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England's policy on severe mental illness1

Published online by Cambridge University Press:  11 October 2011

Rachel Jenkins
Rachel Jenkins*
Affiliation:
NHS Executive, Department of Health, London, UK
*
Indirizzo per la corrispondenza: Dr. R. Jenkins, NHS Executive, Department of Health, Wellington House, 135-155 Waterloo Road, London SE1 8UG (UK).
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Summary

England has set an evidence based mental health strategy which encompasses where and how people are cared for and with what aims and goals in view. It has ensured that policy is well rooted in the known epidemiology of mental disorders, that policy does not only focus on those with severe mental disorders who need specific care, but also on those with less severe disorders in primary care, in the workplace and in prisons, and also on the integration and interface of mental health services with other agencies. It has also rooted policy within a coherent framework of prevention mental health promotion, primary, secondary and tertiary prevention and prevention of mortality), and is driving that policy by measuring health outcomes as well as inputs and processes.

Riassunto

La Gran Bretagna ha messo a punto una comprovata strategia sulla salute mentale che include dove e come le persone sono curate e con quali obiettivi. Ha assicurato che la politica sanitaria sia basata sull'epidemiologia dei disturbi psichici e che sia incentrata non solo sui disturbi psichici gravi, che necessitano di trattamenti specifici, ma anche sui disturbi meno gravi in medicina di base, nelle carceri e sul posto di lavoro ed inoltre sull'integrazione e interfaccia tra i servizi di salute mentale ed altre agenzie.

Ha basato la politica sanitaria su un quadro coerente di promozione della prevenzione della salute mentale (prevenzione primaria, secondaria e terziaria e prevenzione della mortalita) conduce questa politica quantificando l'esito in termini di salute mentale, nonche gli imputs ed i processi.

Keywords

Gran Bretagnapoliticadisturbi mentali gravimedicina di baseEnglandpolicysevere mental illnesscommunity carecomprehensive servicessuicideprimary careoutcomes
Type
Articles
Information
Epidemiology and Psychiatric Sciences , Volume 5 , Issue 1 , April 1996 , pp. 31 - 37
Copyright
Copyright © Cambridge University Press 1996

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Footnotes

1

Based on IRGASD (Italian Research Group for Affective and Schizophrenic Disorders) lecture, organised by the Institute of Psychiatry of the University of Verona, and delivered in Verona on June 6, 1995. IRGASD activities carried out under the auspices of Dr. Paul Janssen Medical Institute, are supported by Janssen-Cilag.

References

Audit Commission (1986). Making a Reality of Community Care. HMSO: London.Google Scholar
Audit Commission (1994). A review of Mental Health Services for Adults. HMSO: London.Google Scholar
Charlton, J., Kelly, S., Dunnell, K., Evans, B., Jenkins, R. & Wallis, R. (1992). Trends in suicide deaths in England and Wales. Population Trends 69, 10–16.Google Scholar
Charlton, J., Kelly, S., Dunnell, K., Evans, B. & Jenkins, R. (1993). Suicide deaths in England and Wales; Trends in factors associated with suicide deaths. Population Trends 71, 34–42.Google Scholar
Department of Health and Social Security (1975). Better Services for the Mentally III. HMSO: London.Google Scholar
Department of Health (1989a). Caring for People: Community care in the Next Decade and Beyond. HMSO: London.Google Scholar
Department of Health (1989b). Working for Patients. HMSO: London.Google Scholar
Department of Health (1990). «Caringfor People»; The Care Programme Approach for People with a Mental Illness Referred to the Specialist Psychiatric Services. Circular HC(90)23/LASSL(90)ll. Department of Health: London.Google Scholar
Department of Health (1992). Health of the Nation: a Strategy for Health in England. HMSO: London.Google Scholar
Department of Health (1993a). Public Health Information Strategy: Improving Information on Mental Health. Deptartment of Health: London.Google Scholar
Department of Health. Confederation of British Industry (CBI). (1993b). Leaflet - Promoting Mental Health at Work. Department of Health: London.Google Scholar
Department of Health (1994a). The Introduction of Supervision Registers for Mentally III People from 1 April 1994. Circular HSG(94)5. Department of Health: London.Google Scholar
Department of Health (1994b). Leaflet — Mental Illness; a Guide to Mental Health in the Workplace. Department of Health: London.Google Scholar
Department of Health (1995a). Health of the Nation, Key Area Handbook: Mental illness. 2nd ed. HMSO: London.Google Scholar
Department of Health (1995b). The Health of the Nation: ABC of Mental Health in the Workplace — a Resource Pack for Employers. Department of Health: London.Google Scholar
Jenkins, R. (1990). Towards a system of outcome indicators for mental health care. British Journal of Psychiatry 157, 500–514.CrossRefGoogle ScholarPubMed
Jenkins, R. (1992). Developments in the primary care of mental illness: a forward look. International Review of Psychiatry 4, 237–242.CrossRefGoogle Scholar
Jenkins, R. (1994). Ageing in learning disabilities. Journal of Intellectual Disability Research. 28, 257–264.CrossRefGoogle Scholar
Jenkins, R. & Coney, N. (1992). Prevention of Mental III Health at Work. HMSO: London.Google Scholar
Jenkins, R. & Meltzer, H. (1995). The National survey of psychiatric morbidity in Great Britain. Social Psychiatry and Psychiatric Epidemiology 30, 1–4.CrossRefGoogle ScholarPubMed
Jenkins, R. & Warman, D. (1993). Promoting Mental Health Policies in the Workplace. HMSO: London.Google Scholar
Jenkins, R., Griffiths, S., Wylie, I., Hawton, K., Morgan, G. & Tylee, A. (ed.) (1994). The Prevention of Suicide. HMSO: London.Google Scholar
Kelly, S., Charlton, J. & Jenkins, R. (1995). Suicide deaths in England and Wales 1982-92: The contribution of occupation and geography. Population Trends 80, 16–25.Google Scholar
Kingdon, D. & Jenkins, R. (1995). The Health of the Nation; Suicide prevention in England. Italian Journal of Suicidology, 5.1, 9–17.Google Scholar
Meltzer, H., Gill, B. & Petticrew, M. (1994). OPCS Surveys of Psychiatric Morbidity in Great Britain, Bulletin no. 1: The Prevalence of Psychiatric Morbidity among Adults Aged 16-64, Living in Private Households, in Great Britain. Office of Population Census & Surveys (OPCS): London.Google Scholar
Meltzer, H., Gill, B., Petticrew, M. & Hinds, K. (1995a). OPCS Surveys of Psychiatry Morbidity in Great Britain, Report no. 1: The Prevalence of Psychiatric Morbidity among Adults Living in Private Households. HMSO: London.Google Scholar
Meltzer, H., Gill, B., Petticrew, M. & Hinds, K. (1995b). OPCS Surveys of Psychiatric Morbidity in Great Britain, Bulletin no. 2. The Prevalence of Psychiatric Morbidity among Adults Living in Institutions. OPCS: London.Google Scholar
Meltzer, H., Gill, B., Petticrew, M., & Hinds, K. (1995c). OPCS Surveys of Psychiatric Morbidity in Great Britain, Report no. 2; Physical complaints, service use and treatment of adults with psychiatric disorders. HMSO: London.Google Scholar
Meltzer, H., Gill, B., Petticrew, M., & Hinds, K. (1995d). OPCS Surveys of Psychiatric Morbidity in Great Britain, Report no. 3: Economic activity and social functioning of adults with psychiatric disorders. HMSO: London.Google Scholar
NHS and Community Care Act, 1990. HMSO: London.Google Scholar