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Community Mental Health: Putting Policy Into Practice Globally
     

Community Mental Health: Putting Policy Into Practice Globally

by Graham Thornicroft
 

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There are wide inconsistencies between, and even within, countries in how community-orientated care is defined and interpreted. The analysis presented in this book take as a starting point an evidence-based balanced care model in which services are provided in community settings close to the populations served, with hospital stays being reduced as far as possible,

Overview

There are wide inconsistencies between, and even within, countries in how community-orientated care is defined and interpreted. The analysis presented in this book take as a starting point an evidence-based balanced care model in which services are provided in community settings close to the populations served, with hospital stays being reduced as far as possible, usually located in acute wards in general hospitals. The surprising conclusion from the research is that the same problems arise in all countries, regardless of resource status, and thus the recommendations of this book apply to mental health provision everywhere.

This book reviews the implementation of community-orientated care using the balanced care model. It summarizes the steps, obstacles and mistakes that have been encountered in the implementation of community mental health care worldwide and presents guidelines on how to avoid them. It proposes realistic and achievable recommendations for the development and implementation of community-orientated mental health care over the next ten years. These guidelines will be of practical use to psychiatrists and other mental health and public health practitioners at all levels worldwide, including policy makers, commissioners, funders, non-governmental organisations, service users and carers. A core message of the book is that the mental health sector will more powerfully advocate for better services in future through strong and unified alliances, especially with powerful representation from consumer/service user and carer groups.

Community-orientated care draws on a wide range of practitioners, providers, care and support systems (both professional and non-professional), though particular components may play a larger or lesser role in different settings depending on the local context and the available resources, especially trained staff. Research by a WPA task force has demonstrated that most of the challenges are common and global, but with local variations. The book is therefore relevant to psychiatrists and mental health workers in developed countries who are trying to deliver better health care on reduced budgets and for those in the developing economies who are in the position to modernise their mental health care. It provides clear, concise guidance on policy and practice decisions, learning from what has and has not worked in regions in the world.

The book contains many tables documenting the evidence, supported by an essential reference list, and a Key Points summary for each chapter.

Highly Commended in the Psychiatry section of the 2012 BMA Book Awards.

 

Editorial Reviews

Doody's Review Service
Reviewer: Aaron Plattner, MD (Pine Rest Christian Mental Health Services)
Description: With the understanding of the global problem of inadequate psychiatric care for individuals suffering from mental illnesses, this book uses current research findings to illustrate the problem, how it is being addressed in various countries, and what future changes are necessary.
Purpose: The authors strive to educate readers about the various community mental health programs around the globe to address the pressing issue of a lack of psychiatric care. By examining different programs, the authors are able to identify areas that are successful and areas that need improvement to better serve the mentally ill, as well as provide a foundation for future care. This is an important but complicated issue, and the authors strive to meet their objective with the most current data available.
Audience: The authors describe the book as "an invaluable resource for all mental health professionals and for all policy makers, consumers and family members involved in mental health service improvement...[and is] recommended to trainees in psychiatry." This is a broad audience, and anyone who reads the book will be educated on this issue, but the practical value of this book likely will be for those who are involved in administrative roles in a community mental health program.
Features: The book begins by illustrating the need for more psychiatric care in various world regions, then summarizing the differences in how community health care is provided, illustrating the different barriers to providing adequate psychiatric care, and ending with recommendations for the future. Each chapter contains graphics to help illustrate the data, lists key points at the end, and concludes with references. The book also includes a helpful index and concludes with three appendixes including terminologies and Internet resources.
Assessment: After reading this book, I realized how little I knew about the presence (or lack thereof) of psychiatry services outside of the U.S. It is well written by a very diverse group of authors from around the world, but I question the utility of this book for healthcare providers who are not involved in community mental health at a clinical or administrative level.

Product Details

ISBN-13:
9781119952145
Publisher:
Wiley
Publication date:
09/09/2011
Series:
World Psychiatric Association , #29
Sold by:
Barnes & Noble
Format:
NOOK Book
Pages:
240
File size:
1 MB

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What People are Saying About This

From the Publisher
'The remarkable book is quite unique as in embarks on addressing the many complexities encompassing the framework of community mental health. This book is comprehensive with ample concepts and examples. It can be utilized by researchers, public health professionals, clinicians, nurses, and other professionals working within the field of mental health. This book is indeed an essential resource for anyone interested in community mental health, with national and international perspectives.' (Advances in Mental Health, 2012)

Meet the Author

Graham Thornicroft and Maya Semrau, Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK

Atalay Alem, Department of Psychiatry, Faculty of Medicine, Addis Ababa University, Ethiopia

Robert E. Drake, Dartmouth Psychiatric Research Center, NH, USA

Hiroto Ito, National Institute of Mental Health, National Centre of Neurology and Psychiatry, Tokyo, Japan

Jair Mari, Department of Psychiatry, Universidade Federal de São Paulo, Brazil

Peter McGeorge, New Zealand Mental Health Commission, Wellington, New Zealand

R. Thara, Schizophrenia Research Foundation (SCARF), Chennai, India

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