scholarly journals FINANCIAR LA SALUD MENTAL EN NUESTRO PAÍS ES POSIBLE, SOLO TENEMOS QUE PREVENIR Y PLANEAR

2015 ◽  
Vol 20 (58) ◽  
pp. 113-120
Author(s):  
Armando Mayo Castro ◽  
Beatriz Pérez Sánchez ◽  
Andrés Guzmán Sala

RESUMEN: Objetivo: Definir un modelo de promoción de la cultura en el bienestar mental como parte importante de la salud integral, identificando el impacto de las patologías y de las comorbilidades que generan incidencia en patologías crónico degenerativas y oncológicas. Prevenir y planear para no incurrir en costos innecesarios. Material y método: Los métodos que se utilizaron fueron analítico, crítico y prospectivo. El enfoque fue de finanzas públicas en el sistema de salud mental. Los hallazgos se sustentan en la rigurosidad propia de la información estadística conocida, en el contrastar de la realidad y en el ejercicio creativo de la interpretación que proporciona la revisión documental seria. Resultados: Vincular las acciones de promoción, la creación de una cultura de salud mental y la importancia de las finanzas públicas para el desarrollo del modelo. La planeación y la prevención como herramientas de ahorro y de cuidar la inversión público- privada. Conclusiones: El modelo contiene cinco acciones: Relacionarse con las personas de tu alrededor, salir de paseo, ser curioso, continuar aprendiendo y dar con generosidad; lo que se obtendrá es: presupuestar financieramente y con mejor estrategia, el sistema de salud mental en nuestro entorno. ABSTRACT: Objective: Define a model of culture in promoting mental well-being as an important part of overall health, identifying the impact of diseases and comorbidities that generate impact on chronic degenerative diseases and cancer. Material and method: The methods used were analytical, critical and prospective. The focus was on public finances in the mental health system. The findings are based on the very rigor of statistical information known, in contrast reality and the creative exercise of interpretation that provides serious documentary review. Results: Link promotion actions , creating a culture of mental health and the importance of public finance for the development of the model. Planning tools and prevention as savings and care for the public- private investment. Conclusions: The model contains five parts: Interacting with people around you, go for a walk, be curious, keep learning and give generously; what you get is: financially and better budgeting strategy, the mental health system in our environment.

2021 ◽  
Vol 6 (3) ◽  
pp. 121-126
Author(s):  
Andrew M. Haag ◽  
Katelyn Wonsiak ◽  
David Tyler Dunford

In 2014, then-Canadian Prime Minister Stephen Harper passed the Not Criminally Responsible Reform Act into law, which gave Canadian courts and Review Boards new powers to protect the public from particularly dangerous mentally ill offenders. The most controversial change to the law included the designation of the High-Risk Accused. Once designated by the courts as a High-Risk Accused, that individual is barred from leaving a forensic hospital except for urgent medical reasons. In this article, the authors assess the impact of the Not Criminally Responsible Reform Act on the forensic mental health system in Alberta, Canada. The findings indicate that the legislation did not lead to any meaningful changes in the Alberta forensic mental health system in terms of absolute discharges and incoming persons found not criminally responsible.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Amadene Woolsey ◽  
Gillian Mulvale

Purpose Internationally, there has been a move towards more recovery-oriented mental health policies for people living with mental illness, and some countries have included well-being as a population-level objective. In practice, these policy objectives can be difficult to achieve because of deeply rooted policy legacies, including a biomedical approach to care and the stigma associated with mental illness. The purpose of this paper is to investigate how interventions that operate outside the formal mental health system, such as recovery colleges (RCs), may advance these policy objectives more easily than efforts at broader system reform. Design/methodology/approach This study conducted a scoping review to explore the features and context of RCs that make the model an attractive and feasible opportunity to advance a recovery and well-being agenda. Our research is motivated by the initial and growing adoption of RCs by the Canadian Mental Health Association. This paper applies the consolidated framework for implementation research to analyse features of the model and the context of its implementation in Canada. Findings The RC’s educational approach, adaptability, coproduced nature and positioning outside the formal mental health system are key features that facilitate implementation without disrupting deeply entrenched policy legacies. Other facilitators in the Canadian context include the implementing organisation’s independence from government, its federated structure and the model’s alignment with national policy objectives. Originality/value This paper highlights how interventions outside the formal mental healthcare system can promote stated recovery and well-being policy goals.


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S338-S338
Author(s):  
Aida Nourbakhsh ◽  
Kandarp Joshi ◽  
Breige Yorston

AimsRecently, there has been a greater focus on how mental health in young people (YP) can be improved. Up to 10% of YP in Scotland have a diagnosable mental health condition1 and half of all adults with mental ill-health have had symptoms from their mid-teens2. Poverty is an important factor associated with poorer mental well-being from an early age which worsens if left untreated3. The aim of this audit was to answer the question: Are more YP referred from the least deprived areas, and are they more likely to require medication intervention or high intensity (tier 4) care? The results of which could help identify possible avenues for intervention to help improve retention of those most at risk of negative outcomes.MethodNHS Grampian CAMHS provides service to Aberdeen City, Aberdeenshire, and Moray. Pre-collected data over 15 months from these areas were analysed using the Scottish Index of Multiple Deprivation (SIMD) deciles to distinguish any differences between referrals made. In addition, this audit evaluated the data to define any trends of deprivation linking YP to medication intervention or tier 4 care.ResultResults showed that more referrals were made for YP in low-ranking areas (3.19% of decile one compared to 1.74% of decile ten). The referrals were also more likely to be rejected based on the referral criteria, 33% in decile one versus 21% in decile ten. The increased rejection of referrals is most likely a reflection of the health inequalities faced by communities in more deprived areas. In terms of service provision, the patients from the most deprived areas are 3 times more like to require tier 4 care while the least deprived are 1.5 times more likely as compared to percentage of population. With regards to medication intervention patients from deciles one, five, six and seven have significantly higher numbers.ConclusionThis project set out to look at the current service provided by CAMHS and found that despite best efforts deprivation has had an impact on the acceptance of referrals. Going forward this data will be shared with multiagency stakeholders to develop service provisions, in particular the issues identified with the rejection of referrals in more deprived areas. Higher level of medication use in more deprived population is not unexpected but highlights the need to share the findings with a multiagency network.


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