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Improving Mental Health Care - The Global Challenge

Englisch · Fester Einband

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Informationen zum Autor Graham Thornicroft , Professor of Community Psychiatry, Health Service and Population Research Department, King's College London, Institute of Psychiatry, UK. Mirella Ruggeri , Professor of Psychiatry, University of Verona, Dipartimento di Medicina e Sanità Pubblica, Sezione di Psichiatria e di Psicologia Clinica, Università di, Verona, Policlinico G.B. Rossi, Italia. WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation. Director, Service of Psychosomatic and Clinical Psychology, NHS and University of Verona, Verona. Head of the Research Team for Outcome Evaluation in Mental Health at the Section of Psychiatry and Clinical Psychology, University of Verona. Chairperson of ENMESH (European Network for Mental Health Services Evaluation). Professor Sir David Goldberg , Institute of Psychiatry, King's College London, De Crespigny Park, London, UK. Recipient of Royal College of Psychiatry's first Lifetime Achievement Award, 2009. Klappentext What types of mental health care are right for the 21st century--in all countries, around the world? What is the best balance of primary care and specialist mental health care for people with mental illness? What is the best evidence for effective treatments and services? Which methods are most suitable for answering these questions? These are the tough issues addressed by this book. Leading experts from across the world bring their experience to bear in a series of chapters that set out the very best evidence in this field. They present clear accounts of what is known, extensively referenced, with critical appraisals of the strength of the evidence and the robustness of the conclusions that can be drawn.This book was inspired by the work of Michele Tansella on the development of community care globally. It comprises four sections, identifying the challenges associated with providing mental health services in high-, middle- and low-income countries, then describing ways to meet these challenges. A section on new research methods to produce practical evidence is a novel aspect of the book. The final section addresses how best to deliver new forms of care, bearing in mind the human resources available. The chapters extensively cite specific studies to enhance the practical relevance. Much of the cited research involves service users so their voice is heard throughout the text.Mental health is rapidly becoming recognised as one of the leading global health challenges. This book adds to our knowledge of the challenge and the solutions and stands to make a significant contribution to global mental health. Zusammenfassung Written by many of the world's leading practitioners in the delivery of mental health care, this book clearly presents the results of scientific research about care and treatment for people with mental illness in community settings. Inhaltsverzeichnis Contributors xii Section 1 The global challenge 1 1 The nature and scale of the global mental health challenge 3 Mirella Ruggeri, Graham Thornicroft and David Goldberg 2 Scaling up mental health care in resource-poor settings 12 Shekhar Saxena, Benedetto Saraceno and Justin Granstein 3 The swings and roundabouts of community mental health: The UK fairground 25 Peter Tyrer 4 Mental health services and recovery 40 Mike Slade, Mary Leamy, Victoria Bird and Clair Le Boutillier Section 2 Meeting the global challenge 57 5 Implementing evidence-based treatments in routine mental health services: Strategies, obstacles, new developments to better target care provided 59 Antonio Lasalvia, Sarah Tosato, Katia De Santi, Doriana Cristofalo, Chiara Bonetto and Mirella Ruggeri 6 The need for new models of care for people with severe mental illnessin low- and middle-income co...

Inhaltsverzeichnis

Contributors xii
 
Section 1 The global challenge 1
 
1 The nature and scale of the global mental health challenge 3
Mirella Ruggeri, Graham Thornicroft and David Goldberg
 
2 Scaling up mental health care in resource-poor settings 12
Shekhar Saxena, Benedetto Saraceno and Justin Granstein
 
3 The swings and roundabouts of community mental health: The UK fairground 25
Peter Tyrer
 
4 Mental health services and recovery 40
Mike Slade, Mary Leamy, Victoria Bird and Clair Le Boutillier
 
Section 2 Meeting the global challenge 57
 
5 Implementing evidence-based treatments in routine mental health services: Strategies, obstacles, new developments to better target care provided 59
Antonio Lasalvia, Sarah Tosato, Katia De Santi, Doriana Cristofalo, Chiara Bonetto and Mirella Ruggeri
 
6 The need for new models of care for people with severe mental illnessin low- and middle-income countries 78
Ruben Alvarado, Alberto Minoletti, Elie Valencia, Graciela Rojas and Ezra Susser
 
7 The role of primary care in low- and middle-income countries 96
David Goldberg, Graham Thornicroft and Nadja van Ginneken
 
8 Meeting the challenge of physical comorbidity and unhealthy lifestyles 114
Lorenzo Burti, Loretta Berti, Elena Bonfioli and Irene Fiorini
 
9 Complex interventions in mental health services research: Potential, limitations and challenges 131
Thomas Becker and Bernd Puschner
 
10 The feasibility of applying the clinical staging paradigm to the care of people with mental disorders 145
Javier Vázquez-Bourgon, Luis Salvador-Carulla, Benedicto Crespo-Facorro and José Luis Vázquez-Barquero
 
11 Work, mental health and depression 163
Aart Schene, Hiske Hees, Maarten Koeter and Gabe de Vries
 
12 Training mental health providers in better communication with their patients 180
Christa Zimmermann, Lidia Del Piccolo, Claudia Goss, Giuseppe Deledda, Mariangela Mazzi and Michela Rimondini
 
13 Making an economic case for better mental health services 193
Martin Knapp
 
Section 3 New research methods 209
 
14 Incorporating local information and prior expert knowledge to evidence-informed mental health system research 211
Luis Salvador-Carulla, Carlos Garcia-Alonso, Karina Gibert and Javier Vázquez-Bourgon
 
15 Innovative epidemiological methods 229
Francesco Amaddeo, Valeria Donisi, Laura Grigoletti and Alberto Rossi
 
16 Routine outcome monitoring: A tool to improve the quality of mental health care? 246
Sjoerd Sytema and Lian van der Krieke
 
17 Psychiatric case registers: Their use in the era of global mental health 264
Povl Munk-Jørgensen and Niels Okkels
 
18 Can brain imaging address psychosocial functioning and outcome in schizophrenia? 281
Marcella Bellani, Nicola Dusi and Paolo Brambilla
 
19 Statistics and the evaluation of the effects of randomised health-care interventions 291
 
20 Service user involvement in mental health research 308
Diana Rose
 
Section 4 Delivering better care in the community 317
 
21 Psychotropic drug epidemiology and systematic reviews of randomised clinical trials: The roads travelled, the roads ahead 319
Andrea Cipriani, Michela Nosè and Corrado Barbui
 
22 Services for people with severe mental disorders in high-income countries: From efficacy to effectiveness 340
Paul Bebbington, Elizabeth Kuipers and David Fowler
 
23 The management of mental disorders in the primary care setting 374
Matteo Balestrieri
 
24 Some wobbly planks in the platform of mental health care 394
Norman Sartorius
 
25 Treatment gaps and knowledge gaps in mental health: Schizophrenia as a global challenge 403
Assen Jablensky
 
Index 424

Bericht

"Pausing to thank Michele for a career of service, yielding improvements in many parts of the world, seems eminently worthwhile. We encourage all mental health services researchers to read this book (Fig. 1." (Acta Psychiatrica Scandinavica, 24 March 2014)
 
"Nevertheless many of the contributors show a strong understanding of the impact of mental ill-health on people's lives, a wish to reduce that impact, and awareness of and respect for people's rights (even though legal aspects are not discussed, as I describe above). In other words, though you may agree or not with some of the contributors, their humanity shines through, and as such the book is a wonderful and fitting tribute to the pioneer of mental health community care, Michele Tansella." (Potential Unleashed, 6 October 2013)

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