Reshaping Mental Health Services - Implications for Britain of Us Experience 16: Research Reportby Judy Turner-Crowson
Pub. Date: 10/26/1993
Publisher: Kings Fund
Mental health policy in the United States and Britain has been moving in a similar direction for several decades, from "institution" to "community-based services". The context, structures and policy approaches are different, but the problems are very similar. In both countries, there is a pressing need to speed the pace of service development in the community - especially for people most vulnerable to neglect. And in both countries, awareness is growing that service provision must become much more responsive to what users, carers and minorities consider most important.
Part 1 of this report describes common concerns of the US and Britain in making a transition in mental health systems, noting that service deficiencies and policy problems identified by the US Congress and others in the mid 1970s bear a striking resemblance to those emerging since the mid 1980s in Britain.
Part 2 describes a 15-year effort by the US National Institute of Mental Health (NIMH) to improve community-based services nationwide, the "Community Support Programme" (CSP). This was designed to encourage the development in every district of flexible networks of services and supports for people with long-term and disabling mental health problems. The participatory planning process, the vision and concept of an adequate local system, the elements of a national strategy and the outcomes and limits of the programme are examined within the broader US context, highlighting issues important for Britain.
Part 3 examines the situation in Britain in the 1990s. It then draws on US experience to examine six critical issues that must be effectively and continuously addressed at all levels to ensure better futures forpeople with mental health problems.
- Kings Fund
- Publication date:
Most Helpful Customer Reviews
See all customer reviews