Mental Health Policy and Practice Across Europe

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出版者:McGraw-Hill
作者:Knapp, Martin (EDT)/ Mcdaid, David (EDT)/ Mossialos, Elias (EDT)/ Thornicroft, Graham (EDT)
出品人:
页数:488
译者:
出版时间:2006-12
价格:$ 90.40
装帧:Pap
isbn号码:9780335214679
丛书系列:
图书标签:
  • Mental Health
  • Policy
  • Europe
  • Healthcare
  • Public Health
  • Mental Wellbeing
  • Social Policy
  • Cross-Cultural
  • Comparative Analysis
  • Health Systems
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具体描述

We are proud to announce that this book is joint winner of the EHMA Baxter Award 2007. "A genuinely fantastic resourse; such a rare text that provides such factual information for students and lecturers. A rich review of the subject areas from across Europe. Fantastic text." Chris Kelly, Programme Leader, Bournemouth University "Mental Health Policy and Practice Across Europe is a fascinating, complicated volume that looks at one of the key dimensions of contemporary mental health policy development in Europe - the role of the European Union (EU)." Medicine Weekly In much of Europe it remains taboo to discuss the challenges that poor mental health raises for governments, societies and particularly for people with mental health problems themselves. 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 delivery of services. A holistic approach is adopted that aims to assess the influence on mental health of environmental factors such as housing, poverty, employment, social justice and displacement. Covering a wide range of policy issues, the book: Examines the legal rights of people with mental health problems Addresses the impact of stigma, social exclusion and discrimination Reviews the role of users and their families in the development of mental health services and policy Reflects on approaches to reform and on the future development of services Evaluates opportunities for the rehabilitation of people with mental health problems Discusses the financing and organisation of mental health systems Reflects on approaches to reform and the future development of servicesMental Health Policy and Practice Across Europe is key reading for policy makers, professionals involved in the delivery of health and social care services, voluntary agencies, non-governmental organizations, academics and students of health policy. Contributors: Francesco Amaddeo, University of Verona, Italy; Peter Anderson, Department of Primary Care, University of Oxford; Robert Anderson, Research Director, European Foundation for the Improvement of Living and Working; Terry Brugha, University of Leicester; Peter Bower, National Primary Care Research and Development Centre, University of Mancheste; Lorenzo Burti, University of Verona, Italy; Kathryn Berzins, Claire Curran; Paul Cutler, The Hamlet Trust; Natalie Drew, Dept of Mental Health and Substance Abuse, World Health Organization, Genev; Angelo Fioritti, University of Bologna, Italy; Michelle Funk, Dept of Mental Health and Substance Abuse, World Health Organization, Geneva; Simon Gilbody, Department of Psychiatry, University of Leeds; Vidar Halsteinli, SINTEF, Oslo, Norway; Robert Hayward, The Hamlet Trust; Rachel Jenkins, WHO Collaborating Centre, Institute of Psychiatry, Kings College, London; Heinz Katschnig, University of Vienna, Austria; Robert Keukens, Geneva Initiative on Psychiatry, Hilversum, The Netherlands; Susan Kirkwood, European Federation of Associations of Families of People with Mental Illness, Belgium; Martin Knapp, Director, PSSRU and LSE Health and Social Care, London School of Economics and Political Science, London; Viviane Kovess, MGEN, Pari; Eva Jane Llopis, Prevention Research Centre, Academic Centre for Social Sciences and Department of Clinical Psychology, University of Nijmegen, The Netherlands; Jo Lucas, The Hamlet Trust; Ville Lehtinen, National Research and Development Centre for Welfare and Health (STAKES), Helsinki, Finland; Lorenza Magliano, Department of Psychiatry, University of Naples, Italy; David McDaid, LSE Health and Social Care and European Observatory on Health Systems and Policies, London School of Economics and Political Science; Elias Mossialos, Director, LSE Health and Social Care and European Observatory on Health Systems and Policies, London School of Economics and Political Science; Camilla Parker, Legal and Policy Consultant, Open Society Institute Budapest; Dainius Puras, Department of Social Pediatrics and Child Psychiatry, Vilnius Medical University; Roxana Radulescu, Mental Health Europe, Brussels; Diana Rose, Service Users Research Enterprise, Institute of Psychiatry, Kings College, London; Nikolas Rose, Department of Sociology, London School of Economics and Political Science; Luis Salvador, University of Cadiz, Spain; Benedetto Saraceno, Director, Mental Health, World Health Organization, Geneva; Liz Sayce, Director, Disability Rights Commission; Edward Shorter, University of Toronto; Michele Tansella, University of Verona; Graham Thornicroft, Health Services Research Department, Institute of Psychiatry, Kings College, London; Toma Tomov, Department of Psychiatry, University of Sofia, Bulgaria; Charles Watters, University of Kent, Canterbury; Richard Wynne, The Work Research Centre, Dublin; Robert Van Voren, General Secretary, Geneva Initiative on Psychiatry, Hilversum, The Netherlands; Ingrid Zechmeister, University of Vienna

