scholarly journals Facilitating moves into the community: a new mental health services initiative

1991 ◽  
Vol 15 (10) ◽  
pp. 654-654
Author(s):  
Rosalind Ramsay
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Mentally Ill ◽  
District Health ◽  
Consultant Psychiatrist ◽  
Department Of Health ◽  
Health Authorities ◽  
The Government

Stephen Dorrell, the government Health Minister, has criticised the current “gross misallocation” of resources for patients with mental illness. The Department of Health estimates that more than half the district health authorities' budget of £1.5 billion for mental health services is still being channelled into the 90 remaining large specialist mental hospitals. There are now only 40,000 patients in such institutions. However, according to government calculations, a total of 2¼ million people in this country have a mental illness which is “serious enough” for them to need consultant psychiatrist care. All those sufferers from mental illness living in the community must make do with the remaining DHA budget. In other words, 98% of the mentally ill are supported by less than half the total resources allocated by districts for mental health services.

scholarly journals Patterns of mental health care in a seaside lodging house

1993 ◽  
Vol 17 (2) ◽  
pp. 82-83
Author(s):  
John Barnes ◽  
Greg Wilkinson
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
General Practitioner ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Mentally Ill ◽  
Local Sources

Much of the medical care of the long-term mentally ill falls to the general practitioner (Wilkinson et al, 1985) and, for example, a survey in Buckinghamshire showed that these patients consult their general practitioner (GP) twice as often as mental health services. Lodging house dwellers are known to show an increased prevalence of major mental illness and to suffer much secondary social handicap, presenting a challenge to helping services of all disciplines. For this reason we chose a lodging house in which to explore further the relationships between mental illness and residents' present contact with their GP, mental health services and other local sources of help.

Managing offenders with psychiatric disorders in general psychiatric services

2012 ◽  
pp. 2009-2014
Author(s):  
James R. P. Ogloff
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
Psychiatric Services ◽  
Mentally Ill Offenders ◽  
General Mental Health ◽  
General Community

It has been shown that the prevalence of mental illness among those in the criminal justice system is significantly greater than that found in the general community. As presented in Chapter 11.4, for example, the per capita rate of psychotic illness in prisons is approximately 10 times greater than that found in the general community. Tragically, relatively few services exist that provide continuity of mental health care between gaols and the community. This produces a situation where individuals whose mental illness may have been identified and treated in gaol find themselves without services in the community. Typically, only when in crisis do they find their way into general psychiatric services either in community settings or in hospital. This situation has produced considerable stress on already taxed mental health services. Given the prevalence of offence histories among psychiatric patients, it is important for mental health professionals to be aware of the unique issues—and myths—that accompany patients with offence histories. At the outset it is important to emphasize that the duty of mental health services is to address mental health issues. That ought to be the focus of mental health services. As this chapter makes clear, though, for some patients, there is a relationship between the mental illness and offending and by addressing the mental illness, the risk of re-offending might well be reduced. Moreover, many of the ancillary issues that lead to relapse and destability in psychiatric patients also may lead to offending. Addressing these issues will both help provide long-term stability for patients and will help reduce their risk of offending. As a result, there is a need for general mental health services to acquire expertize to identify and manage patients with offending histories. This chapter will provide information about the relative risk of offending among psychiatric patients and the relationship (or lack thereof) of inpatient aggression and community-based violence and offending. A framework will be provided for assessing and treating patients with offending histories and issues using a typology of mentally ill offenders. The role of forensic mental health services in bolstering general psychiatric services, and in sometimes providing primary care for mentally ill offenders, will also be discussed.

scholarly journals Assessment of personality disorder

2009 ◽  
Vol 15 (5) ◽  
pp. 389-397 ◽  
Author(s):  
Penny J. M. Banerjee ◽  
Simon Gibbon ◽  
Nick Huband
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Personality Disorder ◽  
Mental Health Services ◽  
Health Services ◽  
Severe Mental Illness ◽  
Personality Disorders ◽  
Assessment Instruments ◽  
Department Of Health

