Community Mental Health: Putting Policy Into Practice Globally
January 2012, Wiley-Blackwell
This book reviews the implementation of community-orientated care using the balanced care model. It summarizes the steps, obstacles and mistakes that have been encountered in the implementation of community mental health care worldwide and presents guidelines on how to avoid them. It proposes realistic and achievable recommendations for the development and implementation of community-orientated mental health care over the next ten years. These guidelines will be of practical use to psychiatrists and other mental health and public health practitioners at all levels worldwide, including policy makers, commissioners, funders, non-governmental organisations, service users and carers. A core message of the book is that the mental health sector will more powerfully advocate for better services in future through strong and unified alliances, especially with powerful representation from consumer/service user and carer groups.
Community-orientated care draws on a wide range of practitioners, providers, care and support systems (both professional and non-professional), though particular components may play a larger or lesser role in different settings depending on the local context and the available resources, especially trained staff. Research by a WPA task force has demonstrated that most of the challenges are common and global, but with local variations. The book is therefore relevant to psychiatrists and mental health workers in developed countries who are trying to deliver better health care on reduced budgets and for those in the developing economies who are in the position to modernise their mental health care. It provides clear, concise guidance on policy and practice decisions, learning from what has and has not worked in regions in the world.
The book contains many tables documenting the evidence, supported by an essential reference list, and a Key Points summary for each chapter.
Highly Commended in the Psychiatry section of the 2012 BMA Book Awards.
Section 1 Introduction, 1
1 Global mental health: the context, 3
2 Description of the world regions, 14
3 Overview of mental health policies worldwide, 23
Section 2 Implementation of community mental health services, 37
4 The current provision of community mental health services, 39
5 Policies, plans, and programs, 90
6 Scaling up services for whole populations, 97
7 Stigma, discrimination, and community awareness about mental illnesses, 119
8 Developing a consensus for engagement, 135
9 Human and financial resources, 140
10 Development, organization, and evaluation of services, 151
Section 3 Recommendations, 167
11 Lessons learned and recommendations for the future, 169
Appendix A Terminologies, 213
Appendix B Questions from a survey conducted with regional experts in the Africa region, 221
Appendix C Internet resources, 223
Atalay Alem, Department of Psychiatry, Faculty of Medicine, Addis Ababa University, Ethiopia
Robert E. Drake, Dartmouth Psychiatric Research Center, NH, USA
Hiroto Ito, National Institute of Mental Health, National Centre of Neurology and Psychiatry, Tokyo, Japan
Jair Mari, Department of Psychiatry, Universidade Federal de São Paulo, Brazil
Peter McGeorge, New Zealand Mental Health Commission, Wellington, New Zealand
R. Thara, Schizophrenia Research Foundation (SCARF), Chennai, India