scholarly journals Current challenges for psychiatry in Greece

2018 ◽  
Vol 16 (03) ◽  
pp. 60-61
Author(s):  
Nikos G. Christodoulou ◽  
Konstantinos Kollias
Keyword(s):  
Mental Health ◽  
Mental Healthcare ◽  
Continuing Professional Development ◽  
Public System ◽  
The Public ◽  
Financial Difficulties ◽  
Important Target ◽  
Preventive Psychiatry ◽  
The Uk ◽  
Further Development

Psychiatry in Greece is undergoing a prolonged reform. Deinstitutionalisation is at an advanced stage and there are active efforts to support primary care and community psychiatry, and to establish local administration of services in each sector of the country (i.e. the equivalent of Mental Health Trusts in the UK). Quality assurance and continuing professional development require further development, as do a series of other issues pertaining to the day-to-day clinical practice of psychiatrists. Recent economic difficulties have undoubtedly affected the mental health of the population, but also mental health services and psychiatrists themselves. These financial difficulties coupled with pre-existing organisational issues present important, yet rectifiable, challenges. We conclude by identifying preventive psychiatry as an especially important target for progress and by advocating for continued support for the public system of mental healthcare as well as for the continued psychiatric reform.

Developing Services for Schizophrenia in Croatia, Slovenia, and Bosnia

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
M. Agius ◽  
M. Blinc-Pesek ◽  
S. Ivezic ◽  
S. Martic-Biocina ◽  
V. Svab ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Early Detection ◽  
Case Management ◽  
Group Interventions ◽  
Chronic Patients ◽  
Prodromal Phase ◽  
Improve Treatment ◽  
The Uk ◽  
Further Development

Along the coast of the Adriatic, several small projects have developed to improve treatment of patients with Schizophrenia. All these projects have benefited from links with the Department of Psychiatry in Cambridge.In Ljubljana, The Ljubljana Prodrome Project has developed a system of early intervention and treatment which has a strong research arm. It has contributed knowledge about how psychosis develops, and shown that treatment in the prodromal phase of illness gives patients significant advantages.The Assertive Outreach Team in Ljubljana Psychiatric Hospital has reduced readmissions for the chronic patients it deals with. Case Management in the Community has also been established at Vrapce Hospital Zagreb, where there has also been established a ward for first episodes of Psychosis. Non Governmental Organisations have been working with patients and their families in Central Croatia, using group interventions for carers.In Sarajevo, one doctor is working with identifying psychosis early.All of these projects are successful and amount to a major contribution in improving treatment for schizophrenia for patients in these countries.Staff from Croatia and Slovenia have visited the UK to learn Early Detection and Intervention techniques and case management.Further development nationally of these techniques for delivery of Mental Health Care in the Community is now awaited.

scholarly journals How psychiatrists can engage with the media

2014 ◽  
Vol 20 (1) ◽  
pp. 71-78 ◽  
Author(s):  
Claire Bithell
Keyword(s):  
Mental Health ◽  
New Media ◽  
News Media ◽  
Mental Health Problems ◽  
Accurate Information ◽  
Daily News ◽  
The Public ◽  
The Media ◽  
The Uk ◽  
Time Frames

SummaryThe media offers opportunities for psychiatrists to communicate with a wide and varied audience, thereby influencing the views of the public and policy makers on mental health issues. There are many different types of media outlet, including daily news media, documentary makers, specialist media, features and comment, and new media. The Science Media Centre is an independent press office that aims to help ensure that the views of scientists, clinicians and researchers are heard in the UK national news media when their area of expertise hits the headlines. In the news media, journalists work to tight time frames and often focus on sensational and controversial topics, presenting challenges for those wanting to engage. For experts to work effectively with the news media it helps to understand more about the way the media works and how to develop necessary skills. Psychiatrists who do work successfully with the media can help ensure that the public receive accurate information about mental health problems, and gain an appreciation of the importance of research in the field and a better understanding of the role of the psychiatrist.

The “Cool Mind” program (“Programa Cuca Legal”): mental health literacy for middle- and high-school teachers of the public system in Brazil

2015 ◽  
pp. 21-29
Author(s):  
Gustavo M. Estanislau ◽  
Marlene A. Vieira ◽  
Taís S. Moriyama ◽  
Ary G. Araripe Neto ◽  
Isabel A. S. Bordin ◽  
...  
Keyword(s):  
Mental Health ◽  
High School ◽  
Health Literacy ◽  
High School Teachers ◽  
Mental Health Literacy ◽  
School Teachers ◽  
Public System ◽  
The Public

scholarly journals The Mental Capacity Act and mental healthcare in prison: opportunities and challenges

