WPA guidance on steps, obstacles and mistakes to avoid in the implementation of community mental health care

WPA guidance on steps, obstacles and mistakes to avoid in the implementation of community mental health care

Author Thornicroft, Graham Google Scholar
Alem, Atalay Google Scholar
Dos Santos, Renato Antunes Autor UNIFESP Google Scholar
Barley, Elizabeth Google Scholar
Drake, Robert E. Google Scholar
Gregorio, Guilherme Autor UNIFESP Google Scholar
Hanlon, Charlotte Google Scholar
Ito, Hiroto Google Scholar
Latimer, Eric Google Scholar
Law, Ann Google Scholar
Mari, Jair Autor UNIFESP Google Scholar
McGeorge, Peter Google Scholar
Padmavati, Ramachandran Google Scholar
Razzouk, Denise Autor UNIFESP Google Scholar
Semrau, Maya Google Scholar
Setoya, Yutaro Google Scholar
Thara, Rangaswamy Google Scholar
Wondimagegn, Dawit Google Scholar
Institution Kings Coll London
Univ Addis Ababa
Universidade Federal de São Paulo (UNIFESP)
Dartmouth Psychiat Res Ctr
Natl Ctr Neurol & Psychiat
Douglas Mental Hlth Univ Inst
McGill Univ
New Zealand Mental Hlth Commiss
Schizophrenia Res Fdn SCARF
Abstract This paper provides guidance on the steps, obstacles and mistakes to avoid in the implementation of community mental health care. The document is intended to be of practical use and interest to psychiatrists worldwide regarding the development of community mental health care for adults with mental illness. The main recommendations are presented in relation to: the need for coordinated policies, plans and programmes, the requirement to scale up services for whole populations, the importance of promoting community awareness about mental illness to increase levels of help-seeking, the need to establish effective financial and budgetary provisions to directly support services provided in the community. The paper concludes by setting out a series of lessons learned from the accumulated practice of community mental health care to date worldwide, with a particular focus on the social and governmental measures that are required at the national level, the key steps to take in the organization of the local mental health system, lessons learned by professionals and practitioners, and how to most effectively harness the experience of users, families, and other advocates.
Keywords Community mental health care
balanced care model
mental health services
human rights
community awareness
human resources
psychiatrists
training
quality assurance
Language English
Date 2010-06-01
Published in World Psychiatry. Milano: Elsevier Masson, v. 9, n. 2, p. 67-77, 2010.
ISSN 1723-8617 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 67-77
Origin http://dx.doi.org/10.1002/j.2051-5545.2010.tb00276.x
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000279039200002
URI http://repositorio.unifesp.br/11600/45747

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