scholarly journals Evidence-based mental health policy

2020 ◽  
pp. 405-424
Author(s):  
Valentina Iemmi ◽  
Nicole Votruba ◽  
Graham Thornicroft
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Research Evidence ◽  
Mental Health Policy ◽  
Historical Context ◽  
Healthcare Facility ◽  
Evidence Based ◽  
Policy Cycle ◽  
Facility Level ◽  
Use Of Research

This chapter describes evidence-based mental health policy with the help of illustrative examples. After briefly setting the use of research evidence to inform mental health policy within the broader historical context, the second section of the chapter provides a brief description of evidence-based mental health policy and its rationale. The third section illustrates how mental health research may help inform mental health policy, with a description of the research cycle, the policy cycle, their relationship, and the use of epidemiological studies for policymaking. The fourth section provides examples of the use of research evidence in mental health policy at different organizational levels, from the clinical level (micro-level), through the service provision/healthcare facility level (meso-level) and the whole health system level (macro-level), to the global level (mega-level). Finally, the chapter concludes by reflecting on some of the opportunities and challenges that influence evidence-based mental health policy.

scholarly journals A Third Wave, Not a Third Way? New Labour, Human Rights and Mental Health in Historical Context

2009 ◽  
Vol 8 (2) ◽  
pp. 215-230 ◽  
Author(s):  
Mick Carpenter
Keyword(s):  
Mental Health ◽  
Human Rights ◽  
Health Policy ◽  
World War Ii ◽  
Mental Health Policy ◽  
Historical Context ◽  
New Labour ◽  
Third Wave ◽  
Third Way ◽  
Historically Situated

This historically situated, UK-based review of New Labour's human rights and mental health policy following the 1998 Human Rights Act (HRA) and 2007 Mental Health Act (MHA), draws on Klug's identification of three waves of human rights. These occurred around the American and French Revolutions, after World War II, and following the collapse of state communism in 1989, and the article assesses impacts on mental health policy up to and including the New Labour era. It critiques current equality and rights frameworks in mental health and indicates how they might be brought into closer alignment with third wave principles.

scholarly journals Evidence-based mental health policy: Acritical appraisal

2003 ◽  
Vol 183 (2) ◽  
pp. 105-113 ◽  
Author(s):  
Brian Cooper
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Policy ◽  
Health Planning ◽  
Mental Health Policy ◽  
Evidence Base ◽  
Service Evaluation ◽  
Current Evidence ◽  
Evidence Based ◽  
Evidence Based Health Care

BackgroundArguments for and against evidence-based psychiatry have mostly centred on its value for clinical practice and teaching. Now, however, use of the same paradigm in evaluating health care has generated new problems.AimsTo outline the development of evidence-based health care; to summarise the main critiques of this approach; to review the evidence now beingemployed to evaluate mental health care; and to consider how the evidence base might be improved.MethodThe following sources were monitored: pub ications on evidence-based psychiatry and health care since 1990; reports of randomised trials and meta-analytic reviews to the end of 2002; and official British publications on mental health policy.ResultsAlthough evidence-based health care is now being promulgated as a rational basis for mental health planning in Britain, its contributions to service evaluation have been distinctly modest. Only 10% of clinical trials and meta-analyses have been focused on effectiveness of services, and many reviews proved inconclusive.ConclusionsThe current evidence-based approach is overly reliant on meta-analytic reviews, and is more applicable to specific treatments than to the care agencies that control theirdelivery. A much broader evidence base is called for, extending to studies in primary health care and the evaluation of preventive techniques.

scholarly journals Policymaking through a knowledge lens: Using the embodied-enacted-inscribed knowledge framework to illuminate the transfer of knowledge in a mental health policy consultation process – A South African case study

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0244940
Author(s):  
Debra Leigh Marais ◽  
Inge Petersen ◽  
Michael Quayle
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Mental Health Policy ◽  
Experiential Knowledge ◽  
Evidence Based ◽  
Transfer Of Knowledge ◽  
Consultation Process ◽  
Knowledge Framework ◽  
What Works ◽  
Use Of Knowledge

Background Marrying principles of evidence-based policymaking, with its focus on what works, with principles of consultative policymaking, with its focus on what works for whom, means finding ways to integrate multiple knowledge inputs into policy decisions. Viewed through the lens of the embodied-enacted-inscribed knowledge framework, policy consultation is a site of knowledge enactment, where the embodied knowledge enacted by individuals engages with the inscribed knowledge contained in policy documents, creating new forms of embodied and inscribed knowledge that move beyond these spaces. Aim Using this knowledge framework, this study aimed to trace the movement of knowledge inputs through South Africa’s mental health policy consultation summit. Methods Breakaway group session transcripts from the national consultation summit were thematically analysed to identify the types of knowledge that participants explicitly drew on (experiential or evidence-based) during discussions and how these knowledge inputs were used, responded to, and captured. Findings Findings suggest that there was little explicit reference to either evidence-based or experiential knowledge in most of the talk. While slightly more evidence-based than experiential knowledge claims were made, this did not render these claims any more likely to be responded to or engaged with in group discussions, or to be inscribed in group recommendations. Discussion The importance of designing participatory processes that enable optimal use of knowledge inputs in these enacted spaces is discussed. Conclusion Attending to the specific ways in which knowledge is transformed and moved through a policy consultation process has the potential to enhance the value that consultation offers policymakers.

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.

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