Mental Health Policy and Practice Across Europe (European Observatory on Health Systems & Policies)

出版者:Open University Press

作者:Martin Knapp

页数:488

出版时间:2007-01-01

价格:USD 197.95

装帧:Hardcover

isbn号码:9780335214686

具体描述

'A genuinely fantastic resource; such a rare text that provides such factual information for students and lecturers. A rich review of the subject areas from across Europe. Fantastic text' - Chris Kelly, Programme Leader, Bournemouth University. '"Mental Health Policy and Practice Across Europe" is a fascinating, complicated volume that looks at one of the key dimensions of contemporary mental health policy development in Europe - the role of the European Union (EU)' - "Medicine Weekly". In much of Europe it remains taboo to discuss the challenges that poor mental health raises for governments, societies and particularly for people with mental health problems themselves.This book maps the current state of policy, service provision and funding for mental health care across Europe, taking into account the differing historical contexts that have shaped both the development and delivery of services. A holistic approach is adopted that aims to assess the influence on mental health of environmental factors such as housing, poverty, employment, social justice and displacement. Covering a wide range of policy issues, the book: examines the legal rights of people with mental health problems; addresses the impact of stigma, social exclusion and discrimination; reviews the role of users and their families in the development of mental health services and policy; reflects on approaches to reform and on the future development of services; evaluates opportunities for the rehabilitation of people with mental health problems; discusses the financing and organisation of mental health systems; and, reflects on approaches to reform and the future development of services."Mental Health Policy and Practice Across Europe" is key reading for policy makers, professionals involved in the delivery of health and social care services, voluntary agencies, non-governmental organizations, academics and students of health policy. The contributors include: Francesco Amaddeo, University of Verona, Italy; Peter Anderson, Department of Primary Care, University of Oxford; Robert Anderson, Research Director, European Foundation for the Improvement of Living and Working; Terry Brugha, University of Leicester; Peter Bower, National Primary Care Research and Development Centre, University of Manchester; Lorenzo Burti, University of Verona, Italy; and, Kathryn Berzins, Claire Curran.The contributors also include: Paul Cutler, The Hamlet Trust; Natalie Drew, Dept of Mental Health and Substance Abuse, World Health Organization, Geneva; Angelo Fioritti, University of Bologna, Italy; Michelle Funk, Dept of Mental Health and Substance Abuse, World Health Organization, Geneva; Simon Gilbody, Department of Psychiatry, University of Leeds; Vidar Halsteinli, SINTEF, Oslo, Norway; Robert Hayward, The Hamlet Trust; Rachel Jenkins, WHO Collaborating Centre, Institute of Psychiatry, Kings College, London; Heinz Katschnig, University of Vienna, Austria; Robert Keukens, Geneva Initiative on Psychiatry, Hilversum, The Netherlands; and, Susan Kirkwood, European Federation of Associations of Families of People with Mental Illness, Belgium. The contributors also include: Martin Knapp, Director, PSSRU and LSE Health and Social Care, London School of Economics and Political Science, London; Viviane Kovess, MGEN, Pari; Eva Jane Llopis, Prevention Research Centre, Academic Centre for Social Sciences and Department of Clinical Psychology, University of Nijmegen, The Netherlands; Jo Lucas, The Hamlet Trust; Ville Lehtinen, National Research and Development Centre for Welfare and Health (STAKES), Helsinki, Finland; Lorenza Magliano, Department of Psychiatry, University of Naples, Italy; David McDaid, LSE Health and Social Care and European Observatory on Health Systems and Policies, London School of Economics and Political Science; and, Elias Mossialos, Director, LSE Health and Social Care and European Observatory on Health Systems and Policies, London School of Economics and Political Science.The contributors also include: Camilla Parker, Legal and Policy Consultant, Open Society Institute Budapest; Dainius Puras, Department of Social Paediatrics and Child Psychiatry, Vilnius Medical University; Roxana Radulescu, Mental Health Europe, Brussels; Diana Rose, Service Users Research Enterprise, Institute of Psychiatry, Kings College, London; Nikolas Rose, Department of Sociology, London School of Economics and Political Science; Luis Salvador, University of Cadiz, Spain; Benedetto Saraceno, Director, Mental Health, World Health Organization, Geneva; Liz Sayce, Director, Disability Rights Commission; Edward Shorter, University of Toronto; Michele Tansella, University of Verona; Graham Thornicroft, Health Services Research Department, Institute of Psychiatry, Kings College, London; and, Toma Tomov, Department of Psychiatry, University of Sofia, Bulgaria. The contributors also include: Charles Watters, University of Kent, Canterbury; Richard Wynne, The Work Research Centre, Dublin; Robert Van Voren, General Secretary, Geneva Initiative on Psychiatry, Hilversum, The Netherlands; and, Ingrid Zechmeister, University of Vienna.

