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The Mental Health Matrix
A Manual to Improve Services


Sir David Goldberg, Leon Eisenberg, Alan Rosen, Alain D. Lesage, Toma Tomov, Povl Munk-Jørgensen, Richard Warner
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  • Date Published: December 2006
  • availability: Available
  • format: Paperback
  • isbn: 9780521034258

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About the Authors
  • There have been major changes to mental health services internationally in recent years revolving around the concept of care in the community. Although speed of change and precise service mechanisms differ between countries there is nevertheless increasingly widespread consensus on key components essential to adequate care provision. This in turn provides an opportunity to develop a widely acceptable model framework to direct future developments. There is certainly still room for reform in recognition of specific needs and improvements in treatment and care intervention. This book proposes a simple model which can be used as a guide to increased clinical effectiveness through focused evidence-based reform. Using a time/space framework, it is intended to act as a practical aid to diagnosis of strengths and weaknesses in services that will be used by care providers, trainees and planners both at local and higher levels.

    • Defines a simple model framework for community care
    • Internationally versatile and provides a wide range of practical applications
    • Evidence-based approaches to clinical effectiveness from highly respected authorship
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    Reviews & endorsements

    'A watershed in writing about the mental illness services … nothing will ever be quite the same again; it is a book certain to be widely read and quoted.' Professor Sir David Goldberg

    'The Mental Health Matrix is lucidly written in such simple and spare language as to make its concepts transparent, free of cant and of special pleading. For all these reasons, it should have a profound impact on the provision of mental health services.' Professor Leon Eisenberg, from the Preface

    'This book deserves to be a success because it is articulating the voice of an emerging part of psychiatry with … public mental health.' British Journal of Psychiatry

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    Product details

    • Date Published: December 2006
    • format: Paperback
    • isbn: 9780521034258
    • length: 316 pages
    • dimensions: 228 x 152 x 18 mm
    • weight: 0.477kg
    • contains: 8 b/w illus. 57 tables
    • availability: Available
  • Table of Contents

    Foreword Sir David Goldberg
    Preface Leon Eisenberg
    Part I. The Context:
    1. Aims, concepts and structure of the book
    2. Community, mental health services and the public health
    3. The historical context
    Part II. The Matrix Model: The Geographical Dimension:
    4. The country/regional level
    5. The local level
    6. The patient level
    Part III. The Matrix Model: The Temporal Dimension:
    7. The input phase
    8. The process phase
    9. The outcome phase
    Part IV. Re-Forming Community-Based Mental Health Services:
    10. The evidence base for mental health services
    11. The ethical base for mental health services: 'the three ACEs'
    12. Key resources: training and morale of staff
    13. Planning based on evidence and on ethical principles
    Part V. International Perspectives on Re-Forming Mental Health Services:
    14. Australia Alan Rosen
    15. Canada Alain D. Lesage
    16. Central and Eastern European countries Toma Tomov
    17. Nordic European countries Povl Munk-Jørgensen
    18. United States Richard Warner
    Part VI. A Working Synthesis:
    19. The matrix model as a pragmatic guide to improve services

  • Authors

    Graham Thornicroft, Institute of Psychiatry, London

    Michele Tansella, Università degli Studi di Verona


    David Goldberg


    Sir David Goldberg, Leon Eisenberg, Alan Rosen, Alain D. Lesage, Toma Tomov, Povl Munk-Jørgensen, Richard Warner

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