Mental health policy and practice across Europe: an overview

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214 Mental health policy and practice Zenere, F.J. and Lazarus, P.J. (1997) The decline of youth suicidal behaviour in an urban, multicultural public school system following the introduction of a suicide prevention and intervention program, Suicide and Life-Threatening Behaviour, 27(4): 387–402.
chapter nine Common mental health problems in primary care: policy goals and the evidence base Simon Gilbody and Peter Bower Mental health problems, such as anxiety and depression, are especially common in primary care settings and are responsible for substantial morbidity, impairment and lost productivity. Most of these problems can be appropriately and effectively managed in primary care settings, either by primary care workers or in collaboration with specialist secondary care services. However, care is often less than satisfactory, due to a mixture of three (often interrelated) factors: (1) inappropriate recognition and management of common mental health problems by clinicians; (2) a low priority being given to mental health problems by decision-makers at all levels; and (3) inadequate resources being made available for common mental health problems. The World Health Organization (WHO) (WHO 2001a) suggests that all mental health policies should be anchored by the four guiding principles of access, equity, effectiveness and efficiency. In this chapter we examine the potential impact of mental health policies directed at improving the organization and delivery of primary mental health care from this perspective. Primary care mental health policies can be linked to high quality clinical and economic evidence, and the potential to improve the quality of care is substantial. Policies need to be tailored within individual health care settings, with due consideration of the total resources available.
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European Observatory on Health Syst
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The European Observatory on Health
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Open University Press McGraw-Hill E
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European Observatory on Health Syst
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viii Contents five six The evidence
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List of tables 2.1 Beds in state ps
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List of figures 4.1 The production
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List of boxes 3.1 A personal testim
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List of contributors Francesco Amad
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xviii List of contributors Viviane
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Series editors’ introduction Euro
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Foreword Mental health may be the m
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Foreword by the Minister of Health
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Acknowledgements This volume is par
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chapter one Mental health policy an
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An overview 3 agencies (see Chapter
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An overview 5 Funding In broad term
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An overview 7 Social inclusion and
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An overview 9 actions such as inter
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An overview 11 of symptom alleviati
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An overview 13 Kessler, R.C., Demle
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chapter two The historical developm
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Historical development of mental he
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A lack of historical continuity His
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Tackling social exclusion 35 • in
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Tackling social exclusion 37 networ
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Tackling social exclusion 39 regula
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Tackling social exclusion 41 where
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Tackling social exclusion 43 and Sw
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Tackling social exclusion 45 addres
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Tackling social exclusion 47 than o
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Tackling social exclusion 49 in thi
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Tackling social exclusion 51 not ho
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Tackling social exclusion 53 Box 3.
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Tackling social exclusion 55 Conclu
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Tackling social exclusion 57 Disabi
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Tackling social exclusion 59 Read,
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Financing and funding 61 problems h
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Financing and funding 63 provides a
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Financing and funding 65 recognizin
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Financing and funding 67 care docto
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Financing and funding 69 Trends in
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Financing and funding 71 employment
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Financing and funding 73 kind, cove
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Financing and funding 75 emphasis o
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Financing and funding 77 provided i
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Financing and funding 79 for differ
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Financing and funding 81 budgets in
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Financing and funding 83 Europe or
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Financing and funding 85 the famili
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Financing and funding 87 of further
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Financing and funding 89 mental hea
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Financing and funding 91 community
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Financing and funding 93 Available
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Financing and funding 95 Basu, A. (
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Financing and funding 97 of interve
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Financing and funding 99 World Heal
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The evidence base 101 result of pub
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The evidence base 103 campaigns, it
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The evidence base 105 using health
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Table 5.1 A matrix of evidence Rese
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Identifying needs using epidemiolog
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The evidence base 111 facilitate gl
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The evidence base 113 Learning from
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The evidence base 115 sources of ev
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The evidence base 117 Europe, and i
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The evidence base 119 to Policy pro
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The evidence base 121 Finally, it i
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The evidence base 123 Lavis, J., Ro
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The evidence base 125 World Health
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The treatment of mental disorders 1
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Psychopharmaceuticals in Europe 147
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Table 7.6 Europe by drug type and c
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Table 7.8 Europe by drug type and c
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Table 7.10 Europe by drug type and
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Table 7.12 Europe by drug type and
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Page 195 and 196: Table 7.20 Decline in psychiatric i
Page 217 and 218: Promotion and prevention 189 Mental
Page 219 and 220: Promotion and prevention 191 Box 8.
