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Social psychiatry and public mental health: present situation and future objectives. Time for rethinking and
1Unit for Psychiatry and Health Promotion, Academic University Hospital, Uppsala, Sweden. wolfgang.rutz@akademiska.se
Objective:
To describe the social psychiatric challenges of modern psychiatry in European societies in the light of recent psychiatric research evidence and to show how these challenges could be conceptualized.
Method:
Reviewing aggregate morbidity and mortality data from the WHO European Health for All Database, and summarizing consultations and fact-finding missions to many European countries during the authors engagement as WHO Regional Advisor for Mental health from 1998 to 2004.
Results:
Societal change in Europe is leading to stress and mental ill health for its populations. The consequence is a dramatic increase in burden due to mental illness and stress-related morbidity and mortality.
Conclusion:
A re-thought and re-conceptualized social and societal psychiatry with focus on public mental health must have a renaissance. Innovative efforts are of crucial and imperative importance seeing mental health in the light of recent experience and science as probably the most important public health issue.
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