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Mental health policy and practice across Europe: an overview

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

older age, 195<br />

parenting interventions, 193<br />

<strong>policy</strong> framework, 188–214<br />

pregn<strong>an</strong>cy, 192<br />

profile raising, 228<br />

retirement, 195<br />

school environments, 193–4<br />

working life, 194–5, 196<br />

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

292–4<br />

promotion<br />

<strong>overview</strong>, 11<br />

promoting, 11<br />

protecting hum<strong>an</strong> rights, 316–17<br />

psychiatric clinics, historical development,<br />

17–19<br />

psychiatric disabilities<br />

mortality rates relationship, 37–8<br />

social exclusion relationship, 35–6<br />

psychoeducational interventions, caring,<br />

383–4<br />

psychopharmaceuticals, 130–3<br />

accounting for psychopharmacology,<br />

176–8<br />

adverse effects, 180–1<br />

<strong>an</strong>xiety disorders, 178–80<br />

co-production, 178–80<br />

cost-effectiveness, 83<br />

country comparison, 151–69<br />

‘disease mongering’, 179–80<br />

in <strong>Europe</strong>, 146–87<br />

<strong>Europe</strong><strong>an</strong> Union, 153–62<br />

Fr<strong>an</strong>ce, 173–5<br />

<strong>health</strong> care systems, 162–75<br />

Italy, 173–5<br />

market for drugs, 151–2<br />

marketing, 176–83<br />

modes of action, 147–51<br />

mood swings, 180–1<br />

Nordic countries, 164–5<br />

<strong>policy</strong> impacts, 131–3<br />

prescribing rates, 169–75<br />

psychopharmacological paradigm,<br />

146–51<br />

UK, 169–73<br />

psychopharmacology, historical<br />

development, 22<br />

psychoses, <strong><strong>an</strong>d</strong> caring, 375–6<br />

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

bloc, former, 415<br />

psychosocial interventions, 137–9<br />

psychostimul<strong>an</strong>ts<br />

country comparison, 163–5<br />

<strong>Europe</strong><strong>an</strong> Union, 162<br />

psychotherapies, 133–7<br />

categorizing, 133–4<br />

defining, 133–4<br />

evidence of effectiveness, 135–6<br />

<strong>policy</strong> issues, 136–7<br />

providers, 134–5<br />

psychotic disorders, mortality rates, 37<br />

PTSD see post-traumatic stress disorder<br />

public policies, 200–7<br />

economic insecurity, 200–1<br />

education access, 202<br />

housing, 203–4<br />

labour policies, 202–3<br />

social cohesion, 201<br />

social policies, 201<br />

social support, 201<br />

urb<strong>an</strong> pl<strong>an</strong>ning, 203–4<br />

WHO recommendations, 239–40<br />

QALY see quality adjusted life year<br />

assessments<br />

qualitative approaches, evaluations,<br />

102–3<br />

quality adjusted life year (QALY) assessments,<br />

230<br />

quality commitment, <strong>policy</strong>, 434–5<br />

quality of life<br />

housing, 291<br />

<strong>overview</strong>, 9<br />

promoting, 9<br />

quality st<strong><strong>an</strong>d</strong>ards, 434–5<br />

ratio, beds; state:total, 23–6<br />

re-institionalization, 42–3<br />

receptor capacity, evidence-informed<br />

<strong>policy</strong>/<strong>practice</strong>, 119–20<br />

reform initiatives, mental <strong>health</strong> services,<br />

25–6, 90<br />

reforms<br />

community care, 235–49<br />

eastern bloc, former, 397–9<br />

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

refugees<br />

see also asylum seekers<br />

accessibility, 369–71<br />

advocacy, 369<br />

Breathing Space initiative, 368<br />

cultural sensitivity, 369–70<br />

defining, 359<br />

in <strong>Europe</strong>, 359–62<br />

<strong>Europe</strong><strong>an</strong> context, 357–8<br />

integrated approach, 369–70<br />

<strong><strong>an</strong>d</strong> mental <strong>health</strong>, 361–6<br />

mental <strong>health</strong> care, 356–73<br />

mental <strong>health</strong> services, 366–71<br />

Pharos initiative, 368<br />

political awareness, 370–1<br />

PTSD, 363–5<br />

SAPPIR initiative, 368<br />

statistics, 359–62<br />

stress, 363–6<br />

WHO recommendations, 366–7<br />

rehabilitation, employment, 294–5<br />

replacement, effectiveness evidence, 225<br />

research<br />

eastern bloc, former, 417–18<br />

future, 230<br />

mental <strong>health</strong> services, 228–9

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