World Health Organization : Year 1993 ; World Health Organization, Mental Health, Mental, Neurological and Psychosocial Disorders, No. 93.26: Essential Treatments in Psychiatry

By J. M. Bertolote

Book Id: WPLBN0000105017
Format Type: PDF eBook
File Size: 2.4 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 1993 ; World Health Organization, Mental Health, Mental, Neurological and Psychosocial Disorders, No. 93.26: Essential Treatments in Psychiatry
Author:	J. M. Bertolote
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Bertolote, J. M. (n.d.). World Health Organization : Year 1993 ; World Health Organization, Mental Health, Mental, Neurological and Psychosocial Disorders, No. 93.26. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
ON THE XNUIATIVE WHO'S Initiative of Support to People Disabled by Mental nlness is part of WHO'S work on the prevention and treatment of mental disorders. It is an attempt to speed up the dissemination of information to governments and professionals about good community services for those with chronic mental illness and about new developments in this field. The Initiative aims to help in reducing the disabling effects of chronic mental illness and to highlight social and environmental barriers which hinder ixeatment and rehabilitation efforts and which add to the stigma of chronic mental illness. It also stimulates consumer empowerment and involvement with planning, delivery and evaluation of mental health services.

Table of Contents
TABLE OF CONTENTS FOREWORD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i ACKNOWLEDGEMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ii GWERAL INTRODUCTION 2 . OBJECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 . CONCEPTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3.1. The concept of essential treatments in psychiaq . . . . . . . . . . . . . . . . . . . . 3 3.2. Public hcalth concepts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 3.3. Other concepts: disease. disorder. impairment. disability. handicap . . . . . . 5 4 . THE APPROACEI: TREATING DISEASES OR CARING FOR PEOPLE? ... 7 PART I 5 . PRINCIPLES OF RATIONAL PRESCRIBING . . . . . . . . . . . . . . . . . . . . . . . 11 5.1. Factors influencing prescribing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 5.2 . Topics relevant for rational prescribing . . . . . . . . . . . . . . . . . . . . . . . . . . 13 5.2.1. Doctor-patient relationship . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 5.2.2. History taking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 5.2.3. Diagnostic assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 5.2.4. Treatment compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 5.2.5. Adverse effect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I 5 5.2.6. Patient's attitudes toward medicines . . . . . . . . . . . . . . . . . . . . . 15 6 . NON-SPECIFIC FACTORS AFFECTING RESULTS OF TREATMENT .... 17 6.1. Levels of evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 6.2. Indicators of treatment outcome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 7.1. Right and access to treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 7.2. Right to information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 9 7.3. Consent to/refusal of treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 7.4. Clinical rusponsibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 1 PART I1 8 . PSYCHOLOGICAL INTERVENTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 8.1. Supportive therapy (tl~erapeuticc ounselling) . . . . . . . . . . . . . . . . . . . . . . 25 8.2. Cognitive therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25. 8.3. Bfl?aviour therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.6