Lessons Learned in Developing Community Mental Health Care in East and South East Asia

Article (PDF Available)inWorld psychiatry: official journal of the World Psychiatric Association (WPA) 11(3):186-90 · October 2012with58 Reads
DOI: 10.1002/j.2051-5545.2012.tb00129.x · Source: PubMed
This paper summarizes the findings for the East and South East Asia Region of the WPA Task Force on Steps, Obstacles and Mistakes to Avoid in the Im-plementation of Community Mental Health Care. The paper presents a description of the region, an overview of mental health policies, a critical ap-praisal of community mental health services developed, and a discussion of the key obstacles and challenges. The main recommendations address the needs to campaign to reduce stigma, integrate care within the general health care system, prioritize target groups, strengthen leadership in policy mak-ing, and devise effective funding and economic incentives.


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    • "Throughout the world, there is a shift towards managing and treating patients with schizophrenia in the community. Deinstitutionalisation started in 1970s in California and long-stay care in psychiatric hospitals has progressively been replaced by community mental health care in present England, USA, Eastern, and South-eastern Asian countries (Borsay, 2006; Chong and Subramaniam, 2014; Finkel et al., 2007; Fisher et al., 2001; Institute of Mental Health, 2014; Ito et al., 2012; Santana et al., 2015; Scheff, 2014). The reasons for such movement are numerous and complex and community care is assumed to be more humane, therapeutic, and cost effective (Chong and Subramaniam, 2014). "
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    • "In countries like Myanmar, mental health law is a colonial heritage and, therefore, is outdated (WHO, 2006). Though progress has been made within some countries, such as Indonesia, it seems the benefits from the existing legislation and policy have largely remained on paper (Ito et al., 2012; Maramis et al., 2011). It is fair to say that for some, if not many, countries in Southeast Asia, a governmental commitment to mental health is a matter of form over substance. "
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