{"title":"Australia’s mental health legislation","authors":"K. Kirkby, S. Henderson","doi":"10.1192/S174936760000374X","DOIUrl":"https://doi.org/10.1192/S174936760000374X","url":null,"abstract":"Australia has a generally progressive approach to mental health law, reflective of international trends in human rights. Responsibility for most legislation is vested in the six States and two Territories, a total of eight jurisdictions, such that at any given time several new mental health acts are in preparation. In addition there is a model mental health act that promotes common standards. Transfer of orders between jurisdictions relies on Memoranda of Understanding between them, and is patchy. State and Territory legislation is generally cognisant of international treaty obligations, which are themselves the preserve of the Federal Parliament and legislature. UK legislation has had a key influence in Australia, the 1959 Mental Health Act in particular, with its strong emphasis on voluntary hospitalisation, prefacing deinstitutionalisation.","PeriodicalId":88529,"journal":{"name":"International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists","volume":"10 1","pages":"38 - 40"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66152374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Professor Hamid Ghodse CBE","authors":"M. Abou-Saleh, N. Loza","doi":"10.1192/s1749367600003672","DOIUrl":"https://doi.org/10.1192/s1749367600003672","url":null,"abstract":"","PeriodicalId":88529,"journal":{"name":"International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists","volume":"10 1","pages":"27 - 28"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66151871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The cross-cultural sensitivity of the Strengths and Difficulties Questionnaire (SDQ): a comparative analysis of Gujarati and British children","authors":"Manasi Kumar, P. Fonagy","doi":"10.1192/S1749367600003763","DOIUrl":"https://doi.org/10.1192/S1749367600003763","url":null,"abstract":"The purpose of this study was to investigate whether the Strengths and Difficulties Questionnaire (SDQ) may be considered a reliable measure of child behaviour, social functioning and adjustment in an Indian Gujarati context. The sample comprised 351 children who were classified as coming from a ‘poverty’ or ‘non-poverty’ background. The means and standard deviations for the SDQ total and five behavioural scales, as rated by children themselves, were first calculated for the entire Gujarati sample, then for the poverty and non-poverty subgroups. The SDQ did prove to be an appropriate measure for behavioural assessment. Its cross-cultural sensitivity was ascertained by comparing it against a British normative population. Small effect sizes were seen in the Emotional subscale scores and scores for total difficulties, and medium and large effect sizes on the Prosocial and Peer subscales, respectively, with greater difficulties experienced by the Indian Gujarati sample than their British counterparts.","PeriodicalId":88529,"journal":{"name":"International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists","volume":"93 1","pages":"42 - 45"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1192/S1749367600003763","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66152888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sajida Abdul Hussein, John Bankart, Panos Vostanis
{"title":"School-based survey of psychiatric disorders among Pakistani children: a feasibility study.","authors":"Sajida Abdul Hussein, John Bankart, Panos Vostanis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A cross-sectional survey of children aged 5-11 years attending 22 primary schools was carried out in Karachi, Pakistan. In the first (screening) phase, broad morbidity rates were measured using the Strengths and Difficulties Questionnaire (SDQ). A total of 968 parents and 793 teachers participated. In the second phase, 100 children were selected for a diagnostic interview using the Kiddie Schedule of Affective Disorders & Schizophrenia for School-Age Children. A weighted rate of 17% (95% CI 6.2-28.3%) was found for common child psychiatric disorders, with a preponderance of behavioural disorders, followed by anxiety and mood disorders. The feasibility study established methods and preliminary rates of child psychiatric disorders, which appear higher than in other countries. School surveys could be an important source of data in low-income countries and form the basis for interventions in the absence of specialist services.</p>","PeriodicalId":88529,"journal":{"name":"International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists","volume":"10 1","pages":"15-17"},"PeriodicalIF":0.0,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/23/dc/IP-10-15.PMC6735105.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41223207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The new mental health law in Argentina.","authors":"Daniel Moldavsky, Hugo Cohen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Argentinean Congreso de la Nacion (National Congress, or Parliament) approved in November 2010 a new Mental Health Law (MHL) (Law 26657, 'Salud Publica. Derecho a la Proteccion de la Salud Mental' [Public Health. The Right to Protect Mental Health]). Although it is not the first law concerning mental health - as several of the provinces and the autonomous city of Buenos Aires (Argentina's capital) have enacted their own - the MHL establishes principles for human rights and the protection of patients, and aims to develop approaches in mental health that are compatible with the most advanced views and legislation from high-income countries. In this paper we report on the most important aspects of the MHL. We highlight areas that represent a change for Argentina, such as the new arrangements for both informal and compulsory admission to hospital.</p>","PeriodicalId":88529,"journal":{"name":"International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists","volume":"10 1","pages":"11-13"},"PeriodicalIF":0.0,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5c/6f/IP-10-11a.PMC6735109.