Психическое здоровье населения Австралии и проблемы реформирования амбулаторной психиатрии

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Аннотация

Австралия была одной из первых стран, в которой 30 лет назад была разработана и внедрена национальная программа по психическому здоровью. Такой национальный подход противоречил федеральной структуре страны, согласно которой федеральное правительство несёт ответственность за оказание первичной врачебной медико-санитарной помощи, а правительства штатов и территорий ― за экстренную и стационарную помощь в области психического здоровья. Такая схема привела к значительным расхождениям между юрисдикциями. Кроме того, вторичная (специализированная) помощь, часто оказываемая в амбулаторных условиях, осталась за рамками этого механизма управления. Данная статья исследует описанную дилемму и её последствия для амбулаторной психиатрической службы, а также предлагает ключевые шаги к более эффективной реформе внебольничной психиатрической службы.

Общая информация

Ключевые слова: амбулаторные условия, психологическая служба, душевное здоровье

Рубрика издания: Специальные статьи

Тип материала: научная статья

DOI: https://doi.org/10.17816/CP44

Для цитаты: Розенберг С., Харви К. Психическое здоровье населения Австралии и проблемы реформирования амбулаторной психиатрии // Consortium Psychiatricum. 2021. Том 2. № 1. С. 40–46. DOI: 10.17816/CP44