本书深入探讨了欧洲大陆范围内日新月异的心理健康政策与实践,为理解并应对这一复杂领域提供了至关重要的视角。从北欧高福利国家的前瞻性预防措施,到中欧地区在转型期面临的挑战,再到南欧国家应对社会经济压力下的心理健康服务,本书全面梳理了欧洲各国在心理健康促进、疾病预防、治疗服务体系构建以及社会融入等方面的多样化经验与创新。 一、 政策框架的多样性与演进 欧洲各国在心理健康政策的制定上,呈现出高度的自主性和历史积淀。许多国家将其心理健康服务纳入全民医保体系,确保公民享有基本、可及的服务。然而,政策的侧重点和实施路径却各不相同。例如,一些国家将重心放在社区精神卫生服务的发展,强调去机构化和患者的社区生活支持;另一些国家则更侧重于在初级医疗保健体系中整合心理健康服务,让普通医生也能初步识别和处理常见的心理问题。 本书会考察不同欧洲国家如何根据其社会结构、经济发展水平和历史文化背景,构建和调整其心理健康政策框架。这包括: 国家层面的战略规划: 许多欧洲国家制定了长期的国家心理健康战略,明确了未来几年的发展目标、重点领域和行动计划。这些战略往往涵盖了从预防到康复的全过程,并强调跨部门合作。 法律法规的保障: 健全的法律体系是实施有效政策的基础。本书将分析欧洲各国在精神卫生法、患者权利法、反歧视法等方面的立法情况,以及这些法律如何保障心理健康服务的使用者。 资金投入的机制: 心理健康服务的资金保障是其可持续发展的重要前提。本书会探讨不同国家在公共财政投入、保险报销、私营部门参与等方面的模式,以及这些模式对服务可及性和质量的影响。 国际合作与欧盟倡议: 欧盟在推动成员国心理健康政策协调与信息共享方面发挥着重要作用。本书将审视欧盟层面的相关倡议、指导性文件以及它们如何影响各成员国的政策制定。 二、 实践领域的创新与挑战 在实践层面,欧洲各国在心理健康服务的设计和提供上,涌现出许多值得借鉴的创新。本书将重点关注以下几个关键领域: 社区精神卫生服务: 许多国家积极推动社区精神卫生中心的建设,提供门诊治疗、日间康复、危机干预、家庭支持等多元化服务,旨在减少患者的社会隔离,促进其社会功能恢复。 初级保健中的心理健康整合: 将心理健康服务嵌入初级医疗保健系统,让全科医生能够承担更多心理健康评估和转介工作,是提高服务可及性的重要途径。本书将考察不同国家在这方面的实践模式,包括联合医疗团队、心理健康助理等。 特定人群的心理健康支持: 针对儿童和青少年、老年人、移民、难民、失业者、受虐待者等特定脆弱人群,欧洲各国都制定了相应的支持政策和实践项目。例如,学校心理健康服务、老年精神卫生护理、创伤后应激障碍的治疗等。 数字健康与远程心理咨询: 随着技术的发展,数字健康在心理健康服务中的应用日益广泛。本书将探讨线上咨询、虚拟现实治疗、心理健康APP等创新模式在欧洲的应用情况,以及它们在提高服务效率和可及性方面的潜力。 预防与早期干预: 许多国家高度重视心理健康的预防和早期干预,通过开展公众宣传、心理健康教育、针对高危人群的筛查和支持项目,努力减少心理疾病的发生和发展。 然而,欧洲各国在实践中也面临着诸多挑战,包括: 服务可及性与公平性: 尽管许多国家拥有完善的医疗体系,但服务可及性仍然存在区域差异和经济负担问题,尤其是在农村地区或经济欠发达地区。 污名化与歧视: 心理疾病的污名化仍然是阻碍人们寻求帮助的重要因素。各国在消除污名、促进心理健康包容性方面付出了努力,但效果仍需提升。 人力资源与培训: 专业的心理健康从业人员短缺,以及现有从业人员的培训和继续教育体系的完善,是许多国家面临的共同难题。 循证实践的推广: 如何将最新的循证研究成果有效转化为临床实践,并持续评估实践效果,是提升服务质量的关键。 适应快速变化的社会需求: 气候变化、经济衰退、移民潮等社会变迁带来的心理健康压力,要求各国不断调整和优化其服务模式。 三、 经验借鉴与未来展望 本书的价值在于其能够为不同国家提供相互学习和借鉴的平台。通过对欧洲范围内多样化的政策和实践的深入分析,读者可以更清晰地认识到: 没有万能的解决方案: 每个国家都有其独特的优势和劣势,成功的经验需要结合当地的具体情况进行调整和应用。 跨部门合作的重要性: 心理健康问题并非仅仅是医疗问题,它与教育、就业、社会保障、住房等多个领域息息相关,有效的政策必须建立在跨部门协作的基础上。 以人为本的理念: 最终,任何政策和实践都应以尊重个体尊严、保障患者权利、促进其全面福祉为核心。 本书的出版,将为政策制定者、研究人员、临床工作者以及所有关注欧洲心理健康发展的人士,提供一个全面、深入的理解框架,并启发对未来心理健康服务体系的思考与创新。它旨在促进知识的传播,鼓励成功的经验交流,并最终为提升全欧洲人民的心理健康福祉贡献力量。

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