The National Mental Health Policy: Implications for Public Psychiatric Services in Australia

1993 ◽  
Vol 27 (2) ◽  
pp. 186-191 ◽  
Author(s):  
Harvey Whiteford ◽  
Bronwyn Macleod ◽  
Elizabeth Leitch

The Health Ministers of all Australian States, Territories and the Commonwealth endorsed National Mental Health Policy in April 1992 [1]. This Policy is intended to set clear direction for the future development of mental health services within Australia. The Policy recognises the high prevalence of mental health problems and mental disorders in the Australian community and the impact of these on consumers, carers, families and society as whole. It also clearly accepts the need to address the problems confronting the promotion of mental health and the provision of mental health services.

2013 ◽  
Vol 2 (1) ◽  
pp. 2-6 ◽  
Author(s):  
KD Upadhaya

Neuropsychiatry conditions account for a significant proportion of the global burden of disease. Significant numbers of people of developing economies of the world often tend to be deprived of quality mental health services and even if they receive them and they tend not be evidence based. In such condition policies on mental health act as guides to render quality mental health services at affordable price to the needy population. The paper presents a review the mental health policy of Nepal-1996 on the basis of the basic objectives outlined by the policy and also tries to analyze whether those objectives have been attained as of date. The focus on four major aspect of the policy document i.e. access and availability to basic mental health services, development of required manpower, protection of fundamental human rights of mentally ill, improve awareness about mental health, mental disorders, and the promotion of mentally healthy life styles. DOI: http://dx.doi.org/10.3126/jpan.v2i1.8567 J Psychiatrists’ Association of Nepal Vol .2, No.1, 2013 2-6


2009 ◽  
Vol 48 (174) ◽  
pp. 185-90 ◽  
Author(s):  
Arun Jha ◽  
S R Adhikari

It has been over a decade since the government of Nepal adopted the National Mental Health Policy (NMHP) in 1997. This article analyses the current provision of fragmented mental health services in Nepal through case scenarios from Jumla innorthwest and Janakpur in southeast Nepal, criticises the proposed mental health Act, discusses the reasons why the NMHP has not been implemented and suggests future models of delivering mental health services in the wider community. Absence of a mental health section within the department of health, insuffi cient budget, chronic shortage of trained manpower, and unplanned growth of private medical institutions appear to be the issues deserving urgent attention. Setting up specialist psychiatric facilities in all developmental regions or future states, developing community mental health programmes and integration of mental health into general health care are the ways forward to meet the needs and expectations of the new federal Nepal. Key Words: community mental health, national mental health policy, Nepal, psychiatry


2017 ◽  
Vol 41 (S1) ◽  
pp. S568-S568
Author(s):  
C. Aroui ◽  
A. Khoubila ◽  
K. Mchichi Alami ◽  
M. Agoub ◽  
O. Battas ◽  
...  

IntroductionAll over the world, there is global emergency when it comes to respecting human rights in providing good mental health services. Morocco as an African and a developing country has always had a mental health policy defined by several glitches and failures, which had not helped him improve its mental health services quality. Nevertheless, huge improvements were achieved through time.ObjectivesThis report, aims to draw attention on how compulsory it is to think and act all together to promote mental health and provide patients with better health services in Morocco.MethodsThe National Human Rights Council conducted an information and investigation mission in Morocco's main mental health hospitals and facilities between March 27 and July 6, 2012.ResultsStructures are insufficient and inadequate in terms of geographical distribution, architecture and equipment. There is a big shortage of medical and paramedical staff and little interest is given to vulnerable groups. Nevertheless, huge improvements have also been achieved through time with mental health issues becoming a cornerstone of the ministerial program, the involvement of the NGOs, the construction of newer facilities, the implementation of an information gathering system and the presence of a substance use policy.ConclusionPsychiatry in Morocco has come a long way since it was firstly implemented in the country as a medical specialty. Undoubtedly, a lot has been done but much more remains to be achieved. The current situation requires relevant actions and that clearly includes the implementation of a new mental health policy and the update of the legal framework.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2014 ◽  
Vol 18 (1) ◽  
pp. 13-16 ◽  
Author(s):  
Sophie Corlett

