From Telepsychiatry to eMental Health–Experiences and Prospects in Europe

What started with telepsychiatry (videoconference) has been turned into e-Mental Health (eMH) due to rapid development of IT technology, decreased prices and increased user experiences. Access to mental health care is one of the identified problems within EU mental health services. Increased migration into and within EU cause the increased demands for clinicians with selected skills. Telepsychiatry is the oldest and most common eMH application. The first international telepsychiatry collaboration established between Sweden and Denmark back in 2006 was a success. This model might be used as collaboration prototype while speaking about current refugee crisis in Europe and treatment of mentally ill migrants. The experiences from this pioneer international transcultural telepsychiatry service in combination with various eMH applications may be used as an inspiration for conducting of larger international eMH service capable to provide mental health care toward diversity of patient populations underserved on their mother tongue within EU.eMH applications could improve quality of care and access to mental health care in rural, remote and under-served as well as in metropolitan areas all around EU.Disclosure of interestThe author declares that he has no competing interest.

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Reducing Seclusion and Restraint in Mental Health Care: A European Challenge

European Psychiatry ◽

10.1016/s0924-9338(09)70235-4 ◽

2009 ◽

Vol 24 (S1) ◽

pp. 1-1 ◽

Cited By ~ 2

Author(s):

T. Steinert

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Mentally Ill ◽

Physical Restraint ◽

European Countries ◽

Psychiatric Institutions ◽

History Of ◽

Degrading Treatment

The discussion on the use of coercive interventions such as seclusion and restraint accompanies the history of psychiatry from its beginning. It is the oldest and still topical issue of psychiatric institutions. Nowadays, the political growing together of Europe puts questions of common ethical standards on the agenda. The quality of psychiatric care and particularly the use of freedom-restricting coercive measures for mentally ill people are a challenge for modern civilized societies. There is a wide variety in the use of coercive interventions in different European countries in the past and the presence. An important supra-national institution dealing with the issue of coercive interventions in mental health care is the CPT (Committee for the Prevention of Inhumane or degrading Treatment or Punishment). Available data on the use of coercive interventions in different countries were found by literature review. The percentage of admissions exposed to seclusion or restraint varies from zero (Iceland) to 35% (Austria). The median duration of a coercive measure varies from 15 minutes (physical restraint, UK) to 16 days (seclusion, Netherlands). Recently, in several European countries (Finland, Germany, Netherlands, Norway, Switzerland, UK) initiatives have emerged to reduce seclusion and restraint. Obstacles for decreasing coercion in clinical psychiatry are discussed, suggestions for action are given.

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Implementation of EPA Guidance - One Way for All Countries?

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.090 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S12-S13

Author(s):

M.M. Carrasco

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Teaching And Learning ◽

Health Care Policy ◽

Mental Health Policy ◽

The Body ◽

Written Information ◽

Competing Interest

The European Psychiatric Association (EPA) guidance project launched in 2008 has the aim of providing European psychiatry with guidance in topics, which are relevant for European mental health care. Guidance from a European perspective can be favorable against the background of a growing sense of Europe and the desirable associated harmonization on all levels of health care policy.More precisely, the mission of the EPA guidance is defined as ‘to improve quality of mental health care in Europe by disseminating written information based on best evidence and psychiatric practice, to facilitate countries learning from each other’.In consonance with this need of a wider multinational perspective of European psychiatry, EPA adopted in 2012 through a deep change of its statutes a new membership structure that allows National Psychiatric Societies/Associations (NPAs) in Europe the possibility to become full members of EPA. Up to 40 NPAs corresponding to 37 countries and representing over 80.000 psychiatrists have responded positively to the offer and are now part of the Council of National Psychiatric Societies, the body within EPA that integrates them.The Council of NPAs has become, in this way, a forum for its members to meet, discuss and work on issues concerning European psychiatry. One of the major issues is about the implementation of European guidance in mental health policy, teaching and learning psychiatry, best clinical practice in different areas, and quality indicators. This presentation provides further details on how participating societies could put these policies and recommendations into practice.Disclosure of interestThe author has not supplied his declaration of competing interest.

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Psychosocial Rehabilitation as the Most Important Direction of Mental Health Care Targeting Social Recovery of Mentally Ill

Congress on mental health meeting the needs of the XXI century ◽

10.22343/mental-health-congress-compendium316-317 ◽

2016 ◽

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Mentally Ill ◽

Psychosocial Rehabilitation ◽

Important Direction ◽

Social Recovery

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Depressions Plural

10.1093/oso/9780198801900.003.0014 ◽

2017 ◽

Author(s):

K W M (Bill) Fulford ◽

David Crepaz-Keay ◽

Giovanni Stanghellini

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Personal Values ◽

The Political ◽

Medical Law ◽

Isaiah Berlin ◽

Political Philosopher

This chapter examines how values influence the heterogeneity of depression. The plurality of values is increasingly significant for contemporary person-centred mental health care with its emphasis on quality of life and development of self-manvnagement skills. Values-based practice is a partner with medical law invn working with the plurality of personal values. The chapter explains what values are, shows how the plurality of values influences the heterogeneity of depression at several levels, and provides an overview of values-based practice. It looks at the resources available for combining values-based practice with medical law in contemporary person-centred care and indicates some of the challenges this raises. It concludes with a brief reflection on these challenges understood as an instance of what the political philosopher Isaiah Berlin called the challenge of pluralism.

