Psychiatric remuneration systems in Europe: an overview

2011 ◽  
Vol 08 (01) ◽  
pp. 09-15
Author(s):  
D. McDaid
Keyword(s):  
Mental Health ◽  
The Netherlands ◽  
Mental Health System ◽  
Psychiatric Care ◽  
Financial Instability ◽  
Service Utilisation ◽  
Service Users ◽  
Mental Health Systems ◽  
Adequate Information ◽  
Recent Developments

SummaryNew forms of psychiatric remuneration linked to levels of activity undoubtedly will have an increasing role to play in mental health systems right across Europe. Potentially they can be more efficient and promote choice, but valid concerns have been raised about their impact on the sustainability and nature of psychiatric care. This article looks in particular at recent developments in England and the Netherlands and reflects on how remuneration mechanisms may need to develop further both to improve efficiency and quality within the context of an ever more fragmented and multi-sectoral mental health system. Any introduction of activity- based reimbursement should be introduced gradually. This should be accompanied by investment in adequate information systems to help better understand service utilisation patterns, transitional funding safeguards to reduce the risk of financial instability and incentives/ contractual measures to ensure that services strive to offer services of the highest possible quality that meet the needs of service users.

scholarly journals Trends in mental health system transformation: Integrating youth services within the Canadian context

2019 ◽  
Vol 32 (2) ◽  
pp. 51-55 ◽  
Author(s):  
Tanya Halsall ◽  
Ian Manion ◽  
Srividya N. Iyer ◽  
Steve Mathias ◽  
Rosemary Purcell ◽  
...  
Keyword(s):  
Mental Health ◽  
Health System ◽  
Mental Health System ◽  
Developmentally Appropriate ◽  
Well Being ◽  
Youth Services ◽  
System Transformation ◽  
Mental Health Systems ◽  
Recent Developments ◽  
International Knowledge

The current mental health services system in Canada is fragmented and transitions between the youth and adult mental health systems have been identified as needing significant improvement. Integrated Youth Services (IYS) are designed to be adaptable and developmentally appropriate as well as to promote seamless transitions, including during emerging adulthood. This article provides an overview of recent developments in Canadian mental health system transformation to promote the integration of services and the holistic promotion of youth well-being. We offer an overview of the current state of knowledge related to best practices in IYS in Canada and highlight areas for future development. We also introduce Frayme, a Canadian-based international knowledge translation platform designed to connect organizations working in the youth services system to accelerate the implementation of IYS.

Sociodemographic profile and mental health needs of referrals to an Irish psychiatric service: a transcultural perspective

2011 ◽  
Vol 28 (3) ◽  
pp. 141-144 ◽  
Author(s):  
Mohamed Ahmed ◽  
Brendan Dineen ◽  
Sinead O'Brien ◽  
Philip A Carney
Keyword(s):  
Mental Health ◽  
Service Utilization ◽  
Psychiatric Care ◽  
Psychiatric Service ◽  
Mental Healthcare ◽  
Alcohol Problems ◽  
Health Needs ◽  
Service Utilisation ◽  
Service Users ◽  
Mental Health Needs

AbstractObjectives: This study describes the social, demographic and clinical characteristics of all the new referrals in a mental health catchment area. This study aims to compare Irish and non-Irish service users in terms of their mental health needs and service utilization.Method: Case notes were reviewed retrospectively to investigate demographic, clinical and service utilization parameters among new referrals to the psychiatric services in Galway, Ireland over a six-month period.Results: One hundred and fifty-four new referrals, of whom 41 were non-Irish, presented over a six-month period. Results showed no difference between Irish and non-Irish service users in terms of socio-demographic variables. Alcohol problems and subsequent need for detoxification and counselling were significantly higher among service users from the new EU accession states with a significant impact on the duration of their hospital stay and the need for intensive psychiatric care.Conclusions: There is an urgent need for enhanced resources for the delivery of mental healthcare to immigrants. Service utilisation and mental health needs are not explained merely by illness-related aspects in immigrant service users. Social and cultural factors have to be recognised in order to prevent disadvantages in psychiatric care.

Accessibility and pathways to psychiatric care in a community-based mental health system

2001 ◽  
Vol 36 (10) ◽  
pp. 500-507 ◽  
Author(s):  
F. Amaddeo ◽  
F. Zambello ◽  
M. Tansella ◽  
G. Thornicroft
Keyword(s):  
Mental Health ◽  
Health System ◽  
Mental Health System ◽  
Psychiatric Care ◽  
Community Based

scholarly journals Service user and caregiver involvement in mental health system strengthening in low- and middle-income countries: a cross-country qualitative study

2017 ◽  
Vol 27 (1) ◽  
pp. 29-39 ◽  
Author(s):  
H. Lempp ◽  
S. Abayneh ◽  
D. Gurung ◽  
L. Kola ◽  
J. Abdulmalik ◽  
...  
Keyword(s):  
Mental Health ◽  
Health System ◽  
Mental Health System ◽  
Service User ◽  
Health System Strengthening ◽  
Service Users ◽  
Middle Income ◽  
Middle Income Countries ◽  
Cross Country ◽  
Caregiver Involvement

