Mental health care delivery : innovations, impediments, and implementation

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Mental health care delivery : innovations, impediments, and implementation

edited by Isaac M. Marks, Robert A. Scott

Cambridge University Press, 1990

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注記

Includes bibliographical references and indexes

内容説明・目次

内容説明

The provision of effective mental health services, at a reasonable cost, to all sections of the population is one of the most pressing problems facing clinicians, planners and administrators of mental health services in the industrialised countries. Changes in paradigms for mental health care delivery are accelerating, and are likely to culminate in the 1990s in major shifts in many countries. This book reviews the emerging patterns of health care delivery in different western countries, outlining the innovations of recent years and analysing some of the impediments to their full implementation. The contributors are all prominent experts in mental health services, whose chapters comprise an up-to-date account of many of the most important issues in mental health care delivery today. The text falls into three sections. Part I describes a number of innovations in the community care of psychiatric patients, including programmes for psychotic patients, primary care based psychiatric services for non-psychotics and emergency services in community settings. Part II examines the main impediments to their systematic implementation whether sociopolitical, administrative, economic or professional. Part III integrates the book, provides an overview, and details some specific issues in the implementation of innovation in mental health care delivery.

目次

  • Preface Norman Sarorius
  • Introduction I. M. Marks and R. A. Scott
  • Part I. Innovations: 1. Community care for patients with psychotic disorders
  • 2. Theoretical and research bases of community care programs M.-A. Test
  • 3. Maintenance (management) of people with long term psychotic illness J. Leff
  • 4. Dissemination in New South Wales of the Madison model J. Hoult
  • Primary Care
  • 5. Implications for care delivery of mental illness in primary care W. Katon
  • 6. Innovations in mental health care in the primary care system E. Paykel
  • Emergency services
  • 7. Innovative approaches to delivery of emergency services in Europe H. Katschnig and T. Konieczna
  • 8. Emergency care for the acute and severely mentally ill S. Segal
  • Part II. Impediments: Sociopolitical
  • 9. Sociopolitical influences on mental health care policy in the UK J. Carrier
  • 10. The political and economic context of mental health care in the US K. S. Gill
  • 11. Mental health care in continental Europe: medley or mosaic? N. Sartorius
  • Administrative
  • 12. Administrative barriers to implementation and diffusion of innovative approaches to mental health care in the UK H. Yellowlees
  • 13. Administrative obstacles to innovations in the US at the federal level G. Klerman
  • 14. The demise of a major innovation: Carter's 1980 Community Mental Health Systems Act in Reagan's hands H. Pardes
  • Economic and professional
  • 15. Economic barriers to innovation in mental health care: community care in the UK M. Knapp
  • 16. Economic barriers to implementing innovative mental health care in the US J. Rubin
  • 17. Professional obstacles to implementation and diffusion of innovative approaches to mental health care J. Cooper
  • Note on chapter 17 M.-A. Test
  • 18. Implementation and overview I. M. Marks and R. A. Scott.

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