2012 ◽  
Vol 36 (7) ◽  
pp. 241-243 ◽  
Author(s):  
Sharon Davies ◽  
Claire Dimond
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Healthcare ◽  
Legal Framework ◽  
Mental Capacity ◽  
Best Interests ◽  
People With Mental Illness ◽  
Mental Capacity Act 2005 ◽  
Mental Capacity Act ◽  
The Uk

SummaryThe UK Mental Health Act 1983 does not apply in prison. The legal framework for the care and treatment of people with mental illness in prison is provided by the Mental Capacity Act 2005. We raise dilemmas about its use. We highlight how assessing best interests and defining harm involves making challenging judgements. How best interests and harm are interpreted has a potentially significant impact on clinical practice within a prison context.

scholarly journals Designing behavioral self-regulation application for preventive personal mental healthcare

2017 ◽  
Vol 4 (1) ◽  
pp. 205510291770718 ◽  
Author(s):  
Mari Hirano ◽  
Kanako Ogura ◽  
Mizuho Kitahara ◽  
Daisuke Sakamoto ◽  
Haruhiko Shimoyama
Keyword(s):  
Mental Health ◽  
Primary Prevention ◽  
Behavioral Therapy ◽  
Self Regulation ◽  
Mental Healthcare ◽  
Depressive Mood ◽  
Self Monitoring ◽  
Mood Score ◽  
Healthcare Application ◽  
Further Development

Most of computerized cognitive behavioral therapy targeted restoration and few have targeted primary prevention. The purpose of this study is to obtain the knowledge for further development on preventive mental healthcare application. We developed a personal mental healthcare application which aimed to give users the chance to manage their mental health by self-monitoring and regulating their behavior. Through the 30-day field trial, the results showed improvement of mood score through conducting of suggested action, and the depressive mood of the participants was significantly decreased after the trial. The possibility of application and further problem was confirmed.

scholarly journals Media coverage of mental health care in the UK, USA and Australia

2003 ◽  
Vol 27 (9) ◽  
pp. 331-333 ◽  
Author(s):  
Beatrice Huang ◽  
Stefan Priebe
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Media Coverage ◽  
Mental Illnesses ◽  
The Public ◽  
The Usa ◽  
Research Findings ◽  
The Media ◽  
The Uk

Aims and MethodWe aimed to assess the contents and tone of articles on mental health care in the UK print media by comparing them with reporting in the USA and Australia. Two broadsheets from each country were analysed using the Internet for a random 4 months over a 1-year period. The number of articles, their content and the views expressed in them were identified and compared.ResultsA total of 118 articles on mental health care issues were found. The predominant tone of the articles in all three countries was negative, though there were slightly more positive articles in the USA and Australian media. Positive articles highlighted in the UK media covered mostly medical conferences and research findings.Clinical ImplicationsEfforts to achieve a more positive attitude towards people with mental illnesses in the public, such as anti-stigma campaigns, operate against a background of predominantly negative coverage of mental health care issues in broadsheets. The coverage in the UK may tend to be even less positive than in the USA and Australia. Medical conferences and research findings can, however, be used to promote positive views of mental health care in the media.

scholarly journals The privatisation of remembering practices in contemporary inpatient mental healthcare: going beyond Agnes's Jacket

2021 ◽  
Vol 1 ◽  
Author(s):  
Steven D. Brown ◽  
Paula Reavey
Keyword(s):  
Mental Health ◽  
Mental Healthcare ◽  
First Century ◽  
Service Users ◽  
Collective Models ◽  
Care Services ◽  
Large Numbers ◽  
Therapy Room ◽  
The Uk ◽  
Memory Practices

Abstract In this paper, we consider changes to memorial practices for mental health service users during the asylum period of the mid-nineteenth up to the end of the twentieth century and into the twenty-first century. The closing of large asylums in the UK has been largely welcomed by professionals and service-users alike, but their closure has led to a decrease in continuous and consistent care for those with enduring mental health challenges. Temporary and time-limited mental health services, largely dedicated to crisis management and risk reduction have failed to enable memory practices outside the therapy room. This is an unusual case of privatised memories being favoured over collective memorial activity. We argue that the collectivisation of service user memories, especially in institutions containing large numbers of long-stay patients, would benefit both staff and patients. The benefit would be in the development of awareness of how service users make sense of their past in relation to their present stay in hospital, how they might connect with others in similar positions and how they may connect with the world and others upon future release. This seems to us central to a project of recovery and yet is rarely practised in any mental health institution in the UK, despite being central to other forms of care provision, such as elderly and children's care services. We offer some suggestions on how collective models of memory in mental health might assist in this project of recovery and create greater visibility between past, present and future imaginings.

scholarly journals A human right to be detained? Mental healthcare after ‘Savage’ and ‘Rabone'