Aims.The aims of this paper are to: (i) explore the experiences of involvement of mental health service users, their caregivers, mental health centre heads and policy makers in mental health system strengthening in three low- and middle-income countries (LMICs) (Ethiopia, Nepal and Nigeria); (ii) analyse the potential benefits and barriers of such involvement; and (iii) identify strategies required to achieve greater service user and caregiver participation.Methods.A cross-country qualitative study was conducted, interviewing 83 stakeholders of mental health services.Results.Our analysis showed that service user and caregiver involvement in the health system strengthening process was an alien concept for most participants. They reported very limited access to direct participation. Stigma and poverty were described as the main barriers for involvement. Several strategies were identified by participants to overcome existing hurdles to facilitate service user and caregiver involvement in the mental health system strengthening process, such as support to access treatment, mental health promotion and empowerment of service users. This study suggests that capacity building for service users, and strengthening of user groups would equip them to contribute meaningfully to policy development from informed perspectives.Conclusion.Involvement of service users and their caregivers in mental health decision-making is still in its infancy in LMICs. Effective strategies are required to overcome existing barriers, for example making funding more widely available for Ph.D. studies in participatory research with service users and caregivers to develop, implement and evaluate approaches to involvement that are locally and culturally acceptable in LMICs.

Values-Based Assessment in Mental Health

2015 ◽  
Author(s):  
K. W. M. Fulford ◽  
Lu Duhig ◽  
Julie Hankin ◽  
Joanna Hicks ◽  
Justine Keeble
Keyword(s):  
Mental Health ◽  
Health Assessment ◽  
Empirical Work ◽  
Value Theory ◽  
Service Users ◽  
Health Practice ◽  
Mental Health Assessment ◽  
Recent Developments ◽  
Multidisciplinary Teamwork

This chapter describes philosophical and empirical work underpinning recent developments in values-based mental health assessment culminating in the 3 Keys to a Shared Approach, a UK-based project co-produced between service users and providers. Three aspects of values-based mental health assessment are described: person-centered, multidisciplinary, or strengths-based assessment. The central role of values in person-centered assessment is shown through the story of a real (biographically disguised) person and the interpretation of his story drawing on diagnostic manuals such as the DSM. Philosophical value theory suggests that values in psychiatric diagnosis reflect the diversity of our values as unique individuals. This diversity is addressed by values-based practice. The contribution of multidisciplinary teamwork to values-based assessment is then outlined as derived from the Models Project. Finally, the 3 Keys Project is described, concluding by pointing to the wider significance of the Project for mental health practice as a whole.

Challenges to the Modernist Identity of Psychiatry

2013 ◽  
Author(s):  
Pat Bracken ◽  
Philip Thomas
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health System ◽  
Service User ◽  
Mental Distress ◽  
Service Users ◽  
Doctor Who ◽  
The Gaze ◽  
The Past ◽  
The World

This chapter argues that the modernist agenda, currently dominant in mainstream psychiatry, serves as a disempowering force for service users. By structuring the world of mental health according to a technological logic, this agenda is usually seen as promoting a liberation from "myths" about mental illness that led to stigma and oppression in the past. However, it is argued that this approach systematically separates mental distress from background contextual issues and sidelines non-technological aspects of mental health such as relationships, values, and meanings. This move privileges the gaze of the expert doctor who is trained to understand distress in terms of psychopathology. But, as this move empowers the doctor, it disempowers the service user. In part this is because the priorities of modernist psychiatry are generally at odds with the interests and concerns of services users, particularly those who see themselves as survivors of the mental health system. The chapter examines the implications of this for the psychiatrist's role in working with survivors towards recovery.

Mental health system and services in Albania

2006 ◽  
Vol 15 (3) ◽  
pp. 194-201 ◽  
Author(s):  
Dévora Keste ◽  
Ledia Lazer ◽  
Neli Demi ◽  
Santino Severoni ◽  
Antonio Lora ◽  
...  
Keyword(s):  
Mental Health ◽  
Health System ◽  
Mental Health System ◽  
Mental Health Policy ◽  
Health Information System ◽  
Assessment Instrument ◽  
World Health ◽  
Mental Health Systems ◽  
Middle Income ◽  
Essential Information

SUMMARYAims — To describe the mental health system in Albania. Methods — Data were gathered in 2003 and in 2004 using a new WHO instrument, World Health Organization Assessment Instrument for Mental health Systems (WHO-AIMS), designed for collecting essential information on the mental health system of low and middle income countries. It consists of 6 domains, 28 facets and 156 items. Results — The information collected through WHO AIMS covered the key aspects of mental health system in Albania: the mental health policy and the legislative framework, the network of mental health services and the characteristics of the users, the role of the primary health care, the human resources, the public education and the links with other governmental sectors, monitoring and research. Conclusions — The data collection through WHO AIMS represented a needed step for a better in-depth knowledge of the system and for implementing actions to strengthen the system. Examples of planned actions were the improvement of the mental health component in primary care, a clear shift of resources from mental hospitals to community facilities, an increase of the outpatient care and an expansion of the mental health information system.Declaration of Interest: none.

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