The Mental Health Matrix
A Manual to Improve Services

A manual to guide evidence-based reform of mental health services.

Graham Thornicroft (Author), Michele Tansella (Author), David Goldberg (Foreword by)

9780521034258, Cambridge University Press

Paperback / softback, published 14 December 2006

316 pages, 8 b/w illus. 57 tables
22.8 x 15.2 x 1.8 cm, 0.477 kg

'This book deserves to be a success because it is articulating the voice of an emerging part of psychiatry with … public mental health.' British Journal of Psychiatry

There have been major changes to mental health services internationally in recent years revolving around the concept of care in the community. Although speed of change and precise service mechanisms differ between countries there is nevertheless increasingly widespread consensus on key components essential to adequate care provision. This in turn provides an opportunity to develop a widely acceptable model framework to direct future developments. There is certainly still room for reform in recognition of specific needs and improvements in treatment and care intervention. This book proposes a simple model which can be used as a guide to increased clinical effectiveness through focused evidence-based reform. Using a time/space framework, it is intended to act as a practical aid to diagnosis of strengths and weaknesses in services that will be used by care providers, trainees and planners both at local and higher levels.

Contributors
Foreword Sir David Goldberg
Preface Leon Eisenberg
Acknowledgements
Part I. The Context: 1. Aims, concepts and structure of the book
2. Community, mental health services and the public health
3. The historical context
Part II. The Matrix Model: The Geographical Dimension: 4. The country/regional level
5. The local level
6. The patient level
Part III. The Matrix Model: The Temporal Dimension: 7. The input phase
8. The process phase
9. The outcome phase
Part IV. Re-Forming Community-Based Mental Health Services: 10. The evidence base for mental health services
11. The ethical base for mental health services: 'the three ACEs'
12. Key resources: training and morale of staff
13. Planning based on evidence and on ethical principles
Part V. International Perspectives on Re-Forming Mental Health Services: 14. Australia Alan Rosen
15. Canada Alain D. Lesage
16. Central and Eastern European countries Toma Tomov
17. Nordic European countries Povl Munk-Jørgensen
18. United States Richard Warner
Part VI. A Working Synthesis: 19. The matrix model as a pragmatic guide to improve services
References
Glossary
Index.

Subject Areas: Psychiatry [MMH]