Mental health policy and practice across Europe: an overview

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452 Mental health policy and practice stigma see also discrimination addressing, 318, 319 anti-stigma work, 44–5, 48–9, 345 components, 47 key issue, 40 legislation role, 319 overcoming, 90 overview, 8–9 reducing, 228 user/survivor movement, 345 strategic planning, policy, 432 strategies, social inclusion, 53 stress, refugees, 363–6 stress-vulnerability model, mental health disorders, 127 subjective impact, caring, 375 suicide prevention, 199–200 suicide rates, 1, 4, 22 eastern bloc, former, 408 support, caring, 383–4 supported employment, 301–2 supported housing, 286–8 ‘Supporting People’ initiative, housing, 285 SURE see Service User Research Enterprise SURGE (Service Users Research Group for England), user/survivor movement, 350 survivor movement see user/survivor movement systematic reviews, evidence-informed policy/practice, 105–7 targeting resources, 81–4 taxation alcohol, 273 financing, 67–8, 70, 78 timing, resourcing, 89 training effectiveness evidence, 224 human resources, 437–8 transition policy, eastern bloc, former, 413–20 treatment, 126–45 see also mental health services; psychopharmaceuticals categorizing, 128–30 depression, 139–40 future, 140–1 needs, 128–30 pharmacological, 130–3 psychosocial interventions, 137–9 psychotherapies, 133–7 somatic, 130–3 trends depression, 176–7 financing, 69 mental health services, 22–6 overview, 2 UK, psychopharmaceuticals, 169–73 United Nations, human rights, 309, 311 urban planning, public policies, 203–4 user/survivor movement, 336–55 activities, 343–4, 346 advocacy, 344–5 anti-stigma work, 345 central Europe, 346–7 criticisms, 352–3 eastern Europe, 346–7 ENUSP, 338–9, 341–4 European level, 341–3 factors influencing, 336–8 Hamlet Trust, 341, 348 history, 339–41 methods, 338–9 mutual support, 344 number of user groups, 343 Patients’ Councils, 340 policy making, 350–3 research, 349–50 RSMH, 340, 347–8 self-help, 344 SURE, 350 SURGE, 350 user control, 347–9 user-led research, 349–50 web resources, 338–9 variation, mental health services between countries, 87–9 within countries, 88 vertical extension, mental health services, 21–6 VHI see voluntary health insurance violence, preventing, 198 voluntary health insurance (VHI), 68, 69–73 limitations, 69 web resources ENUSP, 338–9 EUFAMI, 389 families, 389 welfare production, resourcing, 61–3 WHO see World Health Organization WHP see workplace health promotion workforce development, mental health services, 227 working life labour policies, 202–3 promoting mental health, 194–5, 196 workplace health promotion (WHP), 292–4 World Health Organization (WHO) Declaration, policy, 350–1 Helsinki 2005, Action Plan, 7, 11–12 initiatives, 426–7 key issues, 433–8 policy, 350–1 policy perspective, 426–40 policy recommendations, 239–43 refugees recommendations, 366–7 social exclusion, 43
Related books from Open University Press Purchase from www.openup.co.uk or order through your local bookseller PRIMARY CARE IN THE DRIVER’S SEAT ORGANIZATIONAL REFORM IN EUROPEAN PRIMARY CARE Richard Saltman, Ana Rico and Wienke Boerma (eds) • What is the best way to structure primary care services? • How can coordination between primary care and other parts of health care systems be improved? • How should new technologies be integrated into primary care? There is considerable agreement among national policy makers across Europe that, in principle, primary care should be the linchpin of a well-designed health care system. This agreement, however, does not carry over into the organizational mechanisms best suited to pursuing or achieving this common objective. Across western, central and eastern Europe, primary care is delivered through a wide range of institutional, financial, professional and clinical configurations. This book is a study of the reforms of primary care in Europe as well as their impacts on the broader co-ordination mechanisms within European health care systems. It also provides suggestions for effective strategies for future improvement in health care system reform. Primary Care in the Driver’s Seat is key reading for students studying health policy, health economics, public policy and management, as well as health managers and policy makers. Contributors Richard Baker; Sven-Eric Bergman; Wienke Boerma; Mats Brommels; Michael Calnan; Diana Delnoij; Anna Dixon; Carl-Ardy Dubois; Joan Gené Badia; Bernhard Gibis; Stefan Greß; Peter Groenewegen; Jan Heyrman; Jack Hutten; Michael Kidd; Mårten Kvist; Miranda Laurant; Margus Lember; Martin Marshall; Alison McCallum; Toomas Palu; Ana Rico; Ray Robinson; Valentin Rusovich; Richard B. Saltman; Anthony Scott; Rod Sheaff; Igor Svab; Bonnie Sibbald; Hrvoje Tiljak; Andrija Štampar; Michel Wensing. Contents List of tables – List of boxes – List of figures – List of contributors – Series editors’ introduction – Foreword – Acknowledgements – Part