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Community mental health care worldwide: current status and further developments

World psychiatry, 2016-10, Vol.15 (3), p.276-286 [Peer Reviewed Journal]

2016 World Psychiatric Association ;2016 World Psychiatric Association. ;ISSN: 1723-8617 ;EISSN: 2051-5545 ;DOI: 10.1002/wps.20349 ;PMID: 27717265

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  • Title:
    Community mental health care worldwide: current status and further developments
  • Author: Thornicroft, Graham ; Deb, Tanya ; Henderson, Claire
  • Subjects: chronic care model ; Community mental health care ; deinstitutionalization ; evidence‐based interventions ; Health care industry ; Health services ; low‐ and middle‐income countries ; Mental disorders ; Mental health care ; mental health services ; Reappraisal ; schools ; workplace
  • Is Part Of: World psychiatry, 2016-10, Vol.15 (3), p.276-286
  • Description: This paper aims to give an overview of the key issues facing those who are in a position to influence the planning and provision of mental health systems, and who need to address questions of which staff, services and sectors to invest in, and for which patients. The paper considers in turn: a) definitions of community mental health care; b) a conceptual framework to use when evaluating the need for hospital and community mental health care; c) the potential for wider platforms, outside the health service, for mental health improvement, including schools and the workplace; d) data on how far community mental health services have been developed across different regions of the world; e) the need to develop in more detail models of community mental health services for low‐ and middle‐income countries which are directly based upon evidence for those countries; f) how to incorporate mental health practice within integrated models to identify and treat people with comorbid long‐term conditions; g) possible adverse effects of deinstitutionalization. We then present a series of ten recommendations for the future strengthening of health systems to support and treat people with mental illness.
  • Publisher: Italy: Wiley Subscription Services, Inc
  • Language: English
  • Identifier: ISSN: 1723-8617
    EISSN: 2051-5545
    DOI: 10.1002/wps.20349
    PMID: 27717265
  • Source: Geneva Foundation Free Medical Journals at publisher websites
    PubMed Central
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