The dilemma of primary prevention in mental health services: Rationalize the status quo or bite the hand that feeds you

1992 ◽  
Vol 2 (2) ◽  
pp. 95-99 ◽  
Author(s):  
Julian Rappaport
2021 ◽  
Vol 40 (2) ◽  
pp. 123-176
Author(s):  
Radosław Stupak

Mark Fisher wrote „the task of repoliticizing mental illness is an urgent one if the left wants to challenge capitalist realism.” This paper attempts to develop this thought and show how the repoliticization of issues defined as mental illnesses that could have an emancipatory potential and undermine capitalist realism could look like and how it could be related to the contemporary phenomenon of „psychedelic renaissance”. This repoliticization could constitute the first step towards acid communism – a step that would enable a comprehensive formulation of the project, the imagining of both acid communism itself as well as the road towards it. Even though psychedelics could provide an impulse for the change of the dominant psychiatric paradigm and the reorganization of mental health services, the process of the interception of these substances by the alienating and commodificating orders of psychiatry and capitalism can already be observed, so that both of the intertwined and mutually supporting orders can in fact be strengthened. From this perspective the institution of psychiatry becomes a key element preserving the status quo, which makes the imagining of the end of capitalism impossible. Politicization of mental health, that could question capitalist realism, needs to be connected with the deconstruction of the ideology of psychiatry.


1982 ◽  
Vol 6 (06) ◽  
pp. 102-104 ◽  
Author(s):  
N. N. Wig

The progress of psychiatry in India during the last 35 years is indeed impressive. At the time of Independence in 1947, there were just a handful of Indian psychiatrists looking after some 20 odd mental hospitals scattered throughout the country. Colonel M. Taylor (1946), who reviewed the status of mental health services for the Bhore Committee on Health Survey Development in India, ruefully noted the gross inadequacy of mental health services. A major recommendation of the Committee (1946) was to start local training facilities for doctors and other health professionals in the field of mental health. The first landmark was the opening of the All India Institute of Mental Health at Bangalore in 1954. The role of Dr Mayer-Gross, who was closely associated with the development of this Institute in its early years, will be long remembered by many Indian psychiatrists.


2018 ◽  
Vol 16 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Matt Muijen ◽  
Andrew McCulloch

For over a decade, concerted efforts have been made in Europe to reform mental health services and move away from institutions to community-based models of care, supported by international policy statements, good practice examples and research evidence. Progress has been uneven. So what is the status of mental healthcare across the World Health Organization European Region, and what factors support, or detract from, such progress?


2015 ◽  
Vol 11 (27) ◽  
pp. 281
Author(s):  
Jian Zhao

The<strong> </strong>e-Mental Health Service refers to the work for mental health promotion provided, following the laws of mental health, by professional institutions and professionals to netizens through the Internet. A survey of 1588 netizens shows that netizens have a need for e-Mental Health Services and higher needs for mental health knowledge; they show obvious social orientation in their choices of service providers; demographic variables have remarkable influences on netizens’ specific needs; and netizen groups, there are relatively higher needs in female, college degree holders and above, the youth and brain workers, such as students, teachers, company employees, and staff in public institutions. The results of the survey indicate that netizens’ needs for e-Mental Health Services are complex and diversified, and netizens’ understanding and demand for professional service institutions, professional service providers and electronic service modes still need to be improved.


2017 ◽  
Vol 41 (5) ◽  
pp. 505 ◽  
Author(s):  
Brett Scholz ◽  
Julia Bocking ◽  
Brenda Happell

Objectives Contemporary mental health policies call for consumers to be involved in decision-making processes within mental health organisations. Some organisations have embraced leadership roles for consumers, but research suggests consumers remain disempowered within mental health services. Drawing on a service-dominant logic, which emphasises the co-creation of value of services, the present study provides an overview of consumer leadership within mental health organisations in the Australian Capital Territory. Methods Mental health organisations subscribing to the local peak body mailing list were invited to complete a survey about consumer leadership. Survey data were summarised using descriptive statistics and interpreted through the lens of service-dominant logic. Results Ways in which organisations may create opportunities for consumers to co-create value within their mental health services included soliciting feedback, involving consumer leaders in service design, having consumer leaders involved in hiring decisions and employing consumer leaders as staff or on boards. Strategies that organisations used to develop consumer leaders included induction, workshops and training in a variety of organisational processes and skills. Conclusions The findings of the present study extend the application of a service-dominant logic framework to consumer leadership within mental health organisations through consideration of the diverse opportunities that organisations can provide for consumer co-creation of service offerings. What is known about the topic? Policy calls for consumer involvement in all levels of mental health service planning, implementation and delivery. The extent to which service organisations have included consumer leaders varies, but research suggests that this inclusion can be tokenistic or that organisations choose to work with consumers who are less likely to challenge the status quo. Service literature has explored the way consumers can co-create value of their own health care, but is yet to explore consumers’ co-creation of value at a systemic level. What does the paper add? This paper outlines ways in which mental health organisations report involving consumers in leadership positions, including having consumers on boards, having consumers on recruitment panels and providing leadership training for consumers. These initiatives are considered in terms of the potential value co-created within mental health services by consumers in leadership, suggesting that consumer leaders are a resource to mental health organisations in terms of the value brought to service offerings. What are the implications for practitioners? Research suggests that medical professionals have been resistant to increased consumer leadership within mental health services. The findings of the present study emphasise the value that can be brought to service organisations by consumer leaders, suggesting that mental health practitioners may reconsider their approach and attitudes towards consumer leadership in the sector.


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