SummaryIn 2003 the Department of Health, in conjunction with the National Institute for Mental Health in England, outlined the government's plan for the provision of mental health services for people with a diagnosis of personality disorder. This emphasised the need for practitioners to have skills in identifying, assessing and treating these disorders. It is important that personality disorders are properly assessed as they are common conditions that have a significant impact on an individual's functioning in all areas of life. Individuals with personality disorder are more vulnerable to other psychiatric disorders, and personality disorders can complicate recovery from severe mental illness. This article reviews the classification of personality disorder and some common assessment instruments. It also offers a structure for the assessment of personality disorder.

scholarly journals Keynote Address Third Institute on Mental Health Services: Major Changes in the Administration of Psychiatric Services in Canada

1966 ◽  
Vol 11 (3) ◽  
pp. 228-241
Author(s):  
C. A. Roberts
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Federal Government ◽  
Mentally Ill ◽  
Psychiatric Services ◽  
Child Rearing ◽  
Professional Groups ◽  
The Mind

An effort has been made to review the changes taking place in the administration of psychiatric services across Canada. There can be little doubt that the general recommendations of More for the Mind, Action for Mental Health and many other such reports are gaining increasing acceptance. It is indeed unfortunate that the federal government has not taken the lead in creating the necessary climate for more rapid implementation of the major recommendations of More for the Mind. The federal government could and should take the lead in seeing that all discrimination against the mentally ill and the services being provided for them are removed from all federal legislation. Such action would have an impact out of all proportion to the federal funds involved. It would surely give leadership to the provinces in their efforts to improve the administration of psychiatric services in Canada and would help to ensure to all Canadians the psychiatric services to which they should be entitled. There have been encouraging changes in administrative practices during recent years but no province has yet taken the major steps necessary to bring about a full integration, regionalization and decentralization of mental health services. While there have been improvements in the legislation in force in various provinces, these have been in the main in the direction of modifying existing legislation rather than the introduction of completely new concepts. It is difficult to recommend and seek major changes in the organization and administration of mental health services when the professional groups involved in the provision of such services do not seem to have fully clarified for themselves the major recommendations made during recent years. Psychiatrists and the other professional groups involved must clarify their responsibilities and roles in our society. Until this is done, it is difficult to believe that political and governmental authorities can accept responsibilities for many of the extensive changes which have been recommended. While recent developments have been encouraging it is also true that some of the major changes which appear to be desirable, particularly in relation to the provision of patient care are being impeded and delayed by many existing attitudes towards mental illness and the mentally ill. It would appear that much more will have to be done to change the attitudes of those responsible for major legislation and administration. There has not been time in this paper to deal with this matter in any detail, but it does seem apparent that the public at large and many community groups are ahead of the professions and governmental authorities in their attitude towards mental illness and in their desire to see improvements in the services provided. We must find ways of mobilizing this general public support and using it to bring about necessary changes. We along with our neighbours to the south are much concerned about the pockets of poverty which exist in our affluent society. Are we as concerned about the pockets in our society which produce delinquents, misfits and others who cannot function adequately? Have we noted the findings of Crestwood Heights and Sterling County? Are we as concerned as we should be about de-socialization and the repetitive patterns of anti-social, destructive behaviour in generation after generation? Do we really think we will solve the problems of our older people, of our adolescents, of the unemployed, by dealing with these on a materialistic basis? The answer is clearly negative—the universal old age pension of 1945 did not reduce the flow of older patients to mental hospitals, family allowances have not improved our child-rearing practices and the presently proposed Canada Pension Plan and other welfare programs will not be effective unless we concurrently find ways of ensuring for every Canadian a useful, satisfying place in our society as a contributing citizen. This and not the meeting of material needs is the real challenge of our modern society.

