scholarly journals 18.L. Workshop: Public mental health policies - experiences and challenges

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Policy ◽  
Participatory Research ◽  
Policy Development ◽  
Mental Health Policy ◽  
Public Mental Health ◽  
Health Policies ◽  
National Mental Health ◽  
Mental Health Policies

Abstract The workshop has the aim to help developing and strengthening policies for Public Mental Health and support experience sharing platform for Public Mental Health policy development. Mental health policy defines the vision for the future mental health of the national population and internationally. The WHOs developed three recommendations for the development of mental health policy, strategic plans and for organizing services which are to deinstitutionalise mental health care; to integrate mental health into general health care; and to develop community mental health services. For each this aim a situational analysis and needs assessment is recommended as first step. Therefore, this workshop consists of four talks in the development of mental health policies at the regional and national level. First, the process of population consultations and participatory research is described (Felix Sisenop). Participatory research enables exchanging experiences, results and key challenges in Public Mental Health. Participatory research can contribute greatly in empowering people to discuss and deal with mental health issues and therefore is a step towards a more involved and active general public. Second, a policy development at the regional level is described (Elvira Mauz). On behalf of the federal ministry of health the Robert Koch Institute as the German public health institute is currently developing a concept for a national Mental Health Surveillance (MHS). In the talk objectives, framework model and work processes are presented. The MHS should systematically gather, process and analyze primary and secondary data, thus an integrating and monitoring system is working. Third, the Public Mental Health policy in Malta will be described (John Cachia) Over the last 7 years CMH Malta developed a strategic framework for the mental health with the input of patients, families, service providers, NGOs and civil society. The Maltese National Mental Health Strategy 2020-2030 was published in July 2019. This strategy will be described in the Talk. Fourth presenter (Ignas Rubikas) will introduce the national perspective on development of Lithuanian mental health policy addressing major public mental health challenges of suicide prevention, alcohol control policies and mental health promotion in a broader context of national mental health care. Key messages Participatory research in Public Mental Health is an approach to involve the population in policy development. Development of mental health policies can benefit from sharing experiences and lessons learned on a national and regional levels.

Leadership in Mental Health Policy: The National Context

2005 ◽  
Vol 13 (1) ◽  
pp. 21-26 ◽  
Author(s):  
Harvey Whiteford
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Mental Health Professionals ◽  
Policy Development ◽  
Mental Health Policy ◽  
Policy Cycle ◽  
Review Of The Literature ◽  
Political Decision ◽  
Public Policy Analysis ◽  
National Mental Health

Objective: To describe how mental health policy is developed and implemented. Methods: A review of the literature on public policy analysis and the experience of the author in the development and implementation of national mental health policy. Results: A five-step process of problem identification, policy development, political decision, policy implementation and evaluation provides a framework for understanding the policy cycle. Conclusion: An understanding of this process is essential for psychiatrists and other mental health professionals in order to influence the process and content of mental health policy.

scholarly journals Mental health law in Nepal

2021 ◽  
pp. 1-3
Author(s):  
Rakesh Singh ◽  
Seema Khadka
Keyword(s):  
Mental Health ◽  
Action Plan ◽  
Mental Health Policy ◽  
Health Policies ◽  
Mental Health Needs ◽  
Strategic Action ◽  
Effective Implementation ◽  
The Past ◽  
National Mental Health ◽  
Mental Health Policies

During the past three decades Nepal has gone through series of reforms to address the mental health needs of the Nepalese population by promulgation of an exclusive National Mental Health Policy and related Strategic Action Plan. Small but significant improvements have been achieved in Nepal with regard to mental health policies and plans. This article discusses the evolution of mental health policies in Nepal and analyses the challenges to be overcome for their effective implementation.

Mental health care user participation in mental health policy development and implementation in South Africa

2010 ◽  
Vol 22 (6) ◽  
pp. 568-577 ◽  
Author(s):  
Sharon Kleintjes ◽  
Crick Lund ◽  
Leslie Swartz ◽  
Alan Flisher ◽  
The MHaPP Research Programme Consor
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Health Care ◽  
Health Policy ◽  
Mental Health Care ◽  
Policy Development ◽  
Mental Health Policy ◽  
User Participation

Can Research Influence Mental Health Policy?

2001 ◽  
Vol 35 (4) ◽  
pp. 428-434 ◽  
Author(s):  
Harvey Whiteford
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Policy Implementation ◽  
Policy Analysis ◽  
Policy Development ◽  
Mental Health Policy ◽  
Political Decision ◽  
Public Policy Analysis ◽  
National Mental Health ◽  
Made In

Objective: This paper describes the processes involved in policy development and implementation with examples of how this can be influenced by the outcomes of research. Method: The author draws on his experience in the development and implementation of Australia's National Mental Health Policy and on the literature describing public policy analysis. Results: A five-step process of problem identification, policy development, political decision, policy implementation and evaluation is described. This process identifies how issues are considered, adopted and implemented by governments. Conclusion: An understanding of this process can inform mechanisms by which scientific research can impact on the issues considered and the decisions made in each step of policy analysis and development.

