scholarly journals Corporate management and clinical autonomy: The ethical dilemma in mental health

1997 ◽  
Vol 20 (2) ◽  
pp. 83 ◽  
Author(s):  
Ben Nielsen ◽  
Philip Ward
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Health Services ◽  
Intellectual Capital ◽  
Management Practices ◽  
Mental Health Policy ◽  
Public Mental Health ◽  
Management Approach ◽  
Corporate Management ◽  
Clinical Autonomy

Funding constraints and management practices are increasing pressure on clinicalautonomy within Australian mental health services. The introduction of total qualitymanagement, output-based funding and changes to public mental health policy havepromoted business-like efficiency and increased control of resources. It is argued thatsuch moves significantly circumscribe the discretionary authority that mental healthprofessionals have previously enjoyed. This paper attempts to highlight the ethical andmoral tension inherent within a corporate management approach, and calls formental health services to acknowledge the value of intellectual capital, creativity andinnovation.

scholarly journals 18.L. Workshop: Public mental health policies - experiences and challenges

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Policy ◽  
Participatory Research ◽  
Policy Development ◽  
Mental Health Policy ◽  
Public Mental Health ◽  
Health Policies ◽  
National Mental Health ◽  
Mental Health Policies

Abstract The workshop has the aim to help developing and strengthening policies for Public Mental Health and support experience sharing platform for Public Mental Health policy development. Mental health policy defines the vision for the future mental health of the national population and internationally. The WHOs developed three recommendations for the development of mental health policy, strategic plans and for organizing services which are to deinstitutionalise mental health care; to integrate mental health into general health care; and to develop community mental health services. For each this aim a situational analysis and needs assessment is recommended as first step. Therefore, this workshop consists of four talks in the development of mental health policies at the regional and national level. First, the process of population consultations and participatory research is described (Felix Sisenop). Participatory research enables exchanging experiences, results and key challenges in Public Mental Health. Participatory research can contribute greatly in empowering people to discuss and deal with mental health issues and therefore is a step towards a more involved and active general public. Second, a policy development at the regional level is described (Elvira Mauz). On behalf of the federal ministry of health the Robert Koch Institute as the German public health institute is currently developing a concept for a national Mental Health Surveillance (MHS). In the talk objectives, framework model and work processes are presented. The MHS should systematically gather, process and analyze primary and secondary data, thus an integrating and monitoring system is working. Third, the Public Mental Health policy in Malta will be described (John Cachia) Over the last 7 years CMH Malta developed a strategic framework for the mental health with the input of patients, families, service providers, NGOs and civil society. The Maltese National Mental Health Strategy 2020-2030 was published in July 2019. This strategy will be described in the Talk. Fourth presenter (Ignas Rubikas) will introduce the national perspective on development of Lithuanian mental health policy addressing major public mental health challenges of suicide prevention, alcohol control policies and mental health promotion in a broader context of national mental health care. Key messages Participatory research in Public Mental Health is an approach to involve the population in policy development. Development of mental health policies can benefit from sharing experiences and lessons learned on a national and regional levels.

Mental health and human rights in Morocco: The urgent need for new policy

2017 ◽  
Vol 41 (S1) ◽  
pp. S568-S568
Author(s):  
C. Aroui ◽  
A. Khoubila ◽  
K. Mchichi Alami ◽  
M. Agoub ◽  
O. Battas ◽  
...  
Keyword(s):  
Mental Health ◽  
Human Rights ◽  
Health Policy ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Policy ◽  
Medical Specialty ◽  
Legal Framework ◽  
Vulnerable Groups ◽  
Health And Human Rights

IntroductionAll over the world, there is global emergency when it comes to respecting human rights in providing good mental health services. Morocco as an African and a developing country has always had a mental health policy defined by several glitches and failures, which had not helped him improve its mental health services quality. Nevertheless, huge improvements were achieved through time.ObjectivesThis report, aims to draw attention on how compulsory it is to think and act all together to promote mental health and provide patients with better health services in Morocco.MethodsThe National Human Rights Council conducted an information and investigation mission in Morocco's main mental health hospitals and facilities between March 27 and July 6, 2012.ResultsStructures are insufficient and inadequate in terms of geographical distribution, architecture and equipment. There is a big shortage of medical and paramedical staff and little interest is given to vulnerable groups. Nevertheless, huge improvements have also been achieved through time with mental health issues becoming a cornerstone of the ministerial program, the involvement of the NGOs, the construction of newer facilities, the implementation of an information gathering system and the presence of a substance use policy.ConclusionPsychiatry in Morocco has come a long way since it was firstly implemented in the country as a medical specialty. Undoubtedly, a lot has been done but much more remains to be achieved. The current situation requires relevant actions and that clearly includes the implementation of a new mental health policy and the update of the legal framework.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Francis, Berwick and culture change – an opportunity to engage patients and increase transparency in mental health

