scholarly journals Informing mental health policies and services in the EMR: cost-effective deployment of human resources to deliver integrated community-based care

2015 ◽  
Vol 12 (7) ◽  
pp. 486-492 ◽  
Author(s):  
G. Ivbijaro ◽  
V. Patel ◽  
D. Chisholm ◽  
D. Goldberg ◽  
T.A.M. Khoja ◽  
...  
Keyword(s):  
Mental Health ◽  
Human Resources ◽  
Cost Effective ◽  
Health Policies ◽  
Community Based ◽  
Mental Health Policies

Community Psychiatry in a Latin American Context: Perú as a Case Example

2020 ◽  
Vol 10 (2) ◽  
pp. 84-91
Author(s):  
Renato D. Alarcón ◽  
Horacio Vargas-Murga ◽  
July Caballero-Peralta ◽  
Yuri Cutipé-Cárdenas
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Latin American ◽  
Community Health Centers ◽  
Community Psychiatry ◽  
Health Centers ◽  
Health Policies ◽  
Community Based ◽  
Mental Health Centers ◽  
Mental Health Policies

Background: Historical and conceptual issues related to community psychiatry as an innovative approach to clinical assistance across the world, precede a more or less detailed examination of its presence, role and current accomplishments in Latin America, particularly related to child and adolescent subpopulations. Information about transition processes from the traditional hospital-centered model to the community-based approach, applicable mental health policies, levels of implementation and quality of the available reports in different countries, are duly evaluated. Objective: Within an understanding of the broader Latin American context, the paper describes the situation in Perú, a country considered representative of the Low and Middle Income (LMIC) group in the subcontinent. Methods: The situation in Perú is presented with particular emphasis on a recently established community-based mental health centers program across its territory. Results: This description includes consideration of variables such as personal, family and identity empowerment, a focus on integrated care, and clinical outcomes and community relations. The development of community mental health centers across Perú is described. Conclusion: Adolescents represent the unique future of socio-culturally diverse Latin American countries, and must be the target population of well-conceived, cohesive community mental health policies and programs. The importance of political will to promote community health centers that provide adolescents access to services is critical.

The history of mental health policy in Turkey: tradition, transition and transformation

2020 ◽  
pp. 0957154X2096617
Author(s):  
Merve Kardelen Bilir ◽  
Fatih Artvinli
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Health Services ◽  
Mental Health Policy ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Health Policies ◽  
Community Based ◽  
History Of ◽  
Mental Health Policies

This article offers a brief history and the evolution of mental health policy in Turkey. It aims to analyse how mental health policies were transformed and why certain policies were introduced at specific times. The modern history of mental health policy is divided into three periods: the institutionalization of psychiatry and hospital-based mental health services; the introduction of community-based mental healthcare services; and lastly, the policy of deinstitutionalization after the 1980s. These periods have been categorized in a way that basically coincides with Turkey’s modern political history.

scholarly journals Mental health policy issues and development in Lithuania

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
I R Rubikas
Keyword(s):  
Mental Health ◽  
Alcohol Consumption ◽  
Mental Health Policy ◽  
Well Being ◽  
Health Impact ◽  
Health Policies ◽  
Social And Emotional ◽  
Suicide Rates ◽  
Mental Health Policies ◽  
The Eu

Abstract Background Lithuanian has experienced rapid and relatively successful transition to capitalism and transatlantic-Western values and practices in recent decades. Suicide and legal alcohol consumption rates remain the highest in the EU and OECD, and Lithuania's Positive emotions index score has been consistently amongst the 10 lowest in the world in recent years. Emigration rate is the highest in the EU and OECD, social inequality is amongst the highest in the same groups. Despite a relatively strong economy these changes are not automatically transferred to better social and emotional well-being. Methods This unconventional situation calls for strong and unconventional policy responses in the area of mental health, amongst others. Health impact assessment using theory-based approach and desk research. Results Recent attempts include strategic reorientation towards social and emotional well-being, stronger focus on prevention and promotion and primary care, intensifying efforts to reduce suicide rates, and implementation of strong regulatory measures to reduce alcohol use. Suicide rates have been declining since 2013 but remain high. Effort is made to implement best practices in media reporting, recognition and providing appropriate help for those in suicide crisis, expanding prevention efforts. Conclusions Finally, WHOs “best buys” in alcohol control were implemented since 2017, including steep increases in excise taxes, ban on alcohol advertisement, increase of allowed age, reducing alcohol trading hours and others. This resulted in the steepest decline of legal alcohol consumption in decades. The chosen policy route may be called iterative policy-making, whereby improvements are made along the way, which allows for quicker policy decisions and results. Key messages Mental health policies need to be based on the socio-political context of the specific country. Smaller countries such as Lithuania might benefit form flexible approaches to mental health policies.

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.

A community-based approach to evaluation of health outcomes and costs for telepsychiatry in a rural population: Preliminary results

2000 ◽  
Vol 6 (1_suppl) ◽  
pp. 155-157 ◽  
Author(s):  
Craig Kennedy ◽  
Peter Yellowlees
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Rural Areas ◽  
Pilot Trial ◽  
Public Mental Health ◽  
Cost Effective ◽  
Community Based ◽  
Public And Private ◽  
Preliminary Results ◽  
The People

A pilot trial was established to support visiting psychiatric services and local public and private practitioners through the use of videoconferencing. The purpose of the trial was to determine whether people in the community received better health-care with telemedicine. A community-based approach was used to evaluate health outcomes, costs, utilization, accessibility, quality and needs for such services in a rural community in Queensland. Over a two-year period data were collected from 124 subjects who met the criteria of having a mental health problem or mental disorder. Nine further subjects refused to participate in the study. Only 32 subjects used videoconferencing to receive mental health services. Preliminary results did not show any significant improvements in wellbeing or quality of life, although the time span was relatively short. However, the results confirmed that the people were no worse off from a consumer or a practitioner perspective from using videoconferencing. Most consumers found that videoconferencing with a psychiatrist moderately or greatly helped them in managing their treatment, with 98% of them preferring to be offered videoconferencing in combination with local services. Overall, videoconferencing is a crucial part of enhancing psychiatry services in rural areas. However, it is not necessarily cost-effective for all consumers, general practitioners, psychiatrists, or the public mental health service.

scholarly journals Using Experiential Education to Develop Human Resources for the Nonprofit Community: A Course Study Analysis

2017 ◽  
Author(s):  
Ann C. Hodges
Keyword(s):  
Human Resources ◽  
Nonprofit Organizations ◽  
Experiential Education ◽  
Cost Effective ◽  
Study Analysis ◽  
Law Schools ◽  
Community Based ◽  
Increased Pressure

In this era of shrinking resources and increased pressure to produce "practice-ready" lawyers, law schools are seeking new and cost-effective ways to provide experiential education. This article reports and analyzes the results of a survey of graduates and students from a course in Nonprofit Organizations that incorporated a community-based project designed to develop skills, enhance learning and encourage post-graduation involvement with nonprofits. Although limited to one course, this course study, like a case study, offers valuable information. Consistent with other research on experiential education, the survey supports the conclusion that such projects, while less resource intensive and comprehensive than clinics, offer benefits to both the students and to the community.

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