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Reorienting health systems in South-East Asia to deliver care for mental and neurological disorders

Published online by Cambridge University Press:  02 January 2018

Nazneen Anwar ,
Vijay Chandra  and
Athula Kahandaliyanage
Nazneen Anwar
Affiliation:
Temporary International Professional, Mental Health and Substance Abuse, WHO SEARO
Vijay Chandra
Affiliation:
Mental Health and Substance Abuse, WHO SEARO, email chandrav@searo.who.int
Athula Kahandaliyanage
Affiliation:
Department of Sustainable Development and Healthy Environments, WHO SEARO
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Abstract

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Traditionally, care for mental and neurological disorders has been concentrated in tertiary care hospitals located in large cities. These custodial types of facility were designed to ‘protect’ the community from patients with a mental illness, as such persons were considered dangerous and a threat to the community. Given the state of medical knowledge in the 19th and 20th centuries, this mode of care was considered appropriate. However, in recent decades more humane and effective concepts of care have evolved. These concepts recognise the stigma attached to hospital-based care and also its limited outreach to the community, leaving out the vast majority of people living in rural and remote areas. Violation of human rights, sometimes seen in mental hospitals, has also been of concern.

Type
Thematic papers
Information
International Psychiatry , Volume 9 , Issue 4 , November 2012 , pp. 86 - 87
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © Royal College of Psychiatrists 2012

References

WHO (2008) Global Burden of Disease 2004 Update. World Health Organization.Google Scholar
WHO (2011) Project Atlas: Resources For Mental Health. World Health Organization.Google Scholar
WHO Regional Office for South-East Asia (2012) Report of the Regional Meeting on Noncommunicable Diseases Including Mental Health and Neurological Disorders. WHO Regional Office for South-East Asia.Google Scholar
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