Universidad Peruana Cayetano Heredia

The WPA-Lancet Psychiatry Commission on the Future of Psychiatry

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dc.contributor.author Bhugra, D.
dc.contributor.author Tasman, A.
dc.contributor.author Pathare, S.
dc.contributor.author Priebe, S.
dc.contributor.author Smith, S.
dc.contributor.author Torous, J.
dc.contributor.author Arbuckle, M.R.
dc.contributor.author Langford, A.
dc.contributor.author Alarcón, Renato D.
dc.contributor.author Chiu, H.F.K.
dc.contributor.author First, M.B.
dc.contributor.author Kay, J.
dc.contributor.author Sunkel, C.
dc.contributor.author Thapar, A.
dc.contributor.author Udomratn, P.
dc.contributor.author Baingana, F.K.
dc.contributor.author Kestel, D.
dc.contributor.author Ng, R.M.K.
dc.contributor.author Patel, A.
dc.contributor.author De Picker, L.
dc.contributor.author McKenzie, K.J.
dc.contributor.author Moussaoui, D.
dc.contributor.author Muijen, M.
dc.contributor.author Bartlett, P.
dc.contributor.author Davison, S.
dc.contributor.author Exworthy, T.
dc.contributor.author Loza, N.
dc.contributor.author Rose, D.
dc.contributor.author Torales, J.
dc.contributor.author Brown, M.
dc.contributor.author Christensen, H.
dc.contributor.author Firth, J.
dc.contributor.author Keshavan, M.
dc.contributor.author Li, A.
dc.contributor.author Onnela, J.-P.
dc.contributor.author Wykes, T.
dc.contributor.author Elkholy, H.
dc.contributor.author Kalra, G.
dc.contributor.author Lovett, K.F.
dc.contributor.author Travis, M.J.
dc.contributor.author Ventriglio, A.
dc.date.accessioned 2019-02-22T14:54:01Z
dc.date.available 2019-02-22T14:54:01Z
dc.date.issued 2017
dc.identifier.uri https://hdl.handle.net/20.500.12866/5601
dc.description.abstract Background. This Commission addresses several priority areas for psychiatry over the next decade, and into the 21st century. These represent challenges and opportunities for the profession to sustain and develop itself to secure the best possible future for the millions of people worldwide who will face life with mental illness. Part 1: The patient and treatment. Who will psychiatrists help? The patient population of the future will reflect general demographic shifts towards older, more urban, and migrant populations. While technical advances such as the development of biomarkers will potentially alter diagnosis and treatment, and digital technology will facilitate assessment of remote populations, the human elements of practice such as cultural sensitivity and the ability to form a strong therapeutic alliance with the patient will remain central. Part 2: Psychiatry and health-care systems. Delivering mental health services to those who need them will require reform of the traditional structure of services. Few existing models have evidence of clinical effectiveness and acceptability to service users. Services of the future should consider stepped care, increased use of multidisciplinary teamwork, more of a public health approach, and the integration of mental and physical health care. These services will need to fit into the cultural and economic framework of a diverse range of settings in high-income, low-income, and middle-income countries. Part 3: Psychiatry and society. Increased emphasis on social interventions and engagement with societal expectations might be an important area for psychiatry's development. This could encompass advocacy for the rights of individuals living with mental illnesses, political involvement concerning the social risk factors for mental illness, and, on a smaller scale, work with families and local social networks and communities. Psychiatrists should therefore possess communication skills and knowledge of the social sciences as well as the basic biological sciences. Part 4: The future of mental health law. Mental health law worldwide tends to be based on concerns about risk rather than the protection of the rights of individuals experiencing mental illness. The United Nations Convention on the Rights of Persons with Disabilities, which states that compulsion based in whole or in part on mental disability is discriminatory, is a landmark document that should inform the future formulation and reform of mental health laws. An evidence-based approach needs to be taken: mental health legislation should mandate mental health training for all health professionals; ensure access to good-quality care; and cover wider societal issues, particularly access to housing, resources, and employment. All governments should include a mental health impact assessment when drafting relevant legislation.Part 5: Digital psychiatry—enhancing the future of mental