No CrossRef data available.
Article contents
Population needs for mental health services. Introduction to the theme
Published online by Cambridge University Press: 07 July 2014
Extract
All over the world large sums of both public and private money are expended on the operation of psychiatric health care services. In most of the European countries mental health care expenditures, as well as the total health care budget, increased quite rapidly during the 80s. But in the 90s the economic recession has forced to cut down costs which has meant a decrease in mental health resources and, evidently, an increase of the unmet need for these services in the population.
The problem is that the development of mental health services has been, for the most part, merely accidental and random, usually not clearly planned and based neither on real knowledge of the population needs nor on setting priorities when all needs can not be satisfied. During the period of increasing resources there was no real need for priority setting; somewhat exaggerating one can say that every emerging demand for services could be met by allocating new resources. During the recession, on the other hand, the cutting of costs have been the main goal, leading again to an unplanned development: the cuts of resources have been rather forced and panicky, not based on consideration of true population needs or the consequences of the development.
- Type
- Section A: Assessing Needs for Mental Health Services
- Information
- Copyright
- Copyright © Cambridge University Press 1997
References
Acheson, R.M. (1978). The definition and identification of need for health care. Journal of Epidemiology and Community Health 32, 10–15.Google Scholar
Bebbington, P.E. (1990). Population surveys of psychiatric disorder and the need for treatment. Social Psychiatry and Psychiatric Epidemiology 25, 33–40.Google Scholar
Björk, K. (1977). Psykiatrisk vårdbehov. En epidemiologisk studie av en mellansvensk befolkning. Dissertation. Stockholm.Google Scholar
Brewin, C.R., Wing, J.K., Mangen, S.P., Brugha, T.S. & MacCarthy, B. (1987). Principles and practice of measuring needs in long-term mentally ill: the MRC Needs for Care Assessment. Psychological Medicine 17, 971–981.CrossRefGoogle ScholarPubMed
Fryers, T. (1979). Estimation of need on the basis of case register studies. In Estimating Need for Mental Health Care (ed. Hafner, H.), pp. 43–63. Springer: Berlin.Google Scholar
Hagnell, O. (1966). A Prospective Study of the Incidence of Mental Disorder. Svenska bokförlaget: Lund.Google Scholar
Jablensky, A. & Hugler, H. (1982). Möglichkeiten und Grenzen psychiatrischer epidemioloischer Surveys für geographisch definierte Populationen. Fortschritte der Neurologie und Psychiatrie 50, 215–239.Google Scholar
Jakubaschk, J., Klug, J., Weyerer, S. & Dilling, H. (1978). Bedarf und Behandlungsbedürftigkeit - Überlegungen zur psychiatrischen Versorgung. Psychiatrische Praxis 5, 203–211.Google Scholar
Klerman, G.L., Olfson, M., Leon, A.C. & Weissman, M.M. (1992). Measuring the need for mental health care. Health Affairs Fall, 23–33.Google Scholar
Lehtinen, V. (1975). Psykiatrisen hoidon ja kuntoutuksen tarve sekä mielisairauteen kohdistuvat asenteet (with English summary: Need of Psychiatric Treatment and Rehabilitation; Attitudes toward Mental Illness). Kansaneläkelaitoksen julkaisuja AL:3: Turku.Google Scholar
Lehtinen, V. (1985). Assessment as to the need for psychiatric treatment. Nordisk Psykiatrisk Tidsskrift 39, 463–469.Google Scholar
Lehtinen, V., Joukamaa, M., Jyrkinen, E., Lahtela, K., Raitasalo, R., Maatela, J. & Aromaa, A. (1990). Need for mental health services of the adult population in Finland: results from the Mini Finland Health Survey. Acta Psychiatrica Scandinavica 81, 426–431.CrossRefGoogle ScholarPubMed
Leighton, D.C., Harding, J. S., Macklin, D. B., Macmillan, A.M. & Leighton, A.H. (1963). The Character of Danger. Psychiatric Symptoms in Selected Communities. Basic Books: New York.Google Scholar
Matthew, G.K. (1971). Measuring need and evaluating services. In Portfolio for Health, Problems and Progress in Medical Care (ed. McLachlan, G.), pp. 27–46. Oxford University press: London.Google Scholar
Miller, G. H., Dear, M. & Streiner, D. L. (1986). A model for predicting utilization of psychiatric facilities. Canadian Journal of Psychiatry 31, 424–430.CrossRefGoogle Scholar
Phelan, M., Slade, M., Dunn, G., Holloway, F., Strathdee, G., Tornicroft, G. & Wykes, T. (1994). Camberwell Assessment of Need. Research, Version R 3.0. Institute of Psychiatry: London.Google Scholar
Richman, A. & Barry, A. (1985). More and more is less and less. The myth of massive psychiatric need. British Journal of Psychiatry 146, 164–168.Google Scholar
Shapiro, S., Skinner, E.A., Kramer, M., Steinwachs, D.M. & Regier, D.A. (1985). Measuring need for mental health services in a general population. Medical Care 23, 1033–1043.CrossRefGoogle ScholarPubMed
Solantaus, J. (1993). Uudenmaan sairaanhoitopiirin toiminnan kehittäminen 1990-luvulla. Uudenmaan sairaanhoitopiiri: Espoo.Google Scholar
Srole, L., Lagner, T.S., Michael, S.T., Opler, M.K. & Rennie, T.A.C. (1962) Mental Health in the Metropolis: the Midtown Manhattan Study, vol. 1. McGraw-Hill: New York.Google Scholar
Weyerer, S. & Dilling, H. (1982) Prävalenz und Behandlung psychischer Erkrankungen in der Allgemeinbefölkerung. Ergebnisse einer Feldstudie in drei Gemeinden Oberbayerns. Nervenarzt 55, 30–42.Google Scholar