Improving Mental Health Care

Graham Thornicroft, Professor of Community Psychiatry, Health Service and Population Research Department, King’s College London, Institute of Psychiatry, UK.Mirella Ruggeri, Professor of Psychiatry, University of Verona, Dipartimento di Medicina e Sanità Pubblica, Sezione di Psichiatria e di Psicologia Clinica, Università di, Verona, Policlinico G.B. Rossi, Italia.WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation. Director, Service of Psychosomatic and Clinical Psychology, NHS and University of Verona, Verona. Head of the Research Team for Outcome Evaluation in Mental Health at the Section of Psychiatry and Clinical Psychology, University of Verona. Chairperson of ENMESH (European Network for Mental Health Services Evaluation).Professor Sir David Goldberg, Institute of Psychiatry, King's College London, De Crespigny Park, London, UK. Recipient of Royal College of Psychiatry’s first Lifetime Achievement Award, 2009.

• Contributors xiiSection 1 The global challenge 11 The nature and scale of the global mental health challenge 3Mirella Ruggeri, Graham Thornicroft and David Goldberg2 Scaling up mental health care in resource-poor settings 12Shekhar Saxena, Benedetto Saraceno and Justin Granstein3 The swings and roundabouts of community mental health: The UK fairground 25Peter Tyrer4 Mental health services and recovery 40Mike Slade, Mary Leamy, Victoria Bird and Clair Le BoutillierSection 2 Meeting the global challenge 575 Implementing evidence-based treatments in routine mental health services: Strategies, obstacles, new developments to better target care provided 59Antonio Lasalvia, Sarah Tosato, Katia De Santi, Doriana Cristofalo, Chiara Bonetto and Mirella Ruggeri6 The need for new models of care for people with severe mental illnessin low- and middle-income countries 78Ruben Alvarado, Alberto Minoletti, Elie Valencia, Graciela Rojas and Ezra Susser7 The role of primary care in low- and middle-income countries 96David Goldberg, Graham Thornicroft and Nadja van Ginneken8 Meeting the challenge of physical comorbidity and unhealthy lifestyles 114Lorenzo Burti, Loretta Berti, Elena Bonfioli and Irene Fiorini9 Complex interventions in mental health services research: Potential, limitations and challenges 131Thomas Becker and Bernd Puschner10 The feasibility of applying the clinical staging paradigm to the care of people with mental disorders 145Javier Vázquez-Bourgon, Luis Salvador-Carulla, Benedicto Crespo-Facorro and José Luis Vázquez-Barquero11 Work, mental health and depression 163Aart Schene, Hiske Hees, Maarten Koeter and Gabe de Vries12 Training mental health providers in better communication with their patients 180Christa Zimmermann, Lidia Del Piccolo, Claudia Goss, Giuseppe Deledda, Mariangela Mazzi and Michela Rimondini13 Making an economic case for better mental health services 193Martin KnappSection 3 New research methods 20914 Incorporating local information and prior expert knowledge to evidence-informed mental health system research 211Luis Salvador-Carulla, Carlos Garcia-Alonso, Karina Gibert and Javier Vázquez-Bourgon15 Innovative epidemiological methods 229Francesco Amaddeo, Valeria Donisi, Laura Grigoletti and Alberto Rossi16 Routine outcome monitoring: A tool to improve the quality of mental health care? 246Sjoerd Sytema and Lian van der Krieke17 Psychiatric case registers: Their use in the era of global mental health 264Povl Munk-Jørgensen and Niels Okkels18 Can brain imaging address psychosocial functioning and outcome in schizophrenia? 281Marcella Bellani, Nicola Dusi and Paolo Brambilla19 Statistics and the evaluation of the effects of randomised health-care interventions 291 20 Service user involvement in mental health research 308Diana Rose Section 4 Delivering better care in the community 317 21 Psychotropic drug epidemiology and systematic reviews of randomised clinical trials: The roads travelled, the roads ahead 319Andrea Cipriani, Michela Nosè and Corrado Barbui 22 Services for people with severe mental disorders in high-income countries: From efficacy to effectiveness 340Paul Bebbington, Elizabeth Kuipers and David Fowler 23 The management of mental disorders in the primary care setting 374Matteo Balestrieri 24 Some wobbly planks in the platform of mental health care 394Norman Sartorius 25 Treatment gaps and knowledge gaps in mental health: Schizophrenia as a global challenge 403Assen Jablensky Index 424

"Pausing to thank Michele for a career of service, yielding improvements in many parts of the world, seems eminently worthwhile. We encourage all mental health services researchers to read this book (Fig. 1."  (Acta Psychiatrica Scandinavica, 24 March 2014)“Nevertheless many of the contributors show a strong understanding of the impact of mental ill-health on people’s lives, a wish to reduce that impact, and awareness of and respect for people’s rights (even though legal aspects are not discussed, as I describe above).  In other words, though you may agree or not with some of the contributors, their humanity shines through, and as such the book is a wonderful and fitting tribute to the pioneer of mental health community care, Michele Tansella.”  (Potential Unleashed, 6 October 2013)