Scenarios for the future of mental health care: a social perspective.
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.
Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Service Development, Queen Mary University of London, London, UK.
Domenico
D
Giacco
Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Michaela
M
Amering
Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Service Development, Queen Mary University of London, London, UK.
Victoria
V
Bird
Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Thomas
T
Craig
Dipartimento di Salute Mentale, ASL Roma 1, Rome, Italy.
Giuseppe
G
Ducci
Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.
Jürgen
J
Gallinat
Population Health Research Institute, St George's, University of London, London, UK.
Steven George
SG
Gillard
Laboratoire de Recherche, Établissement Public de Santé Maison Blanche, Paris, France.
Tim
T
Greacen
IDENK, Cambridge, UK.
Phil
P
Hadridge
Division of Psychiatry, University College London, London, UK.
Sonia
S
Johnson
Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Service Development, Queen Mary University of London, London, UK.
Nikolina
N
Jovanovic
Cornwall Partnership NHS Foundation Trust, Bodmin, Cornwall, UK.
Richard
R
Laugharne
Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Craig
C
Morgan
WHO, Regional Office for Europe, Copenhagen, Denmark.
Matthijs
M
Muijen
Department of Psychiatry, Greifswald University, Greifswald, Germany.
Georg
G
Schomerus
Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Heidenheim, Germany.
Martin
M
Zinkler
Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Simon
S
Wessely
Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Service Development, Queen Mary University of London, London, UK. Electronic address: s.priebe@qmul.ac.uk.
Stefan
S
Priebe
D000488:Allied Health Personnel / Q000193:education*; D003695:Delivery of Health Care / Q000592:standards; D005544:Forecasting; D006297:Health Services Accessibility / Q000191:economics* / Q000639:trends; D006801:Humans; D008603:Mental Health / Q000592:standards* / Q000639:trends; D024382:Professional Role / Q000523:psychology; D012945:Social Values; D011795:Surveys and Questionnaires; D014584:User-Computer Interface; D035862:Vulnerable Populations