Reorganization of mental health services: from institutional to community-based models of care.

Journal: Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit

Volume: 21

Issue: 7

Year of Publication: 2016

Affiliated Institutions:  Faculdade de Ciências Médicas, UniversidadeNova de Lisboa, Lisbon, Portugal. Institute of Brain, Behaviour and Mental Health, University of Manchester, and Lancashire Care NHS Foundation Trust, United Kingdom. Department of Psychological Sciences, University of Liverpool; Child Mental Health Unit, Royal Liverpool Children's Hospital, Liverpool, United Kingdom. Mental Health and Substance Abuse Department, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt. CBM International, West Africa Regional Office, Lomé, Togo. World Federation for Mental Health, London, United Kingdom. World Organization of Family Doctors, Sydney; Faculty of Medicine, Nursing and Health Sciences, Flinders University, Adelaide, Australia. Department of Psychological Sciences, University of Liverpool, Liverpool, United Kingdom. Research Action on Mental and Brain Disorders, World Health Organization Headquarters, Geneva, Switzerland. Mental Health and Substance Abuse Department, World Health Organization Headquarters, Geneva, Switzerland. Basic Needs, Leamington Spa, United Kingdom.

Abstract summary 

Mental health services in the Eastern Mediterranean Region are predominantly centralized and institutionalized, relying on scarce specialist manpower. This creates a major treatment gap for patients with common and disabling mental disorders and places an unnecessary burden on the individual, their family and society. Six steps for reorganization of mental health services in the Region can be outlined: (1) integrate delivery of interventions for priority mental disorders into primary health care and existing priority programmes; (2) systematically strengthen the capacity of non-specialized health personnel for providing mental health care; (3) scale up community-based services (community outreach teams for defined catchment, supported residential facilities, supported employment and family support); (4) establish mental health services in general hospitals for outpatient and acute inpatient care; (5) progressively reduce the number of long-stay beds in mental hospitals through restricting new admissions; and (6) provide transitional/bridge funding over a period of time to scale up community-based services and downsize mental institutions in parallel.

Authors & Co-authors:  Saraceno Gater Rahman Saeed Eaton Ivbijaro Kidd Dowrick Servili Funk Underhill

Study Outcome 

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Statistics
Citations : 
Authors :  11
Identifiers
Doi : 
SSN : 1020-3397
Study Population
Male,Female
Mesh Terms
Capacity Building
Other Terms
Study Design
Study Approach
Country of Study
Publication Country
Egypt