The Changing Nature of Psychiatry

1991 ◽  
Vol 25 (4) ◽  
pp. 453-459 ◽  
Author(s):  
Gavin Andrews
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Mental Disorders ◽  
Health Services ◽  
Community Mental Health Services ◽  
Traditional Role ◽  
Dynamic Psychotherapy ◽  
Diagnostic Interviews

The traditional role of psychiatrist as the central figure in the delivery of mental health services is changing. First, the advent of structured diagnostic interviews means that the diagnosis of mental disorders is no longer the exclusive preserve of psychiatrists; second, the growth of community mental health services staffed by non-psychiatrists means that psychiatrists now treat a minority of the patients with mental disorders; and third, the psychiatrists' continued endorsement of dynamic psychotherapy means they are becoming identified with an unproven and very expensive treatment. These changes should be seen against the broader background of a profession that is well-trained, active in evaluating performance, supported by a burgeoning research base in cognitive science and neuroscience, and delivering services efficiently and inexpensively.

The role of community mental health services in supporting oral health outcomes among consumers

2018 ◽  
Vol 24 (3) ◽  
pp. 216
Author(s):  
Rebecca Meldrum ◽  
Hillary Ho ◽  
Julie Satur
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Oral Health ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Services ◽  
Community Mental Health Services ◽  
Integrated Approach ◽  
Oral Diseases

People with a lived experience of mental illness are at a higher risk for developing oral diseases and having poorer oral health than the broader population. This paper explores the role of Australian community mental health services in supporting the prevention and management of poor oral health among people living with mental illness. Through focus groups and semi-structured interviews, participants identified the value of receiving oral health support within a community mental health setting, in particular the delivery of basic education, preventive strategies, assistance with making or attending appointments and obtaining priority access to oral health services. Engagement with Community Health Services and referrals generated through the priority access system were identified as key enablers to addressing oral health issues. This study provides new insight into the importance of undertaking an integrated approach to reducing the oral health disparities experienced by those living with mental illness.

Prognostic Expectations and Outcome of Brief Therapy

1980 ◽  
Vol 46 (3) ◽  
pp. 973-974 ◽  
Author(s):  
Frank L. Greer
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Services ◽  
Brief Therapy ◽  
Community Mental Health Services

This research explored the role of prognostic expectations in outcome of brief therapy for 47 recipients of community mental health services. Contrary to previous research, correlational analyses indicated that generally lower expectations of improvement were associated with more favorable outcomes. These data further intimate the complexity of the clients' expectancy.

scholarly journals Experiences of mental health service users on their empowerment and social integration in the community

2018 ◽  
Vol 7 (1) ◽  
pp. 165-180 ◽  
Author(s):  
Vasiliki Yotsidi ◽  
Kalliope Kounenou
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Mental Disorders ◽  
Health Service ◽  
Health Services ◽  
Service Providers ◽  
Community Mental Health Services ◽  
Service Users

The transition from institutionalized towards community mental health services demands the evolution from social exclusion to integration practices. Empowerment of people with mental disorders, through their involvement in planning and service provision, prevails as a cutting-edge in such practices. Along these lines, this study adopted a structured bottom-up research methodology to explore the experiences of people with severe mental disorders on nine areas of their community participation. Three focus groups of 18 persons with psychotic disorders who were treated on an out-patient community mental health centre were set up. Qualitative data analysis showed that the areas of treatment, housing, education, and entertainment have turned to be more accessible for mental health service users than those of employment, active citizenship, social relations, social networks and activities in the community. The latter were revealed to still be obstructed by specific personal and social variables, which should be taken into account for community-based treatment to become more responsive and tailor-made. Results are discussed in relation to the role of counselling psychology in improving community mental health services and ensuring that service providers empathize with and respond to individuals' understanding of their condition and what contributes to their care and well-being.

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