Une politique publique : la santé mentale (1970-2002)
By: BIAREZ, Sylvie.
Material type: ArticlePublisher: Paris : ENA, 2004Revue Française D'Administration Publique 111, p. 517-532Abstract: Mental health policy has evolved considerably over the last half century. Following the abandonment of the asylum system, its scope broadened during the 1990s to include suffering of an existential nature and diverse population categories. It gradually integrated management methods proper to hospital policy and in 2000, a global reorganisation of thesystembroughtinaprocessofgovernability (contracts,networks, eventual regionalisation), which would encourage the participation of diverse actors. This recomposition was guided by the aim expressed both by WHO and the European Commission of making ethics and responsibilisation a priority for both patient and medical staff.Italsoreflectsthefactthatpublicaction isincreasinglyopen tocontracting and negotiation, thus providing an improved social environment for the patientMental health policy has evolved considerably over the last half century. Following the abandonment of the asylum system, its scope broadened during the 1990s to include suffering of an existential nature and diverse population categories. It gradually integrated management methods proper to hospital policy and in 2000, a global reorganisation of thesystembroughtinaprocessofgovernability (contracts,networks, eventual regionalisation), which would encourage the participation of diverse actors. This recomposition was guided by the aim expressed both by WHO and the European Commission of making ethics and responsibilisation a priority for both patient and medical staff.Italsoreflectsthefactthatpublicaction isincreasinglyopen tocontracting and negotiation, thus providing an improved social environment for the patient
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