Improving Access And Service Quality Of Mental Health Care

5.2 Providing Comprehensive, Integrated and Responsive Mental Health and Social Care Services in Community-based Settings (WHO 2013) One of the basic goals of integrated and responsive care is to improve access and service quality of mental health care by addressing the shortcomings of prevailing fragmented (primary health care and mental hospital services operating in silo), and ‘institutionalized’(i.e., specialized physchatric-hospital/asylum based) mental facilities. It is suggested that in an integrated system, service delivery should be based on principles of accessibility, coordinated care, continuity of care, effectiveness, equity and respect for human rights. Integration at the clinical level involves integration into primary care settings, the integration of mental health services into general hospitals, the development of links between primary care and secondary services and the integration of mental health into other established health and social programmes (W HO 2007, Valentijn et al. 2013). . There are two evidence based approaches to integration: (i) integrating mental health into primary care for mild-to-moderate disorders, and (ii) Integrating primary care and specialist mental health care in an enhanced environment of a community based setting, involving ‘Community –based Mental Health Teams(CMHT)’ for patients with severe mental illness(SMI). 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