scholarly journals “Pay attention when turning a corner”: an overview of mental health policies in Brazil

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Naomi Sordan Borghi ◽  
Igor Euflauzino ◽  
Maria Alice Silva Ferraz de Araújo
Keyword(s):  
Mental Health ◽  
Mentally Ill ◽  
Historical Context ◽  
Health Policies ◽  
Model Of Care ◽  
Health Politics ◽  
Mental Health Patients ◽  
History Of ◽  
The Individual ◽  
Mental Health Policies

Introduction: Brazilian’s history of psychiatric care is complex and has some dark periods, but the country managed to get international recognition for its mental health policies in the last years. Those have been currently suffering setbacks. Purpose: Review the historical context of mental health in Brazil, assessing the changes made after 2016, and carry out a critical analysis of the current inclination. Methodology: literature and narrative review using official governmental documents. Results and Discussion: Through its history, Brazil’s had ups and downs in the care of mental health patients. After almost 30 years of policies that are centered around the individual, and not only the individual’s disease, the hospitalocentric model of care has been subtly making its comeback, together with normatives that revogue rights before acquired and corroborates with segregation of the mentally ill. Conclusions: The current changes in the Mental Health politics are not walking alongside the line with movements responsible for the implementation of a biopsychosocial care. It provokes and invites us to continue fighting for fair health programs and for the continuation of the Universal Health System

scholarly journals Developing case management for the long-term mentally ill

1993 ◽  
Vol 17 (7) ◽  
pp. 409-411 ◽  
Author(s):  
Richard Ford ◽  
Alan Beadsmoore ◽  
Paul Norton ◽  
Anna Cooke ◽  
Julie Repper
Keyword(s):  
Mental Health ◽  
Mentally Ill ◽  
Community Care ◽  
Chronically Ill ◽  
Integrated Services ◽  
Psychiatric Services ◽  
Health Policies ◽  
Mental Health Policies ◽  
Bed Numbers

Mental health policies and the focus of psychiatric services have shifted over the last three decades from hospital to community care. Greater care in the community and reduced psychiatric bed numbers have contributed to the discharge or non-admission of many patients with severe and persistent disorders who formerly would have been cared for in hospital. Increasing numbers of the chronically ill in the community will necessitate the development of systems to provide continuous and integrated services for such people.

scholarly journals Public mental health and the COVID-19 pandemic

2021 ◽  
pp. 1-4
Author(s):  
John R. Ashton
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Public Mental Health ◽  
Health Policies ◽  
Service Development ◽  
Public Health Threat ◽  
History Of ◽  
Mental Health Policies ◽  
Global Population ◽  
Health Service Development

COVID-19 has presented society with a public health threat greater than any in living memory, leaving us to question almost every aspect of our society. An ever increasing concern is how we protect the global population from mental illness and whether public mental health policies can achieve this. In this article I reflect on the history of mental health service development, and furthermore on how COVID-19 might impact on the delivery of public mental health strategies into the future.

scholarly journals Tramas históricas a respeito da psiquiatrização, disciplina e medicalização em algumas lentes de Michel Foucault

2021 ◽  
pp. 261
Author(s):  
FLÁVIA CRISTINA SILVEIRA LEMOS ◽  
BRUNO JÁY MERCÊS DE LIMA ◽  
DIEGO HENRIQUE DA SILVA TRUJILLO ◽  
ADIVAN JARBAS MOREIRA SOARES ◽  
THIAGO DA SILVA PINHEIRO ◽  
...  
Keyword(s):  
Mental Health ◽  
Michel Foucault ◽  
Social Practices ◽  
Social Psychiatry ◽  
Health Policies ◽  
History Of ◽  
Mental Health Policies ◽  
Current Experience

