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From Community to Meta-Community Mental Health Care

Bouras, Nick ; Ikkos, George ; Craig, Thomas

International journal of environmental research and public health, 2018-04, Vol.15 (4), p.806 [Periódico revisado por pares]

Switzerland: MDPI AG

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Título:
From Community to Meta-Community Mental Health Care
Autor: Bouras, Nick ; Ikkos, George ; Craig, Thomas
Assuntos: Communities ; Community Mental Health Services - legislation & jurisprudence ; Community Mental Health Services - organization & administration ; Health care ; Health Policy ; Health problems ; Health services ; Hospitals ; Humans ; Individualism ; Intellectual disabilities ; Interfaces ; Mental disorders ; Mental Disorders - therapy ; Mental health ; Mental health care ; Politics ; Population ; Prisons ; Psychiatry ; Psychosis ; Review ; Systematic review
É parte de: International journal of environmental research and public health, 2018-04, Vol.15 (4), p.806
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
Descrição: Since the 1960s, we have witnessed the development and growth of community mental health care that continues to dominate mental health policy and practice. Several high-income countries have implemented community mental health care programmes but for many others, including mostly low- and middle-income countries, it remains an aspiration. Although community mental health care has been positive for many service users, it has also had severe shortcomings. Expectations that it would lead to fuller social integration have not been fulfilled and many service users remain secluded in sheltered or custodial environments with limited social contacts and no prospect of work. Others receive little or no service at all. In today's complex landscape of increasingly specialised services for people with mental health problems, the number of possible interfaces between services is increasing. Together with existing uneven financing systems and a context of constant change, these interfaces are challenging us to develop effective care pathways adjusted to the needs of service users and their carers. This discussion paper reviews the developments in community mental health care over the recent years and puts forward the concept of "Meta-Community Mental Health Care". "Meta-Community Mental Health Care" embraces pluralism in understanding and treating psychiatric disorders, acknowledges the complexities of community provision, and reflects the realities and needs of the current era of care.
Editor: Switzerland: MDPI AG
Idioma: Inglês

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From Community to Meta-Community Mental Health Care

Bouras, Nick ; Ikkos, George ; Craig, Thomas

Switzerland: MDPI AG

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