When one combines these policy issues with the complexities of mental illnesses and Tiffany 1837 cuff behavior, it is a real challenge to try to conceptualize and understand where we've been, where we are, and where we are going and to make rational decisions on allocating resources. The Mental Health Matrix by Thornicroft and Tansella, English and Italian psychiatrists, respectively, is a remarkable effort to develop a model that brings together the public health and individual patient care issues for clinicians, patients, families, and policy makers.
The typology itself combines both space and time concepts; that is, it has a geographical and Tiffany 1837 bangle dimension and, therefore, can describe clearly where we have been and why and where we need to go.The book is divided into five sections. The first introduces the concept of the matrix model and then draws some lessons from the history of public mental health care, tracing the major changes from asylum to community-based treatment. In the next two sections, the authors elaborate on their matrix, which includes the spatial dimensions of regional, local, and patient levels and the temporal dimensions of the input process and outcome phases of care. This serves as the basis for the systems approach that is elaborated in the fourth section, which includes a clear Tiffany 1837 circle clasp bracelet on the ethics of care from a distributive justice perspective. In addition to ethics, the issues of human resources and evidence-based care are taken up in this section. Then, in the fifth and most compelling section, the authors invite pieces from five different contributors using the model to describe mental health systems in Australia, Canada, central and eastern Europe, the Nordic European countries, and finally the United States. A conclusion provides an agenda for reform for the future, but the book, I think, is even more valuable as a description of the past and the present.
One final comment. As the authors acknowledge, the increasing scientific basis of Elsa Peretti Open Heart bracelet care and the growth of evidence-based treatment will transform our systems and policies. These changes, which we can only begin to anticipate, will increasingly become much more outcome-driven. The politics and economics of care will conform much more closely to what we know we can do to help people. This gives us hope for the future, as this optimistic book suggests.Japan is agonising over whether to lock up more violent psychiatric patients in the wake of a murderous rampage in an Osaka elementary school by a man with a history of mental illness and violence.Prime Minister Junichiro Koizumi has led calls for a reform of the penal system Tiffany 1837 Circle bracelet give courts more say in dealing with psychiatric patients accused of crimes. Currently, only doctors and local authorities determine how to handle such cases. Eight young children were killed and 15 others seriously injured in Japan's worst mass killing since the 1995 sarin gas attack on the Tokyo subway system by the Aum Supreme Truth cult.
Commentaires