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Preventive psychiatry is a branch of psychiatry that aims at health promotion, protection from specific mental illnesses, early diagnosis, effective treatment, disability limitation and rehabilitation. Prevention of neuropsychiatric illnesses as compared to other illnesses is particularly important as they run a chronic course and cause substantial disability. Preventive measures have been found to be effective in reducing incidence and disability in a wide range of mental illnesses such as depression, psychosis, anxiety and conduct disorders. The need of the hour is to translate advances in our understanding of mental illness into effective intervention programmes for the prevention of mental illness and the promotion of positive mental health.

The 8th October 2005 Kashmir Earthquake was one the largest earthquakes in Northern Pakistan in its recorded history. It caused an unprecedented level of damage and destruction in Pakistan Administered Kashmir (PAK) and the North Western Frontier Province (NWFP). It damaged or collapsed more than 0.6 million buildings - leaving 3.5 million people shelter less as winter approached. A large part of the earthquake-affected area is difficult to access and highly snow-prone, with rugged terrain and scattered settlements. It posed unique challenges and efforts on a massive-scale for reconstruction. For residential buildings, the Pakistan government adopted a house-owner driven approach. The reconstruction policy stated that the government and other agencies would provide equal technical assistance and subsidy to each family, without differentiating between who lost what. To increase capacity in earthquake-resistant construction, large-scale training of artisans, technicians, engineers, and community mobilisers has been conducted. Campaigns to "build back better" have raised awareness in the communities. Local Housing Reconstruction Centres have been established for training, advice, and dissemination of earthquake-resistant technology. This decentralised approach has helped in achieving reconstruction smoothly. This paper will present the authors' first-hand experience in the reconstruction effort, and the opportunities and unique challenges faced.

The South Asian region accounts for around one fourth of the world population and one fifth of psychiatrically ill patients in the world. The region lacks mental health policies and infrastructure. Issues like community care, trained manpower, patient satisfaction and better legislation have been a focus of attention in recent years. As this region is fast developing, cooperation is needed in the field of mental health to keep pace with the other areas. Cooperation is needed to develop culturally acceptable forms of psychotherapy and new technologies for delivery of mental health services. Another area of potential cooperation is the development of a classification of mental disorders that is more informative in our setting. The development of a mental health programme and its inclusion at various levels of health care delivery has also gained precedence. As most of countries in the area have limited financial resources, the funds are to be used in the most cost-effective manner, and for this a greater collaboration amongst the countries is needed. New research needs to be undertaken in the area especially to meet the local requirements and to understand diseases in a regional perspective, but research cannot be fruitful if regional cooperation is lacking. To enhance the cooperation in mental health, world bodies like the WPA will need to come forward and bring all the countries at a common platform. The WPA has done commendable work in this regard and has always extended support to the regional bodies to uplift the mental health in this region.