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The Quality Mental Health Care Network: A roadmap to improving quality mental healthcare in Canada

Healthcare Management Forum ◽

10.1177/0840470420974713 ◽

2021 ◽

Vol 34 (2) ◽

pp. 100-106

Author(s):

Emily J. Follwell ◽

Siri Chunduri ◽

Claire Samuelson-Kiraly ◽

Nicholas Watters ◽

Jonathan I. Mitchell

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Focus Groups ◽

Lived Experiences ◽

Mental Healthcare ◽

Care Network ◽

Key Informant ◽

Health Care Network

Although there are numerous quality of care frameworks, little attention has been given to the essential concepts that encompass quality mental healthcare. HealthCare CAN and the Mental Health Commission of Canada co-lead the Quality Mental Health Care Network (QMHCN), which has developed a quality mental healthcare framework, building on existing provincial, national, and international frameworks. HealthCare CAN conducted an environmental scan, key informant interviews, and focus groups with individuals with lived experiences to develop the framework. This article outlines the findings from this scan, interviews and focus groups.

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Inpatient Volume and Quality of Mental Health Care Among Patients With Unipolar Depression

Psychiatric Services ◽

10.1176/appi.ps.201700426 ◽

2018 ◽

Vol 69 (7) ◽

pp. 797-803 ◽

Cited By ~ 2

Author(s):

Line Ryberg Rasmussen ◽

Jan Mainz ◽

Mette Jørgensen ◽

Poul Videbech ◽

Søren Paaske Johnsen

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Unipolar Depression

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Improving the quality of mental health care

International Journal for Quality in Health Care ◽

10.1093/intqhc/mzp048 ◽

2009 ◽

Vol 21 (6) ◽

pp. 415-420 ◽

Cited By ~ 7

Author(s):

M. Funk ◽

C. Lund ◽

M. Freeman ◽

N. Drew

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care

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Quality of Mental Health Care in Integrated Veterans Affairs Patient-Centered Medical Homes: a National Observational Study

Journal of General Internal Medicine ◽

10.1007/s11606-019-05310-1 ◽

2019 ◽

Vol 34 (12) ◽

pp. 2700-2701

Author(s):

Lucinda B. Leung ◽

Edward P. Post ◽

Erin Jaske ◽

Kenneth B. Wells ◽

Lisa V. Rubenstein

Keyword(s):

Mental Health ◽

Health Care ◽

Observational Study ◽

Mental Health Care ◽

Veterans Affairs ◽

Patient Centered ◽

Patient Centered Medical Homes ◽

Medical Homes

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Mental health care in Italy: Basaglia’s ashes in the wind of the crisis of the last decade

International Journal of Social Psychiatry ◽

10.1177/0020764020908620 ◽

2020 ◽

Vol 66 (4) ◽

pp. 321-330 ◽

Cited By ~ 2

Author(s):

Mauro G Carta ◽

Matthias C Angermeyer ◽

Anita Holzinger

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Psychiatric Hospitals ◽

Scientific Methods ◽

Italian Experience ◽

Italian Regions ◽

Care Culture ◽

Health Care Culture

Background and Aims: The purpose is to highlight the legal and ethical principles that inspired the reform of mental health care in Italy, the only country to have closed its psychiatric hospitals. The article will also try to verify some macro-indicators of the quality of care and discuss the crisis that the mental health care system in Italy is experiencing. Methods: Narrative review. Results: The principal changes in the legislation on mental health care in Italy assumed an important role in the evolution of morals and common sense of the civil society of that country. We describe three critical points: first, the differences in implementation in the different Italian regions; second, the progressive lack of resources that cannot be totally attributed to the economic crisis and which has compromised application of the law; and finally, the scarce attention given to measurement of change with scientific methods. Conclusion: Italy created a revolutionary approach to mental health care in a historical framework in which it produced impressive cultural expressions in many fields. At that time, people were accustomed to ‘believing and doing’ rather than questioning results and producing research, and this led to underestimating the importance of a scientific approach. With its economic and cultural crisis, Italy has lost creativity as well as interest in mental health, which has been guiltily neglected. Any future humanitarian approach to mental health must take the Italian experience into account, but must not forget that verification is the basis for any transformation in health care culture.

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