Providing Mental Health Services and Psychiatric Care to Immigration Detainees: What Tort Law Requires

2007 ◽  
Vol 14 (2) ◽  
pp. 260-271
Author(s):  
Bernadette Mcsherry ◽  
Azadeh Dastyari
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Psychiatric Care ◽  
Tort Law

scholarly journals Mental health services in Luxembourg: an overview

2021 ◽  
pp. 1-3
Author(s):  
Anja Malmendier-Muehlschlegel ◽  
Niamh Catherine Power
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Psychiatric Care ◽  
Social Care ◽  
Medical Training ◽  
Social Health Insurance ◽  
Social Health ◽  
Medical Workforce ◽  
The Past

We describe mental health services in Luxembourg and how they have evolved over the past 50 years. Health services in Luxembourg are provided through a social health insurance-based system and mental health services are no exception. Additional services are offered through mixed-funding avenues drawing on social care budgets in the main. Luxembourg is closely connected with neighbouring countries, where a large proportion of its workforce live. No run-through medical training exists and the entire medical workforce, including psychiatrists, have trained in other countries. This is reflected in a rich but often non-uniform approach to the provision of psychiatric care.

Barriers to access to mental health services among Colombia outpatients

2020 ◽  
Vol 66 (6) ◽  
pp. 600-606 ◽  
Author(s):  
Adalberto Campo-Arias ◽  
Guillermo A Ceballos-Ospino ◽  
Edwin Herazo
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Psychiatric Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Attitudinal Barriers ◽  
Barriers To Access ◽  
Care Evaluation ◽  
Associated Variables

Background: Access barriers are all situations or conditions that limit seeking, receiving or enjoying benefits offered by the health system. This set of situations translates into underutilization of the services offered. In Colombia, there is little information about barriers to accessing medical care in general, and even less in the specific field of mental health. Aim: To determine the barriers to accessing psychiatric care in outpatients in Santa Marta, Colombia. Methods: The authors designed a cross-sectional study with a non-probability sample of adult patients who consulted between August and December 2018. The barriers to access were measured with a 20-item version of the Barriers to Access to Care Evaluation (BACE) scale. Results: A total of 247 patients participated; they were between 18 and 82 years (mean ( M) = 47.5, standard deviation ( SD) = 13.9). A total of 69 (27.9%) patients classified as having major attitudinal barriers; 62 (25.1%) patients, major barriers related to stigma-discrimination; and 41 (16.6%) patients, major instrumental barriers. Concerning the associated variables, age less than 45 years was related to major attitudinal barriers (odds ratio (OR) = 2.9, 95% confidence interval (CI) 1.6-5.5), major barriers related to stigma-discrimination (OR = 3.8, 95% CI 2.0-7.2) and major instrumental barriers (OR = 2.7, 95% CI 1.3-5.3). Men reported major instrumental barriers more frequently than women (OR = 2.8, 95% CI 1.3-5.8). Conclusion: The major attitudinal, related to stigma-discrimination and instrumental barriers to access frequently delay a consultation with mental health services. Actions are necessary to reduce barriers to accessing mental health care.

Costs of Mental Health Services in Czechia: Facilitating an Evidence-Based Reform of Psychiatric Care

2019 ◽  
Vol 18 (2) ◽  
pp. 287-298 ◽  
Author(s):  
Hana M. Broulíková ◽  
Petr Winkler ◽  
Marek Páv ◽  
Lucie Kondrátová
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Psychiatric Care ◽  
Evidence Based

The Restructuring of Psychiatric Care in Latin America: A New Policy for Mental Health Services

1994 ◽  
Vol 15 (1) ◽  
pp. 71 ◽  
Author(s):  
Itzhak Levav ◽  
Helena Restrepo ◽  
Carlyle Guerra de Macedo
Keyword(s):  
Mental Health ◽  
Latin America ◽  
Mental Health Services ◽  
Health Services ◽  
Psychiatric Care

scholarly journals Deinstitutionalization of Psychiatric Care in Latin America and the Caribbean

2021 ◽  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Latin America ◽  
Mental Health Services ◽  
Health Services ◽  
Latin American ◽  
Psychiatric Care ◽  
Supported Housing ◽  
Care Hospital ◽  
The Caribbean

