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

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

2013 ◽  
Vol 2 (1) ◽  
pp. 2-6 ◽  
Author(s):  
KD Upadhaya

Neuropsychiatry conditions account for a significant proportion of the global burden of disease. Significant numbers of people of developing economies of the world often tend to be deprived of quality mental health services and even if they receive them and they tend not be evidence based. In such condition policies on mental health act as guides to render quality mental health services at affordable price to the needy population. The paper presents a review the mental health policy of Nepal-1996 on the basis of the basic objectives outlined by the policy and also tries to analyze whether those objectives have been attained as of date. The focus on four major aspect of the policy document i.e. access and availability to basic mental health services, development of required manpower, protection of fundamental human rights of mentally ill, improve awareness about mental health, mental disorders, and the promotion of mentally healthy life styles. DOI: http://dx.doi.org/10.3126/jpan.v2i1.8567 J Psychiatrists’ Association of Nepal Vol .2, No.1, 2013 2-6


1993 ◽  
Vol 27 (2) ◽  
pp. 186-191 ◽  
Author(s):  
Harvey Whiteford ◽  
Bronwyn Macleod ◽  
Elizabeth Leitch

The Health Ministers of all Australian States, Territories and the Commonwealth endorsed National Mental Health Policy in April 1992 [1]. This Policy is intended to set clear direction for the future development of mental health services within Australia. The Policy recognises the high prevalence of mental health problems and mental disorders in the Australian community and the impact of these on consumers, carers, families and society as whole. It also clearly accepts the need to address the problems confronting the promotion of mental health and the provision of mental health services.


1983 ◽  
Vol 1 (4) ◽  
pp. 447-468 ◽  
Author(s):  
C J Smith

The Community Méntal Health Centers (CMHC) legislation in the early 1960s was the first real attempt at a national mental health policy in the United States of America. Federal funding was made available for the establishment of 1500 centers across the country. The goal was to provide access to quality mental health care for all US citizens by 1980. As a result of prolonged criticisms, the legislation was repealed by the incoming Reagan Administration in the early 1980s, In this paper, the twenty-year lifespan of this ‘innovation’ in mental health policy is reviewed and an evaluation of some of its most pervasive criticisms are presented.


2017 ◽  
Vol 41 (S1) ◽  
pp. S568-S568
Author(s):  
C. Aroui ◽  
A. Khoubila ◽  
K. Mchichi Alami ◽  
M. Agoub ◽  
O. Battas ◽  
...  

IntroductionAll over the world, there is global emergency when it comes to respecting human rights in providing good mental health services. Morocco as an African and a developing country has always had a mental health policy defined by several glitches and failures, which had not helped him improve its mental health services quality. Nevertheless, huge improvements were achieved through time.ObjectivesThis report, aims to draw attention on how compulsory it is to think and act all together to promote mental health and provide patients with better health services in Morocco.MethodsThe National Human Rights Council conducted an information and investigation mission in Morocco's main mental health hospitals and facilities between March 27 and July 6, 2012.ResultsStructures are insufficient and inadequate in terms of geographical distribution, architecture and equipment. There is a big shortage of medical and paramedical staff and little interest is given to vulnerable groups. Nevertheless, huge improvements have also been achieved through time with mental health issues becoming a cornerstone of the ministerial program, the involvement of the NGOs, the construction of newer facilities, the implementation of an information gathering system and the presence of a substance use policy.ConclusionPsychiatry in Morocco has come a long way since it was firstly implemented in the country as a medical specialty. Undoubtedly, a lot has been done but much more remains to be achieved. The current situation requires relevant actions and that clearly includes the implementation of a new mental health policy and the update of the legal framework.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2014 ◽  
Vol 18 (1) ◽  
pp. 13-16 ◽  
Author(s):  
Sophie Corlett

Purpose – The Policy Watch series reflects on recent and forthcoming developments in mental health policy across the UK. The purpose of this paper is to review recent developments in mental health policy, specifically the implications and learning for mental health services of recent scandals such as Mid Staffordshire and Winterbourne View and the various responses to them. Design/methodology/approach – This paper reviews and summarises recent developments in national mental health policy in England and their implications for mental health service provision. Findings – The paper outlines how learning from recent scandals such as Mid Staffordshire and Winterbourne View can be applied in mental health services. Originality/value – The paper updates and discusses recent policy developments in the NHS and their implications for mental health services.


Author(s):  
Shanooha Mansoor ◽  
Ahmed Rasheed

Maldives is a developing, geographically dispersed small-island nation with a population of 344,023. With an annual population growth rate of 1.65%, Maldives is nearing the end of its demographic transition. Though universal healthcare is enshrined in law in Maldives, the healthcare sector is underdeveloped and there is a lack of awareness of mental illnesses, especially those related to old age such as dementia. There is also a lack of resources and necessary expertise to address the urgent problem of mental healthcare provision. The recently launched national Mental Health Policy (2015–2025) and Health Master Plan 2016–2025 acknowledge mental health conditions, including dementia and cognitive impairment, as those requiring long-term care—which is a step in the right direction. The government needs to demonstrate a more formal commitment to dementia care by developing a National Dementia Strategy to be incorporated into the Mental Health Policy or Health Master Plan, in order to achieve tangible progress in their efforts to address the challenges faced by Maldives in dementia care.


2014 ◽  
Vol 33 (2) ◽  
pp. 121-128 ◽  
Author(s):  
S. A. Shah ◽  
M. Nolan ◽  
M. Ryan ◽  
J. Williams ◽  
D. Fannon

IntroductionThe recovery approach provides a key organising principle underlying mental health policy throughout the English speaking world with endorsement by agencies such as the World Health Organisation. In Ireland, personal recovery is one of the quality markers identified by users of mental health services and has become central to national mental health policy.Aim and objectiveThe aim of this study was to explore the implications for mental health services and professional practice arising from a structured investigation of what personal recovery means for people using specialist mental health services and the extent to which services support their individual recovery.MethodTen service user participants in a service initiative were assessed using a novel measure based on an empirically based conceptual framework of recovery. The INSPIRE determines the level of recovery promoting support received from mental health staff and the quality of the supportive relationship as perceived by individual service users.ResultsA consistent pattern of beliefs about recovery in keeping with national guidelines and the international literature was apparent. All respondents indicated that support by other people was an important part of their recovery with high levels of support received from mental health professionals. There was less consistent endorsement of the quality of relationships with professionals and recovery-oriented practice as perceived by participants.ConclusionThe findings are highly relevant to the development of recovery focused, clinically excellent services. Further work is needed to improve the process of translating recovery guidance into mental health practice.


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