IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v15y2018i4p806-d142164.html
   My bibliography  Save this article

From Community to Meta-Community Mental Health Care

Author

Listed:
  • Nick Bouras

    (King’s College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, P.O. Box 27, London SE5 8AF, UK)

  • George Ikkos

    (Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, Middlesex HA4 7LP, UK)

  • Thomas Craig

    (King’s College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, P.O. Box 27, London SE5 8AF, UK)

Abstract

Since the 1960s, we have witnessed the development and growth of community mental health care that continues to dominate mental health policy and practice. Several high-income countries have implemented community mental health care programmes but for many others, including mostly low- and middle-income countries, it remains an aspiration. Although community mental health care has been positive for many service users, it has also had severe shortcomings. Expectations that it would lead to fuller social integration have not been fulfilled and many service users remain secluded in sheltered or custodial environments with limited social contacts and no prospect of work. Others receive little or no service at all. In today’s complex landscape of increasingly specialised services for people with mental health problems, the number of possible interfaces between services is increasing. Together with existing uneven financing systems and a context of constant change, these interfaces are challenging us to develop effective care pathways adjusted to the needs of service users and their carers. This discussion paper reviews the developments in community mental health care over the recent years and puts forward the concept of “Meta-Community Mental Health Care”. “Meta-Community Mental Health Care” embraces pluralism in understanding and treating psychiatric disorders, acknowledges the complexities of community provision, and reflects the realities and needs of the current era of care.

Suggested Citation

  • Nick Bouras & George Ikkos & Thomas Craig, 2018. "From Community to Meta-Community Mental Health Care," IJERPH, MDPI, vol. 15(4), pages 1-10, April.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:4:p:806-:d:142164
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/15/4/806/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/15/4/806/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Michele Tansella & Graham Thornicroft & Heidi Lempp, 2014. "Lessons from Community Mental Health to Drive Implementation in Health Care Systems for People with Long-Term Conditions," IJERPH, MDPI, vol. 11(5), pages 1-15, April.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Yang Yang & Zhongqiu Li & Yingying Su & Shanshan Wu & Boyou Li, 2019. "Customers as Co-Creators: Antecedents of Customer Participation in Online Virtual Communities," IJERPH, MDPI, vol. 16(24), pages 1-15, December.
    2. Nerea Almeda & Carlos R. García-Alonso & José A. Salinas-Pérez & Mencía R. Gutiérrez-Colosía & Luis Salvador-Carulla, 2019. "Causal Modelling for Supporting Planning and Management of Mental Health Services and Systems: A Systematic Review," IJERPH, MDPI, vol. 16(3), pages 1-20, January.
    3. Lampros Samartzis & Michael A. Talias, 2019. "Assessing and Improving the Quality in Mental Health Services," IJERPH, MDPI, vol. 17(1), pages 1-31, December.
    4. Radosław Stupak & Bartłomiej Dobroczyński, 2021. "From Mental Health Industry to Humane Care. Suggestions for an Alternative Systemic Approach to Distress," IJERPH, MDPI, vol. 18(12), pages 1-18, June.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nerea Almeda & Carlos R. García-Alonso & José A. Salinas-Pérez & Mencía R. Gutiérrez-Colosía & Luis Salvador-Carulla, 2019. "Causal Modelling for Supporting Planning and Management of Mental Health Services and Systems: A Systematic Review," IJERPH, MDPI, vol. 16(3), pages 1-20, January.
    2. Radosław Stupak & Bartłomiej Dobroczyński, 2021. "From Mental Health Industry to Humane Care. Suggestions for an Alternative Systemic Approach to Distress," IJERPH, MDPI, vol. 18(12), pages 1-18, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:15:y:2018:i:4:p:806-:d:142164. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.