What Did the Health Care Reform Debate Mean For Mental Health Policy?

1995 ◽  
Vol 14 (3) ◽  
pp. 124-130 ◽  
Author(s):  
Chris Koyanagi ◽  
Joseph Manes
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Policy ◽  
Health Care Reform ◽  
Mental Health Policy ◽  
Reform Debate

State Mental Health Policy: "We Never Used to Do Things This Way": Behavioral Health Care Reform in New Mexico

2007 ◽  
Vol 58 (12) ◽  
pp. 1529-1531 ◽  
Author(s):  
Cathleen E. Willging ◽  
Leslie Tremaine ◽  
Richard L. Hough ◽  
Jill S. Reichman ◽  
Steven Adelsheim ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Policy ◽  
New Mexico ◽  
Health Care Reform ◽  
Behavioral Health ◽  
Mental Health Policy ◽  
Behavioral Health Care ◽  
State Mental Health ◽  
State Mental

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 policy in Greece: Implications into practice in the era of economic crisis

2011 ◽  
Vol 26 (S2) ◽  
pp. 539-539 ◽  
Author(s):  
I. Grammatikopoulos ◽  
S. Koupidis ◽  
E. Petelos ◽  
P. Theodorakis
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Policy ◽  
Mental Health Care ◽  
Economic Crisis ◽  
Rural Areas ◽  
Care Delivery ◽  
Mental Health Policy ◽  
Regional Distribution ◽  
Health Care Facilities

IntroductionBudgets allocated for mental health make up a relatively small proportion of total health expenditures, although there is an increasing burden of mental disorders.ObjectivesTo review the mental health situation in Greece with regards to mental health policy through review of relevant literature.AimsTo explore the basic implications of the economic crisis from a health policy perspective, reporting constraints and opportunities.MethodsA narrative review in PubMed/Medline along with a hand search in selected Greek biomedical journals was undertaken, relevant to mental health policy.ResultsGreece is among the OECD countries with high health expenditure as a percentage of Gross Domestic Product (9.7% of GDP in 2008) but it doesn’t have a specified budget for mental health and is mostly depended in out-of-pocket expenditure (48%). The system is plagued by problems, including geographical inequalities, overcentralization, bureaucratic management and poor incentives in the public sector. The lack of cost-effectiveness and the informal payments comprise a major source of inequity and inefficiency. Uneven regional distribution of psychiatrists exists and rural areas are mostly uncovered by mental health care facilities, as well as extramural mental health units and rehabilitation places, despite the current reorganization of the whole mental health care delivery system.ConclusionsThe core problem with mental health services in Greece is the shrinking budget with poor financial administration consistent with inadequate implementation of mental health policy. A clear authority with defined responsibility for overall mental health policy and budgetary matters is needed.

Economics and Mental Health: an International Perspective

2011 ◽  
pp. 231-256
Author(s):  
Richard G. Frank
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Policy ◽  
Mental Disorders ◽  
Mental Health Policy ◽  
Institutional Care ◽  
Health Spending ◽  
Health Resources ◽  
Mental Illnesses ◽  
Health Care Rationing

This article notes that problems of incomplete information are particularly salient in the context of mental health. It considers how different nations address economics and mental health in the formulation of mental health policy. It focuses on three key economic phenomena that are central to understanding the allocation of resources to the treatment of mental disorders. These are externalities, methods for efficient rationing of health resources, and incentives for allocating funds across different types of mental health services. This article provides some background on mental disorders and organization of mental health care in different OECD countries. It considers determination of mental health spending as part of health care rationing schemes in various nations. It discusses the role of government and how each country aligns its financing arrangements with stated policy goals of reducing reliance on institutional care for people with mental illnesses. Finally, it offers some concluding observations on mental health policy.

scholarly journals Nursing Appointment in Mental Health: experience of nurses of the network

2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2154-2160
Author(s):  
Patrícia Aline de Almeida ◽  
Maria Cristina Mazzaia
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Policy ◽  
Qualitative Study ◽  
Mental Health Care ◽  
Mental Health Policy ◽  
Psychosocial Care ◽  
Work Process ◽  
Multiprofessional Team ◽  
And Performance

ABSTRACT Objective: To know the experience of nurses of the Psychosocial Care Networks on the development of Nursing Appointment in Mental Health. Method: Qualitative study, with interview of 20 nurses, through the analysis of the statements in the search of the meaning core. Results: was unveiled as meaning core: lack of preparation for Mental Health Care, Non-identification of the work of the nurse in Mental Health; and Performance of Nursing Appointment as bureaucratic fulfillment. Final considerations: Nurses understand Nursing Appointment as an individualized and bureaucratic activity, to consider professional regulations, and not as a work process in the multiprofessional work, thus, the Projeto Terapêutico Singular (freely translated as Unique Therapeutic Project) is not cited as a possibility of work process. It was identified necessary space for discussion of actuation and updates of the nurse in Mental Health Care in the health services studied, with emphasis on their performance in a multiprofessional team in consonance with the Mental Health Policy.

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