2013 ◽  
Vol 37 (9) ◽  
pp. 294-296 ◽  
Author(s):  
Mohammad Shaiyan Rahman ◽  
Nadya Wolferstan
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Service Providers ◽  
Healthcare Providers ◽  
Mental Healthcare ◽  
Case Law ◽  
Human Right ◽  
Health Service Providers ◽  
The Uk ◽  
Suicidal Patients

SummaryThe UK courts have recently considered the management of suicidal patients in the cases of Savage and Rabone. As a result of these judgments, the case law has extended significantly the responsibilities of mental healthcare providers. In this article we discuss the repercussions of these landmark decisions which are likely to have significant consequences for mental health service providers in the UK.

scholarly journals Time-use and mental health during the COVID-19 pandemic: a panel analysis of 55,204 adults followed across 11 weeks of lockdown in the UK

2020 ◽  
Author(s):  
Feifei Bu ◽  
Andrew Steptoe ◽  
Hei Wan Mak ◽  
Daisy Fancourt
Keyword(s):  
Mental Health ◽  
Time Use ◽  
Fixed Effects ◽  
Panel Study ◽  
Social Study ◽  
Panel Analysis ◽  
The Public ◽  
Health And Wellbeing ◽  
The Uk ◽  
The Impact

There is currently major concern about the impact of the global COVID 19 outbreak on mental health. But it remains unclear how individual behaviors could exacerbate or protect against adverse changes in mental health. This study aimed to examine the associations between specific activities (or time use) and mental health and wellbeing amongst people during the COVID 19 pandemic. Data were from the UCL COVID 19 Social Study; a panel study collecting data weekly during the COVID 19 pandemic. The analytical sample consisted of 55,204 adults living in the UK who were followed up for the strict 11 week lockdown period from 21st March to 31st May 2020. Data were analyzed using fixed effects and Arellano Bond models. We found that changes in time spent on a range of activities were associated with changes in mental health and wellbeing. After controlling for bidirectionality, behaviors involving outdoor activities including gardening and exercising predicted subsequent improvements in mental health and wellbeing, while increased time spent on following news about COVID 19 predicted declines in mental health and wellbeing. These results are relevant to the formulation of guidance for people obliged to spend extended periods in isolation during health emergencies, and may help the public to maintain wellbeing during future pandemics.

scholarly journals Proof-of-concept support for the development and implementation of a digital assessment for perinatal mental health: a mixed methods study (Preprint)

2021 ◽  
Author(s):  
Nayra Anna Martin-Key ◽  
Benedetta Spadaro ◽  
Thea Sofie Schei ◽  
Sabine Bahn
Keyword(s):  
Mental Health ◽  
Health Assessment ◽  
Mental Healthcare ◽  
Perinatal Period ◽  
Perinatal Mental Health ◽  
Health Concerns ◽  
Mental Health Assessment ◽  
Digital Assessment ◽  
Mental Health Concerns ◽  
The Uk

BACKGROUND Perinatal mental health symptoms commonly remain underdiagnosed and undertreated in maternity care settings in the UK, with outbreaks of disease, like the coronavirus (COVID-19) pandemic, further disrupting access to adequate mental health support. Digital technologies may offer an innovative way to support the mental health needs of women and their families throughout the perinatal period, as well as assist midwives in the recognition of perinatal mental health concerns. However, little is known about the acceptability and perceived benefits and barriers to using such technologies. OBJECTIVE To conduct a mixed methods evaluation of the current state of perinatal mental healthcare provision in the UK, as well as users’ (women and partners) and midwives’ interest in using a digital mental health assessment throughout the perinatal period. METHODS Eight hundred and twenty-nine women, 103 partners, and 90 midwives participated in the study, which entailed completing an online survey. Quantitative data were explored using descriptive statistics. Open-ended response data were first investigated using thematic analysis. Resultant themes were then mapped onto the components of the Capability, Opportunity, and Motivation Model of Behavior (COM-B model) and summarized using descriptive statistics. RESULTS The provision of adequate perinatal mental healthcare support was limited, with experiences varying significantly across respondents. There was a strong interest in using a digital mental health assessment to screen, diagnose, and triage perinatal mental health concerns, particularly among women and midwives. The digital assessment was seen to be well placed within maternity healthcare settings, with in-person only and blended care (i.e., in-person and remote support) approaches being preferred by women and partners in the event of further care being advised. Identified benefits and barriers mainly related to physical opportunity (e.g., accessibility), psychological capability (e.g., cognitive skills) and automatic motivation (e.g., emotions). CONCLUSIONS This study provides proof-of-concept support for the development and implementation of a digital mental health assessment to inform clinical decision-making in the assessment of perinatal mental health concerns in the UK.

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