Development of Services for Mental Health Service Users Based on WHO Guidelines and the National Strategy for Mental Health

1

• Development of Services for Mental Health
  Service Users Based on WHO Guidelines and the
  National Strategy for Mental Health

2
What Is the Balanced Care Approach for Mental
Health Care and other Chronic Diseases? Community
Based Services and More.
3
The Components of the Balanced Care Approach
using Integration of Services for the Mentally Ill
General Hospitals Formal community mental health services Informal community mental health services Specialist institutional services for the mentally ill
gt Acute inpatient care gt Crisis stabilization care gt Partial (day/night) hospital programmes gtConsultation/liaison services for general medical patients gt Intensive/planned outpatient programmes gt Respite care gtExpert consultation/support/training for primary care services gt Multidisciplinary psychiatric teams linked with other local and provincial sectors (schools, employers, correctional services, welfare) and NGOs in intersectoral prevention and promotion initiatives gtSpecialized units/wards for persons with specific mental disorders Rehabilitation services gt Community mental health centres/outpatient clinics gt Self care groups gt Clubhouses gtDay care centres gt Employment/rehabilitation workshops gt Cooperative work schemes Hospital diversion programmes gt Mobile services using telemedicine gt Home Care Teams using telemedicine Crisis services gt Respite care gt Crisis centres Therapeutic and supervised residential services gt Apartments gt Hostels gt Halfway houses Others gt Telephone hotline services gt Family members gt Self-help and user groups gt Advocacy services gt Lay volunteers providing parental and youth education on mental health issues and screening for mental disorders in clinics and schools gt Day care services provided by relatives, neighbors or retired members of local communities gt Humanitarian aid workers in complex emergencies. gtSpecialized units/centers for the treatment of specific disorders and for related rehabilitation programmes, e.g. eating disorder units gt Specialist clinics or units dedicated to specific mental disorders of children and adolescents gt Rehabilitation services for specific disorders of children and adolescents, e.g. autism and psychotic disorders gt Respite care gt Specialist clinics or units dedicated to specific disorders of the elderly, e.g. Alzheimers disease
gt Specialist inpatient care - Low
Medium-security units - High-security units
4
The Expanded Chronic Care Model for Management of
Chronic Diseases Including Mental Illnesses
AND SOCIAL PROTECTION SYSTEM
5
(No Transcript)
6

• A Roadmap of Critical Success Factors for Mental
  Health Reform in Serbia
• The National Strategy for Mental Health needs to
  be restructured in order to take account of new
  models for the management of mental health
  disorders and disabilities such as the Expanded
  Chronic Care Model.
• An Overall Regulatory Framework needs to be
  established whereby Community Based Services are
  defined and processes and pathways are analyzed
  the roles and responsibilities amongst various
  stakeholders are elaborated coordination and
  cooperation arrangements amongst intrasectoral
  and intersectoral stakeholders are set based on
  existing legislation Budget planning, pricing
  and reimbursement mechanisms of CBS are put into
  place Monitoring and evaluation mechanisms for
  the provision of services as well as indicators
  (input, process and outcome) for the reform
  process are set.
• Incentives, mainly of financial nature (earmarked
  transfers from the state, shift of funds from
  institutions to community based services,
  exploitation of premises land and buildings
  where possible) should be offered from the
  central government to local governments in order
  to support the development of CBS.
• Capacity Building of Professionals in Community
  Psychiatry and Management of CBS at local level
  through accredited training programmes.
• Public Awareness and Sensitization Campaigns for
  the general public should be implemented as part
  of the restructured National Strategy.
• The development and operation of mental health
  specific NGOs, Patient Advocacy Groups, Carers
  Associations should be encouraged as well as
  their accreditation.