scholarly journals Our psychiatric future and the (bio)politics of Mental Health: dialogues with Nikolas Rose

2020 ◽  
Vol 24 ◽  
Author(s):  
Sérgio Resende Carvalho ◽  
Henrique Sater de Andrade ◽  
Luana Marçon ◽  
Fabrício Donizete da Costa ◽  
Silvio Yasui
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Health System ◽  
Public Health System ◽  
Developed Countries ◽  
Health Policies ◽  
Psychiatric Drugs ◽  
Mental Health Policies

Here we present the last of a series of four interviews with English sociologist Nikolas Rose. We explore central aspects of the recently published work entitled “Our Psychiatric Future: politics of Mental Health policies”, which has as background issues and problems that we consider absolutely relevant for facing the complex and difficult challenges posed to the implementation of Brazilian Public Health system and to the reform of Mental Health in our country. In this interview, we seek to discuss with the author: psychiatry as a (bio)politics; the ‘epidemics’ of mental disorders’; the role and consequences of psychiatric diagnostic practice in defining what is defined as mental disorder or illness; the use and abuse of psychiatric drugs in the contemporary; strengths and weaknesses of discursive psychiatric practices in ‘developed’ countries; limits and possibilities of users’ participation in Mental Health.

scholarly journals Mental health in the republic of Paraguay

2021 ◽  
pp. 1-3
Author(s):  
Anne Aboaja ◽  
Alina Wahab ◽  
Yang Yang Cao ◽  
Marcelo O'Higgins ◽  
Julio Torales
Keyword(s):  
Public Health ◽  
Mental Health ◽  
High Risk ◽  
Mental Disorders ◽  
Health Policies ◽  
Middle Income ◽  
The Past ◽  
High Risk Populations ◽  
The Republic ◽  
Mental Health Policies

Paraguay is a landlocked country in South America. It is a democratic low-middle-income nation, and the Ministry of Public Health and Social Welfare is responsible for its healthcare system. Mental health services receive just 1–2% of healthcare budgets, and there are only 1.6 psychiatrists per 100 000 inhabitants. There are insufficient resources to adequately assess and treat mental disorders in high-risk populations such as children, adolescents and prisoners. Despite several improvements to mental health policies within the past two decades, the nation still lacks a Mental Health Act and specific policies required to optimise the mental health of the population.

scholarly journals Economic burden of silent mental disorders: a case study of agnosia in schizophrenia

2017 ◽  
Vol 5 (1) ◽  
pp. 401
Author(s):  
Vijay Kumar Chattu ◽  
Paula Mahon
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Mental Health Problems ◽  
Action Plan ◽  
Developed Countries ◽  
World Health ◽  
Economic Output ◽  
The World

Mental health problems affect society as a whole, and not just a small, isolated segment. In developed countries with well-organized healthcare systems, between 44% and 70% of patients with mental disorders do not receive treatment whereas in developing countries the treatment gap being close to 90%. Schizophrenia is a severe mental disorder affecting more than 21 million people worldwide. People with schizophrenia are 2-2.5 times more likely to die early than the general population. The case study highlights about agnosia in a schizophrenic patient in a primary care setting and how to address the management at a broader perspective using the appropriate antipsychotic medication and ensuring the support from a family without violating the human rights of the patient. The World Economic Forum estimated that the cumulative global impact of mental disorders in terms of lost economic output will amount to US$ 16 trillion over the next 20 years, equivalent to more than 1% of the global gross domestic product. Mental health should be a concern for all of us, rather than only for those who suffer from a mental disorder. The mental health action plan 2013-2020, endorsed by the World Health Assembly in 2013, highlights the steps required to provide appropriate services for people with mental disorders including schizophrenia. A key recommendation of the action plan is to shift services from institutions to the community. Mental health must be considered a focus of renewed investment not just in terms of human development and dignity but also in terms of social and economic development.

scholarly journals The Use of Antidepressants, Anxiolytics, Sedatives and Hypnotics in Europe: Focusing on Mental Health Care in Portugal and Prescribing in Older Patients

