Improving Mental Health Care: The Global Challenge
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Improving Mental Health Care: The Global Challenge

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Graham Thornicroft
957 g
246x173x23 mm

Written by many of the world s leading practitioners in the delivery of mental health care, this book clearly presents the results of scientific research about care and treatment for people with mental illness in community settings.
Contributors xii
Section 1 The global challenge 1
1 The nature and scale of the global mental health challenge 3
Mirella Ruggeri, Graham Thornicroft and David Goldberg
2 Scaling up mental health care in resource-poor settings 12
Shekhar Saxena, Benedetto Saraceno and Justin Granstein
3 The swings and roundabouts of community mental health: The UK fairground 25
Peter Tyrer
4 Mental health services and recovery 40
Mike Slade, Mary Leamy, Victoria Bird and Clair Le Boutillier
Section 2 Meeting the global challenge 57
5 Implementing evidence-based treatments in routine mental health services: Strategies, obstacles, new developments to better target care provided 59
Antonio Lasalvia, Sarah Tosato, Katia De Santi, Doriana Cristofalo, Chiara Bonetto and Mirella Ruggeri
6 The need for new models of care for people with severe mental illnessin low- and middle-income countries 78
Ruben Alvarado, Alberto Minoletti, Elie Valencia, Graciela Rojas and Ezra Susser
7 The role of primary care in low- and middle-income countries 96
David Goldberg, Graham Thornicroft and Nadja van Ginneken
8 Meeting the challenge of physical comorbidity and unhealthy lifestyles 114
Lorenzo Burti, Loretta Berti, Elena Bonfioli and Irene Fiorini
9 Complex interventions in mental health services research: Potential, limitations and challenges 131
Thomas Becker and Bernd Puschner
10 The feasibility of applying the clinical staging paradigm to the care of people with mental disorders 145
Javier Vázquez-Bourgon, Luis Salvador-Carulla, Benedicto Crespo-Facorro and José Luis Vázquez-Barquero
11 Work, mental health and depression 163
Aart Schene, Hiske Hees, Maarten Koeter and Gabe de Vries
12 Training mental health providers in better communication with their patients 180
Christa Zimmermann, Lidia Del Piccolo, Claudia Goss, Giuseppe Deledda, Mariangela Mazzi and Michela Rimondini
13 Making an economic case for better mental health services 193
Martin Knapp
Section 3 New research methods 209
14 Incorporating local information and prior expert knowledge to evidence-informed mental health system research 211
Luis Salvador-Carulla, Carlos Garcia-Alonso, Karina Gibert and Javier Vázquez-Bourgon
15 Innovative epidemiological methods 229
Francesco Amaddeo, Valeria Donisi, Laura Grigoletti and Alberto Rossi
16 Routine outcome monitoring: A tool to improve the quality of mental health care? 246
Sjoerd Sytema and Lian van der Krieke
17 Psychiatric case registers: Their use in the era of global mental health 264
Povl Munk-Jørgensen and Niels Okkels
18 Can brain imaging address psychosocial functioning and outcome in schizophrenia? 281
Marcella Bellani, Nicola Dusi and Paolo Brambilla
19 Statistics and the evaluation of the effects of randomised health-care interventions 291
20 Service user involvement in mental health research 308
Diana Rose
Section 4 Delivering better care in the community 317
21 Psychotropic drug epidemiology and systematic reviews of randomised clinical trials: The roads travelled, the roads ahead 319
Andrea Cipriani, Michela Nosè and Corrado Barbui
22 Services for people with severe mental disorders in high-income countries: From efficacy to effectiveness 340
Paul Bebbington, Elizabeth Kuipers and David Fowler
23 The management of mental disorders in the primary care setting 374
Matteo Balestrieri
24 Some wobbly planks in the platform of mental health care 394
Norman Sartorius
25 Treatment gaps and knowledge gaps in mental health: Schizophrenia as a global challenge 403
Assen Jablensky
Index 424
What types of mental health care are right for the 21st century--in all countries, around the world? What is the best balance of primary care and specialist mental health care for people with mental illness? What is the best evidence for effective treatments and services? Which methods are most suitable for answering these questions? These are the tough issues addressed by this book. Leading experts from across the world bring their experience to bear in a series of chapters that set out the very best evidence in this field. They present clear accounts of what is known, extensively referenced, with critical appraisals of the strength of the evidence and the robustness of the conclusions that can be drawn.
This book was inspired by the work of Michele Tansella on the development of community care globally. It comprises four sections, identifying the challenges associated with providing mental health services in high-, middle- and low-income countries, then describing ways to meet these challenges. A section on new research methods to produce practical evidence is a novel aspect of the book. The final section addresses how best to deliver new forms of care, bearing in mind the human resources available. The chapters extensively cite specific studies to enhance the practical relevance. Much of the cited research involves service users so their voice is heard throughout the text.

Mental health is rapidly becoming recognised as one of the leading global health challenges. This book adds to our knowledge of the challenge and the solutions and stands to make a significant contribution to global mental health.