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Abstract (by author) > Jeremy COUTURAS

Jerémy COUTURAS is a hospital pharmacist whose main activities are clinical pharmacy and research in mental health. These activities include the optimization of pharmacological therapies and medication adherence. He holds a doctorate in hospital pharmacy, a university diploma in psychopharmacology and a master's degree in public health research. At the end of 2024, he will start work on his thesis, the general aim of which is to identify the levers that could be used to propose ways of improving mental health care in the island territories of Indianoceania.

4:20 PM - Recent and forthcoming regional research (session 4)

Considering the effects of climate change in research to optimize mental health care in insular Indianoceania

Jeremy COUTURAS1,2,3, Jeremy JOST1,4, Farid BOUMEDIENE1

(1) Inserm U1094, IRD U270, Univ. Limoges, CHU Limoges, EpiMaCT - Epidemiology of chronic diseases in tropical zone, Institute of Epidemiology and Tropical Neurology, OmegaHealth, Limoges, France
(2) Pharmacy Departement, Centre Hospitalier Esquirol, 87000 Limoges, France
(3) Centre Hospitalier Esquirol, Research and Innovation Unit, Limoges 87000, France
(4) Pharmacy Departement, Centre Hospitalier Universitaire de Limoges, 87000 Limoges, France

The island territories of Indianoceania face specific constraints linked to their insularity, notably isolation in terms of food, energy and access to healthcare. Climate change is already affecting these territories, and will continue to do so through a variety of phenomena: rising sea levels, more intense cyclones, prolonged drought, etc. These environmental upheavals are leading to a deterioration in people's mental health, with an increase in depressive disorders, post-traumatic stress disorder, anxiety disorders, substance abuse and suicidal behavior. New forms of psychological suffering are emerging, such as eco-anxiety, illustrating a heightened perception of environmental risks.

This rise in psychiatric pathologies risks further weakening healthcare systems that are often already under-resourced, particularly in the field of mental health. It is therefore essential to anticipate and take into account these issues in order to improve and optimize mental health care pathways in the region. Faced with these public health challenges, we have embarked on a 3-pronged research project:

1) Evaluate and complement mental health skills by training care providers (medical and paramedical professionals, community workers) in prevention, screening and care via an e-learning platform.

2) Compile, and if necessary adapt, existing support tools in the various Indian Ocean states. The aim is to build up a toolbox of awareness/information documents for the general public and prevention/screening aids for professionals.

3) Set up a coordinated, pilot group of multidisciplinary healthcare professionals (doctors, pharmacists, nurses, community workers, etc.) at community level. The aim of this interventional action is to optimize the care pathway by drawing on all professionals.

In short, mental health is a key indicator of the impact of climate change on populations, particularly in island territories, which are more exposed and vulnerable to these phenomena. Thus, research into the links between climate change and mental health in Indianoceania is essential in order to better understand the determinants at play and adapt interventions

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