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Mental health policy and practice across Europe: an overview

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444 <strong>Mental</strong> <strong>health</strong> <strong>policy</strong> <strong><strong>an</strong>d</strong> <strong>practice</strong><br />

schizophrenia, 45<br />

stages, intervening at, 47–53<br />

‘disease mongering’, psychopharmaceuticals,<br />

179–80<br />

distribution, resourcing, 84–6, 92–4<br />

donor aid, fin<strong>an</strong>cing, 74<br />

DRC see Disability Rights Commission<br />

drugs see psychopharmaceuticals<br />

duration of hospital stay<br />

indicator, 22–3<br />

mental <strong>health</strong> services, 22–3<br />

eastern bloc, former, 397–425<br />

abuse of psychiatry, 401–2<br />

action research, 417–18<br />

‘Analytic Studies of <strong>Mental</strong> Health Policies<br />

<strong><strong>an</strong>d</strong> Services’, 399–400<br />

‘Attitudes <strong><strong>an</strong>d</strong> Needs Assessment in<br />

Psychiatry’, 399<br />

ch<strong>an</strong>ge of, 1989, 406–7<br />

data, mental <strong>health</strong> services, 420–2<br />

demographic context, 407–11<br />

deregulation, mental <strong>health</strong> services, 408<br />

differences, 398–9<br />

disability, 404<br />

economic context, 407–11<br />

GIP, 399–400, 414<br />

good <strong>practice</strong>, 418–20<br />

govern<strong>an</strong>ce, 412<br />

<strong>health</strong> resources, 409–11<br />

information sources, 399–400<br />

institutions, 404–6<br />

Lithu<strong>an</strong>ia, 418–20<br />

mental <strong>health</strong> services, 411–12<br />

mental <strong>health</strong> services data, 420–2<br />

needs assessment, 408–9<br />

objectives, 400–1<br />

participatory action research, 417–18<br />

<strong>policy</strong>, 397–425<br />

<strong>policy</strong> dem<strong><strong>an</strong>d</strong>s, 416–17<br />

<strong>policy</strong> evidence, 413–14<br />

<strong>policy</strong>, tr<strong>an</strong>sition, 413–20<br />

political ch<strong>an</strong>ge, 406–7<br />

political context, 401–7<br />

political psychiatry, 402–3, 406<br />

provision of mental <strong>health</strong> services, 411–12<br />

psychosocial dynamics of ch<strong>an</strong>ge, 415<br />

reforms, 397–9<br />

research, 417–18<br />

resourcing, 409–11<br />

science, disgrace of, 403–4<br />

sociopolitical context, 401–7<br />

suicide rates, 408<br />

tr<strong>an</strong>sition <strong>policy</strong>, 413–20<br />

utilization of mental <strong>health</strong> services,<br />

411–12<br />

eastern <strong>Europe</strong><br />

hum<strong>an</strong> rights violations, 42<br />

user/survivor movement, 346–7<br />

EBM see evidence-based medicine<br />

ECHR see <strong>Europe</strong><strong>an</strong> Court of Hum<strong>an</strong> Rights<br />

economic consequences, caring, 379–80<br />

economic context, eastern bloc, former,<br />

407–11<br />

economic costs/impacts<br />

community care, 243–5<br />

deinstitutionalization, 243–5<br />

mental disorders, 429<br />

mental <strong>health</strong>, 2–3, 200–1<br />

economic insecurity, public policies, 200–1<br />

education access, public policies, 202<br />

Effective Practice <strong><strong>an</strong>d</strong> Org<strong>an</strong>ization of Care<br />

(EPOC) group, depression m<strong>an</strong>agement<br />

strategies, 222–3<br />

effectiveness evidence<br />

collaborative care, 224–5<br />

consultation-liaison, 224<br />

replacement, 225<br />

training, 224<br />

effectiveness, <strong>policy</strong> goal, 219, 222–3<br />

efficiency<br />

fin<strong>an</strong>cing, 433–4<br />

<strong>policy</strong> goal, 219, 221<br />

resourcing, 81–2<br />

employment, 280–2, 292–304<br />

approaches to workplace mental <strong>health</strong>,<br />

292–4<br />

epidemiological research, 294<br />

fin<strong>an</strong>cial disincentives, 302–3<br />

mental <strong>health</strong> issues, 294–5<br />

occupational stress, 295–8<br />

<strong>policy</strong>, 281–2<br />

pre-vocational training, 299–302<br />

professional perspectives, 281–2<br />

promoting mental <strong>health</strong>, 292–4, 297–8<br />

rehabilitation, 294–5<br />

reintegration of workers, 298<br />

return to work, 298–300<br />

stress, occupational, 295–8<br />

supported, 301–2<br />

workplace <strong>health</strong> promotion (WHP), 292–4<br />

employment-related discrimination, 40–1<br />

empowerment, <strong>overview</strong>, 7–8, 10<br />

ENUSP (<strong>Europe</strong><strong>an</strong> Network of (ex) Users <strong><strong>an</strong>d</strong><br />

Survivors of Psychiatry), user/survivor<br />

movement, 338–9, 341–4<br />

epidemiological research<br />

employment, 294<br />

evidence-informed <strong>policy</strong>/<strong>practice</strong>, 109<br />

needs identification, 109<br />

EPOC see Effective Practice <strong><strong>an</strong>d</strong> Org<strong>an</strong>ization<br />

of Care group<br />

equality, hum<strong>an</strong> rights, 315<br />

equity/inequity<br />

Engl<strong><strong>an</strong>d</strong>, 92<br />

fin<strong>an</strong>cing, 433–4<br />

<strong>policy</strong> goal, 219<br />

resourcing, 84–6, 91–3<br />

<strong>Europe</strong><strong>an</strong> Association for Families of People<br />

with <strong>Mental</strong> Illness (EUFAMI), 385–6, 388<br />

<strong>Europe</strong><strong>an</strong> Convention, hum<strong>an</strong> rights, 309,<br />

311

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