Individual Care Planning: Changes to Patient Focussed Care - Involvement in the National Mental Health Services Collaborative

Mental health services in Cambodia required rebuilding in their entirety after their destruction during conflict in the 1970s. During the late 1990s there was rapid growth and development of professional mental health training and education. Currently, basic mental healthcare is available primarily in urban areas and is provided by a mixture of government, non-government and private services. Despite the initial rapid growth of services and the development of a national mental health strategy in 2010, significant challenges remain in achieving an acceptable, standardised level of mental healthcare nationally.

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Workforce Deployment: Reconciling Demands and Resources

Australian & New Zealand Journal of Psychiatry ◽

10.3109/00048679509064946 ◽

1995 ◽

Vol 29 (3) ◽

pp. 394-402 ◽

Cited By ~ 12

Author(s):

Gavin Andrews

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Mental Disorders ◽

Health Services ◽

General Practitioners ◽

Unmet Need ◽

Public Mental Health ◽

Epidemiological Data ◽

Mental Illnesses ◽

National Mental Health

Objective: The purpose of the study was to review the information in a Consultancy prepared for the National Mental Health Policy which suggested that half of the people with serious mental illnesses were untreated, while persons with “mental problems” were being overserviced by the specialist mental health services. The fate of the large group of persons with mental disorders of mid-range severity was not addressed. Method: Epidemiological data was reconciled with the service patterns of the clinical workforce and the extent of the unmet need estimated. Results: It was estimated that 25–30% of the Australian population meet criteria for a mental disorder in any year, yet less than one third will receive treatment. Of those that are treated, three quarters will receive their treatment from general practitioners and the remaining quarter will be treated by either the public mental health services, the addiction services, or private psychiatrists. The problem is that less than one half of those with serious mental disorders and only two thirds of those with chronic and disabling disorders appear to be being treated by anyone. Even if there were no slippage of services away from these serious and chronic groups of patients, there would still be a workforce shortfall, especially in rural and remote areas. Conclusions: Strategies to remedy this shortfall that involve psychiatrists, clinical psychologists and general practitioners are noted, and the need for a National Mental Health Survey to provide accurate data is stressed.

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Consumer and Carer Participation in Mental Health Services

Australasian Psychiatry ◽

10.1046/j.1039-8562.2003.00537.x ◽

2003 ◽

Vol 11 (2) ◽

pp. 180-184 ◽

Cited By ~ 45

Author(s):

Chris Lloyd ◽

Robert King

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Clinical Decision Making ◽

Clinical Decision ◽

Professional Staff ◽

Consumer Participation ◽

Service Development ◽

Health Strategy ◽

National Mental Health

Objective: To clarify the meaning of consumer and carer participation in mental health services, to identify reasons why consumer participation is important both to consumers and to services, and to discuss barriers to participation and ways of overcoming these barriers. Conclusions: Consumer and carer participation has been promoted as part of the National Mental Health Strategy and has the potential to empower consumers and their carers and to improve mental health services. Barriers to consumer participation include professional staff attitudes and resource allocation. Guidelines are provided to assist services to address these barriers and increase the level of consumer and carer participation in both clinical decision-making and service development.

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HoNOS-Rome: an expanded, customized, and longitudinally oriented version of the HoNOS

Epidemiologia e Psichiatria Sociale ◽

10.1017/s1121189x00006059 ◽

2003 ◽

Vol 12 (1) ◽

pp. 53-62 ◽

Cited By ~ 8

Author(s):

Pierluigi Morosini ◽

Antonella Gigantesco ◽

Angelica Mazzarda ◽

Loredana Gibaldi

Keyword(s):

Mental Health ◽

Factor Analysis ◽

Mental Health Services ◽

Health Services ◽

Construct Validity ◽

Weighted Kappa ◽

Outcome Evaluation ◽

Face Validity ◽

Validity And Reliability ◽

National Mental Health

SUMMARYAims– To clarify the acceptability, reliability and factorial validity of a new Italian version of the HoNOS called HoNOS-Rome. Its main innovations are both in design and in contents.Methods– Face validity was assessed by surveying 3 focus groups. Reliability was assessed in 8 different pairs of raters on a sample of 24 patients; construct validity was analysed by factor analysis using a sample of 187 patients at 6 day centres. Acceptability was investigated by means an anonymous questionnaire filled by professionals that were using the instrument.Results– Time of completion was low (range 4–12 minutes), the tool proved very acceptable and the reliability was good (weighted kappa ≥ 0.71 for all items). Factor analysis was consistent with the division of HoNOS–Rome into four sensible factors accounting for 52% of the total variance.Conclusions– The findings indicate that HoNOS–Rome has a satisfactory degree of acceptability, construct validity and reliability, and may promote the routine evaluation of outcomes in mental health services.Declaration of Interest: the authors declare that the study was supported by grant no. 96/Q/T41 of the Italian National Mental Health Project – Istituto Superiore di Sanità – Sub-project: Development and validation of tools for outcome evaluation of mental health services, Italy (Professor P. Morosini).

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