Mental Health Nursing Textbook
1.4 Closing Remarks
This book is a tool for better P/MH nursing practices and innovative approaches.
According to the European Mental Health Action Plan (WHO—ROE 2017), which highlights a number of objectives for mental health care in Europe (see Box 1.1), the plan is guided by three main aims:
a). Improve the mental well-being of the population and reduce the burden of mental disor- ders, with a special focus on vulnerable groups, exposure to determinants and risk behaviours.
b). Respect the rights of people with mental health problems and offer equitable opportuni- ties to attain the highest quality of life, addressing stigma and discrimination.
c). Establish accessible, safe and effective services that meet people’s mental, physical and social needs and the expectations of people with mental health problems and their families.
(WHO 2012, p. 3)
These three issues are interdependent, indivisible and mutually enforcing and imply the need for interventions not only within traditional mental health institu- tions but also within the community. The issues highlight how the focus of P/MH nursing practice ought to be aligned with vulnerable groups, by advocating for the rights of such groups, but also the need to work with ‘healthy’ people, by empower- ing their citizenship. These aspects are perhaps beyond traditional and historical views of clinical practice, but they should be included if P/MH nurses are to embrace the full scope of their practice, the full width and depth of populations with whom
Box 1.1 Objectives for Mental Health Care in Europe
• Everyone has an equal opportunity to realise mental well-being throughout their lifespan, particularly those who are most vulnerable or at risk.
• People with mental health problems are citizens whose human rights are fully valued, respected and promoted.
• Mental health services are accessible, competent and affordable, available in the community according to need.
• People are entitled to respectful, safe and effective treatment.
• Health systems provide good physical and mental health care for all.
• Mental health systems work in well-coordinated partnership with other sectors.
• Mental health governance and delivery are driven by good information and knowledge (WHO 2012).
they can work with therapeutically and the full breadth of locations and settings in which mental health care can be delivered.
In closing, the editors will not belabour how the main objectives for mental health care in Europe (Box 1.1) are very similar to the focus, philosophy and empha- sis in practice stressed and given prominence throughout this book. Perhaps then, for P/MH nurses and other mental health practitioners who are striving or even aspiring to enact these WHO—ROE aims, this book is a valuable resource.
References
Buccheri R, Trygstad L, Buffum MD, Gerlock AA (2010) Developing an evidence-based practice for psychiatric nursing. J Psychosoc Nurs 48(5):3–5
Crossley N (2006) Contesting psychiatry: social movements in mental health. Routledge, London Cutcliffe JR (2000) Fit for purpose? Promoting the human side of mental health nursing. Br J Nurs
9(10):632–637
Cutcliffe JR, Lakeman R (In Press) 21st century snake oil: the pseudoscience of contemporary psychiatry. Skeptic
Deacon BJ (2013) The biomedical model of mental disorder: a critical analysis of its validity, util- ity, and effects on psychotherapy research. Clin Psychol Rev 33:846–861
European College of Neuropsychopharmacology (2011) The size and burden of mental disorders in Europe. https://www.sciencedaily.com/releases/2011/09/110905074609.htm
Ferre Navarete F, Palanca I (2005) Mental health care in Madrid. Eur Psychiatry 20(2):279–284 Ghaemi SN (2013) Requim for DSM Psychiatric Times. http://www.psychiatrictimes.com/
authors/s-nassir-ghaemi-md-mph
Lakeman R, Cutcliffe JR (2009) Misplaced epistemological certainty and pharmaco-centrism in mental health nursing. J Psychiatr Ment Health Nurs 16:199–205
Lakeman R, Cutcliffe JR (2016) Diagnostic sedition: re-considering the ascension and hegemony of contemporary psychiatric diagnosis. Issues Ment Health Nurs 37:125–130
National Survivor User Network (2017) Service user involvement in the delivery of mental health services. http://www.together-uk.org/wp-content/uploads/downloads/2014/06/Service-User- Involvement-briefing.pdf. Accessed 30 Jan 2017
Phillips J, Frances A, Cerullo M et al (2012) The six most essential questions in psychiatric diag- nosis: a pluralogue part 2: issues of conservatism and pragmatism in psychiatric diagnosis.
Philos Ethics Humanit Med 7:8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3390269/
Santos JC, Cutcliffe JR (2013) The recent global socioeconomic crisis and its effects on mental health in Portugal. Ment Health Nurs 33(6):33–35
Simou E, Koutsogeorgou E (2014) Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: a systematic review. Health Policy 115(2-3):111–119 Spitzer RL et al (1978) Research diagnostic criteria: rationale and reliability. Arch Gen Psychiatry
35:773
Szasz, T (2007) The Medicalization of Everyday Life: Selected Essays. Syracuse University Press, Syracuse.
Whiteford HA, Degenhardt L, Rehm J, Baxter AJ, Ferrari AJ, Erskine HE et al (2013) Global burden of disease attributable to mental and substance use disorders: findings from the global burden of disease study 2010. Lancet 382(9904):1575–1586
Whittaker B (2010) Mad in America: bad science, bad medicine, and the enduring mistreatment of the mentally ill. Basic Books, New York
Whittaker B (2012) Anatomy of an epidemic: magic bullets, psychiatric drugs, and the astonishing rise of mental illness in America. Broadway Paperbacks, New York
World Health Organisation—European Regional Office (2017) Mental health. http://www.euro.
who.int/en/health-topics/noncommunicable-diseases/mental-health. Accessed 15 Jan 2017.
World Health Organisation—Regional Office for Europe (2017) European mental health action plan. http://www.euro.who.int/__data/assets/pdf_file/0004/194107/63wd11e_MentalHealth-3.
pdf. Accessed 30 Jan 2017.
World Health Organization (2012) Risks to mental health: an overview of vulnerabilities and risk factors: Background paper by WHO Secretariat for the development of a comprehensive mental health action plan. http://www.who.int/mental_health/mhgap/risks_to_mental_health_
EN_27_08_12.pdf
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© Springer International Publishing Switzerland 2018
J.C. Santos, J.R. Cutcliffe (eds.), European Psychiatric/Mental Health Nursing in the 21st Century, Principles of Specialty Nursing,
https://doi.org/10.1007/978-3-319-31772-4_2 J.R. Cutcliffe (*)
Cutcliffe Consulting, Kingston, Canada School of Nursing, Coimbra, Portugal e-mail: [email protected] C. Stevenson
Formerly Head of School of Nursing and Professor, Dublin City University, Dublin, Ireland R. Lakeman
Adolescent Mental Health Nurse Navigator/Clinical Nurse Consultant,
Cairns and Hinterland Health Service District, Queensland Health, Brisbane, Australia