Alan Rosen1,2,3, Neeraj S Gill4,5, Luis Salvador-Carulla6,7. 1. Illawarra Institute of Mental Health, University of Wollongong, Wollongong. 2. Brain and Mind Centre, Sydney Medical School, University of Sydney, Sydney. 3. Far West NSW LHD Mental Health Services, Broken Hill, New South Wales. 4. School of Medicine, Griffith University Gold Coast. 5. Mental Health and Specialist Services, Gold Coast Health, Gold Coast. 6. Centre for Mental Health Research, Research School of Population Health, ANU College of Health and Medicine, Australian National University, Canberra. 7. Menzies Centre for Health Policy, University of Sydney, Sydney, Australia.
Abstract
PURPOSE OF REVIEW: The aim of this article is to provide a framework and analysis of a series of critical components to inform the future design, development, sustaining, and monitoring of community mental health services. RECENT FINDINGS: Many mental health services remain too hospital-centric, often without adequate outreach services. On the basis of outcome evidence, we need to shift the balance of mental health services from hospital-centered with community outreach when convenient for staff, to community-centered and mobile, with in-reach to hospital only when necessary. Too few training programs those with emphasize the macroskills of public advocacy, working with service users, families, social movements, and the media to improve mental health and wellbeing of regional and local communities. SUMMARY: We should adopt a health ecosystems approach to mental healthcare and training, encompassing nano to macrolevels of service in every region. Catchment mental health services should be rebuilt as community-centric mental health services, integrating all community and inpatient components, but led and integrated from community sites. Community psychiatrists and mental health professionals of the future will need to be well trained in the nano to macroskills required to take responsibility for the mental health and wellbeing of their catchment communities and to provide leadership in service-planning, management, and continuing revision on the basis of rigorous evaluation. These approaches should be the core of all training in psychiatry and all mental health professions prior to any subspecialization.
PURPOSE OF REVIEW: The aim of this article is to provide a framework and analysis of a series of critical components to inform the future design, development, sustaining, and monitoring of community mental health services. RECENT FINDINGS: Many mental health services remain too hospital-centric, often without adequate outreach services. On the basis of outcome evidence, we need to shift the balance of mental health services from hospital-centered with community outreach when convenient for staff, to community-centered and mobile, with in-reach to hospital only when necessary. Too few training programs those with emphasize the macroskills of public advocacy, working with service users, families, social movements, and the media to improve mental health and wellbeing of regional and local communities. SUMMARY: We should adopt a health ecosystems approach to mental healthcare and training, encompassing nano to macrolevels of service in every region. Catchment mental health services should be rebuilt as community-centric mental health services, integrating all community and inpatient components, but led and integrated from community sites. Community psychiatrists and mental health professionals of the future will need to be well trained in the nano to macroskills required to take responsibility for the mental health and wellbeing of their catchment communities and to provide leadership in service-planning, management, and continuing revision on the basis of rigorous evaluation. These approaches should be the core of all training in psychiatry and all mental health professions prior to any subspecialization.
Authors: Coline van Everdingen; Peter Bob Peerenboom; Koos van der Velden; Philippe Delespaul Journal: Front Psychiatry Date: 2021-03-25 Impact factor: 4.157
Authors: Nerea Almeda; Carlos R Garcia-Alonso; Mencia R Gutierrez-Colosia; Jose A Salinas-Perez; Alvaro Iruin-Sanz; Luis Salvador-Carulla Journal: PLoS One Date: 2022-01-11 Impact factor: 3.240
Authors: Carlos R García-Alonso; Nerea Almeda; José A Salinas-Pérez; Mencía R Gutiérrez-Colosía; Álvaro Iruin-Sanz; Luis Salvador-Carulla Journal: PLoS One Date: 2022-03-22 Impact factor: 3.240