Psychiatric Diagnosis and Mental Health Care in Korea

1994 ◽  
pp. 241-249
Author(s):  
Bou-Yong Rhi
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Psychiatric Diagnosis

Race, Psychiatric Diagnosis, and Mental Health Care Utilization in Older Patients

2000 ◽  
Vol 8 (4) ◽  
pp. 301-309 ◽  
Author(s):  
Helen C. Kales ◽  
Frederic C. Blow ◽  
C. Raymond Bingham ◽  
Jeffrey Scott Roberts ◽  
Laurel A. Copeland ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Utilization ◽  
Mental Health Care ◽  
Psychiatric Diagnosis ◽  
Older Patients ◽  
Care Utilization ◽  
Mental Health Care Utilization

scholarly journals Person-centred medicine and mental health

2012 ◽  
Vol 21 (2) ◽  
pp. 131-137 ◽  
Author(s):  
L. Salvador-Carulla ◽  
J. E. Mezzich
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Status ◽  
Mental Health Care ◽  
Psychiatric Diagnosis ◽  
Personalised Medicine ◽  
Integrated Approach ◽  
Good Health ◽  
Current Status ◽  
Medical Evaluation

This paper discusses an integrated approach to person-centred medicine and its role in the future of mental health care. The origins and current status of this emerging field are revised with special attention to the contributions made from psychiatry and to the implications for psychiatric diagnosis and evaluation of the three pillars of the Person-centred Integrative Diagnosis (PID) model: its conceptual domains (health status, experiences and contributors to ill and good health), the related evaluative procedures, the partnerships needed and the existing links and differences with people-centred care and personalised medicine. In spite of their striking complementarities person-centred medicine and personalised medicine do not yet have substantial bridges built between them. Knowledge transfer and coordination should be established between these two models which will cast medical evaluation and care in the upcoming future.

Rereading Rosenhan

2017 ◽  
Vol 28 (1) ◽  
pp. 38-50
Author(s):  
Ian Cummins
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Psychiatric Diagnosis ◽  
Institutional Care ◽  
Care Needs ◽  
Current Crisis ◽  
A Value ◽  
Psychiatric Institutions ◽  
The 1960S

Rosenhan’s pseudopatient experiment is one of the most famous psychological studies or experiments that has ever been conducted. The experiment took place at the end of a period in the 1960s which saw the intellectual base of psychiatry and psychiatric institutions challenged. There were two parts of the experiment. The first looked at the process of the psychiatric diagnosis; the second examined the experience of patients’ on the wards. Rosenhan argued that psychiatric diagnosis is not consistently reliable and it has to be viewed as situationally and culturally specific. This is the finding that is most consistently highlighted from the work. However, this article argues that the other elements to Rosenhan’s challenge to institutionalized psychiatric care—that diagnosis is a label that shapes subsequent perceptions of behavior and that psychiatric institutions are depersonalizing—have often been overlooked. Given the current crisis in mental health-care provision, it is argued that this critique of institutional care needs to be revisited. There is a danger that failings in current mental health provision will lead to calls for a shift in the focus toward institutionalized provision of care. The lessons of Rosenhan can be used not only to counter this but also as a basis for a value-informed approach to the provision of institutionalized mental health care.

Perceived need for mental health care, findings from the Australian National Survey of Mental Health and Well-being

2000 ◽  
Vol 30 (3) ◽  
pp. 645-656 ◽  
Author(s):  
G. MEADOWS ◽  
P. BURGESS ◽  
E. FOSSEY ◽  
C. HARVEY
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Psychiatric Diagnosis ◽  
Service Use ◽  
Well Being ◽  
Need For Care ◽  
Australian Population ◽  
Perceived Need ◽  
Health And Well Being

Background. The Australian National Survey of Mental Health and Well-being was designed to detect and describe psychiatric morbidity, associated disability, service use and perceived need for care. The survey employed a single-phase interview methodology, delivering a field questionnaire to a clustered probability sample of 10641 Australians. Perceived need was sampled with an instrument designed for this survey, the Perceived Need for Care Questionnaire (PNCQ). This questionnaire gathers information about five categories of perceived need, assigning each to one of four levels of perceived need. Reliability and validity studies showed satisfactory performance of the instrument.Methods. Perceived need for mental health care in the Australian population has been analysed using PNCQ data, relating this to diagnostic and service utilization data from the above survey.Results. The survey findings indicate that an estimated 13·8% of the Australian population have perceived need for mental health care. Those who met interview criteria for a psychiatric diagnosis and also expressed perceived need make up 9·9% of the population. An estimated 11·0% of the population are cases of untreated prevalence, a minority (3·6% of the population) of whom expressed perceived need for mental health care. Among persons using services, those without a psychiatric diagnosis based on interview criteria (4·4% of the population), showed high levels of perceived met need.Conclusions. The overall rate of perceived need found by this methodology lies between those found in the USA and Canada. The findings suggest that service use in the absence of diagnosis elicited by survey questionnaires may often represent successful intervention. In the survey, untreated prevalence was commonly not accompanied by perceived need for mental health care.

A Tribute to the Late William J. Curran

1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
United Nations ◽  
Mental Health Care ◽  
Harvard University ◽  
Legal Medicine ◽  
General Assembly ◽  
International Institute ◽  
University Professor

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.

Handbook of Person-Centered Mental Health Care

2020 ◽  
Author(s):  
Nosheen Akhtar ◽  
Cheryl Forchuk ◽  
Katherine McKay ◽  
Sandra Fisman ◽  
Abraham Rudnick
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care

Psychometric Properties of the German Version of the Scale to Assess the Therapeutic Relationship in Community Mental Health Care (D-STAR)

2012 ◽  
Vol 28 (4) ◽  
pp. 255-261 ◽  
Author(s):  
Sabine Loos ◽  
Reinhold Kilian ◽  
Thomas Becker ◽  
Birgit Janssen ◽  
Harald Freyberger ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Community Mental Health ◽  
Mental Health Care ◽  
Psychometric Properties ◽  
Therapeutic Relationship ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Community Mental Health Care ◽  
German Version

Objective: There are presently no instruments available in German language to assess the therapeutic relationship in psychiatric care. This study validates the German version of the Scale to Assess the Therapeutic Relationship in Community Mental Health Care (D-STAR). Method: 460 persons with severe mental illness and 154 clinicians who had participated in a multicenter RCT testing a discharge planning intervention completed the D-STAR. Psychometric properties were established via item analysis, analyses of missing values, internal consistency, and confirmatory factor analysis. Furthermore, convergent validity was scrutinized via calculating correlations of the D-STAR scales with two measures of treatment satisfaction. Results: As in the original English version, fit indices of a 3-factor model of the therapeutic relationship were only moderate. However, the feasibility and internal consistency of the D-STAR was good, and correlations with other measures suggested reasonable convergent validity. Conclusions: The psychometric properties of the D-STAR are acceptable. Its use can be recommended in German-speaking countries to assess the therapeutic relationship in both routine care and research.

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