Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-05T12:03:51.840Z Has data issue: false hasContentIssue false
  • English
  • Français

Mental health services description. Prospects for the future

Published online by Cambridge University Press:  07 July 2014

Vivianne Kovess
Vivianne Kovess*
Affiliation:
Santé Publique, UFR Médicine, Université de Caen, 11 Square Moncey, 75009 Paris, France
Get access

Extract

An abundant literature has been published about mental services evaluation and was used for purpose of comparisons between services.

Comparisons have mainly concerned care in the traditional psychiatric hospital based mode versus community mental health (Tansella et al., 1982; Kraudy et al., 1987; Kovess et al., 1995) or care in different areas or countries (Sytema et al., 1989).

Those comparisons have to rely on crude description of services (Tansella et al., 1986) like psychiatric hospitalisation, day hospitalisation or out patient intervention. Intensive international collaboration underpinned the importance of a more precise description about services which could have extremely different components under the same label.

In fact services in mental health are complex to describe to allow meaningful comparisons because they cover many different actions given by a variety of providers and grouped into various structures as:

  • • hospitals: specialised or general, large or small;

  • • day hospitals and centre;

  • • out patients clinics, crisis centres.

Care could also be provided by independent workers from the diverse medical and non medical professions involved in the mental health fields in private practice settings.

Type
Section B: From Service Description to Service Evaluation
Information
Epidemiologia e psichiatria sociale. Monograph Supplement , Volume 6 , Issue S1: Monograph Supplement 1: Making Rational Mental Health Services , April 1997 , pp. 91 - 103
Copyright
Copyright © Cambridge University Press 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bachrach, L.L. (1992). Psychosocial rehabilitation and psychiatry in the care of the long term patients. American Journal of Psychiatry 149, 1455–1463.Google ScholarPubMed
De Jong, A. (1993). The WHO International Classification of Mental Health Care, Draft version. WHO Collaborating Centre for Research and Training in Mental Health, University of Groningen: Groningen.Google Scholar
De Jong, A., Giel, R. & ten Horn, G.H.M.M. (1990). The WHO International Classfication of Mental Health Care. Part 1: Curative Care. WHO Collaborating Centre for Research and Training in Mental Health, University of Groningen: Groningen.Google Scholar
ICMHC-R (1982). Development of Part III: Rehabilitative Activities. Working paper for the WHO consultation, 8-9 10 1992. WHO Collaborating Centre for Research and Training in Mental Health, Department of Social Psychiatry, University of Groningen: Groningen.Google Scholar
Kovess, V. (1994). Evaluation de la Qualitè en Psychiatrie Economica: Paris.Google Scholar
Kovess, V., Boisguerin, B., Antoine, D. & Reynauld, M. (1995). Has the sectorization of psychiatric in France really been effective? Social Psychiatry and Psychiatric Epidemiology 30, 132–138.CrossRefGoogle ScholarPubMed
Kovess, V., Caria, A., Caldas de Almeida, J.M., Carta, M., Dubuis, J., Lacalmontie, E., Pellet, J., Roelandt, J.L., Salize, H., Torres-Gonzales, F., Walsh, D. & Wiersma, D. (1996). Evaluation of comprehensive care for schizophrenic patients: methodology of the multicentric European study. In Abstract Book, Vth Congress World Association for Psychosocial Rehabilitation, pp. 161. Rotterdam.Google Scholar
Kraudy, E., Liberati, A., Asioli, F., Saraceno, B. & Tognoni, G. (1987). Organisation of services and pattern of psychiatric care in Nicaragua: results of a survey in 1986. Acta Psychiatrica Scandinavica 76, 545–551.CrossRefGoogle ScholarPubMed
Rossler, W., Salize, H.J. & Biechele, U. (1993). Mannheim Service recording Sheet: the MSRS (mimeo).Google Scholar
Sartorius, N. (1989). Recent research activities in WHO's mental health programme. Psychological Medicine 19, 233–244.CrossRefGoogle ScholarPubMed
Schuring, G.et al. (1984). Behandelmodulen. Part 1 and part 2. National Hospital Institute: Utrecht.Google Scholar
Sytema, S., Balestrieri, M., Giel, R. & Tansella, M. (1989). Use of mental health services in South-Verona and Groningen. Acta Psychiatrica Scandinavica 79, 153–162.CrossRefGoogle ScholarPubMed
Tansella, M., Meneghelli, G. & Siciliani, O. (1982). Implementing a community psychiatric service in South-Verona under the new Italian Mental Act. A two year analysis. Psychiatry and Social Science 2, 105–114.Google Scholar
Tansella, M., Micciolo, R., Balestriei, M. & Gavioli, I. (1986). High and long term users of the mental health services. Social Psychiatry 21, 96–103.CrossRefGoogle ScholarPubMed
World Health Organization (1988). Consultation on Classification of Mental Health Care. A Tool for Classifying Services Providing Mental Health Care. WHO, Regional Office for Europe: Copenhagen.Google Scholar
World Health Organization (1993). Coordinated Multi-center Study on the Course and Outcome of Schizophrenia. Mental Health treatment system survey, Nathan S.Kline Institute for Psychiatic Research.Google Scholar