The Royal Medico-Psychological Association's Memoranda on the Report of the Committee on Local Authority and Allied Personal Social Services (The Seebohm Report)

1969 ◽  
Vol 115 (522) ◽  
pp. 605-611 ◽  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Social Services ◽  
Hospital Care ◽  
Local Authority ◽  
Green Paper ◽  
Related Services ◽  
Mentally Disordered ◽  
Wide Range ◽  
Effective Development

The Royal Medico-Psychological Association has given its general support to the unification implied in the Green Paper on the Administrative Structure of the Medical and Related Services in England and Wales. This document specifically states that ‘the effective development of comprehensive services for them (categories including the mentally disordered) requires that all aspects of their health care should be the responsibility of a single authority’. In our Memorandum on this subject we stated ‘we accept the need for a single authority in each area to coordinate the wide range of health services, to plan the use of related services, and to apportion resources between care in the community and hospital care’.

scholarly journals Use of an integrated Atlas of Mental Health Care for evidence informed policy in Catalonia (Spain)

2014 ◽  
Vol 24 (6) ◽  
pp. 512-524 ◽  
Author(s):  
A. Fernandez ◽  
J. A. Salinas-Perez ◽  
M. R. Gutierrez-Colosia ◽  
B. Prat-Pubill ◽  
A Serrano-Blanco ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Social Services ◽  
Rural Areas ◽  
Temporal Stability ◽  
Term Care ◽  
Related Services ◽  
Policy Makers ◽  
Perceived Relevance ◽  
Provision Of Care

Background.This paper aims to present the Integrated Atlas of Mental Health of Catalonia (2010) focusing on: (a) the importance of using a taxonomy-based coding and standard system of data collection when assessing health services; and (b) its relevance as a tool for evidence-informed policy.Method.This study maps all the care-related services for people with mental disorders available in Catalonia in 2010, using the ‘Description and Evaluation of Services and Directories in Europe for long-term care’ (DESDE-LTC). The unit of analysis is the Basic Stable Input of Care (BSIC), which is the minimal organisation unit composed by a set of inputs with temporal stability. We presented data on: (a) availability of BSICs and their capacity; (b) the adequacy of the provision of care, taking into account availability and accessibility; (c) the evolution of BSCIs from 2002 to 2010; and (d) the perceived relevance of Atlas of Mental Health as a tool for evidence-informed policy.Results.We identified a total of 639 BSICs. A lack of Health services was detected in highly rural areas, although there was moderate availability of Social Services. Overall, more than 80% of the small mental health areas in Catalonia had an adequate core mental health service. Since 2002 the availability of mental health services has increased. Decision makers found the Atlas a useful and relevant tool for evidence informed policy.Conclusions.Policy makers can use Atlases to detect gaps and inequities in the provision of care for people with mental health needs.

Healthcare delivery for women in prison: a medical record review

2016 ◽  
Vol 22 (6) ◽  
pp. 523 ◽  
Author(s):  
Penelope Abbott ◽  
Parker Magin ◽  
Wendy Hu
Keyword(s):  
Health Care ◽  
Health Services ◽  
Medical Record ◽  
Healthcare Delivery ◽  
High Risk Group ◽  
Health Needs ◽  
Medical Record Review ◽  
Wide Range ◽  
Women In Prison ◽  
Record Review

When women come into prison, many have unmet health needs. In this study we examine the health care provided to women in prison and their identified health needs, and discuss opportunities for improved healthcare delivery. We undertook a medical record review of women released from a minimum 6-week period of incarceration in New South Wales correctional centres between May 2013 and January 2014. Records from 231 periods of incarceration were reviewed. At reception, 52% of women were identified as having anxiety or depression. Hearing health was not documented despite 30% of records being of women from an Aboriginal and Torres Strait Islander background, a high-risk group for whom hearing screening is recommended. Most women had multiple in-prison clinical contacts, including interactions with general and specialised nurses (97%), general practitioners (65%) and psychiatrists (35%). At release, 49% were on psychotropic medication and most required ongoing management for: mental health (71%), substance misuse (65%) and physical health (61%) problems. External specialist appointments were pending in 7% at release. Health management plans generated in prison were not always completed before release for reasons including custodial factors and waits for hospital-based appointments. Provision of effective health care in prison requires improved integration with community health services, including timely access to a wide range of health services while women are in prison, and continuity of care at release.

scholarly journals Workshop: Health workforce meets HSR: Tackling regional inequalities in health service provision

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Services ◽  
Health Workforce ◽  
Health Care Professionals ◽  
Rural Areas ◽  
Hospital Care ◽  
Health Service Provision ◽  
Care Practices ◽  
Do So

