Psychiatric Reform in Italy—How does it Work in Piedmont?

1985 ◽  
Vol 147 (3) ◽  
pp. 254-260 ◽  
Author(s):  
Thomas Becker
Keyword(s):  
Inpatient Care ◽  
Hospital Admissions ◽  
Drastic Reduction ◽  
Chronic Patients ◽  
Community Based ◽  
Psychiatric Reform ◽  
Mental Health Legislation ◽  
Health Legislation ◽  
Community Based Services ◽  
New System

Psychiatric reform in Piedmont following new mental health legislation in Italy (1978) is described. The process of reform is characterised by a drastic reduction in psychiatric hospital populations and the setting-up of a new system of community-based services. The number of hospital admissions remains stable, but the character of inpatient care has changed. The reform involves problems of care for chronic patients.

scholarly journals Insight and challenges: mental health services in Nepal

2020 ◽  
pp. 1-3
Author(s):  
Yugesh Rai ◽  
Deoman Gurung ◽  
Kamal Gautam
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Community Based ◽  
The Past ◽  
Current State ◽  
Mental Health Legislation ◽  
Stigma Of Mental Illness ◽  
Health Legislation ◽  
Community Based Services

This paper describes the current state of mental health services in Nepal and reflects on the significant changes over the past decade. The main challenges to overcome are proper implementation of community-based services, the high suicide rate, stigma of mental illness, financial constraints, lack of mental health legislation and proper utilisation of human resources.

scholarly journals MENTAL HEALTH ISSUES AND RELEVANT LEGISLATION IN A DEVELOPING COUNTRY

1970 ◽  
Vol 7 (2) ◽  
pp. 122-126
Author(s):  
Shafquat Inayat
Keyword(s):  
Mental Health ◽  
Developing Country ◽  
Mental Health Policy ◽  
Fundamental Rights ◽  
Health Law ◽  
Health Issues ◽  
Community Based ◽  
Mental Health Issues ◽  
Mental Health Legislation ◽  
Health Legislation

Mental health legislation compiles and integrates fundamental doctrine, principles, goals, objectives and mental health policy. This legislation is required to assure that the self-respect and the dignity of patients is conserved and that their fundamental rights are protected. This article considers legislation in the Indo-Pak subcontinent, especially the Mental Health Act in Pakistan, and asserts that the act has limitation that serve as a barrier to mental health services currently provided in Pakistan. The purpose of this article is to identify the mental health legislation in a developing country like Pakistan. It also emphasizes the need of a modern mental health law that provides priority to protect the rights of patient with mental disorder to promote development of community based care and improves its access.

CHANGES OF THE ORGANIZATIONS, PROVIDING SOCIAL SERVICES, IN THE CONTEXT OF DEINSTITUTIONALIZATION

2018 ◽  
Vol 1 ◽  
Author(s):  
Janina Čižikienė ◽  
Audronė Urmanavičienė
Keyword(s):  
Social Services ◽  
Inpatient Care ◽  
Institutional Care ◽  
Developed Countries ◽  
Community Based ◽  
Term Care ◽  
Expert Interview ◽  
The Individual ◽  
Community Based Services

The challenges of globalization are the reason why the EU countries are looking for the ways to make the provision of social services most effective and best fitted to the customer’s needs. In 1960s, deinstitutionalization processes started to take place in many developed countries with the aim to reduce the inpatient care and to develop the community-based services. Deinstitutionalization is replacement of inpatient care with the services that are more in line with the individual interests of each customer. Currently, it is essential in Lithuania, where institutional care is widespread, and the services, provided in the institutions, are ineffective due to their depersonalization, strict procedure, and work with a group of the customers. They are not adapted to individual needs of a person, however, the main services that have no alternatives and are required for long-term care of the persons with intellectual disabilities, mental disorders, and for children, left without parental care, remain. The following research methods were applied: analysis of scientific literature and documents, expert interview, analysis and interpretation of the research results. The review of literature and the research data, presented in the article, reveal the issues of deinstitutionalization process of the organizations, providing social services, as well as the challenges faced in reorganization of children’s care homes.

Mental health social work reimagined

2019 ◽  
pp. 137-148
Author(s):  
Ian Cummins
Keyword(s):  
Mental Health ◽  
Social Work ◽  
Mental Health Services ◽  
Health Services ◽  
Community Based ◽  
Mental Health Legislation ◽  
New Community ◽  
Health Legislation ◽  
The Impact

The final chapter summarises the key themes of the book. It outlines the narratives that have underpinned reforms of mental health legislation examining moves towards a rights-based approach. The chapter explores the impact of austerity policies on mental health services and services users. The chapter concludes with a call for new community based approaches and a rejection of risk and bureaucratic managerialism.

The established state and patient X’s rebellion

2018 ◽  
Vol 22 (3) ◽  
pp. 128-133
Author(s):  
Andrew Voyce
Keyword(s):  
Mental Health ◽  
Political Theory ◽  
Hospital Admissions ◽  
Mental Health Patient ◽  
Content Type ◽  
Mental Health Legislation ◽  
Political Inquiry ◽  
Academic Politics ◽  
Health Legislation

Purpose The purpose of this paper (anonymised case study) is to explore political perspectives on the detention of patients under the Mental Health Act. Design/methodology/approach The approach is ethnographic and narrative. Findings The essay offers an exploratory explanation using political theory, of a violent and rebellious act by a person detained as a formal mental health patient. The protest relates to the treatment offered to the patient. Research limitations/implications This essay offers a new explanation for a protest for a person detained as a compulsory mental health patient. The essay explores issues relating to political philosophy that the patient applies to their detention. Practical implications An understanding of how a patient with a background in academic politics is related in this essay. There is consideration of how an education in politics can be as valid in wellbeing, as a medical degree. It may be that more patients will be spared multiple hospital admissions by the use of effective therapies. Social implications There is consideration of the debate about the fitness of current mental health legislation to enable wellbeing, and the debate about the review of mental health law begun in 2017. Originality/value This is a perspective of how political theory can inform individual acts. The political inquiry is not of dogma or ideology, either critical or affirming. The discourse is of rebellion with a purpose, not of revolution, class war or national dispute. However, aspects of works that are critical of psychiatry are included in the considerations.

scholarly journals Mental health legislation in Luxembourg, a small country in Western Europe

2021 ◽  
pp. 1-3
Author(s):  
Anja Malmendier-Muehlschlegel ◽  
Niamh Catherine Power
Keyword(s):  
Mentally Ill ◽  
Western Europe ◽  
Psychiatric Hospitals ◽  
Mentally Ill Offenders ◽  
Compulsory Treatment ◽  
Small Country ◽  
Community Based ◽  
Mental Health Legislation ◽  
Health Legislation ◽  
Voluntary Community

The article provides a brief overview of the legislation governing involuntary admissions to psychiatric hospitals in Luxembourg. The legislation was completely overhauled in 2009 and several human rights principles are enshrined into it. Emphasis is placed on voluntary, community-based treatment, and where compulsory treatment is required, it uses the least restrictive treatment option. Mentally ill offenders are dealt with through separate specialist legislation. Young people under the age of 18 are often detained using family law.

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