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.

Mental health social work reimagined

2019 ◽  
pp. 137-148
Author(s):  
Ian Cummins
Keyword(s):  
Mental Health ◽  
Social Work ◽  
Mental Health Services ◽  
Health Services ◽  
Community Based ◽  
Mental Health Legislation ◽  
New Community ◽  
Health Legislation ◽  
The Impact

The final chapter summarises the key themes of the book. It outlines the narratives that have underpinned reforms of mental health legislation examining moves towards a rights-based approach. The chapter explores the impact of austerity policies on mental health services and services users. The chapter concludes with a call for new community based approaches and a rejection of risk and bureaucratic managerialism.

scholarly journals An overview of mental health legislation in Singapore

2015 ◽  
Vol 12 (2) ◽  
pp. 42-44 ◽  
Author(s):  
Roger C. Ho ◽  
Cyrus S. Ho ◽  
Nusrat Khan ◽  
Ee Heok Kua
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Mental Capacity ◽  
Mental Health Legislation ◽  
Mental Capacity Act ◽  
Health Legislation ◽  
The Relationship

This article summarises the development of mental health legislation in Singapore in three distinctive periods: pre-1965; 1965–2007 and 2007 onwards. It highlights the origin of mental health legislation and the relationship between mental health services and legislation in Singapore. The Mental Health (Care and Treatment) Act 2008 and Mental Capacity Act 2008 are described in detail.

Co-production and involuntary psychiatric settings

2018 ◽  
Vol 23 (4) ◽  
pp. 269-279 ◽  
Author(s):  
David Pilgrim
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Professionals ◽  
Critical Realism ◽  
Content Type ◽  
Production Of Knowledge ◽  
Mental Health Legislation ◽  
Immanent Critique ◽  
Health Legislation

Purpose The purpose of this paper is to examine whether the popular policy assumption of co-production is feasible in secure psychiatric settings. Design/methodology/approach The assumptions of co-production are listed and then used as a basis for an immanent critique to test the feasibility described in the purpose of the paper. An explanatory critique exploring consumerism in the welfare state then follows. These forms of critique are derived from the philosophy of critical realism. Findings A distinction is made between the co-production of knowledge about mental health services and the actual co-production of those services. It is concluded that the former has emerged but the latter is not feasible, given the limitations on citizenship imposed by psychiatric detention. Research limitations/implications Evidence for the co-production of mental health services (rather than the co-production of knowledge about those services) remains sparse. Practical implications The contradictions about citizenship created by the existence of mental health legislation and the social control role of mental health services requires ongoing honest reflects by mental health professionals and those responsible for the development of mental health services. Social implications As described above, mental health legislation pre-empts confidence in the co-production of mental health services. Originality/value Whilst there is a small literature on co-production and mental health services, alluded to at the outset, this paper uses immanent and explanatory critiques to deepen our understanding of the topic.

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 Service users’ perspective of their admission: a report of study findings

2016 ◽  
Vol 34 (4) ◽  
pp. 251-260 ◽  
Author(s):  
B. O’Donoghue ◽  
E. Roche ◽  
J. Lyne ◽  
K. Madigan ◽  
L. Feeney
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Procedural Justice ◽  
Community Mental Health Services ◽  
Service Users ◽  
Perceived Coercion ◽  
Mental Health Legislation ◽  
Health Legislation ◽  
Satisfaction With Services

ObjectivesThe ‘Service Users’ Perspective of their Admission’ study examined voluntarily and involuntarily admitted services users’ perception of coercion during the admission process and whether this was associated with factors such as the therapeutic alliance, satisfaction with services, functioning and quality of life. This report aims to collate the findings of the study.MethodsThe study was undertaken across three community mental health services in Ireland. Participants were interviewed before discharge and at 1 year using the MacArthur Admission Experience. Caregivers of participants were interviewed about their perception of coercion during the admission.ResultsA total of 161 service users were interviewed and of those admitted involuntarily, 42% experienced at least one form of physical coercion. Service users admitted involuntarily reported higher levels of perceived coercion and less procedural justice than those admitted voluntarily. A total of 22% of voluntarily admitted service users reported levels of perceived coercion comparable with involuntarily admitted service users and this was associated with treatment in a secure ward or being brought to hospital initially under mental health legislation. In comparison with the service user, caregivers tended to underestimate the level of perceived coercion. The level of procedural justice was moderately associated with the therapeutic relationship and satisfaction with services. After 1 year, 70% experienced an improvement in functioning and this was not associated with the accumulated level of coercive events, when controlled for confounders.ConclusionsThis study has provided valuable insights into the perceptions of coercion and can help inform future interventional studies aimed at reducing coercion in mental health services.

scholarly journals Narratives of reform: the Mental Health Act (MHA) in England and Wales from the 1983 MHA to the Wessley Review (2018)

2020 ◽  
Vol 22 (4) ◽  
pp. 217-226
Author(s):  
Ian Cummins
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Policy ◽  
Community Mental Health Services ◽  
Community Treatment ◽  
England And Wales ◽  
Content Type ◽  
Mental Health Legislation ◽  
Health Legislation

Purpose This paper aims to examine reform of mental health legislation in England and Wales. It covers the period from the introduction of the 1983 MHA to the proposed reforms outlined in the Wessley Review that was published in December 2018. Design/methodology/approach This is a literature-based project. Findings Reform of the mental health legislation reflects two potentially conflicting strands. One is the state’s power to incarcerate the “mad”, and the other is the move to protect the civil rights of those who are subject to such legislation. The failures to development adequately funded community-based mental health services and a series of inquiries in the 1990s led to the introduction of Community Treatment Orders in the 2007 reform of the MHA. Research limitations/implications The development of mental health policy has seen a shift towards more coercive approaches in mental health. Practical implications The successful reform of the MHA can only be accomplished alongside investment in community mental health services. Originality/value The paper highlights the tensions between the factors that contribute to mental health legislation reform.

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.

scholarly journals 52 degrees south: mental health services in the Falkland Islands

2018 ◽  
Vol 15 (2) ◽  
pp. 30-33
Author(s):  
Karen Rimicans ◽  
Tim McInerny
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Falkland Islands ◽  
Clinical Team ◽  
Psychiatric Emergencies ◽  
Mental Health Legislation ◽  
Remote Island ◽  
Island Community ◽  
Health Legislation

This article discusses the factors that have shaped the development of the new mental health legislation within the Falkland Islands. The process of implementing new legislation within this remote island community is discussed, including the aspirations underlying the new legislation, the management of psychiatric emergencies and the needs of the clinical team.

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