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:
頁數:488
译者:
出版時間:2006-12
價格:$ 90.40
裝幀:Pap
isbn號碼:9780335214679
叢書系列:
圖書標籤:
  • Mental Health
  • Policy
  • Europe
  • Healthcare
  • Public Health
  • Mental Wellbeing
  • Social Policy
  • Cross-Cultural
  • Comparative Analysis
  • Health Systems
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具體描述

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

本書深入探討瞭歐洲大陸範圍內日新月異的心理健康政策與實踐,為理解並應對這一復雜領域提供瞭至關重要的視角。從北歐高福利國傢的前瞻性預防措施,到中歐地區在轉型期麵臨的挑戰,再到南歐國傢應對社會經濟壓力下的心理健康服務,本書全麵梳理瞭歐洲各國在心理健康促進、疾病預防、治療服務體係構建以及社會融入等方麵的多樣化經驗與創新。 一、 政策框架的多樣性與演進 歐洲各國在心理健康政策的製定上,呈現齣高度的自主性和曆史積澱。許多國傢將其心理健康服務納入全民醫保體係,確保公民享有基本、可及的服務。然而,政策的側重點和實施路徑卻各不相同。例如,一些國傢將重心放在社區精神衛生服務的發展,強調去機構化和患者的社區生活支持;另一些國傢則更側重於在初級醫療保健體係中整閤心理健康服務,讓普通醫生也能初步識彆和處理常見的心理問題。 本書會考察不同歐洲國傢如何根據其社會結構、經濟發展水平和曆史文化背景,構建和調整其心理健康政策框架。這包括: 國傢層麵的戰略規劃: 許多歐洲國傢製定瞭長期的國傢心理健康戰略,明確瞭未來幾年的發展目標、重點領域和行動計劃。這些戰略往往涵蓋瞭從預防到康復的全過程,並強調跨部門閤作。 法律法規的保障: 健全的法律體係是實施有效政策的基礎。本書將分析歐洲各國在精神衛生法、患者權利法、反歧視法等方麵的立法情況,以及這些法律如何保障心理健康服務的使用者。 資金投入的機製: 心理健康服務的資金保障是其可持續發展的重要前提。本書會探討不同國傢在公共財政投入、保險報銷、私營部門參與等方麵的模式,以及這些模式對服務可及性和質量的影響。 國際閤作與歐盟倡議: 歐盟在推動成員國心理健康政策協調與信息共享方麵發揮著重要作用。本書將審視歐盟層麵的相關倡議、指導性文件以及它們如何影響各成員國的政策製定。 二、 實踐領域的創新與挑戰 在實踐層麵,歐洲各國在心理健康服務的設計和提供上,湧現齣許多值得藉鑒的創新。本書將重點關注以下幾個關鍵領域: 社區精神衛生服務: 許多國傢積極推動社區精神衛生中心的建設,提供門診治療、日間康復、危機乾預、傢庭支持等多元化服務,旨在減少患者的社會隔離,促進其社會功能恢復。 初級保健中的心理健康整閤: 將心理健康服務嵌入初級醫療保健係統,讓全科醫生能夠承擔更多心理健康評估和轉介工作,是提高服務可及性的重要途徑。本書將考察不同國傢在這方麵的實踐模式,包括聯閤醫療團隊、心理健康助理等。 特定人群的心理健康支持: 針對兒童和青少年、老年人、移民、難民、失業者、受虐待者等特定脆弱人群,歐洲各國都製定瞭相應的支持政策和實踐項目。例如,學校心理健康服務、老年精神衛生護理、創傷後應激障礙的治療等。 數字健康與遠程心理谘詢: 隨著技術的發展,數字健康在心理健康服務中的應用日益廣泛。本書將探討綫上谘詢、虛擬現實治療、心理健康APP等創新模式在歐洲的應用情況,以及它們在提高服務效率和可及性方麵的潛力。 預防與早期乾預: 許多國傢高度重視心理健康的預防和早期乾預,通過開展公眾宣傳、心理健康教育、針對高危人群的篩查和支持項目,努力減少心理疾病的發生和發展。 然而,歐洲各國在實踐中也麵臨著諸多挑戰,包括: 服務可及性與公平性: 盡管許多國傢擁有完善的醫療體係,但服務可及性仍然存在區域差異和經濟負擔問題,尤其是在農村地區或經濟欠發達地區。 汙名化與歧視: 心理疾病的汙名化仍然是阻礙人們尋求幫助的重要因素。各國在消除汙名、促進心理健康包容性方麵付齣瞭努力,但效果仍需提升。 人力資源與培訓: 專業的心理健康從業人員短缺,以及現有從業人員的培訓和繼續教育體係的完善,是許多國傢麵臨的共同難題。 循證實踐的推廣: 如何將最新的循證研究成果有效轉化為臨床實踐,並持續評估實踐效果,是提升服務質量的關鍵。 適應快速變化的社會需求: 氣候變化、經濟衰退、移民潮等社會變遷帶來的心理健康壓力,要求各國不斷調整和優化其服務模式。 三、 經驗藉鑒與未來展望 本書的價值在於其能夠為不同國傢提供相互學習和藉鑒的平颱。通過對歐洲範圍內多樣化的政策和實踐的深入分析,讀者可以更清晰地認識到: 沒有萬能的解決方案: 每個國傢都有其獨特的優勢和劣勢,成功的經驗需要結閤當地的具體情況進行調整和應用。 跨部門閤作的重要性: 心理健康問題並非僅僅是醫療問題,它與教育、就業、社會保障、住房等多個領域息息相關,有效的政策必須建立在跨部門協作的基礎上。 以人為本的理念: 最終,任何政策和實踐都應以尊重個體尊嚴、保障患者權利、促進其全麵福祉為核心。 本書的齣版,將為政策製定者、研究人員、臨床工作者以及所有關注歐洲心理健康發展的人士,提供一個全麵、深入的理解框架,並啓發對未來心理健康服務體係的思考與創新。它旨在促進知識的傳播,鼓勵成功的經驗交流,並最終為提升全歐洲人民的心理健康福祉貢獻力量。

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