Planning Mental Health Services: I. Background and Key Issues*

1992 ◽  
Vol 37 (3) ◽  
pp. 199-206 ◽  
Author(s):  
Donald Wasylenki ◽  
Paula Goering ◽  
Eric Macnaughton
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
General Hospital ◽  
Health Planning ◽  
Community Support ◽  
Psychiatric Hospitals ◽  
Co Morbidity ◽  
Psychiatric Units ◽  
Key Issues

Planning mental health services is a complex task requiring an understanding of background developments and key issues related to mental health services. In Canada, the deinstitutionalization of patients attempted to shift the locus of care from provincial psychiatric hospitals to general hospital psychiatric units. This resulted in the isolation of provincial psychiatric hospitals, general hospital psychiatric units and community mental health programs, with little overall accountability for the services provided — three solitudes. To move toward the creation of responsible, integrated systems a number of issues must be addressed: target population(s); the roles of provincial psychiatric and general hospitals; community support services; continuity of care; co-morbidity; consumerism; and methods of integration. In the development of a comprehensive mental health plan, each issue should be recognized and decisions made which are in keeping with current knowledge. A companion report will survey Canadian initiatives in mental health planning and discuss approaches to many of the issues identified.

Planning Mental Health Services: II. Current Canadian Initiatives*

1992 ◽  
Vol 37 (4) ◽  
pp. 259-263 ◽  
Author(s):  
Paula Goering ◽  
Donald Wasylenki ◽  
Eric Macnaughton
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Health Planning ◽  
Significant Progress ◽  
Federal Level ◽  
Key Issues ◽  
The Common ◽  
Recent Policy ◽  
Made In

A brief overview of recent policy developments across Canada and a discussion of the common themes and challenges they address demonstrates the scope of activity in this field. The federal level of mental health planning and a summary of recent of policy developments in each province are described. Significant progress has been made in Canada in the development of mental health services since deinstitutionalization. Major challenges remain, however, which are being addressed to varying degrees across the country. The challenges related to the key issues of major mental illness, integration and consumerism are illustrated.

A Point Prevalence Study of Outpatients and Inpatients in the Mental Health Services, General Hospital Psychiatric Units, and under Private Psychiatrists in Perth, Western Australia

1977 ◽  
Vol 11 (1) ◽  
pp. 45-51 ◽  
Author(s):  
P. W. Burvill ◽  
R. A. Finlay-Jones
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
General Hospital ◽  
Western Australia ◽  
Point Prevalence ◽  
Prevalence Study ◽  
Short Stay ◽  
Point Prevalence Study ◽  
Psychiatric Units

A one day point prevalence study of all inpatients and a one week point prevalence study of all outpatients seen by psychiatrists in Perth, Western Australia, was conducted. On the census day in July 1971, 61 per cent of all psychiatric inpatients in Perth were long-stay patients. Of the short-stay patients 75 per cent were in Mental Health Services hospitals, 17 per cent were in general hospital psychiatric units and 8 per cent were under private psychiatrists. The bed occupancy rate was 129.7 per 100,000 population for the whole State—83.2 longstay and 46.5 short-stay. These rates were low compared with published figures in other countries. The proportions of total outpatients seen during the census week by the Mental Health Services, general hospital units and private psychiatrists were 53.5 per cent, 16.0 per cent and 30.5 per cent respectively. There was a differential use of psychiatric services between immigrants and Australian-born outpatients.

scholarly journals Community mental health services in Malaysia

1992 ◽  
Vol 16 (10) ◽  
pp. 648-650 ◽  
Author(s):  
Mohd. Razali Salleh
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Services ◽  
General Hospital ◽  
Mentally Ill ◽  
Community Mental Health Services ◽  
Psychiatric Units

The need to confine and restrain psychotic patients at the turn of the last century saw the building of a few large asylums which soon became overcrowded with the growth of the population. These asylums were the only service available to the mentally ill until 1959 when the trend to decentralise began with the building of general hospital psychiatric units.