This technical document is a framework for action. Its objective is to guide the psychiatric care deinstitutionalization process in the context of Latin America and the Caribbean. The essential purpose of deinstitutionalization is to limit the role of psychiatric hospitals by incorporating acute care hospital beds into general hospitals and replace those psychiatric facilities with community-supported housing solutions for people with severe mental illness. At the same time, there must be an efficient network of community-based mental health services. This involves the priority development of effective new community practices and services that protect the rights of people with mental illness. This publication summarizes the facilitators and barriers that will be encountered in the deinstitutionalization process and identifies useful and proven interventions in Latin American and Caribbean countries. Four areas of work are identified with the respective guidelines or suggestions for action, which should provide an operational guide for countries that are restructuring mental health services and moving toward the deinstitutionalization of psychiatric care.  ---do not use text below, please --- This technical document is a framework for action. Its objective is to guide the psychiatric care deinstitutionalization process in the context of Latin America and the Caribbean. The essential purpose of deinstitutionalization is to limit the role of psychiatric hospitals by incorporating acute care hospital beds into general hospitals and replace those psychiatric facilities with community-supported housing solutions for people with severe mental illness. At the same time, there must be an efficient network of community-based mental health services. This involves the priority development of effective new community practices and services that protect the rights of people with mental illness. This publication summarizes the facilitators and barriers that will be encountered in the deinstitutionalization process and identifies useful and proven interventions in Latin American and Caribbean countries. Four areas of work are identified with the respective guidelines or suggestions for action, which should provide an operational guide for countries that are restructuring mental health services and moving toward the deinstitutionalization of psychiatric care.   

English Language Ability and Mental Health Service Utilisation: A Census

1996 ◽  
Vol 30 (2) ◽  
pp. 270-277 ◽  
Author(s):  
Geoffrey W. Stuart ◽  
I. Harry Minas ◽  
Steven Klimidis ◽  
Siobhan O'connell
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Language Proficiency ◽  
English Language ◽  
Psychiatric Care ◽  
English Language Proficiency ◽  
Service Utilisation

Objective: To explore the relationship between English language proficiency and mental health service utilisation. Methods: In September 1993, a sample census was conducted of all mental health services in the State of Victoria, including public and private hospital wards, outpatient consultations provided by psychiatrists and clinical psychologists, and primary mental health care provided by general practitioners. Response rates ranged from 37% for monolingual general practitioners (GPs) to 96% for inpatient units. Particular emphasis was placed on patients' English language proficiency and the role played by bilingual clinicians. Results: Over 80% of inpatients received a diagnosis of either dementia or psychosis. This proportion was even greater in the case of patients with English language difficulties. The latter group of patients underutilised specialist outpatient services, and those using these services were less likely to receive psychotherapy than fluent English speakers. They utilised GPs for mental disorder at at least the same rate as other patients. There was a marked preference for bilingual GPs, with 80% of patients with poor English language skills consulting GPs who spoke their native language. Conclusion: There appears to be considerable underutilisation of specialist mental health services by patients who are not fluent in English. The liaison-consultation model of psychiatric care may be an effective way of addressing this problem, given the important role already played by bilingual GPs in the psychiatric care of those whose native language is not English.

scholarly journals A EVOLUÇÃO DA SAÚDE MENTAL NO BRASIL: REINSERÇÃO SOCIAL

2021 ◽  
Vol 9 (126) ◽  
pp. 1-15
Author(s):  
Bismarck Liandro de Freitas
Keyword(s):  
Mental Health ◽  
Nineteenth Century ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Mentally Ill ◽  
Psychiatric Care ◽  
Psychiatric Reform ◽  
New Models

In the nineteenth century, began the transformation of Mental Health of Brazil, where discussions on mental disorders gained strength. At that time the mentally ill was considered a danger to society, so he was excluded from society. With the Psychiatric Reform, this concept was changed, and new models of psychiatric care emerged. The objective of the present study was to discuss the evolution of Mental Health. For this, a bibliographic review was carried out in the literature with a temporal cut of the last 10 years with the following descriptors: mental health, mental health services, Psychiatric Reform in Brazil. Thus, it was possible to address the main points of Mental Health in Brazil.

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