In this chapter we have presented a basic description of the major issues in the field of mental HSR. We have used the well-known Mental Health Matrix by Tansella and Thornicroft as a way of organ- ising this field of knowledge. The major concepts identified include the need for care, appropriateness, effectiveness and equity. We have shown how these concepts are dealt with in some examples. Each of them deserves further attention and could easily provide enough information for its own handbook.
As a conclusion, Mental HSR could be impor- tant for providers, administrators and the public, for at least the following four reasons: (i) to guaran- tee resource efficiency and avoid waste; (ii) to help to establish priorities in limited resource environ- ments; (iii) to reduce mental health inequities and, (iv) to provide a base of evidence for mental health planning [48].
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10 The pharmacoepidemiology of psychiatric medications
Philip S. Wang,
1Alan M. Brookhart,
2Christine Ulbricht
1and Sebastian Schneeweiss
21Division of Services and Intervention Research, National Institute of Mental Health, Bethesda, MD, USA
2Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA