scholarly journals Australia's national mental health strategy in historical perspective: beyond the frontier

2006 ◽  
Vol 3 (4) ◽  
pp. 19-21 ◽  
Author(s):  
Alan Rosen

The history of Australian psychiatry is entwined with the impact of European (British) invasion and settlement, initially in 1788, to form penal colonies to alleviate the overcrowding of English jails, which generated a masculine-dominated, individualistic culture. As European settlement in Australia expanded, the colonisers tried to come to terms with this remote, vast landscape and fought over land and resources with the original Aboriginal inhabitants, who had been there between 40000 and 60000 years. Australian psychiatry was profiled in a previous article inInternational Psychiatry(issue 10, October 2005).

Author(s):  
Kristin A. Hancock ◽  
Douglas C. Haldeman

Psychology’s understanding of lesbian, gay, and bisexual (LGB) people has evolved, become more refined, and impacted the lives of LGB people in profound ways. This chapter traces the history of LGB psychology from the nineteenth century to the present and focuses on major events and the intersections of theory, psychological science, politics, and activism in the history of this field. It explores various facets of cultural and psychological history that include the pathologizing of homosexuality, the rise of psychological science and the political movements in the mid-twentieth century, and the major shifts in policy that ensued. The toll of the AIDS epidemic on the field is discussed as is the impact of psychological research on national and international policy and legislation.


2007 ◽  
Vol 13 (3) ◽  
pp. 77 ◽  
Author(s):  
Julie Henderson

This paper explores policy documents published as part of the National Mental Health Strategy for ideas about mental health promotion and prevention, to determine the extent to which these documents adopt a primary health care approach. Discourse analysis was undertaken of key policy documents to discover the manner in which they discuss mental health promotion and prevention. Three points of departure are identified. The first of these is a focus on social and biological risk factors that manifest at an individual rather than at a social level, effectively drawing attention away from social inequalities. These documents also primarily target a population that is viewed as being "at risk" due to exposure to risk factors, shifting attention from strategies aimed at improving the health of the population as a whole. A final difference is found in the understanding of primary health care. Recent policy documents equate primary health care with the first level of service delivery in the community, primarily by general practitioners, shifting the focus of care from mental health promotion with the community to early intervention with those experiencing mental health problems. This is supported by the incorporation of a biomedical understanding into mental health prevention. While recent mental health policy documents re-assert the need for early intervention and health prevention, the form of mental health prevention espoused in these documents differs from that which informed the Declaration of Alma Alta, Ottawa Charter for Health Promotion and World Health Organization's Health for All strategy.


Author(s):  
Maurizio Viroli

This chapter considers the impact of Jean-Jacques Rousseau on the history of republican religion. Rousseau was well aware that republics need religion to come to life and endure. He notes that great lawgivers had to place the rules of civil life in God's mouth and that only men with great souls can persuade people that they have been inspired by God and hence can establish enduring laws. At the same time, he charges the Christian religion with inculcating in its followers a servile mentality. Inasmuch as both past and present religions are ill suited for founding a civil morality, Rousseau recommends a new religion, to be instituted and preserved through the force of laws, founded not on dogmas but rather on “sentiments of sociability without which it is impossible to be either a good citizen or a loyal subject.” Rousseau's ideas on civil religion had considerable impact not only in France but also in Italy during the “Jacobin years” (1796–1799), when, in the shadow of French armies, republican governments were formed.


Author(s):  
Debra Kram-Fernandez

This chapter is concerned with the impact of practitioner biases on the experience of a meaningful life for individuals who live with serious mental illness (SMI). Professional biases, systemic biases that originate in societal fear and lack of knowledge, and internalized stigma taken on by the consumer affect life decisions. Following a history of treatment initiatives experienced by consumers as abusive, it is important to understand how a system envisioned to protect and treat was often experienced as harmful. In the 1980s a movement emerged to transform the nature of mental health treatment to a client-centered, recovery-oriented model. In 1999, the Surgeon General proclaimed that all agencies serving this population should be recovery oriented. Yet, the shift to this approach to understanding people with SMI has not been complete. While there are many explanations why practitioners may not fully embrace this perspective, this chapter introduces the concept of “schemas” from cognitive behavioral theory as a way of examining professional biases in the field of SMI.


1998 ◽  
Vol 16 (4) ◽  
pp. 140-159 ◽  
Author(s):  
Gavriel D. Roseneld

Few issues have possessed the centrality or sparked as much controversyin the postwar history of the Federal Republic of Germany(FRG) as the struggle to come to terms with the nation’s Nazi past.This struggle, commonly known by the disputed term Vergangenheitsbewältigung,has cast a long shadow upon nearly all dimensions ofGerman political, social, economic, and cultural life and has preventedthe nation from attaining a normalized state of existence inthe postwar period. Recent scholarly analyses of German memoryhave helped to broaden our understanding of how “successful” theGermans have been in mastering their Nazi past and have shed lighton the impact of the Nazi legacy on postwar German politics andculture. Even so, important gaps remain in our understanding ofhow the memory of the Third Reich has shaped the postwar life ofthe Federal Republic.


2001 ◽  
Vol 35 (5) ◽  
pp. 639-646 ◽  
Author(s):  
Jane Pirkis ◽  
Helen Herrman ◽  
Isaac Schweitzer ◽  
Alison Yung ◽  
Margaret Grigg ◽  
...  

Objective: In Australia, mental health services are delivered by a complex web of publicand private-sector providers. There is a growing recognition that linkages between these groups are not optimal, and a concern that this may lead to poor outcomes. This paper illustrates a conceptual framework for developing, implementing and evaluating programmes concerned with linkages. Method: Drawing on theoretical and practical literature, this paper identifies different levels of integration, issues in evaluating programmes to address poor linkages, and features of useful evaluations. Within this context, it describes the method by which the Public and Private Partnerships in Mental Health Project (Partnership Project) is being evaluated. Conducted by St Vincent's Mental Health Service and The Melbourne Clinic, this is one of several Demonstration Projects in Integrated Mental Health Care funded under the National Mental Health Strategy. Results: Collaboration is hard to conceptualize and collaborative programmes usually have many players and components, and tend to operate within already-complex systems. This creates difficulties for evaluation, in terms of what to measure, how to measure it, and how to interpret findings. In spite of these difficulties, the illustrative example demonstrates a model for evaluating collaborative programmes that is currently working well because it is strongly conceptualized, descriptive, comparative, constructively sceptical, positioned from the bottom up, and collaborative. Conclusions: This model, or aspects of it, could be extended to the evaluation of other mental health programmes and services that have collaborative elements.


2019 ◽  
Vol 17 (2) ◽  
pp. 29-31
Author(s):  
Sarah J. Parry ◽  
Ewan Wilkinson

Mental health services in Cambodia required rebuilding in their entirety after their destruction during conflict in the 1970s. During the late 1990s there was rapid growth and development of professional mental health training and education. Currently, basic mental healthcare is available primarily in urban areas and is provided by a mixture of government, non-government and private services. Despite the initial rapid growth of services and the development of a national mental health strategy in 2010, significant challenges remain in achieving an acceptable, standardised level of mental healthcare nationally.


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