health. Digital technology might offer psychiatry the potential for radical change in terms of service delivery and the development of new treatments. However, it also carries the risk of commercialised, unproven treatments entering the medical marketplace with detrimental effect. Novel research methods, transparency standards, clinical evidence, and care delivery models must be created in collaboration with a wide range of stakeholders. Psychiatrists need to remain up to date and educated in the evolving digital world. Part 6: Training the psychiatrist of the future. Rapid scientific advance and evolving models of health-care delivery have broad implications for future psychiatry training. The psychiatrist of the future must not only be armed with the latest medical knowledge and clinical skills but also be prepared to adapt to a changing landscape. Training programmes in an age in which knowledge of facts is less important than how new knowledge is accessed and deployed must refocus from the simple delivery of information towards acquisition of skills in lifelong learning and quality improvement. Conclusion. Psychiatry faces major challenges. The therapeutic relationship remains paramount, and psychiatrists will need to acquire the necessary communication skills and cultural awareness to work optimally as patient demographics change. Psychiatrists must work with key stakeholders, including policy makers and patients, to help to plan and deliver the best services possible. The contract between psychiatry and society needs to be reviewed and renegotiated on a regular basis. Mental health law should be reformed on the basis of evidence and the rights of the individual. Psychiatry should embrace the possibilities offered by digital technology, and take an active role in ensuring research and care delivery in this area is ethically sound and evidence based. Psychiatry training must reflect these multiple pressures and demands by focusing on lifelong learning rather than simply knowledge delivery. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Lancet. Psychiatry
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject mental health en_US
dc.subject human en_US
dc.subject priority journal en_US
dc.subject health care quality en_US
dc.subject medical education en_US
dc.subject primary health care en_US
dc.subject outcome assessment en_US
dc.subject leadership en_US
dc.subject risk en_US
dc.subject psychiatry en_US
dc.subject phenotype en_US
dc.subject sustainable development en_US
dc.subject United Kingdom en_US
dc.subject Review en_US
dc.subject evidence based practice en_US
dc.subject health care delivery en_US
dc.subject social stigma en_US
dc.subject demography en_US
dc.subject prevention and control en_US
dc.subject physician en_US
dc.subject feasibility study en_US
dc.subject health care planning en_US
dc.subject social media en_US
dc.subject capacity building en_US
dc.subject clinical pathway en_US
dc.subject clinical practice en_US
dc.subject community mental health en_US
dc.subject cultural anthropology en_US
dc.subject cultural psychiatry en_US
dc.subject Digital psychiatry en_US
dc.subject futurology en_US
dc.subject health care financing en_US
dc.subject health care organization en_US
dc.subject health care system en_US
dc.subject human rights en_US
dc.subject law en_US
dc.subject medical technology en_US
dc.subject medicolegal aspect en_US
dc.subject mental health care en_US
dc.subject Mental health law en_US
dc.subject Mental health services en_US
dc.subject mental patient en_US
dc.subject neuroscience en_US
dc.subject patient care en_US
dc.subject personalized medicine en_US
dc.subject persuasive communication en_US
dc.subject politics en_US
dc.subject psychiatric diagnosis en_US
dc.subject Psychiatric training en_US
dc.subject psychiatric treatment en_US
dc.subject Psychiatric treatment en_US
dc.subject psychiatrist en_US
dc.subject Psychiatry patient en_US
dc.subject psychotherapy en_US
dc.subject resource management en_US
dc.subject scale up en_US
dc.subject secondary health care en_US
dc.subject skill en_US
dc.subject society en_US
dc.subject standard en_US
dc.subject telepsychiatry en_US
dc.subject tertiary health care en_US
dc.subject total quality management en_US
dc.subject treatment planning en_US
dc.subject trust en_US
dc.subject wellbeing en_US
dc.subject workflow en_US
dc.title The WPA-Lancet Psychiatry Commission on the Future of Psychiatry en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/S2215-0366(17)30333-4
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.24
dc.relation.issn 2215-0374


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