Mental health services in Malawi are centralized in the three tertiary units which are located one in each of the three regions of Malawi and this means that most people with mental health problems do not get help. With severe shortages of mental health professionals in the country, integration of mental health into existing primary and community health services is the most feasible way of incr...

In the mid-1960s, when the community mental health/mental retardation movement took shape, many child mental health professionals, especially those working in community services, welcomed it eagerly. Probably the majority of mental health professionals did not: they experienced serious misgivings, fearing that community mental health centers would have harmful effects on psychiatric and mental ...

It is apparent that hospital-dominated health care produces limited health outcomes and is an unsustainable health care system strategy. Community-centred health care has been demonstrated to be a more cost-efficient and cost-effective alternative to hospital-centred care, particularly for prevention and care of persistent, long-term or recurrent conditions. Nevertheless, hospital-centred servi...

Background: Incarceration rates for people with serious mental illnesses are higher than the general population. However, research has been limited in regards to patterns of incarcerations for patients treated in public mental health settings. This study examines differences in lifetime imprisonment rates among patients of a U.S. urban Community Mental Health Center (CMHC) and national samples,...

background: promoting mental health and preventing mental disorders are of the main concerns for every country. achieving these goals requires effective indexes for evaluating mental health. therefore, to develop mental health enhancement programs in iran, there is a need to measure the state of mental health in iran. objectives: this study aimed to select a set of mental health indicators that...

Initial enthusiasm about community mental health centers (CMHCs) has diminished. The participation of psychiatrists in CMHCs declined in the 1970s and may decline further. The author describes one center to highlight problems encountered by community psychiatrists: 1) unrealistic treatment expectations, 2) limitations of psychiatric knowledge, 3) need for a broad range of clinical expertise, 4)...