用户评价

阅读过程中，有一个显著的感受是，这本书的语言风格非常克制和客观，几乎没有出现情绪化的表达，即便是讨论到那些令人痛心的服务缺失或伦理困境时，也始终保持着冷静的学术腔调。这对于一本严肃的政策分析读物来说，是必须的素质。然而，尽管语气专业，它在关键转折点上所提出的见解却常常掷地有声，富有启发性。例如，关于预防策略与危机干预资源分配的长期博弈，书中对欧洲各国倾向性的剖析，揭示出一种深层的结构性矛盾——短期政治压力往往倾向于可见的危机应对，而长期、难以量化的预防工作则常常被边缘化。这种对政策“惯性”的洞察，远超出了教科书式的描述，它触及到了政策制定背后的权力动态和资源博弈，让读者能够更深刻地理解“为什么某些改变如此之难”。

这本书给我最深刻的启发在于其对未来趋势的展望部分。它没有止步于对现状的详尽梳理，而是清晰地勾勒出了未来十年欧洲心理健康领域可能面临的几大前沿挑战，其中就包括如何应对气候变化对心理健康的影响、数字疗法（digital therapeutics）的监管框架建立，以及如何更好地整合流动人口的心理健康需求。作者们似乎在不断地提醒读者：政策的制定从来不是一劳永逸的，它必须适应社会和技术的前沿发展。这种前瞻性和批判性的视野，使得这本书的价值远超出了其作为历史回顾的范畴，更像是一份为未来决策者准备的“预警报告”和“战略蓝图”。它鼓励我们不仅要学习欧洲过去和现在的经验教训，更要主动思考如何构建更具韧性、更具包容性的心理健康服务体系，这使得整本书读起来充满紧迫感和行动的召唤力。

坦白说，作为一名对公共卫生政策有持续关注的读者，我发现这本书在数据呈现和案例研究的深度上，达到了一个很高的标准。它不是空谈理论，而是大量引用了官方报告、统计数据和定性访谈的成果。我特别留意了其中关于不同国家如何衡量心理健康服务可及性和质量的部分。不同的指标体系，本身就是政策优先级的体现。这本书没有简单地采纳任何单一的评估标准，而是批判性地审视了各种评估工具的局限性，这显示出作者团队扎实的学术功底。比如，他们探讨了如何量化“污名化”（stigma）的实际影响，并分析了某些国家通过立法手段试图解决这一问题的效果，这种深入到具体干预措施及其效果评估的分析，对政策制定者来说无疑是极具价值的实战指南。它教导我们如何从数据中提炼出真正的政策含义，而不是停留在表面现象的描述。

初次接触这本书时，我最关心的其实是它的“跨欧洲”视角，毕竟欧洲各国在文化、经济发展水平和医疗体制上都有显著差异，如何能有效地将这些不同的经验整合起来，而不显得杂乱无章，是对作者功力的极大考验。这本书在这方面做得相当出色。它没有采用简单的“国家A怎么样，国家B怎么样”的清单式叙述，而是巧妙地提炼出了几个核心的、贯穿始终的主题——比如去机构化（deinstitutionalization）的进程、初级卫生保健中心理健康服务的整合程度，以及资金投入的分配模式。通过这种主题驱动的方式，即使是不同国家的案例，也能在同一个分析框架下进行对照，使得比较分析更具洞察力。这种处理方式极大地提升了阅读的连贯性和信息密度，让你能迅速把握住欧洲整体政策演进的大趋势，而不是迷失在琐碎的细节之中。它成功地描绘了一幅动态的、充满张力的政策图景，清晰地展示了哪些是普适性的挑战，哪些是区域性的特有难题。

这本书的封面设计本身就给我留下了一种沉稳、专业的印象，那种深蓝色调配上清晰的白色字体，立刻让人感觉到这不是一本浮于表面的通俗读物，而是对一个复杂领域进行系统性梳理的深度研究。我尤其欣赏它在视觉上传达出的权威感，这对于一本探讨**欧洲范围内的心理健康政策与实践**的著作来说至关重要。当我翻开扉页，发现其隶属于“European Observatory on Health Systems & Policies”这一系列，心中对内容的严谨性又增加了一层信心。这本书的组织结构显然是经过精心策划的，从宏观的政策框架到具体的落地实践，再到不同国家之间的比较分析，每一章节的过渡都显得水到渠成。它似乎不仅仅是在罗列事实，更像是在构建一个完整的知识地图，引导读者逐步深入理解欧洲各国在应对心理健康挑战时所采取的策略、面临的困境以及取得的进展。对于任何希望了解欧洲医疗体系中这一关键领域的人来说，这本书的排版和整体的专业度，都预示着它将是一份详实且值得信赖的参考资料。