9.7 Public mental health

Saraceno, Benedetto; Freeman, Melvyn; Funk, Michelle

doi:10.1093/med/9780199218707.003.0064

Cited by 6 publications

(6 citation statements)

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“…Greater integration of mental health into the wider public health agenda is needed and more public health "thinking" should be used in mental health planning, looking not only at care but also to prevention and promotion. 18 Acronyms List: AFR = Africa Region AMR = Americas Region EMR = Europe Region PHC = Primary health care SEAR = South-East Asia Region WPR = Western Pacific Region…”

Section: Discussionmentioning

confidence: 99%

Global Mental Health Resources and Services: A WHO Survey of 184 Countries

et al. 2012

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Data derived from the World Health Organization's (WHO) Mental Health Atlas Project 2011 are presented. These data provide the latest estimates on available resources for the treatment and prevention of neuropsychiatric disorders covering 98 percent of the world's population. Resources are defined in terms of governance, financing, mental health care delivery, human resources, essential medicines, and information systems. The Atlas project was initiated to guide policy and planning efforts in order to meet the large and growing burden of neuropsychiatric disorders worldwide. Results indicate that 60 percent of countries have a dedicated mental health policy; 71 percent possess a mental health plan; and 59 percent report having dedicated mental health legislation. Median mental health expenditures per capita are US$ 1.63, with large variation among income groups, ranging from US$ 0.20 in low income countries to US$ 44.84 in high income countries. Globally, 67 percent of financial resources are directed towards mental hospitals. The global median number of facilities per 100,000 population were; 0.61 outpatient facilities, 0.05 day treatment facilities, 0.01 community residential facilities, and 0.04 mental hospitals. There are 7.04 psychiatric beds per 100,000 population in mental hospitals in comparison to 1.4 psychiatric beds per 100,000 population in general hospitals. Higher income countries typically report more facilities and higher admission/ utilization rates. Three quarters of patients admitted to mental hospitals remain there less than one year. There is a clear pattern whereby greater rates of human resources are observed in higher income countries. Globally, nurses represented the

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Section: Discussionmentioning

confidence: 99%

Global Mental Health Resources and Services: A WHO Survey of 184 Countries

et al. 2012

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“…In many countries, including Lithuania, "scarce mental health funds are spent on long-term institutional care […] and on […] pharmaceuticals which, in general, are much less cost-effective than community-based care and generic essential medicines" (Saraceno et al 2007;WHO 2006;Hyman et al 2006). Not only does institutional care generally consume most of mental health resources, it also contributes to the social isolation of individuals from their natural support systems and creates opportunities for human rights violations and societal stigma (Saraceno et al 2007), which in itself is a major public health concern (Saraceno et al 2009). Reforms of institutional care-based mental health care systems commonly tend to be hindered by a lack of development of community-based services (Saraceno et al 2007), and this too may currently be observed to be the case in Lithuania.…”

Section: Centralised Mental Health Resources Mostly In Large State Rmentioning

confidence: 99%

“…There is more and more compelling evidence globally for prioritizing mental health (Saraceno et al 2009). Saraceno et al (2007) argues that it is important to generate political will in order to overcome the barriers to progress in improvement of mental health services.…”

Section: Potential Strategies For Overcoming the Barriersmentioning

confidence: 99%

“…However, the volume and type of most such interventions are not reflected in the national statistics related to persons who have mental health problems or psychosocial disability (Povilaitis et al 2015). Certain functions of the Mental Health Centers could potentially be delegated to other bodies; for example, activities related to mental health promotion and prevention could be transferred to Public Health Centers, since a key aim of any public health body is to "prevent disease/disorder wherever possible and to promote good health" (Saraceno et al 2009). Also, the availability of and accessibility to quality counselling, psychological consultations and psychotherapy are continuously advocated for local use (Povilaitis et al 2015) and could be scaled up as per principles of Global Mental Health.…”

Section: Potential Strategies For Overcoming the Barriersmentioning

confidence: 99%

“…"Decentralisation of services and integration of mental health into general health care are critical to improve mental health status in populations" (Saraceno et al 2009). Downsizing both of social care institutions and of psychiatric hospitals would require availability of a wide spectrum of community-based services.…”

Section: Potential Strategies For Overcoming the Barriersmentioning

confidence: 99%

See 2 more Smart Citations

The Deinstitutionalization of Lithuanian Mental Health Services in Light of the Evidence-based Practice and Principles of Global Mental Health

Grigaitė¹

2017

STEPP

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Concepciones de salud mental en el campo de la salud pública

Restrepo O.,

Jaramillo E.

2012

Rev. Fac. Nac. Salud Pública

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Aun cuando existe un reconocimiento de la importancia de la salud mental en el campo de la salud pública y de la amplia utilización de este concepto en los ámbitos profesionales, académicos y políticos, no obstante enfrenta importantes dificultades epistemológicas y prácticas para precisar qué se entiende por lo “mental”, cómo se relacionan “la salud” y “lo mental” y, en consecuencia, cómo se investiga e interviene en el ámbito de la salud mental, puesto que, en la práctica, la orientación de las acciones y de las investigaciones no obedecen a definiciones “universales”, sino a concepciones construidas a partir de los diferentes enfoques de salud-enfermedad. En el presente trabajo se discuten las concepciones de salud mental que se configuran a partir de los enfoques biomédico, comportamental y socioeconómico, así como de las nociones de “lo mental” en las cuales se soportan dichas concepciones y sus implicaciones para la intervención en el campo de la salud pública.

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9.7 Public mental health

Cited by 6 publications

References 0 publications

Global Mental Health Resources and Services: A WHO Survey of 184 Countries

Global Mental Health Resources and Services: A WHO Survey of 184 Countries

The Deinstitutionalization of Lithuanian Mental Health Services in Light of the Evidence-based Practice and Principles of Global Mental Health

Concepciones de salud mental en el campo de la salud pública

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