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41223209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The new mental health law in Argentina","authors":"D. Moldavsky, H. Cohen","doi":"10.1192/S1749367600003544","DOIUrl":"https://doi.org/10.1192/S1749367600003544","url":null,"abstract":"The Argentinean Congreso de la Nacion (National Congress, or Parliament) approved in November 2010 a new Mental Health Law (MHL) (Law 26657, ‘Salud Publica. Derecho a la Proteccion de la Salud Mental’ [Public Health. The Right to Protect Mental Health]). Although it is not the first law concerning mental health – as several of the provinces and the autonomous city of Buenos Aires (Argentina’s capital) have enacted their own – the MHL establishes principles for human rights and the protection of patients, and aims to develop approaches in mental health that are compatible with the most advanced views and legislation from high-income countries. In this paper we report on the most important aspects of the MHL. We highlight areas that represent a change for Argentina, such as the new arrangements for both informal and compulsory admission to hospital.","PeriodicalId":88529,"journal":{"name":"International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists","volume":"16 1","pages":"11 - 13"},"PeriodicalIF":0.0,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66151631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The financial crisis and the future of mental health in Greece.","authors":"Nikos G Christodoulou, Dimitris C Anagnostopoulos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The recent financial crisis in Greece has affected the mental health of the population as well as mental health service provision and planning. These new adverse circumstances call for the profession's swift response. In this paper we make evidence-based suggestions for urgent, as well as longer-term, mental health reform. We consider psychiatric prevention and mental health promotion to be the central principles to abide by in the long term. We also offer suggestions for important current issues, including the devolution and coordination of decision-making, the further development of community psychiatry and the implementation of sectorisation, support for service user involvement, the reform of psychiatric education and the creative integration of mental health service provision with Greek culture. We conclude that enhanced participation of the profession in decision-making and service planning can result in cost-effective, evidence-based reform.</p>","PeriodicalId":88529,"journal":{"name":"International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists","volume":"10 1","pages":"3-5"},"PeriodicalIF":0.0,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7d/a0/IP-10-03a.PMC6735103.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41223208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Scaling up in Europe: learning from diversity","authors":"M. Muijen","doi":"10.1192/S1749367600003349","DOIUrl":"https://doi.org/10.1192/S1749367600003349","url":null,"abstract":"Over the past decade, attention has increasingly focused on the need to increase the capacity of mental health services. The World Health Report 2001 – Mental Health: New Understanding, New Hope (World Health Organization, 2001) set the agenda, advocating the development of community-based mental health services. The case for scaling up, inspired by the World Health Organization’s vision of ‘no health without mental health’, was powerfully argued first in the Lancet series in 2007 (Prince et al, 2007) and again in the Lancet in 2011 (Eaton et al, 2011). The forthcoming Global Mental Health Action Plan, requested in a resolution by member states of the World Health Organization at the 2012 World Health Assembly, is a great opportunity to formulate objectives and targets for countries, and to analyse experiences from around the world. The forthcoming European Action Plan builds on this, customising actions for European countries.","PeriodicalId":88529,"journal":{"name":"International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists","volume":"121 1","pages":"81 - 83"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66151063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reorienting health systems in South-East Asia to deliver care for mental and neurological disorders","authors":"Nazneen Anwar, Vijay Chandra, A. Kahandaliyanage","doi":"10.1192/s1749367600003362","DOIUrl":"https://doi.org/10.1192/s1749367600003362","url":null,"abstract":"Traditionally, care for mental and neurological disorders has been concentrated in tertiary care hospitals located in large cities. These custodial types of facility were designed to ‘protect’ the community from patients with a mental illness, as such persons were considered dangerous and a threat to the community. Given the state of medical knowledge in the 19th and 20th centuries, this mode of care was considered appropriate. However, in recent decades more humane and effective concepts of care have evolved. These concepts recognise the stigma attached to hospital-based care and also its limited outreach to the community, leaving out the vast majority of people living in rural and remote areas. Violation of human rights, sometimes seen in mental hospitals, has also been of concern.","PeriodicalId":88529,"journal":{"name":"International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists","volume":"9 1","pages":"86 - 87"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66151304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anil Rane, Abhijit Nadkarni, Shilpa Waikar, H A Borker
{"title":"Judicial involuntary admission under the Mental Health Act in Goa, India: profile, outcome and implications.","authors":"Anil Rane, Abhijit Nadkarni, Shilpa Waikar, H A Borker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Reception order (RO) by a magistrate is a mode of involuntary admission provided under the Indian Mental Health Act of 1987. To the best of our knowledge there has been no evaluation of this provision in clinical practice. The present paper is a descriptive study through retrospective case-note review of patients admitted by way of RO to a tertiary care hospital in Goa. Compared with those admitted voluntarily, those admitted by RO tended to be single, middle aged (40-60 years old) and non-Goan; on average they had a significantly longer hospital stay than voluntarily admitted patients. Non-affective psychosis and substance use disorders were the more common diagnoses. While admissions by RO serve a useful role in bringing patients who are not under proper care into the mental healthcare system, they do not address the issue of aftercare.</p>","PeriodicalId":88529,"journal":{"name":"International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists","volume":"9 4","pages":"98-101"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/78/65/IP-9-98.PMC6735084.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41223215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}