- Section 1 The Subject Matter of and Approach to Psychiatry
- 1.3 Psychiatry as a worldwide public health problem
- 1.4 The history of psychiatry as a medical specialty
- 1.5 Ethics and values
- 1.6 The psychiatrist as a manager
- 1.7 Descriptive phenomenology
- 1.8 Assessment
- 1.9 Diagnosis and classification
- 1.10 From science to practice
- Section 2 The Scientific Basis of Psychiatric Aetiology
- 2.3 The contribution of neurosciences
- 2.4 The contribution of genetics
- 2.5 The contribution of psychological science
- 2.6 The contribution of social sciences
- 2.7 The contribution of epidemiology to psychiatric aetiology
- Section 3 Psychodynamic Contributions to Psychiatry
- Section 4 Clinical Syndromes of Adult Psychiatry
- 4.4 Persistent delusional symptoms and disorders
- 4.5 Mood disorders
- 4.6 Stress-related and adjustment disorders
- 4.7 Anxiety disorders
- Section 5 Psychiatry and Medicine
- Section 6 Treatment Methods in Psychiatry
- 6.2 Somatic treatments
- Section 7 Social Psychiatry and Service Provision
- 7.1 Public policy and mental health
- 7.2 Service needs of individuals and populations
- 7.3 Cultural differences care pathways, service use, and outcome
- 7.4 Primary prevention of mental disorders
- 7.5 Planning and providing mental health services for a community
- 7.6 Evaluation of mental health services
- 7.7 Economic analysis of mental health services
- 7.8 Psychiatry in primary care
- 7.9 The role of the voluntary sector
- 7.10 Special problems
- Section 8 The Psychiatry of Old Age
- Section 9 Child and Adolescent Psychiatry
Service needs of individuals and populations
- Chapter:
- Service needs of individuals and populations
- Author(s):
Mike Slade
, Michele Tansella
, and Graham Thornicroft
- DOI:
- 10.1093/med/9780199696758.003.0182
In this chapter we have emphasized that it is of central importance when planning mental health service for populations, to do so on the basis of (i) the occurrence of mental disorders in that particular population, (ii) the impairments caused by these disorders that require interventions, (iii) the nature and level of needs among these people, (iv) identifying from among these needs those which are unmet, and then (v) prioritizing new service development on the basis of these unmet needs, including a range of social supports and services (such as housing or employment opportunities, outside the mental health system), the requirements for enhanced physical/general health care, as well as improvements in the provision of specific mental health services. For all of these sectors there is an increasingly clear call from service user/consumer groups for involvement in these priority-setting planning exercises. At the level of individuals with mental illness, there is a similar trend to increasingly involve service users/consumers in assessing needs, with emerging evidence that this produces a more comprehensive basis for care planning. Indeed in the last decade there has been an important conceptual shift away from the view that professionals defined ‘needs’ while consumers stated ‘demands’, to a better appreciation of the many advantages to be gained from identifying, as far as possible, unmet needs in a joint and consensual way as a basis for action.
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- Section 1 The Subject Matter of and Approach to Psychiatry
- 1.3 Psychiatry as a worldwide public health problem
- 1.4 The history of psychiatry as a medical specialty
- 1.5 Ethics and values
- 1.6 The psychiatrist as a manager
- 1.7 Descriptive phenomenology
- 1.8 Assessment
- 1.9 Diagnosis and classification
- 1.10 From science to practice
- Section 2 The Scientific Basis of Psychiatric Aetiology
- 2.3 The contribution of neurosciences
- 2.4 The contribution of genetics
- 2.5 The contribution of psychological science
- 2.6 The contribution of social sciences
- 2.7 The contribution of epidemiology to psychiatric aetiology
- Section 3 Psychodynamic Contributions to Psychiatry
- Section 4 Clinical Syndromes of Adult Psychiatry
- 4.4 Persistent delusional symptoms and disorders
- 4.5 Mood disorders
- 4.6 Stress-related and adjustment disorders
- 4.7 Anxiety disorders
- Section 5 Psychiatry and Medicine
- Section 6 Treatment Methods in Psychiatry
- 6.2 Somatic treatments
- Section 7 Social Psychiatry and Service Provision
- 7.1 Public policy and mental health
- 7.2 Service needs of individuals and populations
- 7.3 Cultural differences care pathways, service use, and outcome
- 7.4 Primary prevention of mental disorders
- 7.5 Planning and providing mental health services for a community
- 7.6 Evaluation of mental health services
- 7.7 Economic analysis of mental health services
- 7.8 Psychiatry in primary care
- 7.9 The role of the voluntary sector
- 7.10 Special problems
- Section 8 The Psychiatry of Old Age
- Section 9 Child and Adolescent Psychiatry