Abstract Background Many countries across Europe are facing considerable challenges in providing accessible and high quality care regardless of where people live. A major element is the difficulty that countries face to attract and retain health care professionals to work in remote and rural areas. This applies to primary care services as well as to hospital care, and to the care provided by physicians and other health professionals, including nurses. A widely shared question is therefore how to safeguard access to health care in rural areas and to solve recruitment and retention problems in such regions, both of medical and nursing staff. The workshop will build on last year’s joint workshop of the Sections on HSR and HWR that ended with questions related to how to organize accessible and equitable health services including the workforces required to do so. Objectives This workshop will provide a snapshot of studies from across the European region, with a particular focus on differences between rural and urban health care practices and the types of solutions being used to reduce regional disparities in provision of care. This often refers to retention and recruitment strategies, but the session will also address other types of solutions in the organization of care that can help ensure accessible care, including in vulnerable regions and settings. Tackling this challenge will therefore require a joint approach, tapping into experience from health workforce research as well as wider health services research, bringing together research into the organization and management of healthcare and into the health human resources providing this care, operated from different angles and being informed by different research traditions and data sources. Based on statements, we will discuss the topic of how to organize accessible and equitable health services including the workforces required to do so after the presentations. Key messages Workforce policies should focus on retaining primary care workforce in rural areas and integrated policies should attract new primary care practices. Both in primary care and hospital care new solutions are being sought which should help resolve regional differences in access to care and attractiveness for the health workforce.

Mental health services in Germany

1992 ◽  
Vol 16 (01) ◽  
pp. 40-42 ◽  
Author(s):  
Christine M. Tyrie
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
West Germany ◽  
Wide Range ◽  
Professional Workers

On a recent study trip I was able to examine approaches to health care, in particular, mental health services in what was West Germany. I visited a range of facilities and met a wide range of professional workers.

scholarly journals Spatial Analysis of the Availability of Health and Social Services for People with Special Needs

2021 ◽  
Vol 4 (1) ◽  
pp. 442-452
Author(s):  
Patrycja Kabiesz ◽  
Joanna Bartnicka
Keyword(s):  
Health Care ◽  
Spatial Analysis ◽  
Health Services ◽  
Social Services ◽  
Human Resource ◽  
Quantitative Research ◽  
Resource Constraints ◽  
Service Availability ◽  
Health And Social Services ◽  
Qualitative And Quantitative

Abstract The health care system should offer and provide a variety of services without undue delay. Due to numerous technical, financial and human resource constraints, not all services can be offered both without restrictions and in equal measure in places of different sizes of residence. As a result of qualitative and quantitative research, a map of accessibility to social and health services was drawn up, taking into consideration the division of the country into voivodeships with different population. Spatial analysis showed great diversity in terms of service availability. Voivodships with the highest accessibility of health and social services are Dolnośląskie, Opolskie and Świętokrzyskie, while the worst situation is in Wielkopolskie. Moreover, the article identifies the main problems that people with limited functionality encounter when using health and social services.

scholarly journals Mental health and human rights: Challenges for health services and communities

2021 ◽  
Vol 17 ◽  
pp. e3488
Author(s):  
Rosana Onocko-Campos ◽  
Larry Davidson ◽  
Manuel Desviat
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Human Rights ◽  
Health Services ◽  
Social Services ◽  
Mental Health Problems ◽  
Community Action ◽  
Present Moment ◽  
Health And Human Rights ◽  
Health And Social Services

The care of people with mental health problems requires health system and service reforms to build up proper mental health care. The challenges of the present moment continue to be immense. The viral pandemic that we are experiencing has exposed the fragility of our health and social services and certified the inequality and precariousness of the living conditions of many people. The collection of articles published in the journal Salud Colectiva as part of the open call for papers “Mental health and human rights: challenges for health services and communities,” includes articles from Spain, Brazil, Mexico, and Chile. These papers present conceptual experiences and reflections on community action plans and programs, contributing toward better knowledge and development of mental health in the region.

scholarly journals Les Déterminants De L’accès Aux Services De Santé À Grand Bassam

2018 ◽  
Vol 14 (6) ◽  
pp. 124
Author(s):  
Maï Gilles-Harold Wilfried ◽  
Aloko-N’guessan Jérôme ◽  
Essan Kodia Valentin
Keyword(s):  
Health Care ◽  
Health Services ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Cost Of Care ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Access To Health ◽  
Wide Range ◽  
The City