one: Assessing the strategic landscape – Coordination and integration in European primary care – Mapping primary care across Europe – Changing conditions for structural reform in primary care – Drawing the strands together: primary care in perspective – Part two: Changing institutional arrangements – The challenge of coordination: The role of primary care professionals in promoting integration across the interface – The impact of primary care purchasing in Europe: A comparative case study of primary care reform – The evolving public-private mix – Part three: Changing working arrangements – Changing task profiles – Changing professional roles in primary care education – Managing primary care behaviour through payment systems and financial incentives – Part four: Changing quality standards – Improving the quality and performance of primary care – The role of new information and communication technologies in primary care – Index. 2005 280pp 0 335 21365 0 (EAN: 9 780335 213658) Paperback 0 335 21366 9 (EAN: 9 780335 213665) Hardback
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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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Table 7.14 Europe comparative presc
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Table 7.20 Decline in psychiatric i
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Promotion and prevention 189 Mental
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Promotion and prevention 191 Box 8.
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Promotion and prevention 193 risk o
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Promotion and prevention 195 and th
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Promotion and prevention 197 (Üstu
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Promotion and prevention 199 and un
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Promotion and prevention 201 The li
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Promotion and prevention 203 income
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Promotion and prevention 205 implem
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Promotion and prevention 207 When d
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Promotion and prevention 209 health
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Promotion and prevention 211 Murphy
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Promotion and prevention 213 Vuori,
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chapter nine Common mental health p
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Mental health disorders in primary
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Mental health problems in primary c
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chapter ten Reforms in community ca
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Table 10.1 Mental health care in th
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Reforms in community care 239 syste
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Reforms in community care 241 integ
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Reforms in community care 243 In 19
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Reforms in community care 245 Secon
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Reforms in community care 247 must
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Reforms in community care 249 Goldb
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Addiction and alcohol 251 (Brown et
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Addiction and alcohol 253 Figure 11
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Addiction and alcohol 255 Table 11.
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Addiction and alcohol 257 Some stud
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Addiction and alcohol 259 availabil
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Addiction and alcohol 261 Table 11.
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Addiction and alcohol 263 Hours and
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Addiction and alcohol 265 College s
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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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Page 461 and 462: The WHO perspective 433 Key issues
Page 463 and 464: The WHO perspective 435 Box 18.2 Qu
Page 465 and 466: The WHO perspective 437 services is
Page 467 and 468: The WHO perspective 439 Desjarlais,
Page 469 and 470: Index abuse of psychiatry, eastern
Page 471 and 472: Index 443 community care ECHR, 321
Page 473 and 474: Index 445 European countries commun
Page 475 and 476: Index 447 initiatives, discriminati
Page 477 and 478: Index 449 applying principles, 317-
Page 479: Index 451 policy, 228-9 practice, 2
Page 483: PURCHASING TO IMPROVE HEALTH SYSTEM
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