Lean economies and innovation in mental health systems

Evans‐Lacko, Sara; Ribeiro, Wagner Silva; Brietzke, Elisa; Knapp, Martín; Mari, Jair J.; McDaid, David; Paula, Cristiane Silvestre de; Romeo, Renée; Thornicroft, Graham; Wissow, Lawrence S.

doi:10.1016/s0140-6736(16)30090-3

Cited by 13 publications

(10 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The resource constraints of the so-called developing countries can forge innovative mental health care strategies (born out of both uniqueness and need), while developed countries can contribute to assess efficacy and measure outcomes. 130 Hispanic psychiatry in the United States and Iberian or Latin American psychiatry can work with Spanish psychiatry in that bridge-building role, beyond individualism (closer to the Anglo-Saxon tradition) or theoricism (mostly ascribed to continental European psychiatry), with the virtues of a practical sociocentrism, looking at each and every person in any given community. 86,[131][132][133] As a case in point, Brazilian psychiatry, in collaboration with American universities, is assisting countries like Mozambique with the training of mental health professionals and the scaling up of psychiatric care quality.…”

Section: Discussionmentioning

confidence: 99%

Latin American and Spanish-speaking perspectives on the challenges of global psychiatry

Alarcón

Lolas

Mari

et al. 2020

Braz. J. Psychiatry

View full text Add to dashboard Cite

The multi-faceted phenomenon known as globalization has a particular impact on the conceptual and practical development of mental health disciplines in general, and psychiatry in particular, across different world regions. To be theoretically and functionally effective, global psychiatry requires an integration of its different components. To such objective, and after a brief review of continental European and Anglo-Saxon contributions, this article examines the history, characteristics, and contributions of Latin/Iberian American and Spanish-speaking psychiatry, in order to substantiate its role in world psychiatry. The Latin American proper (including Portuguese-speaking Brazil), Spain, and U.S.-based Hispanic components are described, revealing an identity that is based on a humanistic tradition, a value-based, culturally-determined clinical approach to patient care, and a pragmatic adaptation of different treatment resources and techniques. These may constitute supportive elements of an instrumental interregional bond in the present and future of our discipline.

show abstract

Section: Discussionmentioning

confidence: 99%

Latin American and Spanish-speaking perspectives on the challenges of global psychiatry

Alarcón

Lolas

Mari

et al. 2020

Braz. J. Psychiatry

View full text Add to dashboard Cite

show abstract

“…17 Social prescribing (where patients are given non-medical "prescriptions" to services and activities in the community) and personal budgets (an amount of money to support patients' health and wellbeing needs, which is planned and agreed between the patient or representative and the NHS) are emerging ways to support a greater range of practices to promote mental health. 18 However, these practices, including those in the community and in schools, must be rigorously evaluated so that appropriate comparisons can be made with current evidence based approaches.…”

Section: Evaluating New Approachesmentioning

confidence: 99%

High integrity mental health services for children: focusing on the person, not the problem

Wolpert¹,

Vostanis

Martin³

et al. 2017

BMJ

View full text Add to dashboard Cite

“…As the burden of mental illness is increasingly recognized, funding is being increased with the hope of ensuring more people receive high quality health care. India is implementing a variety of initiatives to address this large need, close the treatment gap, and reduce the DALYs lost to mental, neurological and substance misuse disorders [ 9 ]. These initiatives need to be supported by clear, pragmatic and robust mental health law in line with international human rights legislation.…”

Section: Introductionmentioning

confidence: 99%

Concordance of the Indian Mental Healthcare Act 2017 with the World Health Organization’s Checklist on Mental Health Legislation

Duffy

Kelly

2017

Int J Ment Health Syst

View full text Add to dashboard Cite

BackgroundIndia is revising its mental health legislation with the Indian Mental Healthcare Act 2017 (IMHA). When implemented, this legislation will apply to over 1.25 billion people. In 2005, the World Health Organization (WHO) published a Resource Book (WHO-RB) on mental health, human rights and legislation, including a checklist of 175 specific items to be addressed in mental health legislation or policy in individual countries. Even following the publication of the United Nations Convention on the Rights of Persons with Disabilities (CRPD) (2006), the WHO-RB remains the most comprehensive checklist for mental health legislation available, rooted in UN and WHO documents and providing the most systematic, detailed framework for human rights analysis of mental health legislation. We sought to determine the extent to which the IMHA will bring Indian legislation in line with the WHO-RB.MethodsThe IMHA and other relevant pieces of Indian legislation are compared to each of the items in the WHO-RB. We classify each item in a binary manner, as either concordant or not, and provide more nuanced detail in the text.ResultsThe IMHA addresses 96/175 (55.4%) of the WHO-RB standards examined. When other relevant Indian legislation is taken into account, 118/175 (68.0%) of the standards are addressed in Indian law. Important areas of low concordance include the rights of families and carers, competence and guardianship, non-protesting patients and involuntary community treatment. The important legal constructs of advance directives, supported decision-making and nominated representatives are articulated in the Indian legislation and explored in this paper.ConclusionsIn theory, the IMHA is a highly progressive piece of legislation, especially when compared to legislation in other jurisdictions subject to similar analysis. Along with the Indian Rights of Persons with Disabilities Act 2016, it will bring Indian law closely in line with the WHO-RB. Vague, opaque language is however, used in certain contentious areas; this may represent arrangement-focused rather than realisation-focused legislation, and lead to inadvertent limitation of certain rights. Finally, the WHO-RB checklist is an extremely useful tool for this kind of analysis; we recommend it is updated to reflect the CRPD and other relevant developments.

show abstract

Lean economies and innovation in mental health systems

Cited by 13 publications

References 11 publications

Latin American and Spanish-speaking perspectives on the challenges of global psychiatry

Latin American and Spanish-speaking perspectives on the challenges of global psychiatry

High integrity mental health services for children: focusing on the person, not the problem

Concordance of the Indian Mental Healthcare Act 2017 with the World Health Organization’s Checklist on Mental Health Legislation

Contact Info

Product

Resources

About