Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-08T05:35:07.270Z Has data issue: false hasContentIssue false

Community psychiatry in Europe: assessment and evaluation

Published online by Cambridge University Press:  07 July 2014

David Goldberg*
Affiliation:
Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF, UK
Get access

Extract

It is tempting to suppose that changes in the mental illness service in one's own part of Europe are taking place elsewhere as well. The asylum era is drawing to a close, and politicians everywhere are closing mental illness beds in order to re-distribute health costs in order to pay for new treatments needing expensive technology, as well as to allow for the needs of a population that is now living longer.

In an attempt to become independent of official figures, key figures with a reputation for epidemiological psychiatry were approached in each European country, and asked to complete a brief questionnaire describing the mental health services in their country. Whether this method produces figures that are more or less accurate than official government figures is a question that cannot be addressed at present.

Type
Section D: Developing the Public Health Perspective in European Mental Health Services
Copyright
Copyright © Cambridge University Press 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Beecham, J., Knapp, M.R.J. & Fenyo, A. (1991). Costs, needs and outcomes. Schizophrenia Bulletin 17, 427439.CrossRefGoogle ScholarPubMed
Burns, T., Beadsmore, A., Bhat, A., Oliver, A. & Mathers, C.A. (1993). Controlled trial of home-based psychiatric services. 1 - Clinical and social outcome. British Journal of Psychiatry 163, 4954.Google Scholar
Goldberg, D.P., Tantam, D., Gater, R., Jackson, G.et al. (1992). The Interface between Primary Care and Specialist Mental Health Services in the Community. Occasional Paper No.2. Mental Illness Research Unit, Manchester University: Manchester.Google Scholar
Hoult, J., Rosen, A. & Reynolds, I. (1984). Community orientated treatment compared to psychiatric hospital orientated treatment. Social Science and Medicine 18, 10101015.CrossRefGoogle ScholarPubMed
Hyde, C., Bridges, K., Goldberg, D., Lowson, K., Stirling, C. & Faragher, B. (1987). The evaluation of a hostel ward. British Journal of Psychiatry 151, 805812.CrossRefGoogle ScholarPubMed
Jones, R., Goldberg, D. & Hughes, B. (1980). A comparison of 2 different services treating schizophrenia: a cost-benefit approach. Psychological Medicine 10, 493505.CrossRefGoogle ScholarPubMed
Knapp, M.R.J. (1995). Community mental health services: towards an understanding of cost effectiveness. In Community Psychiatry in Action (ed. Tyrer, P. and Creed, F.), pp. 111146. Cambridge University Press: Cambridge.CrossRefGoogle Scholar
Knapp, M.R.J., Cambridge, P., Thomason, C., Beecham, J., Allen, C. & Darton, R. (1992). Care in the Community: Challenges and Demonstration. Ashgate: Aldershot.Google Scholar
Knapp, M.R.J., Beecham, J., Fenyo, A. & Hallam, A. (1994). Predicting costs from needs and diagnoses: community mental health care for former hospital patients. British Journal of Psychiatry 165, 195203.CrossRefGoogle Scholar
Marks, I., Connolly, J., Muijen, M., Audini, B., McNamee, G. & Lawrence, R. (1994). Home-based versus in/ outpatient care for serious mental illness. British Journal of Psychiatry 165, 179194.CrossRefGoogle ScholarPubMed
Weisbrod, B. (1979) A Guide to Benefit-Cost Analysis as Seen Through a Controlled Experiment in Treating the Mentally Ill. Discusion paper 559–79. Institute for Research on Poverty, University of Wisconsin: Madison.Google Scholar
Weisbrod, B., Test, M. & Stein, I. (1980). Alternative to mental hospital treatment. II: Economic benefit – cost analysis. Archives of General Psychiatry 37, 400405.CrossRefGoogle ScholarPubMed