Литература

  1. Health System Performance Rankings. The Commonwealth Fund. 13 July 2017. Accessed May 1, 2019. https://www.commonwealthfund.org/chart/2017/health-care-system-performance-rankings
  2. Rosenberg S, Hickie I. No gold medals: Assessing Australia’s international mental health performance. Australas Psychiatry. 2019;27(1):36-40. doi: 10.1177/1039856218804335
  3. Victorian Auditor General’s Office, Access to Mental Health Services, Independent Assurance Report to Parliament 2018–19: 16. Victorian Government, March 2019. Accessed May 3, 2019. https://www.audit.vic.gov.au/sites/default/files/2019-03/20190321-Mental-Health-Access.pdf
  4. Smullen A. Not Centralisation but Decentralised Integration through Australia’s National Mental Health Policy. Aust J Public Admin. 2016;75(3):280-290. doi: 10.1111/1467-8500.12153
  5. Meadows G, Farhall J, Fossey E, et al, eds. Mental Health in Australia: Collaborative Community Practice, 3rd Edition. Oxford University Press; 2012.
  6. Australian Health Ministers. National mental health policy. Canberra; 1992. Accessed January 3, 2005. http://www.health.gov.au/internet/wcms/publishing.nsf/Content/mentalhealth-mhinfo-standards-nmhp.htm/$FILE/nmhp.pdf
  7. Council of Australian Governments. The Fifth National Mental Health and Suicide Prevention Plan. 2017. Accessed May 3, 2019. http://www.health.gov.au/internet/main/publishing.nsf/Content/mental-fifth-national-mental-health-plan
  8. Australian Government. National mental health policy 2008. Accessed May 3, 2019. http://www.health.gov.au/internet/main/publishing.nsf/Content/mental-pubs-n-pol08
  9. Productivity Commission. Report on Government Services 2020. Accessed November 10, 2020. https://www.pc.gov.au/research/ongoing/report-on-government-services/2019/health/mental-health-management
  10. NSW Mental Health Commission. Review of transparency and accountability of mental health funding to health services. July 2017. Accessed April 23, 2019. https://nswmentalhealthcommission.com.au/sites/default/files/documents/funding_review_web.pdf
  11. Allison S, Bastiampillai T. Mental health services reach the tipping point in Australian acute hospitals. Med J Aust. 2015;203(11):432-434. doi: 10.5694/mja15.00782
  12. Australian Institute of Health and Welfare. Mental Health Services in Australia, Expenditure. Accessed November 10, 2020. https://www.aihw.gov.au/reports/mental-health-services/mental-health-services-in-australia/report-contents/expenditure-on-mental-health-related-services
  13. Rosen A, Newton L, Barfoot K. Evidence-based community alternatives to institutional psychiatric care. Medicine Today. 2003;4(9):90-95.
  14. Rosen A, Gurr R, Fanning P. The future of community-centred health services in Australia: lessons from the mental health sector. Aust Health Rev. 2010;34(1):106-115. doi: 10.1071/AH09741
  15. Parliament of Australia. A national approach to mental health – from crisis to community. 2005. Accessed April 23, 2019. https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Former_Committees/mentalhealth/report/index
  16. Australian Institute of Health and Welfare. Mental Health Services in Australia, Community Care Services. Accessed November 10, 2020. https://www.aihw.gov.au/reports/mental-health-services/mental-health-services-in-australia/report-contents/community-mental-health-care-services
  17. Platform Charitable Trust. Frontline - The community mental health and addiction sector at work in New Zealand. Accessed May 2, 2019. https://www.platform.org.nz/uploads/files/frontline-the-community-mental-health-and-addiction-sector-at-work-in-new-zealand.pdf
  18. Whiteford H. Intersectoral policy reform is critical to the National Mental Health Strategy. Aust J Public Health. 1994;18(3):342-344. doi: 10.1111/j.1753-6405.1994.tb00258.x
  19. Bennett L. Support time recovery workers: 13 years on. Ment Health Pract. 2016;19(10):28-32. doi: 10.7748/mhp.2016.e1078
  20. Te Pou o te Whakaaro Nu National centre of evidence based workforce development for the mental health, addiction and disability sectors in New Zealand. Accessed April 24, 2019. https://www.tepou.co.nz/
  21. Rosenberg SP, Hickie IB. The runaway giant: ten years of the Better Access program. Med J Aust. 2019;210(7):299-301 e291. doi: 10.5694/mja2.50068
  22. Australian Government. Psychosocial support for people with severe mental illness. Accessed April 19, 2019. http://www.health.gov.au/internet/main/publishing.nsf/Content/psychosocial-support-mental-illness
  23. Mendoza J, Bresnan A, Rosenberg S, et al. Obsessive Hope Disorder: Reflections on 30 Years of Mental Health Reform in Australia and Visions for the Future. Connetica; 2013.
  24. Miller M, Siggins I, Ferguson M, et al. National mental health workforce literature review. 2011, Melbourne, Department of Health. Accessed April 23, 2019. https://www.aihw.gov.au/getmedia/96b0e0ed-22d5-4cdb-b5ba-7ece94088835/National-mental-health-workforce-literature-review-2011.pdf.aspx
  25. Harvey C, Brophy L, Parsons S, et al. People living with psychosocial disability: Rehabilitation and recovery-informed service provision within the second Australian national survey of psychosis. Aust N Z J Psychiatry. 2016;50(6):534-547. doi: 10.1177/0004867415610437
  26. Capital Health Network. Primary Health Networks (PHNs) and Mental Health Reform. Accessed April 24, 2019. https://www.chnact.org.au/primary-health-networks-and-mental-health-reform
  27. Zhang J, Harvey C, Andrew C. Factors associated with length of stay and the risk of readmission in an acute psychiatric inpatient facility: a retrospective study. Aust N Z J Psychiatry. 2011;45(7):578-585. doi: 10.3109/00048674.2011.585452
  28. Rosenberg SP, Hickie IB, McGorry PD, et al. Using accountability for mental health to drive reform. Med J Aust. 2015;203(8):328-330. doi: 10.5694/mja15.00447

Информация об авторах

Розенберг Себастьян, Руководитель отдела политики в области психического здоровья Центра исследований в области психического здоровья, Австралийский национальный университет, Старший преподаватель Центра мозга и разума Сиднейский университет , Австралия, ORCID: https://orcid.org/0000-0002-3374-8694, e-mail: lsalnikova@gmail.com

Харви Кэрол, Профессор психиатрии, Мельбурнский университет , Австралия, ORCID: https://orcid.org/0000-0002-5066-8450, e-mail: c.harvey@unimelb.edu.au

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