Page 221 and 222: Promotion and prevention 193 risk o
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Page 231 and 232: Promotion and prevention 203 income
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Page 245 and 246: Mental health disorders in primary
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Page 265 and 266: Table 10.1 Mental health care in th
Page 267 and 268: Reforms in community care 239 syste
Page 269 and 270: Reforms in community care 241 integ
Page 271 and 272: Reforms in community care 243 In 19
Page 273 and 274: Reforms in community care 245 Secon
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Page 277 and 278: Reforms in community care 249 Goldb
Page 279 and 280: Addiction and alcohol 251 (Brown et
Page 281 and 282: Addiction and alcohol 253 Figure 11
Page 283 and 284: Addiction and alcohol 255 Table 11.
Page 285 and 286: Addiction and alcohol 257 Some stud
Page 287 and 288: Addiction and alcohol 259 availabil
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Page 291 and 292: Addiction and alcohol 263 Hours and
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Addiction and alcohol 265 College s
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Addiction and alcohol 267 Figure 11
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Addiction and alcohol 273 Alcohol t
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Addiction and alcohol 275 developme
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Addiction and alcohol 277 Greenfiel
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Addiction and alcohol 279 World Hea
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Housing and employment 281 European
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Housing and employment 283 to a lif
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Housing and employment 285 relative
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Housing and employment 287 comprise
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Housing and employment 289 treatmen
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Housing and employment 291 rented h
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Housing and employment 293 occupati
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Housing and employment 295 market;
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Housing and employment 297 Table 12
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Housing and employment 299 Return t
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Effectiveness of pre-vocational and
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Housing and employment 303 where re
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Housing and employment 305 mental h
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Housing and employment 307 S.M. (20
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A human rights perspective 309 Nor
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Monitoring compliance with the inte
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A human rights perspective 313 Ment
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A human rights perspective 315 Equa
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A human rights perspective 317 Last
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A human rights perspective 319 Comb
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A human rights perspective 321 segr
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A human rights perspective 323 The
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A human rights perspective 325 •
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A human rights perspective 327 ensu
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A human rights perspective 329 •
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A human rights perspective 331 Arti
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A human rights perspective 333 Refe
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A human rights perspective 335 Will
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The user and survivor movement 337
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Care of asylum seekers and refugees
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generic local team or psychiatric h
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Carers and families 375 In this cha
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Carers and families 377 impact they
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Carers and families 379 2002). In a
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Carers and families 381 conducted i
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Carers and families 383 Interventio
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Carers and families 385 Child careg
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Carers and families 387 subject to
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Carers and families 389 Conclusion
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Carers and families 391 Cohen, C.A.
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Carers and families 393 in long-ter
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Carers and families 395 care in rel
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chapter seventeen Mental health pol
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Policy in former eastern bloc count
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Table 17.1 General information and
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Box 18.1 Recommendations in The Wor
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The WHO perspective 429 isolation,
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The WHO perspective 431 high when c
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The WHO perspective 433 Key issues
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The WHO perspective 435 Box 18.2 Qu
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The WHO perspective 437 services is
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The WHO perspective 439 Desjarlais,
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Index abuse of psychiatry, eastern
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Index 443 community care ECHR, 321
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Index 445 European countries commun
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Index 447 initiatives, discriminati
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Index 449 applying principles, 317-
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Index 451 policy, 228-9 practice, 2
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Related books from Open University
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