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Chapter 31 - Service Delivery for Mood Disorders

Published online by Cambridge University Press:  16 May 2024

Allan Young
Affiliation:
Institute of Psychiatry, King's College London
Marsal Sanches
Affiliation:
Baylor College of Medicine, Texas
Jair C. Soares
Affiliation:
McGovern Medical School, The University of Texas
Mario Juruena
Affiliation:
King's College London
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Summary

Mood disorders constitute a substantial burden to patients, including a significant risk of suicide. In this chapter, the multidisciplinary components of services for mood disorders are delineated. Areas of special difficulty for service providers are recognised. Service development for mood disorders is necessary to meet existing treatment guidelines and to offer new evidence-based treatments, as they emerge. The elements of a general business case for local service development are outlined. The premise that early, correct diagnosis and effective treatment can produce savings in direct service costs and in indirect costs to society is explored briefly. The needs for co-production in partnership with service users and consultation with clinical stakeholders and managers are emphasised. Examples of service development are discussed, including a national programme to improve access to psychological treatments, a bipolar psychoeducation programme, and local specialist bipolar services. Finally, the need for rigorous planning of clinician recruitment, training and retention is highlighted.

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Publisher: Cambridge University Press
Print publication year: 2024

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