What psychiatrists should know about environmental sustainability and what they should be doing about it

Berry, Helen; Maughan, Daniel; Davison, Phil

doi:10.1192/s1749367600004306

Cited by 18 publications

(13 citation statements)

References 19 publications

(19 reference statements)

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“…Frightening people, especially those who are affected by disorders, would be irresponsible and unhelpful. The mental health workforce and those who train it have moral and practical responsibilities in advocacy for ill and vulnerable individuals and their foreseeable service needs (Maughan et al, 2014). But it is essential to differentiate between rational, manageable concern about climate change and pathological anxiety (Swim et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

Worrying about climate change: is it responsible to promote public debate?

Berry

Peel

2015

BJPsych. International

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Some fear that provoking widespread worry about climate change may harm mental health. The Regional Wellbeing Survey, a large study of health, well-being and life in rural and regional Australia, examined climate change worry and attitudes. Most respondents were worried about climate change and agreed that fossil fuel use causes global warming, but there was no evidence to suggest that worry about climate change is linked to mental health in the general population. Respectful, calm, considered public debate about how to respond to climate change is unlikely to be harmful to population mental health. Individually focused clinical approaches are unlikely to be effective as a primary approach in managing the mental health impacts of climate change. Instead, collective, systems-based approaches will be needed.

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Section: Discussionmentioning

confidence: 99%

Worrying about climate change: is it responsible to promote public debate?

Berry

Peel

2015

BJPsych. International

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“…The present study and wider literature reveal variations in both service provision and the availability and quality of basic epidemiological data across countries [14]. Given the increase in forensic bed rates in recent years [3,10,11] and recent literature projecting an increase in the use of mental health services globally due to the social, ecological and economic consequences of the climate crisis [18][19][20], the need for systematically collected and published data with harmonized reporting standards across forensic services grows ever more important.…”

Section: Yearsmentioning

confidence: 92%

Forensic mental health in Europe: some key figures

Tomlin

Lega

Braun³

et al. 2020

Soc Psychiatry Psychiatr Epidemiol

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Purpose While the number of forensic beds and the duration of psychiatric forensic psychiatric treatment have increased in several European Union (EU) states, this is not observed in others. Patient demographics, average lengths of stay and legal frameworks also differ substantially. The lack of basic epidemiological information on forensic patients and of shared indicators on forensic care within Europe is an obstacle to comparative research. The reasons for such variation are not well understood. Methods Experts from seventeen EU states submitted data on forensic bed prevalence rates, gender distributions and average length of stay in forensic in-patient facilities. Average length of stay and bed prevalence rates were examined for associations with country-level variables including Gross Domestic Product (GDP), expenditure on healthcare, prison population, general psychiatric bed prevalence rates and democracy index scores. Results The data demonstrated substantial differences between states. Average length of stay was approximately ten times greater in the Netherlands than Slovenia. In England and Wales, 18% of patients were female compared to 5% in Slovenia. There was a 17-fold difference in forensic bed rates per 100,000 between the Netherlands and Spain. Exploratory analyses suggested average length of stay was associated with GDP, expenditure on healthcare and democracy index scores. Conclusion The data presented in this study represent the most recent overview of key epidemiological data in forensic services across seventeen EU states. However, systematically collected epidemiological data of good quality remain elusive in forensic psychiatry. States need to develop common definitions and recording practices and contribute to a publicly available database of such epidemiological indicators.

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“…“Climate change anxiety” has emerged as a new mental health issue 84 affecting those who worry pathologically about the deteriorating planet. 85 Patient participation in green initiatives may be an attempt to manage climate change anxiety, or it can be part of therapy for dealing with anxiety.…”

Section: Rationale For Participation In Green Initiativesmentioning

confidence: 99%

Can United States Healthcare Become Environmentally Sustainable? Towards Green Healthcare Reform

Richie¹

2020

J. Law. Med. Ethics

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In 2014, the United States health care industry produced an estimated 480 million metric tons of carbon dioxide (CO2); nearly 8% of the country's total emissions. The importance of sustainability in health care — as a business reliant on fossil fuels for transportation, energy, and operational functioning — is slowly being recognized. These efforts to green health care are incomplete, since they only focus on health care structures. The therapeutic relationship is the essence of health care — not the buildings that contain the practice. As such, this article will first postulate reasons for a lack of environmental sustainability in US health care. Second, the article will focus on current green health care initiatives in the United States in which patients and physicians participate. Third, the rationale for participation in green initiatives will be explained. Fourth, the article will propose that, based on the environmental values of patients and physicians, health care insurance plans and health care insurance companies can be targeted for green health care reform, thereby closing the loop of sustainable health care delivery.

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What psychiatrists should know about environmental sustainability and what they should be doing about it

Cited by 18 publications

References 19 publications

Worrying about climate change: is it responsible to promote public debate?

Worrying about climate change: is it responsible to promote public debate?

Forensic mental health in Europe: some key figures

Can United States Healthcare Become Environmentally Sustainable? Towards Green Healthcare Reform

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