Living Arrangements of Individuals with Schizophrenia in Japan: Impact of Community-Based Mental Health Services

2006 ◽  
Vol 52 (1) ◽  
pp. 55-64 ◽  
Author(s):  
Iwao Oshima ◽  
Eri Kuno
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Living Arrangements ◽  
Psychiatric Service ◽  
Community Mental Health Services ◽  
Psychiatric Hospitals ◽  
Community Based ◽  
Age Cohorts ◽  
The Difference

Aims: In Japan psychiatric hospitals and family play the predominant roles in caring for people with serious mental illness. This study explored how the introduction of community-based care has changed this situation by examining living arrangements of individuals with schizophrenia who were treated in one of the most progressive systems in Japan (Kawasaki) compared with national norms. Methods: The proportion of clients with schizophrenia in the community versus hospital and living arrangements for those in the community were compared between the Kawasaki and national treated population, using data from the Kawasaki psychiatric service users survey in 1993 and two national surveys in 1993 and 1983. The variation in living arrangements was examined across five different age cohorts. Results: The estimated national population was 36.7, which was similar to 32.7 clients per 10,000 population in Kawasaki. Some 71% of the Kawasaki clients were treated in the community compared with 55% nationally. The difference between the Kawasaki and national populations was the largest among clients aged 40 to 59. The Kawasaki community clients had a higher proportion of clients living alone. Conclusions: The community mental health services available in Kawasaki appeared to reduce hospitalisation and help clients to live alone in the community.

Integrating Mental Health Services into a General Hospital in Puerto Rico

2013 ◽  
Vol 20 (3) ◽  
pp. 294-301 ◽  
Author(s):  
J. Jiménez ◽  
D. Rivera ◽  
P. Benítez ◽  
H. Tarrats ◽  
A. Ramos
Keyword(s):  
Mental Health ◽  
Puerto Rico ◽  
Mental Health Services ◽  
Health Services ◽  
General Hospital

Male secondary school student's attitudes towards using mental health services

2008 ◽  
Vol 25 (2) ◽  
pp. 52-56 ◽  
Author(s):  
Shane Burke ◽  
Robert Kerr ◽  
Patrick McKeon
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Professionals ◽  
Young Men ◽  
Psychiatric Hospitals ◽  
Barriers To Access ◽  
Student's Attitudes ◽  
Willingness To Use

AbstractObjectives: The rate of suicide among young men is rising. However, young men are reluctant to use mental health services. In this study we explored young men's attitudes towards mental illness and mental health services, as well as their willingness to use these services.Methods: Four focus groups were conducted in two Dublin schools. A total of 18 students participated in the study.Results: Students held negative views towards mental health services, particularly in respect to psychiatric hospitals and medication. Students were not well informed about whom to contact if they had depression and were very conscious about the stigma of going to see a ‘professional’. Many students did not recognise depression as being a mental illness and could not differentiate between depression and feeling sad.Conclusions: This study shows that a lack of knowledge and understanding about mental illness, combined with prejudice against mental health professionals and fear of stigma, are important barriers to access of mental health services for young men.

Referrer satisfaction with services provided at a national and specialist clinic for OCD and related disorders in children and adolescents

2014 ◽  
Vol 2 (2) ◽  
pp. 201
Author(s):  
Doreen Hoerold ◽  
Georgina Krebs ◽  
Cynthia Turner ◽  
Isobel Heyman
Keyword(s):  
Mental Health ◽  
Treatment Outcome ◽  
Mental Health Services ◽  
Health Services ◽  
Outcome Measure ◽  
Satisfaction Questionnaire ◽  
After Care ◽  
Co Morbidity ◽  
Treatment Plans ◽  
Satisfaction With Services

Rationale: Referrer satisfaction is an often-neglected outcome measure in mental health services and can inform service improvements. We examined referrer satisfaction with a specialist OCD service for young people.Method:  An online satisfaction questionnaire, comprising 19 closed and one open-ended question, was sent to 155 referrers of whom 30 (19.4%) responded.Results: Satisfaction was high overall. However, higher levels of satisfaction were noted with respect to treatment plans as compared to treatment outcome. Referrers also made recommendations for service improvements, such as increased communication during treatment, recommendations for after-care, managing co-morbidity and improving patient engagement.Conclusions: Referrer satisfaction may be improved by addressing these aspects of the service.

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