  Este artigo busca traçar em formato de ensaio teórico uma trama histórica de alguns operadores analíticos dos procedimentos de psiquiatrização da sociedade e da medicalização dos corpos por meio de práticas sociais normalizadoras e disciplinares. Pensar estes acontecimentos e como são interrogados e trabalhados por Michel Foucault é uma proposta importante e nos auxilia a fazer perguntas a respeito do presente na medida em que diversas análises permitem correlações com a atualidade vivida e, assim, possibilita problematizar a considerável força da psiquiatria social hoje, reconfigurando as políticas de saúde mental disciplinadoras por um viés medicalizante e normalizador cada vez mais intenso em nome da defesa da sociedade. Logo, o presente texto contribui para diversas áreas de modo transdisciplinar no trabalho atento de desnaturalização histórica dos processos de medicalização e psiquiatrização da vida como norma disciplinar e social.Palavras-chave: História da psiquiatrização. Medicalização. Sociedade. Disciplina. Norma.Historical plots about psychiatry, discipline and medicalization in some of Michel Foucault's lensesABSTRACTThis article seeks to trace, in a theoretical essay format, a historial plots of some analytical operators of the psychiatric procedures of society and the medicalization of bodies through normalizing and disciplinary social practices. Thinking about these events and how they are interrogated and worked on by Michel Foucault is an important proposal and helps us to ask questions about the present, as several analyzes allow correlations with the current experience and, thus, make it possible to problematize the considerable strength of social psychiatry. today, reconfiguring disciplinary mental health policies through an increasingly intense medicalizing and normalizing bias in the name of defending society. Therefore, this text contributes to several areas in a transdisciplinary way in the careful work of historical denaturalization of the processes of medicalization and psychiatrization of life as a social and disciplinary norm.Keywords: History of psychiatrization. Medicalization. Society. Subject. Standard. 

Logical structure of acceptance and exclusion in the history of mental health and welfare

Impact ◽  
2021 ◽  
Vol 2021 (6) ◽  
pp. 48-49
Author(s):  
Minori Utsunomiya
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
World War Ii ◽  
Psychiatric Hospitals ◽  
Logical Structure ◽  
Mental Illnesses ◽  
Health Policies ◽  
People With Mental Illness ◽  
History Of ◽  
Mental Health Policies

Early traditional mental health policies in Japan did not protect the rights of patients with mental illnesses, with public safety prioritised over human rights. The situation has since improved, but these early perceptions have impacted on current mental health policies in Japan. Dr Minori Utsunomiya, Aichi Prefectural University, Japan, believes past policies are the root of many challenges facing people with mental illness and she is exploring Japan's complex history of mental health and psychiatric care to shed light on the correlation between past and present mental health policies. Key foci for Utsunomiya are the Psychiatric Custody Law of 1900, the Psychiatric Hospital Law of 1919 and the Mental Health Act of 1950 and she is exploring these laws from two perspectives: pre-World War II to post-war continuity/discontinuity and the structure of acceptance and exclusion for people with mental illnesses. As such, Utsunomiya embarked on an exploration of the process of the revision and abolition of laws and deliberation with respect to bills related to mental illness, investigated the roles and functions of public psychiatric hospitals and analysed the causal relationship between the revision of laws related to mental illness and social incident.

The history of mental health policy in Turkey: tradition, transition and transformation

2020 ◽  
pp. 0957154X2096617
Author(s):  
Merve Kardelen Bilir ◽  
Fatih Artvinli
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Health Services ◽  
Mental Health Policy ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Health Policies ◽  
Community Based ◽  
History Of ◽  
Mental Health Policies

This article offers a brief history and the evolution of mental health policy in Turkey. It aims to analyse how mental health policies were transformed and why certain policies were introduced at specific times. The modern history of mental health policy is divided into three periods: the institutionalization of psychiatry and hospital-based mental health services; the introduction of community-based mental healthcare services; and lastly, the policy of deinstitutionalization after the 1980s. These periods have been categorized in a way that basically coincides with Turkey’s modern political history.