State of complete physical, mental and social well-being, health is fundamental for man. Yet global figures for access to health are alarming. According to Gijs (2011) 2.5 billion people in the world do not have access to basic health care. In Côte d'Ivoire, the State has made population access a priority. Thus, sanitary infrastructures were built and equipped (PNDS, 2016). However, the problem of access to health services remains. The city of GrandBassam, located in the south-east of Côte d'Ivoire, has a wide range of health structures. Yet there are still people who still do not have access to health care. According to the RASS (2015), 25% of the population of Grand-Bassam still does not use health services. The purpose of this article is to identify the determinants of the access of the population of Grand-Bassam to health services. The methodological approach adopted to conduct this study took into account a bibliographic synthesis and the administration of a questionnaire. This study shows that perception of distance, income of head of household, perception of cost of care, household size, educational level, and age of households are the factors that determine access health services in the city of Grand-Bassam.

scholarly journals Silencing of Voice: An Act of Structural Violence Urban Aboriginal Women Speak Out About Their Experiences with Health Care

2013 ◽  
Vol 4 (1) ◽  
pp. 53 ◽  
Author(s):  
Donna L. M. Kurtz ◽  
Jessie C. Nyberg ◽  
Susan Van Den Tillaart ◽  
Buffy Mills ◽  
The Okanagan Urban Aboriginal Health Res (OUAHRC)
Keyword(s):  
Health Care ◽  
Health Services ◽  
Social Services ◽  
Structural Violence ◽  
Women's Voices ◽  
Aboriginal Women ◽  
Aboriginal Populations ◽  
The Status ◽  
Women's Stories ◽  
The Many

This article reports some of the preliminary findings of an ongoing participatory research study exploring the provision of health and social services for urban Aboriginal communities in the Okanagan Valley. In particular, the article examines how colonial structures and systems have worked to silence Aboriginal women’s voices and how this has affected the ways in which urban Aboriginal women seek out health services. The article addresses these issues through the voices of the Aboriginal women in the study. The women’s stories reveal the many assumptions and inequities that contribute to their marginalization. They describe how their voices are often silenced when they access health services and how this can cause them to either delay seeking needed health advice or accept the status quo. The women’s stories are used to stress the importance and power of voice. This is most evident in their experiences accessing the health services offered through community-based Friendship Centres, where many felt they had more control over the care they received. In the context of this article, the impacts of colonization and the silencing of women’s voices are viewed as acts of structural violence. The women’s stories provide crucial insights into how health care provision can be changed to help prevent these acts of violence, thus leading the way to improved health for all urban Aboriginal populations.

Psychiatric Priorities in Developing Countries

1976 ◽  
Vol 128 (6) ◽  
pp. 513-522 ◽  
Author(s):  
R. Giel ◽  
T. W. Harding
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Developing Countries ◽  
Primary Health Care ◽  
Health Services ◽  
Health Workers ◽  
Limited Range ◽  
Primary Health ◽  
Wide Range ◽  
Health Action

SummaryMany psychiatrists assert that an expansion of mental health services in the developing countries is overdue. This will only take place if: (i) the tasks of mental health care are undertaken by a wide range of non-specialist health workers, including those responsible for primary health care; and (ii) services are directed initially at a very limited range of priority conditions. The method of priority selection is discussed, and the process required for translation of priority decisions into health action is exemplified by two illustrations.

scholarly journals Health Demand and Outcomes in Pakistan

2004 ◽  
Vol 9 (1) ◽  
pp. 1-25
Author(s):  
Imran Ashraf Toor ◽  
Muhammad Sabihuddin Butt
Keyword(s):  
Health Care ◽  
Health Services ◽  
Social Services ◽  
Government Spending ◽  
Health Expenditure ◽  
Government Expenditure ◽  
Health Sector ◽  
Government Health ◽  
The Poor ◽  
Government Health Expenditure

For the provision of better social services, the health sector has been an important part of national strategy for reducing poverty and income disparities among different income groups in Pakistan. The distribution of access to and use of health among households has been a long-standing concern among policy makers. In this study, government health expenditure is treated as a fixed factor that influences household health behaviour, conditional on such factors as household income, education, and family size. The results of the study suggest that government health expenditure is associated with higher use of both preventive and curative health services by children. The results also indicate that increased government expenditure is actually associated with lower use of health services by the children of the poor, although this negative association is generally weak. However, if increased government spending improves health care opportunities for the nonpoor more than for the poor, the total effect of government spending on the health outcomes of the poor could be less even though they have a higher marginal product of health care inputs.

Sign in / Sign up

Export Citation Format

Share Document