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Community Mental Health

Putting Policy Into Practice Globally
 E-Book
Sofort lieferbar | Lieferzeit:3-5 Tage I
ISBN-13:
9781119952145
Einband:
E-Book
Seiten:
240
Autor:
Graham Thornicroft
Serie:
World Psychiatric Association
eBook Typ:
Adobe Digital Editions
eBook Format:
E-Book
Kopierschutz:
Adobe DRM [Hard-DRM]
Sprache:
Englisch
Beschreibung:

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.
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
Rezension'The remarkable book is quite unique as in embarks on addressing the many complexities encompassing the framework of community mental health. This book is comprehensive with ample concepts and examples. It can be utilized by researchers, public health professionals, clinicians, nurses, and other professionals working within the field of mental health. This book is indeed an essential resource for anyone interested in community mental health, with national and international perspectives.' (Advances in Mental Health, 2012)

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