Purpose – The Policy Watch series reflects on recent and forthcoming developments in mental health policy across the UK. The purpose of this paper is to review recent developments in mental health policy, specifically the implications and learning for mental health services of recent scandals such as Mid Staffordshire and Winterbourne View and the various responses to them. Design/methodology/approach – This paper reviews and summarises recent developments in national mental health policy in England and their implications for mental health service provision. Findings – The paper outlines how learning from recent scandals such as Mid Staffordshire and Winterbourne View can be applied in mental health services. Originality/value – The paper updates and discusses recent policy developments in the NHS and their implications for mental health services.


2012 ◽  
Vol 9 (3) ◽  
pp. 58-60 ◽  
Author(s):  
Mohammed Al-Uzri ◽  
Riadh Abed ◽  
Mohammed Abbas

Since 2003 Iraq has experienced significant challenges in reforming and rebuilding its health services. A national mental health survey reported a high level of mental health problems consistent with a country that has experienced widespread violence and trauma. The survey also highlighted limited access to services. This paper outlines developments in and plans for mental health services in Iraq.


2017 ◽  
Vol 41 (S1) ◽  
pp. S337-S338
Author(s):  
S. Jokela ◽  
J. Mäki-Opas

IntroductionEarlier researches have established that migrants with refugee background have increased risk for variety of mental health problems due to often traumatic reasons for leaving their home country, hazardous journey and post-migration adversity. The challenge is that mental health work with refugees is not systematically organized in Finland. PALOMA (developing National mental health policies for refugees 2016-2018) project was launched to answer these challenges. The project is carried out through the combined effort of National institute for health and welfare, The Finnish association for mental health, Helsinki and Kuopio university hospitals, and the municipality of Hämeenlinna. PALOMA Project is founded by the Asylum, migration and integration fund (AMIF).ObjectivesPALOMA project focuses on exploring existing good practices and weaknesses in mental health services in use for refugees. The objectives of the project are to develop a national model for effective mental health services for refugees and implement it nationwide in Finland.AimsThe aim of PALOMA Project is to develop a national model for effective mental health services for refugees in Finland.MethodsPALOMA Project includes three phases: data collection (interviews, literature review, seminars), building the model in expert groups and implementing the model.ResultsAs a result of PALOMA Project, there will be guidelines for professionals working in different levels of administration with refugees in Finland.ConclusionRefugees’ mental health and wellbeing will be improved as a result of better prevention, recognition and appropriate care of mental health problems.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2014 ◽  
Vol 33 (2) ◽  
pp. 121-128 ◽  
Author(s):  
S. A. Shah ◽  
M. Nolan ◽  
M. Ryan ◽  
J. Williams ◽  
D. Fannon

IntroductionThe recovery approach provides a key organising principle underlying mental health policy throughout the English speaking world with endorsement by agencies such as the World Health Organisation. In Ireland, personal recovery is one of the quality markers identified by users of mental health services and has become central to national mental health policy.Aim and objectiveThe aim of this study was to explore the implications for mental health services and professional practice arising from a structured investigation of what personal recovery means for people using specialist mental health services and the extent to which services support their individual recovery.MethodTen service user participants in a service initiative were assessed using a novel measure based on an empirically based conceptual framework of recovery. The INSPIRE determines the level of recovery promoting support received from mental health staff and the quality of the supportive relationship as perceived by individual service users.ResultsA consistent pattern of beliefs about recovery in keeping with national guidelines and the international literature was apparent. All respondents indicated that support by other people was an important part of their recovery with high levels of support received from mental health professionals. There was less consistent endorsement of the quality of relationships with professionals and recovery-oriented practice as perceived by participants.ConclusionThe findings are highly relevant to the development of recovery focused, clinically excellent services. Further work is needed to improve the process of translating recovery guidance into mental health practice.


