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riences and formulated guidelines for other communities dealing with drug abuse prevention in Poland and other countries in the region.²⁴

HAVE A SECOND LOOK

This programme was designed by a team from the Polish Psychological Association in Starachowice to prevent drug use among schoolchildren. It is based on two American prevention programmes "Substance Education" and "Drug Education Curriculum." Its objectives are to promote self-esteem, develop problem coping skills, and promote a healthy lifestyle. It has been implemented in all primary school grades (1-8). A package of educational materials was prepared and used in schools.

PROGRAMME FOR HOME DETECTIVES

 

This is an innovative primary prevention programme for 11 year-olds, based on the American "Slick Tracy Team" programme. It was adapted by the staff of the Institute of Psychiatry and Neurology in 1998 and is used in schools throughout Poland. It consists of teacher- and peer-led sessions combined with parent-child activities aimed at preventing juvenile drinking.

Rehabilitation

There are more rehabilitation services and programs for people with severe mental health disorders than for workplace mental health promotion and prevention. Over the past decade there have been reforms in the rehabilitation of people with long-term mental illness. Formerly, psychiatric care took place primarily in large mental hospitals. Statistical data indicates that 20% of patients were residents of these hospitals because they lacked the skills necessary for independent living. An intensive programme developed by the Institute of Psychiatry and Neurology was initiated to prepare these patients to live independently. Interventions were proposed in following areas:

* Education of society at large and of local communities to which the psychiatric patients were expected to be discharged. A series of educational programmes was broadcast on radio and television, educational booklets were published, etc.

* Various forms of intermediate care were initiated across the country to provide patients with graduated levels of care commensurate with their needs.

* A package of behavioural training modules called "Return to the Society," and educational programmes for patients and their families were developed. Within two years, the programmes and a training course for staff were disseminated to all major psychiatric centres in Poland. These programmes have already been used in rehabilitation at 50% of the centres.

Six community psychiatric teams have been established over the past two years thanks to a Polish-Dutch collaboration. Three of them provide care to patients from rural areas.

Access to the labour market for the mentally ill

Many provisions of the Mental Health Act have not yet been implemented. This is particularly true of regulations governing the availability of capability-matched employment for people with mental health disorders, and the development of standards for appropriate rehabilitation goals. Effective action to develop employment opportunities for people with mental health