Specialist mental health services in England in 2014: overview of funding, access and levels of care
Specialist mental health services in England in 2014: overview of funding, access and levels of care
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DOI：
10.1186/s13033-015-0023-9
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发表时间：
2015-08-30
影响因子：
3.6
通讯作者：
Thornicroft, Graham
中科院分区：
文献类型：
--
作者：
Docherty, Mary;Thornicroft, Graham
背景资料：由于经济衰退开始于2008年的轶事报告表明，在英格兰的心理健康服务经历了撤资，但公布的数据来测试这一命题是few.Method：本文介绍的信息，从更广泛的官方，研究和灰色文献来源，旨在：（1）评估自2008年经济衰退开始以来，政府对精神卫生服务的投资是否有所下降;（2）评估这一时期精神卫生服务投资的相对变化是否与国家对身体障碍者服务的投资趋势相似，（3）根据满足和未满足的人口水平对精神卫生保健的需求来解释这些发现。在整个英格兰，社会服务支出的减少导致接受此类护理的精神疾病患者人数减少了48%，而在某些地方，NHS的直接支出减少了32%。这一概述的结果表明，自2008年以来，英格兰专门用于精神健康治疗和护理的资源大幅减少，这种减少似乎没有应用于身体健康服务，这些发现似乎与政府的“平等尊重”政策背道而驰;对于精神和身体保健。
Background: Since the economic recession began in 2008 anecdotal reports suggest that mental health services in England have experienced disinvestment, but published data to test this proposition are few.Method: This paper presents information from a wider range of official, research and grey literature sources aiming to: (1) assess whether governmental investment in publically funded mental health services has declined since the start of the economic recession in 2008; (2) to assess whether relative changes in mental health service investment over this period were or were not similar to trends in national investment in services for people with physical disorders, and (3) to interpret these findings in terms of met and unmet population levels needs for mental health care.Results: The key findings are that: across England social service expenditure reductions have led to a decrease of 48 % in the number of people with mental illness who receive such care, while direct NHS expenditure was reduced in some local areas by up to 32 %.Conclusions: The results of this overview suggest that there have been substantial reductions in the resources dedicated to mental health treatment and care in England since 2008, that such reductions seem not to have been applied to physical health services, and that these findings appear to run counter to the government policy of 'parity of esteem; for mental and physical healthcare.