Targeting mental health services to severe mental illness

1995 ◽  
Vol 4 (3) ◽  
pp. 181-186
Author(s):  
Graham Thornicroft
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Severe Mental Illness ◽  
Social Services ◽  
Mentally Ill ◽  
Family Health ◽  
Systematic Method ◽  
Severely Mentally Ill

SummaryThis paper argues within the mental health services that people who are most disabled by mental illness, the severely mentally ill (SMI), should be afforded the highest priority, and that services should be provided in relation to need. For this to occur the priority groups need first to be defined. Second, if a service wishes to provide for all prevalent cases of people suffering from severe mental illness, then a systematic method of recording local information about these people is required, and this may draw upon information about patients who are in contact with health services, social services, family health services and who contact voluntary sector and other agencies. One approach to estimating the need for services for people with SMI is by using indicative norms for service requirements. Finally, managerial methods are proposed to monitor how far targeting services to the SMI occurs in clinical practice.

scholarly journals Mental Health Services in New Nepal – Observations, Objections and Outlooks for the Future

2009 ◽  
Vol 48 (174) ◽  
pp. 185-90 ◽  
Author(s):  
Arun Jha ◽  
S R Adhikari
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Services ◽  
Mental Health Policy ◽  
Department Of Health ◽  
The Government ◽  
National Mental Health ◽  
Trained Manpower

It has been over a decade since the government of Nepal adopted the National Mental Health Policy (NMHP) in 1997. This article analyses the current provision of fragmented mental health services in Nepal through case scenarios from Jumla innorthwest and Janakpur in southeast Nepal, criticises the proposed mental health Act, discusses the reasons why the NMHP has not been implemented and suggests future models of delivering mental health services in the wider community. Absence of a mental health section within the department of health, insuffi cient budget, chronic shortage of trained manpower, and unplanned growth of private medical institutions appear to be the issues deserving urgent attention. Setting up specialist psychiatric facilities in all developmental regions or future states, developing community mental health programmes and integration of mental health into general health care are the ways forward to meet the needs and expectations of the new federal Nepal. Key Words: community mental health, national mental health policy, Nepal, psychiatry

scholarly journals MAPPA and mental health — 10 years of controversy

2012 ◽  
Vol 36 (6) ◽  
pp. 201-204 ◽  
Author(s):  
Jessica Yakeley ◽  
Richard Taylor ◽  
Angus Cameron
Keyword(s):  
Mental Health ◽  
High Risk ◽  
Mental Health Services ◽  
Health Services ◽  
Information Sharing ◽  
Royal College ◽  
Mentally Ill ◽  
Mentally Ill Offenders ◽  
The Past ◽  
Department Of Health

SummaryMultiagency public protection arrangements (MAPPAs) were established in England and Wales 10 years ago to oversee statutory arrangements for public protection by the identification, assessment and management of high-risk offenders. This article reviews MAPPAs' relationship with mental health services over the past decade. Despite areas of progress in the management of mentally ill offenders, inconsistent practice persists regarding issues of confidentiality and information-sharing between agencies, which calls for clearer and more consistent guidance from the Royal College of Psychiatrists, the Ministry of Justice and the Department of Health.

The Current Situation in Psychiatry and its Effects on the Delivery of Mental Health Services in the Next Decade

1971 ◽  
Vol 2 (2) ◽  
pp. 138-145 ◽  
Author(s):  
William J. Horvath
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Behavioral Treatment ◽  
Additional Data ◽  
Current Knowledge ◽  
Medical Model ◽  
Behavioral Disorder ◽  
Treatment Alternative

As long as mental illness is regarded as primarily a behavioral disorder, current and foreseeable manpower shortages in psychiatry make it necessary to increase the participation of nonmedical personnel in the treatment process. The controversy between those advocating behavioral treatment and those favoring the medical model cannot be resolved due to the fact that our current knowledge of the biologic roots of mental illness is inadequate. A breakthrough in research in this area could resolve the argument and solve the manpower problem by transferring psychiatric disorders into physiologic disease susceptible to medical treatment. Alternative models for the delivery of mental health services can be developed to allow for different possibilities in the outcome of research. Additional data is needed, especially on the costs and effectiveness of future therapies, before an evaluation of programs can be carried out.

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