This volume reviews the emerging patterns of mental health care delivery in different western countries, outlining the innovations of recent years and analyzing some of the impediments to their full implementation. The provision of effective mental health care services to all sections of the population at a reasonable cost is one of the most pressing problems facing clinicians, planners and administrators. This text is composed of three sections. Part I describes numerous innovations in the community care of psychiatric patients, while Part II examines the main impediments to the systematic implementation. Part III integrates the book, provides an overview, and details some specific issues in the implementation of innovation in mental health care delivery.
|Publisher:||Cambridge University Press|
|Product dimensions:||5.98(w) x 8.98(h) x 0.79(d)|
Table of ContentsPreface Norman Sarorius; Introduction I. M. Marks and R. A. Scott; Part I. Innovations: 1. Community care for patients with psychotic disorders; 2. Theoretical and research bases of community care programs M.-A. Test; 3. Maintenance (management) of people with long term psychotic illness J. Leff; 4. Dissemination in New South Wales of the Madison model J. Hoult; Primary Care; 5. Implications for care delivery of mental illness in primary care W. Katon; 6. Innovations in mental health care in the primary care system E. Paykel; Emergency services; 7. Innovative approaches to delivery of emergency services in Europe H. Katschnig and T. Konieczna; 8. Emergency care for the acute and severely mentally ill S. Segal; Part II. Impediments: Sociopolitical; 9. Sociopolitical influences on mental health care policy in the UK J. Carrier; 10. The political and economic context of mental health care in the US K. S. Gill; 11. Mental health care in continental Europe: medley or mosaic? N. Sartorius; Administrative; 12. Administrative barriers to implementation and diffusion of innovative approaches to mental health care in the UK H. Yellowlees; 13. Administrative obstacles to innovations in the US at the federal level G. Klerman; 14. The demise of a major innovation: Carter's 1980 Community Mental Health Systems Act in Reagan's hands H. Pardes; Economic and professional; 15. Economic barriers to innovation in mental health care: community care in the UK M. Knapp; 16. Economic barriers to implementing innovative mental health care in the US J. Rubin; 17. Professional obstacles to implementation and diffusion of innovative approaches to mental health care J. Cooper; Note on chapter 17 M.-A. Test; 18. Implementation and overview I. M. Marks and R. A. Scott.