Thornicroft / Alem / Drake Community Mental Health

Putting Policy Into Practice Globally
1. Auflage 2011
ISBN: 978-1-119-97921-0
Verlag: John Wiley & Sons
Format: PDF
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 248 Seiten, E-Book

Reihe: World Psychiatric Association

There are wide inconsistencies between, and even within, countriesin how community-orientated care is defined and interpreted. Theanalysis presented in this book take as a starting point anevidence-based balanced care model in which services are providedin community settings close to the populations served, withhospital stays being reduced as far as possible, usually located inacute wards in general hospitals. The surprising conclusion fromthe research is that the same problems arise in all countries,regardless of resource status, and thus the recommendations of thisbook apply to mental health provision everywhere.
This book reviews the implementation of community-orientatedcare using the balanced care model. It summarizes the steps,obstacles and mistakes that have been encountered in theimplementation of community mental health care worldwide andpresents guidelines on how to avoid them. It proposes realistic andachievable recommendations for the development and implementationof community-orientated mental health care over the next ten years.These guidelines will be of practical use to psychiatrists andother mental health and public health practitioners at all levelsworldwide, including policy makers, commissioners, funders,non-governmental organisations, service users and carers. A coremessage of the book is that the mental health sector will morepowerfully advocate for better services in future through strongand unified alliances, especially with powerful representation fromconsumer/service user and carer groups.
Community-orientated care draws on a wide range ofpractitioners, providers, care and support systems (bothprofessional and non-professional), though particular componentsmay play a larger or lesser role in different settings depending onthe local context and the available resources, especially trainedstaff. Research by a WPA task force has demonstrated that most ofthe challenges are common and global, but with local variations.The book is therefore relevant to psychiatrists and mental healthworkers in developed countries who are trying to deliver betterhealth care on reduced budgets and for those in the developingeconomies who are in the position to modernise their mental healthcare. It provides clear, concise guidance on policy and practicedecisions, learning from what has and has not worked in regions inthe world.
The book contains many tables documenting the evidence,supported by an essential reference list, and a Key Points summaryfor each chapter.
Highly Commended in the Psychiatry section of the 2012BMA Book Awards.

Autoren/Hrsg.

Thornicroft, Graham

Alem, Atalay

Drake, Robert E.

Ito, Hiroto

Mari, Jair

McGeorge, Peter

Tara, R.

Semrau, Maya

Inhaltsverzeichnis

List of Contributors, viii
Foreword, xi
Acknowledgements, xiii
Section 1 Introduction, 1
1 Global mental health: the context, 3
2 Description of the world regions, 14
3 Overview of mental health policies worldwide, 23
Section 2 Implementation of community mental health services,37
4 The current provision of community mental health services,39
5 Policies, plans, and programs, 90
6 Scaling up services for whole populations, 97
7 Stigma, discrimination, and community awareness about mentalillnesses, 119
8 Developing a consensus for engagement, 135
9 Human and financial resources, 140
10 Development, organization, and evaluation of services,151
Section 3 Recommendations, 167
11 Lessons learned and recommendations for the future, 169
Appendix A Terminologies, 213
Appendix B Questions from a survey conducted with regionalexperts in the Africa region, 221
Appendix C Internet resources, 223
Index, 227

Über Autor(innen)

Graham Thornicroft and Maya Semrau, Health Serviceand Population Research Department, Institute of Psychiatry, King'sCollege London, UK
Atalay Alem, Department of Psychiatry, Faculty ofMedicine, Addis Ababa University, Ethiopia
Robert E. Drake, Dartmouth Psychiatric Research Center,NH, USA
Hiroto Ito, National Institute of Mental Health, NationalCentre of Neurology and Psychiatry, Tokyo, Japan
Jair Mari, Department of Psychiatry, Universidade Federalde São Paulo, Brazil
Peter McGeorge, New Zealand Mental Health Commission,Wellington, New Zealand
R. Thara, Schizophrenia Research Foundation (SCARF),Chennai, India