scholarly journals History of psychiatry in Nepal

2021 ◽  
pp. 1-3
Author(s):  
Rakesh Singh ◽  
Anoop Krishna Gupta ◽  
Babita Singh ◽  
Pragyan Basnet ◽  
S. M. Yasir Arafat
Keyword(s):  
Mental Health ◽  
Rural Areas ◽  
Mental Health Policy ◽  
History Of Psychiatry ◽  
Psychiatric Nurses ◽  
Political Commitment ◽  
Political Events ◽  
History Of ◽  
National Mental Health ◽  
Psychiatric Beds

The history of psychiatry as a discipline in Nepal has been poorly studied. We have attempted to summarise historical landmarks to explore how it began and its evolution over time in relation to contemporary political events. Although Nepal has achieved several milestones, from establishing a psychiatric out-patient department with one psychiatrist in 1961 to having more than 500 psychiatric in-patient beds with 200 psychiatrists by 2020, the pace, commitment and dedication seem to be slower than necessary: the current national mental health policy dates back to 1996 and has not been updated since; there is no Mental Health Act; the number of psychiatric nurses and in-patient psychiatric beds has increased only slowly; and there is a dearth of professional supervision in rehabilitation centres. Thus, despite making significant progress, much more is required, at greater intensity and speed, and with wide collaboration and political commitment in order to improve the mental health of all Nepali citizens, including those living in rural areas and or in deprived conditions.

scholarly journals Analysis of scientific production of mental health researcher and psychiatric nursing specialist meetings

2008 ◽  
Vol 16 (3) ◽  
pp. 471-476 ◽  
Author(s):  
Denize Bouttelet Munari ◽  
Nunila Ferreira de Oliveira ◽  
Toyoko Saeki ◽  
Maria Conceição Bernardo deMello e Souza
Keyword(s):  
Mental Health ◽  
Mental Health Policy ◽  
Psychiatric Nursing ◽  
Health Researcher ◽  
History Of ◽  
National Mental Health ◽  
College Of Nursing ◽  
Mental Health Researcher ◽  
The University ◽  
Analysis Protocol

This literature review was organized on the basis of the Annals of Mental Health Researcher and Psychiatric Nursing Specialists Meetings promoted by the University of São Paulo at Ribeirão Preto College of Nursing. It aimed to describe the history of these events, investigating the scenario and trends through the reading of texts published in these documents. All annals available from 1990 to 2004 were analyzed and read, based on an analysis protocol. The results showed that the published texts reflect the historical momentum of each national mental health policy movement in Brazil, indicating contradictions and advances. The conclusion is that the events provided a privileged forum to discuss and exchange experiences about the future of psychiatric nursing and mental health care, teaching and research in Brazil.

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.

Innovation in Mental Health Policy; Community Mental Health in the United States of America, 1965–1980

1983 ◽  
Vol 1 (4) ◽  
pp. 447-468 ◽  
Author(s):  
C J Smith
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Policy ◽  
Community Mental Health ◽  
United States Of America ◽  
Reagan Administration ◽  
Mental Health Policy ◽  
The United States ◽  
National Mental Health ◽  
Mental Health Centers

The Community Méntal Health Centers (CMHC) legislation in the early 1960s was the first real attempt at a national mental health policy in the United States of America. Federal funding was made available for the establishment of 1500 centers across the country. The goal was to provide access to quality mental health care for all US citizens by 1980. As a result of prolonged criticisms, the legislation was repealed by the incoming Reagan Administration in the early 1980s, In this paper, the twenty-year lifespan of this ‘innovation’ in mental health policy is reviewed and an evaluation of some of its most pervasive criticisms are presented.

