We need to strike a balance between community-based and hospital care in our mental health services. By Justin Frewen and Dr. Anna Datta
The majority of economically 'developed' countries have experienced three main stages in the evolution of mental health careThe first one, between 1880 and 1995, was dominated by the concept of providing treatment in 'asylums', large medical institutions that were generally located far from the patients' communities.
Around 1955, 'asylums' fell into disfavour, as efforts were made to develop community mental health facilities adjacent to their catchment areas. The intention was to provide mental health care and services in a decentralised manner, easily accessible to its clients. Over the past couple of decades, the third stage has seen a new approach to mental health service provision, one which aims at combining and amalgamating components of both community and hospital services.



The automated answer system down at O2 command centre in Clare is right up there in the dulcet-o-meter. But wouldn't it be great if they had Shyrka? A quick Wikipeda tells me that Kelly Ricard was cast as Shyrka in the English version of Ulysees. Someone in O2 should look her up. I might be inclined to call more.
All art is at once surface and symbol
Saturday next, the 12th of February, will mark the 202nd anniversary of Charles Darwin's birth and 152 years since the publication of On the Origin of Species. Every year organisations around the world celebrate this day by commemorating the works and life of Darwin. However, Darwin Day is also an occasion for highlighting the significant achievements brought about by the application of human inquisitiveness, resourcefulness, and ingenuity in improving all our lives.
The last two weeks have seen a flurry of government members fleeing the political field. Whether one is cynical and attributes this with reference to the old adage regarding the reluctance of rodents to remain aboard the sinking political vessel of the state or fear of a vengeful electorate, the exodus is striking. Fortunately, those decamping have had their loss of employment and return to the 'real world' softened by liberal financial parachutes. And, who knows, Ryanair and their fellow travellers, may have a few spare directorships available for 'worthy' political has-beens.
According to a 2008 report by the Commission on the Social Determinants of Health, 'Social injustice is killing people on a grand scale.' Justin Frewen and Anna Datta examine the health effects of inequality, and argue that an equitable health service alone is not enough to ensure equal health for all.
Reverend Jesse Jackson will push the message that equality and rights matter in General Election 2011, says the
Stanford school of journalism made
The swingeing cuts in health funding that have been – and continue to be - implemented over the past couple of years have seriously debilitated the public health service. Its overall prognosis continues to decline as does the outlook for those of us obliged to avail of its failing facilities. Even if the economic situation in Ireland should improve, the damage that has been inflicted on the health service will make it far more difficult and costly to restore in the future.
I'm not one for really long quotes on this blog, but O'Rourke's post today deserves to be clipped and remembered. The comments are not worth reading. O'Rourke quietly, but angrily, gets it just right: capital walks away scot free.
"[T]he real cleavage in Europe is between European taxpayers and bank creditors (with the ECB being a third interested party, as another body which could help to fill the holes which have emerged in the European banking system). But since the powers that be are ruling out bondholder haircuts and quantitative easing, the only cleavage we are left with in practice is the one between core and periphery taxpayers.