scholarly journals Mental health policy issues and development in Lithuania

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
I R Rubikas
Keyword(s):  
Mental Health ◽  
Alcohol Consumption ◽  
Mental Health Policy ◽  
Well Being ◽  
Health Impact ◽  
Health Policies ◽  
Social And Emotional ◽  
Suicide Rates ◽  
Mental Health Policies ◽  
The Eu

Abstract Background Lithuanian has experienced rapid and relatively successful transition to capitalism and transatlantic-Western values and practices in recent decades. Suicide and legal alcohol consumption rates remain the highest in the EU and OECD, and Lithuania's Positive emotions index score has been consistently amongst the 10 lowest in the world in recent years. Emigration rate is the highest in the EU and OECD, social inequality is amongst the highest in the same groups. Despite a relatively strong economy these changes are not automatically transferred to better social and emotional well-being. Methods This unconventional situation calls for strong and unconventional policy responses in the area of mental health, amongst others. Health impact assessment using theory-based approach and desk research. Results Recent attempts include strategic reorientation towards social and emotional well-being, stronger focus on prevention and promotion and primary care, intensifying efforts to reduce suicide rates, and implementation of strong regulatory measures to reduce alcohol use. Suicide rates have been declining since 2013 but remain high. Effort is made to implement best practices in media reporting, recognition and providing appropriate help for those in suicide crisis, expanding prevention efforts. Conclusions Finally, WHOs “best buys” in alcohol control were implemented since 2017, including steep increases in excise taxes, ban on alcohol advertisement, increase of allowed age, reducing alcohol trading hours and others. This resulted in the steepest decline of legal alcohol consumption in decades. The chosen policy route may be called iterative policy-making, whereby improvements are made along the way, which allows for quicker policy decisions and results. Key messages Mental health policies need to be based on the socio-political context of the specific country. Smaller countries such as Lithuania might benefit form flexible approaches to mental health policies.

scholarly journals 18.L. Workshop: Public mental health policies - experiences and challenges

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Policy ◽  
Participatory Research ◽  
Policy Development ◽  
Mental Health Policy ◽  
Public Mental Health ◽  
Health Policies ◽  
National Mental Health ◽  
Mental Health Policies

Abstract The workshop has the aim to help developing and strengthening policies for Public Mental Health and support experience sharing platform for Public Mental Health policy development. Mental health policy defines the vision for the future mental health of the national population and internationally. The WHOs developed three recommendations for the development of mental health policy, strategic plans and for organizing services which are to deinstitutionalise mental health care; to integrate mental health into general health care; and to develop community mental health services. For each this aim a situational analysis and needs assessment is recommended as first step. Therefore, this workshop consists of four talks in the development of mental health policies at the regional and national level. First, the process of population consultations and participatory research is described (Felix Sisenop). Participatory research enables exchanging experiences, results and key challenges in Public Mental Health. Participatory research can contribute greatly in empowering people to discuss and deal with mental health issues and therefore is a step towards a more involved and active general public. Second, a policy development at the regional level is described (Elvira Mauz). On behalf of the federal ministry of health the Robert Koch Institute as the German public health institute is currently developing a concept for a national Mental Health Surveillance (MHS). In the talk objectives, framework model and work processes are presented. The MHS should systematically gather, process and analyze primary and secondary data, thus an integrating and monitoring system is working. Third, the Public Mental Health policy in Malta will be described (John Cachia) Over the last 7 years CMH Malta developed a strategic framework for the mental health with the input of patients, families, service providers, NGOs and civil society. The Maltese National Mental Health Strategy 2020-2030 was published in July 2019. This strategy will be described in the Talk. Fourth presenter (Ignas Rubikas) will introduce the national perspective on development of Lithuanian mental health policy addressing major public mental health challenges of suicide prevention, alcohol control policies and mental health promotion in a broader context of national mental health care. Key messages Participatory research in Public Mental Health is an approach to involve the population in policy development. Development of mental health policies can benefit from sharing experiences and lessons learned on a national and regional levels.

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