, mental and relational dimensions.

Physiotherapy can act in Mental Health, namely in the relationship between somatic disorders and psychological problems (sleep disturbances, fear related to pain, psychological stress and depressed mood associated with a clinical condition); the relationship between mild mental disorders and the main chronic non-communicable diseases (anxiety and moderate depression associated with cardiovascular and respiratory diseases, diabetes and cancer), the relationship between somatic disorders and mild mental health disorders (depression associated with chronic pain, post-traumatic stress disorder associated with fibromyalgia and anxiety associated with chronic obstructive pulmonary disease) and in the specialised approach to serious mental illnesses (major depression, schizophrenia, bipolar disorders and addictive behaviours and dependencies) in psychiatric units/hospitals.

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