The history of mental health policy in Turkey: tradition, transition and transformation

2020 ◽  
pp. 0957154X2096617
Author(s):  
Merve Kardelen Bilir ◽  
Fatih Artvinli
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Health Services ◽  
Mental Health Policy ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Health Policies ◽  
Community Based ◽  
History Of ◽  
Mental Health Policies

This article offers a brief history and the evolution of mental health policy in Turkey. It aims to analyse how mental health policies were transformed and why certain policies were introduced at specific times. The modern history of mental health policy is divided into three periods: the institutionalization of psychiatry and hospital-based mental health services; the introduction of community-based mental healthcare services; and lastly, the policy of deinstitutionalization after the 1980s. These periods have been categorized in a way that basically coincides with Turkey’s modern political history.

scholarly journals Developing a Model to Implement National Mental Health Policy Framework and Integration of Mental Health care into HIV Services at Primary Health Care Settings

2020 ◽  
Author(s):  
Winnie Baphumelele Cele ◽  
Euphemia Mbali Mhlongo
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Policy ◽  
Primary Health Care ◽  
Mental Health Policy ◽  
Health Conditions ◽  
Policy Framework ◽  
Mental Health Conditions ◽  
Primary Health ◽  
National Mental Health

Abstract BackgroundPeople living with HIV are at a notably increased risk of developing mental health conditions or may precede the HIV infection, such as depression and anxiety, which partially arise from having to adjust, not only to the diagnosis, but coming to terms with living with a chronic, infectious illness, may also be due to direct infection of the brain by the HIV. Mental health conditions have been reported to be common in people living with HIV (PLWH). Research has shown that the chances of PLWH experiencing mental health disorder is very high. This is not far from the fact that there exists a link between mental health conditions in HIV patients with neurotoxic effect of HIV patient’s central nervous system. The incorporation of mental health services into other medical services at primary health care level is found on epidemiologic data, which shows that psychiatric conditions are over-represented in primary health care. MethodsThis study was informed by mixed methods, participatory action research and made use of quantitative (self-administered questionnaire) and qualitative (in-depth interviews and focus group discussions) data collection tools. The study was conducted in three district level hospitals that offered primary and comprehensive care for HIV (initiation and ART management) and mental health conditions in the eThekwini district of KwaZulu-Natal, South Africa. Inclusion criteria was observed throughout the process of data collection. There were face to face interviews that were conducted with the research team. Only registered nurses, doctors, psychologists, and experts in both areas of interest, had a qualification in general nursing and in mental health nursing, medical doctors that had specialized in mental health, and those specialized in HIV were included in this study. ResultsIt was evident that there were no existing models which adequately addressed how the national mental health policy framework can be successfully implemented towards integrating mental health into HIV services at primary health care settings. ConclusionHealth care providers have limited awareness of the national mental health policy framework as well as the processes involved in its implementation.

Non-governmental organizations as key partners in mental health in Europe

2014 ◽  
Vol 11 (01) ◽  
pp. 27-34 ◽  
Author(s):  
A. E. Baumann
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Policy Development ◽  
Mental Health Problems ◽  
Action Plan ◽  
Mental Health Policy ◽  
Governmental Organizations ◽  
Non Governmental Organizations ◽  
Health Action ◽  
Health Action Plan

SummaryThe shift towards a rights-based approach to health which has taken place over the past decade has strengthened the role of civil society and their organizations in raising and claiming the entitlements of different social groups. It has become obvious that non-governmental organizations (NGOs) are central to any successful multi-stakeholder partnership, and they have become more recognized as key actors in health policy and programme development and implementation. There is a broad spectrum of NGOs active in the area of mental health in Europe which aim to empower people with mental health problems and their families, give them a voice in health policy development and implementation and in service design and delivery, to raise awareness and fight stigma and discrimination, and foster implementation of obligations set by internationally agreed mental health policy documents. With the endorsement of the Mental Health Action Plan 2013-2020 (20) and the European Mental Health Action Plan (19) stakeholders agree to strengthen capacity of service user and family advocacy groups and to secure their participation as partners in activities for mental health promotion, disorder prevention and improving mental health services.

scholarly journals Mental health policy issues and development in Lithuania

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
I R Rubikas
Keyword(s):  
Mental Health ◽  
Alcohol Consumption ◽  
Mental Health Policy ◽  
Well Being ◽  
Health Impact ◽  
Health Policies ◽  
Social And Emotional ◽  
Suicide Rates ◽  
Mental Health Policies ◽  
The Eu

Abstract Background Lithuanian has experienced rapid and relatively successful transition to capitalism and transatlantic-Western values and practices in recent decades. Suicide and legal alcohol consumption rates remain the highest in the EU and OECD, and Lithuania's Positive emotions index score has been consistently amongst the 10 lowest in the world in recent years. Emigration rate is the highest in the EU and OECD, social inequality is amongst the highest in the same groups. Despite a relatively strong economy these changes are not automatically transferred to better social and emotional well-being. Methods This unconventional situation calls for strong and unconventional policy responses in the area of mental health, amongst others. Health impact assessment using theory-based approach and desk research. Results Recent attempts include strategic reorientation towards social and emotional well-being, stronger focus on prevention and promotion and primary care, intensifying efforts to reduce suicide rates, and implementation of strong regulatory measures to reduce alcohol use. Suicide rates have been declining since 2013 but remain high. Effort is made to implement best practices in media reporting, recognition and providing appropriate help for those in suicide crisis, expanding prevention efforts. Conclusions Finally, WHOs “best buys” in alcohol control were implemented since 2017, including steep increases in excise taxes, ban on alcohol advertisement, increase of allowed age, reducing alcohol trading hours and others. This resulted in the steepest decline of legal alcohol consumption in decades. The chosen policy route may be called iterative policy-making, whereby improvements are made along the way, which allows for quicker policy decisions and results. Key messages Mental health policies need to be based on the socio-political context of the specific country. Smaller countries such as Lithuania might benefit form flexible approaches to mental health policies.

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