Mental health reforms in Eastern Europe

2001 ◽  
Vol 104 ◽  
pp. 21-26 ◽  
Author(s):  
T. Tomov
Keyword(s):  
Mental Health ◽  
Eastern Europe ◽  
Health Reforms ◽  
Mental Health Reforms

Mental Health Reforms in Europe: Challenges of Postgraduate Psychiatric Training in Europe: A Trainee Perspective

2010 ◽  
Vol 61 (9) ◽  
pp. 862-864 ◽  
Author(s):  
Alexander Nawka ◽  
Martina Rojnic Kuzman ◽  
Domenico Giacco ◽  
Amit Malik
Keyword(s):  
Mental Health ◽  
Psychiatric Training ◽  
Health Reforms ◽  
Mental Health Reforms

scholarly journals Perceptions of Community Involvement in the Peruvian Mental Health Reform Process Among Clinicians and Policy-Makers: A Qualitative Study

2019 ◽  
Vol 8 (12) ◽  
pp. 711-722
Author(s):  
Jose A. Arriola-Vigo ◽  
Jeffrey G. Stovall ◽  
Troy D. Moon ◽  
Carolyn M. Audet ◽  
Francisco Diez-Canseco
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Community Engagement ◽  
Community Involvement ◽  
Full Time ◽  
Model Of Care ◽  
Policy Makers ◽  
New Model ◽  
Health Reforms ◽  
Mental Health Reforms

Background: The global burden of mental health conditions has led to the implementation of new models of care for persons with mental illness. Recent mental health reforms in Peru include the implementation of a community mental health model (CMHM) that, among its core objectives, aims to provide care in the community through specialized facilities, the community mental health centers (CMHCs). Community involvement is a key component of this model. This study aims to describe perceptions of community engagement activities in the current model of care in three CMHCs and identify barriers and potential solutions to implementation. Methods: A qualitative research study using in-depth semi-structured interviews with clinicians from three CMHCs and with policy-makers involved in the implementation of the mental health reforms was conducted in two regions of Peru. The interviews, conducted in Spanish, were digitally recorded with consent, transcribed and analyzed using principles of grounded theory applying a framework approach. Community engagement activities are described at different stages of patient care. Results: Twenty-five full-time employees (17 women, 8 men) were interviewed, of which 21 were clinicians (diverse health professions) from CMHCs, and 4 were policy-makers. Interviews elucidated community engagement activities currently being utilized including: (1) employing community mental health workers (CMHWs); (2) home visits; (3) psychosocial clubs; (4) mental health workshops and campaigns; and (5) peer support groups. Inadequate infrastructure and financial resources, lack of knowledge about the CMHM, poorly defined catchment areas, stigma, and inadequate productivity approach were identified as barriers to program implementation. Solutions suggested by participants included increasing knowledge and awareness about mental health and the new model, implementation of peer-training, and improving productivity evaluation and research initiatives. Conclusion: Community engagement activities are being conducted in Peru as part of a new model of care. However, their structure, frequency, and content are perceived by clinicians and policy-makers as highly variable due to a lack of consistent training and resources across CMHCs. Barriers to implementation should be quickly addressed and potential solutions executed, so that scale-up best optimizes the utilization of resources in the implementation process.

Progress in Australia's mental health reforms

1995 ◽  
Vol 163 (9) ◽  
pp. 486-488 ◽  
Author(s):  
Harvey A Whiteford
Keyword(s):  
Mental Health ◽  
Health Reforms ◽  
Mental Health Reforms

Board’s eye view - Mental health reforms

2016 ◽  
Vol 23 (9) ◽  
pp. 11-11
Author(s):  
Mike Parker
Keyword(s):  
Mental Health ◽  
Health Reforms ◽  
Mental Health Reforms

scholarly journals Mental health reforms in Europe

1995 ◽  
Vol 166 (2) ◽  
pp. 262-263
Author(s):  
N. Bouras
Keyword(s):  
Mental Health ◽  
Health Reforms ◽  
Mental Health Reforms

Diagnosis and Serious Mental Illness

1996 ◽  
Vol 30 (4) ◽  
pp. 445-449 ◽  
Author(s):  
Donald C. Grant ◽  
Edwin Harari
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Patient Care ◽  
Serious Mental Illness ◽  
Psychiatric Diagnosis ◽  
Clinical Skills ◽  
Clinical Encounter ◽  
Psychiatric Practice ◽  
Health Reforms ◽  
Mental Health Reforms

We examine some limitations of the psychiatric diagnosis, particularly in the assessment of the seriousness of a patient';;s mental illness. The bureaucratic or technocratic use of the concept ‘serious mental illness’ is contrasted with the perspective of the clinician who provides ongoing patient care. A decline in the clinical skills of psychiatrists is likely if proposed mental health reforms regulate psychiatric practice according to bureaucratic and technocratic definitions of serious mental illness rather than the realities of the clinical encounter between patient and doctor.

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