{"title":"[理解变化有助于概念化当前行动:英国和意大利精神卫生改革的历史]。","authors":"Thomas Becker, Georg Schomerus, Sven Speerforck","doi":"10.1055/a-1969-9670","DOIUrl":null,"url":null,"abstract":"<p><p>Mental health reform processes in Great Britain and Italy have been discussed. Recent publications permit a comparative reflection. In England, the reform started earlier and ran continuously, with its focus changing from deinstitutionalisation and community care to (also) user involvement, managerialism, evidence-based medicine, guidelines and budget cuts. Government policies can be identified. In Italy, the reform process started later and was more disruptive. It was influenced by Basaglia und the political-historical context. The reform process has been continuous, deficits are discussed, it has stood the test of time. Similarities and differences (GB vs I) are highlighted, a social history framework is proposed to understand mental health reform processes as one aspect of societal development. This research process could help identify and shape alliances for further reforms of mental health care.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":null,"pages":null},"PeriodicalIF":1.1000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Understanding Change Helps Conceptualise Current Action: History of Mental Health Reform in Great Britain and Italy].\",\"authors\":\"Thomas Becker, Georg Schomerus, Sven Speerforck\",\"doi\":\"10.1055/a-1969-9670\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Mental health reform processes in Great Britain and Italy have been discussed. Recent publications permit a comparative reflection. In England, the reform started earlier and ran continuously, with its focus changing from deinstitutionalisation and community care to (also) user involvement, managerialism, evidence-based medicine, guidelines and budget cuts. Government policies can be identified. In Italy, the reform process started later and was more disruptive. It was influenced by Basaglia und the political-historical context. The reform process has been continuous, deficits are discussed, it has stood the test of time. Similarities and differences (GB vs I) are highlighted, a social history framework is proposed to understand mental health reform processes as one aspect of societal development. This research process could help identify and shape alliances for further reforms of mental health care.</p>\",\"PeriodicalId\":20711,\"journal\":{\"name\":\"Psychiatrische Praxis\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2023-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychiatrische Praxis\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1055/a-1969-9670\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychiatrische Praxis","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/a-1969-9670","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
摘要
讨论了英国和意大利的精神卫生改革进程。最近的出版物允许进行比较反思。在英国,改革开始得更早,并且持续进行,其重点从去机构化和社区护理转变为用户参与、管理主义、循证医学、指导方针和预算削减。可以识别政府政策。在意大利,改革进程起步较晚,而且更具破坏性。它受到巴萨利亚和政治历史背景的影响。改革的过程是持续的,赤字是讨论的,它经受住了时间的考验。强调了相似性和差异性(GB vs I),提出了一个社会史框架来理解精神卫生改革进程作为社会发展的一个方面。这一研究过程可以帮助确定和形成联盟,进一步改革精神卫生保健。
[Understanding Change Helps Conceptualise Current Action: History of Mental Health Reform in Great Britain and Italy].
Mental health reform processes in Great Britain and Italy have been discussed. Recent publications permit a comparative reflection. In England, the reform started earlier and ran continuously, with its focus changing from deinstitutionalisation and community care to (also) user involvement, managerialism, evidence-based medicine, guidelines and budget cuts. Government policies can be identified. In Italy, the reform process started later and was more disruptive. It was influenced by Basaglia und the political-historical context. The reform process has been continuous, deficits are discussed, it has stood the test of time. Similarities and differences (GB vs I) are highlighted, a social history framework is proposed to understand mental health reform processes as one aspect of societal development. This research process could help identify and shape alliances for further reforms of mental health care.