Priority Needs to be Given to the Reorientation of Mental Health Services from Old Style Model of Institutional Care to Community Based Services, Mental Health Commission

2011 ◽  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Institutional Care ◽  
Community Based ◽  
Priority Needs ◽  
Community Based Services

scholarly journals The understanding of nurses who work in mental health regarding compulsory and involuntary hospitalization

2017 ◽  
Vol 21 (3) ◽  
Author(s):  
Mariane da Silva Xavier ◽  
Marlene Gomes Terra ◽  
Maria Denise Schimith ◽  
Marinês Tambara Leite ◽  
Maria Henriqueta Luce Kruse ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Service User ◽  
Psychiatric Hospitalization ◽  
Involuntary Hospitalization ◽  
Community Based ◽  
Effective Implementation ◽  
The Social ◽  
Community Based Services

Abstract Objective: To analyze the understanding of nurses working in the mental health services regarding compulsory and involuntary hospitalization referred to in the Brazilian Psychiatric Reform Law. Methodology: Qualitative research, with eight nurses from the mental health services. Data collection took place through an open interview, analyzed using Bardin's content analysis. Results: The nurses understand that when psychiatric hospitalization is recommended, the service user must be evaluated in the social and family context. They consider that both forms of hospitalization can cause distress and anxiety to the service user, due to this person finding herself in a place against her will. Conclusion: This study contributes to reflection regarding psychiatric hospitalization as a resource which must be used in specific situations. The success of community-based services is linked to a non-fragmented mental health service for effective implementation of the reorganization of psychiatric care.

scholarly journals Urban Mental Health Initiative: Developing Interdisciplinary Collaboration, the Role of the Family Physician in Management of Severe Mentally Ill Patients

2021 ◽  
Vol 27 (1) ◽  
pp. 104-119
Author(s):  
Seyed Kazem Malakouti ◽  
◽  
Amirabbas Keshavarz Akhlaghi ◽  
Fatemeh Shirzad ◽  
Vahid Rashedi ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Family Physician ◽  
Urban Areas ◽  
Psychiatric Patients ◽  
Community Based ◽  
Urban Mental Health ◽  
The Family ◽  
Community Based Services

Introduction: Mental health in Iran was approved in 1988. However, and then this program was integrated into the primary care system in our country and was implemented within the villagers' family physician program with great success. In urban areas, there is no structured health network. However, regarding the demographic changes in the country's population, huge sprawling of cities, and the changes in urban-rural population proportion, demands for a coherent plan to provide mental health services to the urban population are felt more than ever. This study aimed to investigate the feasibility and establishment of a model of urban mental health network for severe psychiatric patients. Methods: This plan is based on resource reviews, Use the experiences of other countries, Model World Health Organization, The services available in the country currently run by the beneficiary organizations, Description of the responsibilities of the responsible organizations, Collaboration between the Ministry of Health and various organizations responsible for mental health, Having the views of national expert and international constant in this field from other countries cooperated with the aim of examining how to compile a coherent and integrated urban health service plan. This model is estimated by community-based services for 100,000 people. Results: The proposed model for providing immediate psychiatric services with greater cohesion and increasing training and skills capacity among staff 110, 115, 1480, and 123 services, as well as a space for hospitalization of 3 to 5 emergency patients next to the public hospital, is recommended. Depending on the number of patients in a population of 100,000, we will need community-based services, including 2 to 3 home visit teams to cover 80 patients per team, and 3 daily centers to provide services to 40 patients. If community-based services are provided, we will need 12 acute psychiatric beds and 5 beds for mid-term rehabilitation to provide inpatient services. In terms of employment and accommodation, 50 patients will need supported employment, respectively, and two apartments with an area of about 60 meters will be needed to accommodate about eight people. The provision of the above services requires the equal participation of the interested organizations. The family physician will play an essential role in continuing medical care for severe and mild psychiatric patients under the constant supervision of specialists Discussion and Conclusion: To achieve a better model of mental health services in cities that can cover a wide range of people in urban areas and at various levels from prevention and care to treatment and rehabilitation, we need the coordination between the organizations providing these services for the accurate planning of the interests of each organization, elimination of duplicate services, and saving human capital and resources of the country.

scholarly journals Mental Health Services Planning

1985 ◽  
Vol 9 (7) ◽  
pp. 138-138
Author(s):  
Greg Wilkinson
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Service Planning ◽  
Government Policies ◽  
Community Based ◽  
Health Service Planning ◽  
Department Of Health ◽  
Health Services Planning ◽  
Community Based Services

A timely conference on Mental Health Services Planning, organized jointly by the Royal College of Psychiatrists and the Department of Health and Social Security, took place in London in March 1985. The conference concentrated on difficulties associated with the implementation of government policies for mental health service planning in England and Wales. Particular emphasis was given to the problems of transition from hospital-based services to community-based services.

