Positive psychiatry: A dementia and depression prevention program in Singapore

Abstract

Background: There is a dearth of data on positive psychiatry. There should be a greater emphasis on this aspect of mental health in all countries. The emphasis is not just on treatment but more importantly prevention. Positive psychiatry should involve the wide spectrum of mental health professionals including psychiatrists, nurses, psychologists, counselors, art and music therapists, as well as and the public. Methods: In this review, the author summarizes the Age Well Everyday (AWE) program on dementia and depression prevention for seniors conducted by the Mind Science Center, National University of Singapore. The program which started 10 years ago, is supported by volunteers in the community with funding from philanthropists. Results: Interventional strategies in the AWE program include health education, diet, exercise, art therapy, music reminiscence, gardening, and mindfulness practice. Randomized controlled trials have been conducted for all the interventional strategies, and the results are presented. This multi-modal program is a community endeavor and is now adopted by many community centers in Singapore. Conclusion: The AWE program is a nondrug and inexpensive program that can be adapted for other countries. It reflects positive psychiatry and a relevant strategy for the anti-stigma campaign in Singapore. The challenge ahead is translating research results into public health policies.