2011 ◽  
Vol 26 (S2) ◽  
pp. 588-588
Author(s):  
M. Xavier ◽  
P. Mateus ◽  
J. Caldas-Almeida

IntroductionAnalysis of the mental health system in Portugal reveals some positive aspects in its development through recent decades, namely in what concerns the creation of decentralised services and rehabilitation programs. Despite this, Portuguese mental health services (MHS) still suffer from significant deficiencies, in terms of accessibility, equity and quality of care. There is a large gap between the number of people affected with mental disorders and those receiving treatment: for an estimated prevalence of 16.07%, the number of people receiving treatment in MHS was estimated to be 1.7%.ObjectivesThe major objectives of the new National Mental Health Plan are:1)Assure equal access to care,2)Promote and protect human rights3)Reduce the impact of mental health disorders4)Promote community delivery of care,5)Promote the integration of MHS in the general health services.MethodsA National Coordination Body for Mental Health has been empowered to assure the implementation of the National Mental Health Plan, with external monitoring by WHO.ResultsSince the last three years, there has been significant changes and improvements at the following levels: new legislation, creation of new MHS, forensic services, financing model, residential facilities (long term care), deinstitutionalization, training, programs for homeless people, domestic violence, advocacy and stigma.ConclusionsThe implementation of the mental health plan can help to overcome some of the problems present in MHS in Portugal. Special attention should be given to the financing model, has it represents a crucial restraint to the development of the MHS.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Rahvy ◽  
A Habsy ◽  
I Ridlo

Abstract Mental health has become one of the biggest challenges in the world. But in most of developing countries, including Indonesia, mental health issue has not been prioritized, compared to infectious diseases. This paper will describe the implementation of mental health policy in Indonesia and its challenges, as other developing countries may also learn about ways to deal with it. Mental health policies and regulations implementation in Indonesia are still followed by wide gap, related to its coverage and humanity problems. This paper is a literature review which examines implementation of Mental Health Law and its alignment with UHC and humanity in Indonesia since policies applied. Researches about mental health policy and economic impact of it in other countries are included, and evidences as reasons policy should be evaluated are provided. This research is aimed to explain reasons and ways government can strengthen mental health policy. Results showed Mental Health Law (2014) implementation in Indonesia had not been effective enough. Riskesdas, a national health survey conducted by Ministry of Health, found 14% of families who did confinement, with 31.5% did it in the last 3 months. WHO data in 2017 showed psychiatrist rate 0.31, mental health nurses rate 2.52, and social workers rate 0.17 (all per 100.000 population) confirming the lack of mental health resources in Indonesia. DALYs reached 2,463.29 per 100.000 population and suicide mortality rate 3.4 with no strategy related to suicide prevention found. Mental health is an important part of the complete state of health. Government should integrate mental health services into community-based services as a way to ensure universal coverage of mental health services. This will work as bottom-up empowerment, and it will solve problems of resources and stigma that obstruct the success of mental health program in Indonesia. This also supports family as caretaker of patients and reduce the possibility of relapse. Key messages Mental health can not be considered only as a peripheral issue in Indonesia, as it may also affect other aspects of society such as social and economy. Government should reform policy and regulation of mental health in order to achieve the complete state of health.


2002 ◽  
Vol 25 (3) ◽  
pp. 91 ◽  
Author(s):  
Margaret Tobin ◽  
Luxin Chen ◽  
Colleen Leathley

Contemporary health policy dictates that health services have a demonstrable consumer focus and actively progress the issue of consumer participation in services. Given that costs of such initiatives are not insignificant, there is a responsibility to ensure that the resources are being directed to appropriate means, and are achieving worthwhile results. In examining the impact and effectiveness of consumer participation initiatives in their own Service, the authors undertook a qualitative study exploring the extent and quality of consumer participation following a three-year period of support and funding. Using trained consumers as interviewers, current consumers were asked about their perceptions and personal experience of "participation". Findings identified low familiarity and involvement with the concept of consumer participation overall. Barriers to involvement included lack of motivation or invitation, stigma, and a lack of information. A need to integrate consumer participation activities into the wider system was also noted. The authors conclude that simply devoting energy and resources to consumer initiatives, and thereby achieving a politically correct approach, may not be a worthwhile exercise. Such initiatives need to be based on evidence, available resources and identifiable and achievable outcomes, with a balance struck between endorsing the value of consumer participation and establishing realistic goals for what can be offered and managed.


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