RESUMO
Social values and concepts have played a central role in the history of mental health care. They have driven major reforms and guided the development of various treatment models. Although social values and concepts have been important for mental health care in the past, this Personal View addresses what their role might be in the future. We (DG, PH, and SP) did a survey of professional stakeholders and then used a scenario planning technique in an international expert workshop to address this question. The workshop developed four distinct but not mutually exclusive scenarios in which the social aspect is central: mental health care will be patient controlled; it will target people's social context to improve their mental health; it will become virtual; and access to care will be regulated on the basis of social disadvantage. These scenarios are not intended as fixed depictions of what will happen. They could, however, be useful in guiding further debate, research, and innovation.
Assuntos
Pessoal Técnico de Saúde/educação , Acessibilidade aos Serviços de Saúde/economia , Saúde Mental/normas , Atenção à Saúde/normas , Previsões , Acessibilidade aos Serviços de Saúde/tendências , Humanos , Saúde Mental/tendências , Papel Profissional/psicologia , Valores Sociais , Inquéritos e Questionários , Interface Usuário-Computador , Populações VulneráveisRESUMO
This article argues that the NHS is destined to experience repeated mistakes, continued low morale and political instability unless leaders at all levels pay serious attention to four fundamental aspects of culture which are largely absent in today's health system - confidence, curiosity, connectedness and compassion. While a focus purely on structural change will fail to cultivate the corporate spirit needed to challenge and motivate staff to really care, serve and succeed, investing in the appropriate values and behaviours offers the prospect of a widespread and potentially rapid transformation.
