World Health Organization : Year 1996 ; World Health Organization, Mental Health, Mental, Neurological and Psychosocial Disorders, No. 96.19: Public Mental Health Guidelines for the Elaboration and Management of National Mental Health Programmes

By J. M. Bertolote

Book Id: WPLBN0000138033
Format Type: PDF eBook:
File Size: 2.21 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 1996 ; World Health Organization, Mental Health, Mental, Neurological and Psychosocial Disorders, No. 96.19: Public Mental Health Guidelines for the Elaboration and Management of National Mental Health Programmes
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 M. Bertolot, B. J. (n.d.). World Health Organization : Year 1996 ; World Health Organization, Mental Health, Mental, Neurological and Psychosocial Disorders, No. 96.19. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
FOREWORD This document has been conceived as a practical tool for decision-makers (professionals and non-professionals alike) and health managers and workers who are - or could and should be - involved in activities related to mental health, particuiarly the care of people with mental disorders. This is essentially justified by current levels of morbidity and disability associated with mental disorders. It is based on existing knowledge and expertise and on tested models available for the management of these disorders. It reflects the many years of experience by WHO staff and consultants, at Headquarters, Regional Offices and in the field, of both advising health leaders and working with local and peripheral level carc providers. Summarizing this vast and rich experience is not an easy task. Mental health care is closely associated, on the one hand, with the general health care system, and, on the other hand, with local customs and habits prevailing at any given place. Therefore, huge disparities exist not only in relation to what is actually done, but also in relation to what is acceptable and accepted at different places.

Table of Contents
Contents FOREWORD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 The mental health component of primary health care (PHC) . . . . . . . . . . . . . . . . . . . . 3 MENTAL HEALTH POLICY Introduction: the underlying values for mental health . . . . . . . . . . . . . . . . . . . . . . . . . 5 Main elements of a mental health policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Decentralization/regionalization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Intersectoral action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Comprehensiveness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Continuity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Community participation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Mechanisms for policy formulation and implementation . . . . . . . . . . . . . . . . . . . . . . . 9 Selection of priorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 OVERALL NATIONAL MENTAL HEALTH PROGRAMMES . . . . . . . . . . . . . . . . 11 Programming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Justification. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Overall objectve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Specific objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Targets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Strategies and procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Monitoring and evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Budget . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Management and coordination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Spacial issues related to the implementation of NMHP . . . . . . . . . . . . . . . . . . . . . . . 17 The incorporation of mental health care into general health care . . . . . . . . . . . . . . . . 17 Clinical guidelines for the management of priority mental disorders . . . . . . . . . . . . . . 18 Availability of essential drugs and of other essential interventions . . . . . . . . . . . . . . . 18 Training of health workers and the general public . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Information systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 SPECIFIC MENTAL HEALTH PROGRAMMES . . . . . . . . . . . . . . . . . . . . . . . . . . 21 REFERENCES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 ANNEX 1 Diagnosis of the situation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 ANNEX 2 Criteria for the selection of priorities . . . . . . . . . . . . . . . . . . . . . . . . . 29 ANNEX 3 Examples of indicators and standards frequently used in mental health care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 ANNEX 4 Examples of mental health activities expected from he