The EPA Guidance Project: Guidance for Mental Healthcare in Europe

2015 ◽  
Vol 12 (01) ◽  
pp. 5-11
Author(s):  
I. Großimlinghaus ◽  
J. Zielasek ◽  
W. Gaebel
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Graduate Training ◽  
Action Plan ◽  
Stakeholder Involvement ◽  
Mental Healthcare ◽  
World Health ◽  
Post Graduate Training ◽  
Health Organization

Summary Background: The development of guidelines is an important and common method to assure and improve quality in mental healthcare in European countries. While guidelines have to fulfill predefined criteria such as methodological accuracy of evidence retrieval and assessment, and stakeholder involvement, the development of guidance was not standardized yet. Aim: In 2008, the European Psychiatric Association (EPA) initiated the EPA Guidance project in order to provide guidance in the field of European psychiatry and related fields for topics that are not dealt with by guideline developers – for instance due to lack of evidence or lack of funding. The first three series of EPA Guidance deal with diverse topics that are relevant to European mental healthcare, such as quality assurance for mental health services, post-graduate training in mental healthcare, trust in mental health services and mental health promotion. Results: EPA Guidance recommendations address current and future challenges for European psychiatry. They are developed in accordance with the World Health Organization (WHO) European Mental Health Action Plan.

scholarly journals Reform of mental health services in Eastern Europe and former Soviet republics: progress and challenges since 2005

2018 ◽  
Vol 16 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Matt Muijen ◽  
Andrew McCulloch
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Good Practice ◽  
Mental Healthcare ◽  
Models Of Care ◽  
World Health ◽  
The Status ◽  
Policy Statements ◽  
Health Organization

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?

scholarly journals The new Ghana mental health bill

2011 ◽  
Vol 8 (1) ◽  
pp. 8-9 ◽  
Author(s):  
Akwasi O. Osei ◽  
Mark Roberts ◽  
Jim Crabb
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Disorder ◽  
World Health Organization ◽  
Communicable Disease ◽  
Mental Healthcare ◽  
Psychiatric Hospitals ◽  
World Health ◽  
Health Organization

In Ghana, the main burden of ill-health, as in many sub-Saharan countries, consists of communicable disease, illnesses due to inadequate nutrition and poor reproductive health. As these conditions are tackled, other diseases, such as mental disorders and substance misuse, are also becoming the focus of development efforts. In Ghana, it has been estimated that there are 2166 000 individuals experiencing a mild to moderate mental disorder, with a further 650000 suffering from a severe mental disorder, out of a population of 21.6 million (World Health Organization, 2007). In 2003, the country's mental health workforce consisted of 9 psychiatrists (only 4 of whom worked in mental health services), 451 nurses and 160 community psychiatric nurses (World Health Organization, 2003). Currently there are just 5 consultant psychiatrists in active service in the public sector and 11 retired psychiatrists. As just under 33 000 individuals are seen each year in Ghana by mental health services, there is an estimated treatment gap of 98% (World Health Organization, 2007). Most mental healthcare is undertaken at the three large psychiatric hospitals, in the south of the country. This is reflected in the ratio of out-patient attendance to admission, which is 4.64 for mental health, compared with 14.6 for all health conditions (Ghana Health Service, 2005).

scholarly journals Scaling up in Europe: learning from diversity

2012 ◽  
Vol 9 (4) ◽  
pp. 81-83
Author(s):  
Matt Muijen
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
World Health Organization ◽  
Action Plan ◽  
Scaling Up ◽  
World Health ◽  
World Health Report ◽  
The World ◽  
Health Organization

Over the past decade, attention has increasingly focused on the need to increase the capacity of mental health services. The World Health Report 2001 – Mental Health: New Understanding, New Hope (World Health Organization, 2001) set the agenda, advocating the development of community-based mental health services. The case for scaling up, inspired by the World Health Organization's vision of ‘no health without mental health’, was powerfully argued first in the Lancet series in 2007 (Prince et al, 2007) and again in the Lancet in 2011 (Eaton et al, 2011). The forthcoming Global Mental Health Action Plan, requested in a resolution by member states of the World Health Organization at the 2012 World Health Assembly, is a great opportunity to formulate objectives and targets for countries, and to analyse experiences from around the world. The forthcoming European Action Plan builds on this, customising actions for European countries.

scholarly journals Improving access to mental healthcare for displaced Syrians: case studies from Syria, Iraq and Turkey

2016 ◽  
Vol 13 (4) ◽  
pp. 84-86 ◽  
Author(s):  
P. Hughes ◽  
Z. Hijazi ◽  
K. Saeed
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Primary Healthcare ◽  
Unmet Need ◽  
Mental Healthcare ◽  
Integrated Approach ◽  
World Health ◽  
Case Examples ◽  
Displaced People

The conflict in Syria has led to an unprecedented humanitarian crisis that extends across multiple countries in the area. Mental health services were undeveloped before and now face huge strain and unmet need. The World Health Organization and others have developed a programme to build capacity in the delivery of mental health services in an integrated healthcare package to refugees and displaced people. The tool used for this is the mhGAP Intervention Guide and complementary materials. In this paper we refer to training in Turkey, Iraq and Syria where health professionals were trained to roll out this community-based integrated approach through primary healthcare. We describe field case examples that show the complexity of situations that face refugees, displaced people and those caught in active conflict. Training improved the knowledge and skills for managing mental health disorders in primary healthcare. Further work needs to be done to demonstrate greater access to and utilisation of services, client outcomes and organisational change with this approach.