2014 ◽  
Vol 18 (1) ◽  
pp. 13-16 ◽  
Author(s):  
Sophie Corlett
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Policy ◽  
Health Service Provision ◽  
Content Type ◽  
Recent Developments ◽  
The Uk ◽  
Mental Health Service Provision

Purpose – The Policy Watch series reflects on recent and forthcoming developments in mental health policy across the UK. The purpose of this paper is to review recent developments in mental health policy, specifically the implications and learning for mental health services of recent scandals such as Mid Staffordshire and Winterbourne View and the various responses to them. Design/methodology/approach – This paper reviews and summarises recent developments in national mental health policy in England and their implications for mental health service provision. Findings – The paper outlines how learning from recent scandals such as Mid Staffordshire and Winterbourne View can be applied in mental health services. Originality/value – The paper updates and discusses recent policy developments in the NHS and their implications for mental health services.

scholarly journals Brazilian public mental health policy: education and research

2003 ◽  
Vol 1 (1) ◽  
pp. 15-16 ◽  
Author(s):  
Marcos Pacheco de Toledo Ferraz ◽  
Elisaldo A. Carlini
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Minimum Wage ◽  
Urban Areas ◽  
Family Income ◽  
Mental Health Policy ◽  
Public Mental Health ◽  
Internal Revenue ◽  
Per Capita ◽  
Year 2000

Brazil is a country with 170 000 000 inhabitants (census for the year 2000), of whom 138 000 000 live in urban areas. The illiteracy rate, that is, people over 15 years of age who cannot write or read even a simple message, is 13.4%. About 25.6% of the population live on a family income less than half the minimum wage (1999 figures). Brazil's gross internal revenue is R$564 800 per capita (1998 figures, about US$1680 today).

scholarly journals National mental health policy – 1996, what has been achieved: a review

2013 ◽  
Vol 2 (1) ◽  
pp. 2-6 ◽  
Author(s):  
KD Upadhaya
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Mental Health Services ◽  
Health Services ◽  
Developing Economies ◽  
Mental Health Policy ◽  
Significant Proportion ◽  
Policy Document ◽  
Life Styles ◽  
National Mental Health

Neuropsychiatry conditions account for a significant proportion of the global burden of disease. Significant numbers of people of developing economies of the world often tend to be deprived of quality mental health services and even if they receive them and they tend not be evidence based. In such condition policies on mental health act as guides to render quality mental health services at affordable price to the needy population. The paper presents a review the mental health policy of Nepal-1996 on the basis of the basic objectives outlined by the policy and also tries to analyze whether those objectives have been attained as of date. The focus on four major aspect of the policy document i.e. access and availability to basic mental health services, development of required manpower, protection of fundamental human rights of mentally ill, improve awareness about mental health, mental disorders, and the promotion of mentally healthy life styles. DOI: http://dx.doi.org/10.3126/jpan.v2i1.8567 J Psychiatrists’ Association of Nepal Vol .2, No.1, 2013 2-6

The National Mental Health Policy: Implications for Public Psychiatric Services in Australia

1993 ◽  
Vol 27 (2) ◽  
pp. 186-191 ◽  
Author(s):  
Harvey Whiteford ◽  
Bronwyn Macleod ◽  
Elizabeth Leitch
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Problems ◽  
Mental Health Policy ◽  
Policy Implications ◽  
Australian Community ◽  
National Mental Health ◽  
The Impact

The Health Ministers of all Australian States, Territories and the Commonwealth endorsed National Mental Health Policy in April 1992 [1]. This Policy is intended to set clear direction for the future development of mental health services within Australia. The Policy recognises the high prevalence of mental health problems and mental disorders in the Australian community and the impact of these on consumers, carers, families and society as whole. It also clearly accepts the need to address the problems confronting the promotion of mental health and the provision of mental health services.

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