Two themes seem to emerge repeatedly when reading through this volume. One is 'consensus' and the other is 'search'. There was a strong consensus during the Congress that children and families were the major and foremost concern of all present, regardless of their geographic origin or professional background. This concern was often expressed in terms of commitment to or as goal for the international mental health movement for the years to come. The second theme, 'search', represents an effort to translate this concern into activities: search for concrete, immediate goals, for ways and means of translating into actual programs and projects, for interested people to carry on the work and better ways to train them to do the work well, for ways to obtain support, and lastly, search for ways of coordinating efforts of people in different parts of the world. All these and other matters are taken up in the discussions in this volume. The complexity of problems encountered in a rapidly changing world and the diversity of resources available in different parts of the world, make the task of searching difficult and sometimes confusing. In spite of the earnest efforts made, the results may be inconclusive and some of those pro posed can be regarded only as hypotheses or ideas for experimentation.
The book is the result of several years of collaboration between experts from more than 19 countries and researchers in the Department of Social Medicine at Harvard Medical School. The authors examine key findings on mental illness and mental health services; suicide; substance abuse; the mental health problems of women, children and the elderly; violence; dislocation; and health-related behavior in Asia, Latin America, Africa and the Middle East. They recommend new actions in mental health services, in public health and public policy, as well as an agenda for research. For all who are interested in the global context of mental health and in development, this very readable volume with its numerous case studies, illustrations and tables will be an invaluable resource.
Bringing together treatment and referral advice from existing guidelines, this text aims to improve access to services and recognition of common mental health disorders in adults and provide advice on the principles that need to be adopted to develop appropriate referral and local care pathways.
Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.
Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.
The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care. This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the "take-away" messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a "Call to Action," offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health.
Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.
“Skillfully crafted, thoughtful, and expertly written.” —Sheryl Denise Jones, MD “Comprehensive and educational . . . from a practical and relatable point of view." —Napoleon Higgins, MD “A well needed resource! . . . It allows us to better understand and support the people we care about, but who struggle with mental illness.” —Thomas Kerrihard, MD Get the straight facts about mental illness from two Harvard trained psychiatrists. More than 40 million people in the US suffer from mental health problems—yet less than half receive adequate care and treatment. Even in the 21st century with the most advanced medical care in the world, social stigma still surrounds psychiatric problems, and this, combined with a lack of understanding, perpetuates a national mental health crisis affecting those in need and their families. Ignoring and/or being unaware of a problem can have devastating effects in our families and for society at large—many people living with mental illness go untreated, and as a result, people with untreated mental illnesses make up one third of the nation’s homeless population and can be imprisoned. To meet these challenges, Dr. Carlin Barnes and Dr. Marketa Wills have written this necessary and comprehensive, practical guide to educate and help everyone better understand mental health. Each chapter offers insights and wisdom concerning a variety of psychiatric conditions, including: Mood disorders Anxiety disorders Personality disorders Substance abuse issues Eating disorders Women’s mental health issues Suicide in America Geriatric mental health Professional athletes and mental health And more Armed with this knowledge, you and your loved one can better appreciate the real struggles at hand, and as a result, seek the proper care needed.