scholarly journals Development and piloting of a plan for integrating mental health in primary care in Sehore district, Madhya Pradesh, India

2016 ◽  
Vol 208 (s56) ◽  
pp. s13-s20 ◽  
Author(s):  
Rahul Shidhaye ◽  
Sanjay Shrivastava ◽  
Vaibhav Murhar ◽  
Sandesh Samudre ◽  
Shalini Ahuja ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Disorders ◽  
Action Plan ◽  
Mental Healthcare ◽  
Theory Of Change ◽  
World Health ◽  
Care Workers ◽  
Care Models ◽  
Health Organization

BackgroundThe large treatment gap for mental disorders in India underlines the need for integration of mental health in primary care.AimsTo operationalise the delivery of the World Health Organization Mental Health Gap Action Plan interventions for priority mental disorders and to design an integrated mental healthcare plan (MHCP) comprising packages of care for primary healthcare in one district.MethodMixed methods were used including theory of change workshops, qualitative research to develop the MHCP and piloting of specific packages of care in a single facility.ResultsThe MHCP comprises three enabling packages: programme management, capacity building and community mobilisation; and four service delivery packages: awareness for mental disorders, identification, treatment and recovery. Challenges were encountered in training primary care workers to improve identification and treatment.ConclusionsThere are a number of challenges to integrating mental health into primary care, which can be addressed through the injection of new resources and collaborative care models.

scholarly journals What factors are associated with the presence of mental health legislation? A cross-national study

2008 ◽  
Vol 5 (3) ◽  
pp. 69-71 ◽  
Author(s):  
Ajit Shah ◽  
Chris Heginbotham
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
World Health Organization ◽  
World Health ◽  
National Study ◽  
World Health Report ◽  
Health Report ◽  
National Implementation ◽  
Health Organization

The World Health Report 2001, dedicated to mental health, identified several important factors for improving mental health services (World Health Organization, 2001): the policy and legislative framework; community mental health services; provision of mental healthcare within primary care; human resources; public education; links with other sectors; and monitoring and research. Moreover, national mental health policies and national implementation programmes for these policies are vital for the improvement of mental health services (World Health Organization, 2004; Jacob et al, 2007).

scholarly journals Good Practices in Mental Health

1989 ◽  
Vol 13 (4) ◽  
pp. 191-192
Author(s):  
Judy Renshaw
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
World Health ◽  
World Federation ◽  
Good Practices ◽  
Good Mental Health ◽  
The World ◽  
Set Up ◽  
Health Organization

Good Practices in Mental Health (GPMH) is a national charity set up to disseminate information about local mental health services which are found to work well. Its general aim is to promote and assist the development of good mental health services. By providing an exchange of information about effective services in both hospitals and the community, GPMH encourages others to build on what is already proving successful. GPMH developed from a survey of mental health in big cities carried out by the International Hospital Federation (IHF) and was set up in 1977 with the support of the IHF, MIND and the King's Fund. It has the backing of all the major professional organisations concerned with mental health in the United Kingdom, the World Health Organization and the World Federation for Mental Health internationally. It is now funded mainly by the DHSS; some funding comes from the London Boroughs Grants Committee and charitable sources. There are three units within the organisation: information, development and evaluation.

scholarly journals Psychometric properties of the Five‐item World Health Organization Well‐being Index used in mental health services: Protocol for a systematic review

2020 ◽  
Vol 76 (9) ◽  
pp. 2426-2433
Author(s):  
Mariela L. Lara‐Cabrera ◽  
Stål Bjørkly ◽  
Carlos De las Cuevas ◽  
Sindre Andre Pedersen ◽  
Ingunn Pernille Mundal
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Mental Health Services ◽  
Health Services ◽  
Psychometric Properties ◽  
World Health Organization ◽  
Well Being ◽  
World Health ◽  
Health Organization

scholarly journals Depression: International intervention for a global problem

2004 ◽  
Vol 184 (5) ◽  
pp. 379-380 ◽  
Author(s):  
Mike. J. Crawford
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
World Health Organization ◽  
Sub Saharan Africa ◽  
World Health ◽  
The World ◽  
Health Related ◽  
Sub Saharan ◽  
Health Organization

Since 1948 the World Health Organization has had the challenging task of trying to achieve ‘the attainment by all peoples of the highest possible level of health’ (World Health Organization, 1946). A central part of this work has involved assessing the extent of health-related problems in different parts of the world and advocating for the implementation of effective strategies to address these problems. For many years the World Health Organization has expressed concerns about the relatively low level of funding assigned to mental health services in many countries. Estimates based on data collected in 2000 show that in most of sub-Saharan Africa and South-East Asia there are fewer than one mental health nurse and one psychiatrist per 100 000 people (World Health Organization, 2001). Two papers produced with the support of the World Health Organization and published in this issue of the Journal strengthen the argument for additional funding for mental health services. In the first paper, üstün and colleagues (2004, this issue) summarise data on the relative impact of common health-related problems in different regions of the world, and in an accompanying paper Chisholm and others (2004, this issue) estimate the cost-effectiveness of different interventions for depression in these different areas.

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