2020 ◽  
Vol 17 (22) ◽  
pp. 8612
Author(s):  
Marta Estrela ◽  
Maria Teresa Herdeiro ◽  
Pedro Lopes Ferreira ◽  
Fátima Roque
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Disorders ◽  
Mental Health Care ◽  
Older Patients ◽  
Common Mental Disorders ◽  
Health Policies ◽  
Depression And Anxiety ◽  
Treatment Gap ◽  
Mental Health Policies

(1) Background: Mental disorders are a growing concern in the 21st century. The most prevalent common mental disorders include depression and anxiety. It is predicted that half of the population will at some point in their lives experience one or more mental disorders. Although common mental disorders are highly prevalent, some of the most significant related problems are the wide treatment gap and the excessive use of antidepressants, anxiolytics and sedatives/hypnotics, especially among older patients. (2) Methods: This study aimed to analyze mental health care in Portugal, with a focus on the consumption of antidepressants, anxiolytics, sedatives and hypnotics among older patients. (3) Results: The use of antidepressants, anxiolytics, sedatives and hypnotics has increased overall across Europe. In Portugal, a downward trend of sedatives and hypnotics consumption can be observed. Anxiolytics and antidepressants, on the other hand, have been increasing. Patients aged ≥60 years old consume more than half of the aforementioned drugs. (4) Conclusions: Mental health policies should be designed to improve the conscientious use of antidepressants, anxiolytics, sedatives and hypnotics, particularly among older adults.

scholarly journals An update on clinical oncology for the non-oncologist

2016 ◽  
Vol 14 (2) ◽  
pp. 294-299
Author(s):  
Rafael Aliosha Kaliks
Keyword(s):  
Public Health ◽  
Immune System ◽  
Health System ◽  
Cancer Treatment ◽  
Tumor Progression ◽  
Tumor Cells ◽  
Public Health System ◽  
Developed Countries ◽  
Driver Mutations ◽  
New Treatments

ABSTRACT Recent advances in the understanding of tumor driver mutations, signaling pathways that lead to tumor progression, and the better understanding of the interaction between tumor cells and the immune system are revolutionizing cancer treatment. The pace at which new treatments are approved and the prices at which they are set have made it even more difficult to offer these treatments in countries like Brazil. In this review we present for the non-oncologist these new treatments and compare their availability in Brazilian public health system and private health system with that of developed countries.

Representing the citizenship of mental health users in French mental health policy: A critical analysis of the official French texts on mental health policies since 2005

2020 ◽  
pp. 026101831989737
Author(s):  
Dimitrios Lampropoulos ◽  
Thémis Apostolidis
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Social Inclusion ◽  
Mental Health Policy ◽  
Mental Healthcare ◽  
Health Policies ◽  
Self Management ◽  
Neoliberal Governmentality ◽  
Mental Health Policies ◽  
French Texts

Research has shown that mental healthcare policies aimed at achieving autonomy and integration for people with mental disorders have been developing all over the world. Critics working from a governmentality perspective have argued that these changes are associated with broader neoliberal strategies and aims. In France however, there is no systematic work on this development. In this study, we have applied Bacchi’s ‘What’s the Problem Represented to Be’ approach to the main texts published by the French Ministry of Health since 2005, in order to study how the citizenship of mental health users is problematized. According to our analysis, the objectives of the autonomization, responsibilization and self-management of users have become increasingly central, following the recognition of users’ rights, social inclusion and the fight against the stigma of mental disorders. These developments have many points of contact with neoliberal governmentality. We conclude with recommendations for empirical research on discourses and practices in the field, where mental health policies are translated into mental health projects and practice.

scholarly journals Public mental health and the COVID-19 pandemic

2021 ◽  
pp. 1-4
Author(s):  
John R. Ashton
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Public Mental Health ◽  
Health Policies ◽  
Service Development ◽  
Public Health Threat ◽  
History Of ◽  
Mental Health Policies ◽  
Global Population ◽  
Health Service Development

COVID-19 has presented society with a public health threat greater than any in living memory, leaving us to question almost every aspect of our society. An ever increasing concern is how we protect the global population from mental illness and whether public mental health policies can achieve this. In this article I reflect on the history of mental health service development, and furthermore on how COVID-19 might impact on the delivery of public mental health strategies into the future.

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