This book maps the current state of policy, service provision and funding for mental health care across Europe, taking into account the differing historical contexts that have shaped both the development and the delivery of services.
Health at a Glance: Europe 2018 presents comparative analyses of the health status of EU citizens and the performance of the health systems of the 28 EU Member States, 5 candidate countries and 3 EFTA countries.
The increasing number of refugees, asylum seekers, and irregular migrants poses a challenge for mental health services in Europe. This review found that these groups are exposed to risk factors for mental disorders before, during, and after migration. The prevalence of psychotic, mood, and substance-use disorders in these groups varies but overall resembles that in the host populations. Refugees and asylum seekers, however, have higher rates of post-traumatic stress disorder. Poor socioeconomic conditions are associated with increased rates of depression five years after resettlement. Refugees, asylum seekers, and irregular migrants encounter barriers to accessing mental health care. Good practice for mental health care includes promoting social integration, developing outreach services, coordinating health care, providing information on entitlements and available services, and training professionals to work with these groups. These actions require resources and organizational flexibility.
Worldwide, mental health problems are set to become the second greatest threat to health by the end of the next decade. The European Union has identified mental health problems as a growing concern, although there is great variation within EU countries with respect to patient numbers and the range of facilities available to them. Historically, EU mental healthcare services have been analysed using measurable aspects of care provisions such as throughput, costs and outcome measures. Little is known of the experiences, perceptions, beliefs and values of those accessing and providing services. This enlightening new book adopts a very different approach. With a particular focus on nursing, it examines and critiques the state of specialist mental health services in nine EU countries - Czech Republic, Finland, Ireland, Greece, Luxembourg, Netherlands, Germany, United Kingdom and Portugal. Each chapter focuses on a single country and ascertains existing services, their development, the treatments and care provided, factors preventing better service delivery, and suggestions for improvement. A rich pattern of differences emerge and comparisons can then be drawn. It also explores the emergence of an EU mental health identity in regards to selection of mental health personnel, their training and education, and the range of services they provide. Healthcare professionals and students with a particular interest in mental health issues (especially those with an interest in international approaches) will welcome the fresh analysis. It provides vital new information for European policy makers and shapers, voluntary sector personnel, and service users and the organisations representing them.
This book provides updated coverage on the mental health systems in Eastern and Central Europe. Based on up-to-date data, field visits and case studies, the chapters present the financing, organization and public policy issues of Eastern and Central European countries. Solutions are also proposed to tackle major mental health problems facing the region. Mental Health in Central and Eastern Europe is a valuable reference for stakeholders in the mental health communities.
The 2020 edition of Health at a Glance: Europe focuses on the impact of the COVID‐19 crisis. Chapter 1 provides an initial assessment of the resilience of European health systems to the COVID-19 pandemic and their ability to contain and respond to the worst pandemic in the past century.
Collects together data compiled from 177 World Health Organization Member States/Countries on mental health care. Coverage includes policies, plans and laws for mental health, human and financial resources available, what types of facilities providing care, and mental health programmes for prevention and promotion.
Worldwide, mental health problems are set to become the second greatest threat to health by the end of the next decade. The European Union has identified mental health problems as a growing concern, although there is great variation within EU countries with respect to patient numbers and the range of facilities available to them. Historically, EU mental healthcare services have been analysed using measurable aspects of care provisions such as throughput, costs and outcome measures. Little is known of the experiences, perceptions, beliefs and values of those accessing and providing services. This enlightening new book adopts a very different approach. With a particular focus on nursing, it examines and critiques the state of specialist mental health services in nine EU countries - Czech Republic, Finland, Ireland, Greece, Luxembourg, Netherlands, Germany, United Kingdom and Portugal. Each chapter focuses on a single country and ascertains existing services, their development, the treatments and care provided, factors preventing better service delivery, and suggestions for improvement. A rich pattern of differences emerge and comparisons can then be drawn. It also explores the emergence of an EU mental health identity in regards to selection of mental health personnel, their training and education, and the range of services they provide. Healthcare professionals and students with a particular interest in mental health issues (especially those with an interest in international approaches) will welcome the fresh analysis. It provides vital new information for European policy makers and shapers, voluntary sector personnel, and service users and the organisations representing them.
The use of coercion is one of the defining issues of mental health care. Since the earliest attempts to contain and treat the mentally ill, power imbalances have been evident and a cause of controversy. There has always been a delicate balance between respecting autonomy and ensuring that those who most need treatment and support are provided with it. Coercion in Community Mental Health Care: International Perspectives is an essential guide to the current coercive practices worldwide, both those founded in law and those 'informal' processes whose coerciveness remains contested. It does so from a variety of perspectives, drawing on diverse disciplines such as history, law, sociology, anthropology and medicine to provide a comprehensive summary of the current debates in the field. Edited by leading researchers in the field, Coercion in Community Mental Health Care: International Perspectives provides a unique discussion of this prominent issue in mental health. Divided into five sections covering origins and extent, evidence, experiences, context and international perspectives this is ideal for mental health practitioners, social scientists, ethicists and legal professionals wishing to expand their knowledge of the subject area.
Migrant psychiatry is an evolving subdiscipline within cultural psychiatry that deals with the impact of migration on the mental health of those who have migrated and those who work with these groups and provide services to them. Stress related to migration affects migrants and their extended families either directly or indirectly. The process of migration is not just a phase, but leads on to a series of adjustments, including acculturation, which may occur across generations. Factors such as changes in diet, attitudes and beliefs, and overall adjustment are important in settling down and making the individuals feel secure. This period of adjustment will depend upon the individual migrant's pre-migration experiences, migration process and post-migration experiences, but also upon an individual's personality, social support and emotional response to migration. Socio-demographic factors, such as age, gender, educational, and economic status will all play a role in post-migration adjustment. In order to understand the impact on individuals, not only the type of migration and different stressors, but also the types of psychological mechanisms at a personal level and the resources and processes at a societal level need to be explored. Despite the number of refugees and asylum seekers around the world increasing at an astonishing rate, the mental health needs of migrants are often ignored by policy makers and clinicians. The Oxford Textbook of Migrant Psychiatry is designed to serve as the comprehensive reference resource on the mental health of migrants, bringing together both theoretical and practical aspects of the mental health needs of refugees and asylum seekers for researchers and professionals. Individual chapters summarise theoretical constructs related to theories of migration, the impact of migration on mental health and adjustment, collective trauma, individual identity and diagnostic fallacies. The book also covers the practical aspects of patient management including cultural factors, ethnopsychopharmacology, therapeutic interaction and therapeutic expectation, and psychotherapy. Finally, the book will examine special clinical problems and special patient groups. Part of the authoritative Oxford Textbooks in Psychiatry series, this resource will serve as an essential reference for psychiatrists, mental health professionals, general practitioners/primary care physicians, social workers, policy makers and voluntary agencies dealing with refugees and asylum seekers.