Mental health policy in Greece: Implications into practice in the era of economic crisis

2011 ◽  
Vol 26 (S2) ◽  
pp. 539-539 ◽  
Author(s):  
I. Grammatikopoulos ◽  
S. Koupidis ◽  
E. Petelos ◽  
P. Theodorakis
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Policy ◽  
Mental Health Care ◽  
Economic Crisis ◽  
Rural Areas ◽  
Care Delivery ◽  
Mental Health Policy ◽  
Regional Distribution ◽  
Health Care Facilities

IntroductionBudgets allocated for mental health make up a relatively small proportion of total health expenditures, although there is an increasing burden of mental disorders.ObjectivesTo review the mental health situation in Greece with regards to mental health policy through review of relevant literature.AimsTo explore the basic implications of the economic crisis from a health policy perspective, reporting constraints and opportunities.MethodsA narrative review in PubMed/Medline along with a hand search in selected Greek biomedical journals was undertaken, relevant to mental health policy.ResultsGreece is among the OECD countries with high health expenditure as a percentage of Gross Domestic Product (9.7% of GDP in 2008) but it doesn’t have a specified budget for mental health and is mostly depended in out-of-pocket expenditure (48%). The system is plagued by problems, including geographical inequalities, overcentralization, bureaucratic management and poor incentives in the public sector. The lack of cost-effectiveness and the informal payments comprise a major source of inequity and inefficiency. Uneven regional distribution of psychiatrists exists and rural areas are mostly uncovered by mental health care facilities, as well as extramural mental health units and rehabilitation places, despite the current reorganization of the whole mental health care delivery system.ConclusionsThe core problem with mental health services in Greece is the shrinking budget with poor financial administration consistent with inadequate implementation of mental health policy. A clear authority with defined responsibility for overall mental health policy and budgetary matters is needed.

No gold medals: Assessing Australia’s international mental health performance

2018 ◽  
Vol 27 (1) ◽  
pp. 36-40 ◽  
Author(s):  
Sebastian Rosenberg ◽  
Ian Hickie
Keyword(s):  
Mental Health ◽  
Social Context ◽  
First Nations ◽  
System Performance ◽  
Mental Health Policy ◽  
Health System Performance ◽  
International Benchmarking ◽  
Health Performance ◽  
New Strategy ◽  
National Mental Health

Objective: The objective of this study was to present an assessment of Australia’s mental health system performance, within its social context, by comparison with other countries. Method: A review of existing literature and databases from both Australia and overseas was undertaken. Systems permitting international comparison of mental health and its social context are few. The review is limited in scope. Results: Although Australia was one of the first nations to develop and adopt a national mental health policy (in 1992), the data that are available suggest that we are not World leaders across the identified domains. Conclusions: While international benchmarking can play an important role in fostering quality improvement, there are only limited mental health or social system performance data sources to utilise. It would be desirable for a more systematic international process to be established to review existing approaches and design a new multilateral strategy. It would be important that this new strategy reflected the full experience of mental health and its broader social context.

scholarly journals Knowledge of managers on the National Mental Health Policy

2020 ◽  
Vol 73 (1) ◽  
Author(s):  
Rafaella Leite Fernandes ◽  
Francisco Arnoldo Nunes de Miranda ◽  
Kalyane Kelly Duarte de Oliveira ◽  
Clara Tavares Rangel ◽  
Danyella Augusto Rosendo da Silva Costa ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Mental Health Policy ◽  
Psychosocial Care ◽  
Structured Interview ◽  
Policy And Practice ◽  
Care Network ◽  
Public Managers ◽  
National Mental Health ◽  
Service Managers

ABSTRACT Objective: Identify the knowledge of mental health service managers about the national mental health policy. Method: This is a qualitative study conducted with 20 coordinators, who were submitted to a structured interview. Data were categorized in a thematic analysis using ALCESTE software. Results: The results produced the following categories: Back to society: protagonism and autonomy of patients; Interprofessional team: assignments and activities; Structuring of a psychosocial care network; Challenges affecting the service; Distance between policy and practice. Final Considerations: Public managers demonstrated they are aware of the key concepts for effective structuring of a psychosocial care network based on patient protagonism and autonomy, the assignments and activities performed by interprofessional teams, and the challenges found while structuring a psychosocial care network.

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