Meet Me Where I Am: Expanding the Reach of Mental Health Services with Home and Community-Based Services

2018 ◽  
Vol 26 (3) ◽  
pp. S15-S16
Author(s):  
Renee Pepin ◽  
Martha L. Bruce ◽  
Jo Anne Sirey ◽  
Kimberly A. Van Orden ◽  
Yeates Conwell
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Community Based ◽  
Community Based Services

scholarly journals Insight and challenges: mental health services in Nepal

2020 ◽  
pp. 1-3
Author(s):  
Yugesh Rai ◽  
Deoman Gurung ◽  
Kamal Gautam
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Community Based ◽  
The Past ◽  
Current State ◽  
Mental Health Legislation ◽  
Stigma Of Mental Illness ◽  
Health Legislation ◽  
Community Based Services

This paper describes the current state of mental health services in Nepal and reflects on the significant changes over the past decade. The main challenges to overcome are proper implementation of community-based services, the high suicide rate, stigma of mental illness, financial constraints, lack of mental health legislation and proper utilisation of human resources.

Putting Diagnosis Into Brackets: Franco Basaglia, Radical Psychiatry, and Contemporary Mental Health Services

2016 ◽  
Vol 26 (3) ◽  
pp. 187-199 ◽  
Author(s):  
Ian Cummins
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Current Crisis ◽  
Community Based ◽  
1960S And 1970S ◽  
The 1960S ◽  
Community Based Services

Mental health services in England and Wales are facing a crisis. The vision of properly funded, flexible, and service-user focused community-based services, that was one of the key drivers of deinstitutionalization, has never been realized. This article argues that the failure of community care was the result of underinvestment. The current crisis is linked to the politics of austerity. The current landscape is a bleak one with a shortage of community-based alternatives, a shortage of beds leading to delays in admissions or patients being admitted to units far from their homes, and the Criminal Justice System becoming a default provider of mental health care. Mental health services have become dominated by a bureaucratic, risk assessment focused model of practice. The article uses John Foot’s recent magisterial biography of Franco Basaglia—a key figure in the anti-psychiatry movement of the 1960s—as a basis for a different approach to the provision of mental health care. Basaglia, a charismatic intellectual led a series of radical reforms to asylums in Italy in the 1960s and 1970s. These resulted in Law 180 sometimes referred to as Basaglia’s Law which resulted in the closure of the Trieste asylum. At the core of this work is a belief that services need to be based on relational therapeutic approaches. It concludes that far from being banished to the shores of 1968 radical movement excesses, Basgalia’s work has many important insights for mental health services today.

A comparison between two community-based mental health services, Northern Italy and Northern Norway

2011 ◽  
Vol 38 (S 01) ◽  
Author(s):  
D Pucci ◽  
F Amaddeo ◽  
A Rossi ◽  
G Rezvy ◽  
R Olstad ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Northern Italy ◽  
Community Based ◽  
Northern Norway

scholarly journals Effectiveness of a Community-based Group Mindfulness Program tailored for Arabic and Bangla-speaking Migrants

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Ilse Blignault ◽  
Hend Saab ◽  
Lisa Woodland ◽  
Haider Mannan ◽  
Arshdeep Kaur
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Outcomes ◽  
Mental Health Outcomes ◽  
Home Practice ◽  
Community Based ◽  
Mindfulness Skills ◽  
Arabic Speakers ◽  
Language Groups

Abstract Background Migrant communities are often underserved by mainstream mental health services resulting in high rates of untreated psychological distress. This collaborative study built on evidence that mindfulness-based interventions delivered in-language and culturally tailored were acceptable and clinically effective for Arabic speakers in Australia. It aimed to establish whether a group mindfulness program produced expected outcomes under normal operational conditions, and to test its scalability and its transferability to Bangla speakers. Methods A 5-week mindfulness program was delivered to 15 Arabic-speaking and 8 Bangla-speaking groups in community settings. The mixed-methods evaluation incorporated a pre-post study. Descriptive statistics were used to summarise the socio-demographic data, group attendance and home practice. Differences in DASS 21 and K10 scores from pre to post-intervention were tested using the nonparametric sign test for paired samples (two-sided). Multiple linear regression analysis was performed to determine the effects of selected sociodemographic variables, group attendance and home practice on clinical outcomes, based on intention to treat. Content analysis was used to examine the qualitative data. Results The program attracted 168 Arabic speakers and 103 Bangla speakers aged 16 years and over, mostly women. Cultural acceptability was evident in the overall 80% completion rate, with 78% of Arabic speakers and 84% of Bangla speakers retained. Both language groups showed clinically and statistically significant improvements in mental health outcomes on the DASS21 and K10. Thirty new referrals were made to mental health services. Participant feedback emphasised the benefits for their everyday lives. All but one participant reported sharing the mindfulness skills with others. Conclusions Across multiple and diverse groups of Arabic and Bangla speakers in Sydney, the community-based group mindfulness program was shown to have high levels of cultural acceptability and relevance. It resulted in clinically and statistically significant improvements in mental health outcomes, facilitated access to mental health care and boosted mental health literacy. This innovative, low-intensity, in-language mental health intervention that was originally developed for Arabic speakers is scalable. It is also transferable—with cultural tailoring—to Bangla speakers.

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