Mental health policy and practice across Europe: an overview

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European Observatory on Health Systems and Policies Series The European Observatory on Health Systems and Policies is a unique project that builds on the commitment of all its partners to improving health systems: • World Health Organization Regional Office for Europe • Government of Belgium • Government of Finland • Government of Greece • Government of Norway • Government of Slovenia • Government of Spain • Government of Sweden • Veneto Region of Italy • European Investment Bank • Open Society Institute • World Bank • CRP-Santé Luxembourg • London School of Economics and Political Science • London School of Hygiene & Tropical Medicine The series The volumes in this series focus on key issues for health policy-making in Europe. Each study explores the conceptual background, outcomes and lessons learned about the development of more equitable, more efficient and more effective health systems in Europe. With this focus, the series seeks to contribute to the evolution of a more evidence-based approach to policy formulation in the health sector. These studies will be important to all those involved in formulating or evaluating national health policies and, in particular, will be of use to health policy-makers and advisers, who are under increasing pressure to rationalize the structure and funding of their health system. Academics and students in the field of health policy will also find this series valuable in seeking to understand better the complex choices that confront the health systems of Europe. The Observatory supports and promotes evidence-based health policy-making through comprehensive and rigorous analysis of the dynamics of health care systems in Europe. Series Editors Josep Figueras is the Director of the European Observatory on Health Systems and Policies, and Head of the European Centre for Health Policy, World Health Organization Regional Office for Europe. Martin McKee is Head of Research Policy and Head of the London Hub of the European Observatory on Health Systems and Policies. He is Professor of European Public Health at the London School of Hygiene & Tropical Medicine as well as a co-director of the School’s European Centre on Health of Societies in Transition. Elias Mossialos is the Co-director of the European Observatory on Health Systems and Policies. He is Brian Abel-Smith Professor in Health Policy, Department of Social Policy, London School of Economics and Political Science and Director of LSE Health. Richard B. Saltman is Associate Head of Research Policy and Head of the Atlanta Hub of the European Observatory on Health Systems and Policies. He is Professor of Health Policy and Management at the Rollins School of Public Health, Emory University in Atlanta, Georgia.
European Observatory on Health Systems and Policies Series Series Editors: Josep Figueras, Martin McKee, Elias Mossialos and Richard B. Saltman Published titles Primary care in the driver’s seat Richard B. Saltman, Ana Rico and Wienke Boerma (eds) Human resources for health in Europe Carl-Ardy Dubois, Martin McKee and Ellen Nolte (eds) Health policy and European Union enlargement Martin McKee, Laura MacLehose and Ellen Nolte (eds) Regulating entrepreneurial behaviour in European health care systems Richard B. Saltman, Reinhard Busse and Elias Mossialos (eds) Social health insurance systems in western Europe Richard B. Saltman, Reinhard Busse and Josep Figueras (eds) Health care in central Asia Martin McKee, Judith Healy and Jane Falkingham (eds) Hospitals in a changing Europe Martin McKee and Judith Healy (eds) Funding health care: options for Europe Elias Mossialos, Anna Dixon, Josep Figueras and Joe Kutzin (eds) Regulating pharmaceuticals in Europe: striving for efficiency, equity and quality Elias Mossialos, Monique Mrazek and Tom Walley (eds) Purchasing to improve health systems performance Joseph Figueras, Ray Robinson and Elke Jakubowski (eds) Forthcoming titles Decentralization in Health Care Richard B. Saltman, Vaida Bankauskaite and Karsten Vrangbæk (eds)
Page 1 and 2: European Observatory on Health Syst
Page 3 and 4: The European Observatory on Health
Page 5: Open University Press McGraw-Hill E
Page 9 and 10: viii Contents five six The evidence
Page 11 and 12: List of tables 2.1 Beds in state ps
Page 13 and 14: List of figures 4.1 The production
Page 15 and 16: List of boxes 3.1 A personal testim
Page 17 and 18: List of contributors Francesco Amad
Page 19 and 20: xviii List of contributors Viviane
Page 21 and 22: Series editors’ introduction Euro
Page 23 and 24: Foreword Mental health may be the m
Page 25 and 26: Foreword by the Minister of Health
Page 27 and 28: Acknowledgements This volume is par
Page 29 and 30: chapter one Mental health policy an
Page 31 and 32: An overview 3 agencies (see Chapter
Page 33 and 34: An overview 5 Funding In broad term
Page 35 and 36: An overview 7 Social inclusion and
Page 37 and 38: An overview 9 actions such as inter
Page 39 and 40: An overview 11 of symptom alleviati
Page 41 and 42: An overview 13 Kessler, R.C., Demle
Page 43 and 44: chapter two The historical developm
Page 45 and 46: Historical development of mental he
Page 55 and 56: A lack of historical continuity His
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Historical development of mental he
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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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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
Page 483:
PURCHASING TO IMPROVE HEALTH SYSTEM
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