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Caring for mentally ill people

J van Os1, J Neeleman

  • 1Department of Psychological Medicine, Institute of Psychiatry, London.

BMJ (Clinical Research Ed.)
|November 5, 1994
PubMed
Summary
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European mental health services show significant diversity despite harmonization efforts. Substance misuse approaches, diagnostic practices, and public attitudes vary, with psychotic illness care underfunded and increasingly reliant on families and communities.

Area of Science:

  • Psychiatry
  • European Public Health

Background:

  • European legislation aims to harmonize mental health practices and training systems.
  • Significant diversity persists in psychiatric practices across European nations.

Purpose of the Study:

  • To highlight the heterogeneity in European mental health care.
  • To identify variations in substance misuse treatment, psychiatric morbidity statistics, and attitudes towards mental illness.

Main Methods:

  • Comparative analysis of national mental health policies and practices.
  • Review of diagnostic and treatment approaches for psychiatric disorders.
  • Examination of societal attitudes towards mental illness across Europe.

Main Results:

  • Substantial national differences exist in approaches to substance misuse.

Related Experiment Videos

  • Varying diagnostic criteria and treatment strategies impact psychiatric morbidity statistics.
  • Distinct international differences in attitudes toward mental illness are evident.

    • Conclusions:

    • Despite harmonization efforts, European psychiatric practice remains highly diverse.
    • Mental health care for psychotic illnesses is consistently under-resourced across Europe.
    • There is a discernible trend towards increased reliance on family and community for mental health care.