Rural lessons for urban services

In developed urbanised countries all over the world psychiatric beds, out-patient clinics and many so called ''community'' service bases are still located in centralised hospitals. This arrangement persists despite an increasing emphasis internationally on providing psychiatric c...

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Bibliographic Details
Published in:Journal of mental health (Abingdon, England) England), 1997-02, Vol.6 (1), p.11-22
Main Author: MURPHY, HUGH HERZIG & ELAINE
Format: Article
Language:English
Subjects:
Biological and medical sciences
Central Cities
Comparison
Crossnational studies
Delivery Systems
Industrial Societies
Inner cities
Medical sciences
Mental health
Mental Health Services
Organization of mental health. Health systems
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Rural Areas
Social psychiatry. Ethnopsychiatry
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Summary:In developed urbanised countries all over the world psychiatric beds, out-patient clinics and many so called ''community'' service bases are still located in centralised hospitals. This arrangement persists despite an increasing emphasis internationally on providing psychiatric care in the community. In much of the world, however, a centralised system is inaccessible for many patients and planners of rural services are obliged to depart radically from the traditional model. In this paper we examine special problems of mental health services in rural areas, the strengths of some of the solutions and deduce the core features of successful models. Finally, we consider how they might usefully be applied to relatively deprived areas in the inner cities of developed countries.
ISSN:0963-8237
1360-0567
DOI:10.1080/09638239719003