The Global Mental Healthcare Crisis
Transitioning from Institutionalization to Community-Based Treatment
(First Edition)
©2025, 224 pages
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The Global Mental Healthcare Crisis: Transitioning from Institutionalization to Community-Based Treatment discusses global mental healthcare systems through the examination of institutionalization, deinstitutionalization, transinstitutionalization, community-based treatment, substance misuse provisions, mental healthcare providers, pandemics, and governmental strategies related to mental health.
Part I of the book focuses on global mental healthcare systems. The chapters cover laws related to institutionalization in the U.K., Italy, Canada, France, and the U.S.; historical treatments and modalities, including now-controversial methods such as restraint, electroconvulsive therapy, and sterilization, among others; and the positive attributes that arose in the wake of global deinstitutionalization movements. Part II discusses impacts, discrepancies, and adversities with chapters that address the roles of psychiatrists, psychologists, counselors, therapists, technicians, and psychiatric nurses within the mental healthcare system; comorbidity and substance use disorder; the impact of COVID-19 on mental health worldwide; and obstacles to quality mental health treatment, including homelessness, suicide, and cost factors. The final part provides strategies for improved mental healthcare services, including community mental health provisions, telemental health, governmental actions, and more.
With a focus on developing systems that center on the prevention, recovery, and stabilization of mental conditions, The Global Mental Healthcare Crisis is an exemplary resource for courses and programs that prepare healthcare providers to well serve their patients.
A Statement from the Author in Recognition of Mental Health Awareness Month 2024
"The COVID-19 pandemic exacerbated the mental healthcare crisis throughout the world. Global recognition that mental health is a spectrum that can range from mental wellness to severe mental illness, that it is a human issue, and that it can impact anyone in society is assisting in decreasing stigmatization.
During Mental Health Awareness Month, it is crucial that the necessary reforms for efficient and effective mental health care services are addressed throughout the globe. Improvement strategies should include the prevention of mental health decline, as it is a very important aspect, due to societal detriments contributing to the crisis. The mental healthcare crisis is not a healthcare problem, it is a social problem.
The Global Mental Healthcare Crisis: Transitioning From Institutionalization To Community-Based Treatment presents an examination of mental health care throughout the centuries, providing insight into the crisis, and avenues to reform the current state of mental health care provisions. There are different strategies that can be harnessed, such as the collaborative care model, the meta-community model, and the balanced care model, that can assist in establishing effective mental health services in countries. Addressing all aspects of the mental healthcare crisis during Mental Health Awareness Month and throughout the year will assist in developing stepping stones to improve mental health worldwide, decrease homelessness, and assist in recovery processes from mental illness."
Part I of the book focuses on global mental healthcare systems. The chapters cover laws related to institutionalization in the U.K., Italy, Canada, France, and the U.S.; historical treatments and modalities, including now-controversial methods such as restraint, electroconvulsive therapy, and sterilization, among others; and the positive attributes that arose in the wake of global deinstitutionalization movements. Part II discusses impacts, discrepancies, and adversities with chapters that address the roles of psychiatrists, psychologists, counselors, therapists, technicians, and psychiatric nurses within the mental healthcare system; comorbidity and substance use disorder; the impact of COVID-19 on mental health worldwide; and obstacles to quality mental health treatment, including homelessness, suicide, and cost factors. The final part provides strategies for improved mental healthcare services, including community mental health provisions, telemental health, governmental actions, and more.
With a focus on developing systems that center on the prevention, recovery, and stabilization of mental conditions, The Global Mental Healthcare Crisis is an exemplary resource for courses and programs that prepare healthcare providers to well serve their patients.
A Statement from the Author in Recognition of Mental Health Awareness Month 2024
"The COVID-19 pandemic exacerbated the mental healthcare crisis throughout the world. Global recognition that mental health is a spectrum that can range from mental wellness to severe mental illness, that it is a human issue, and that it can impact anyone in society is assisting in decreasing stigmatization.
During Mental Health Awareness Month, it is crucial that the necessary reforms for efficient and effective mental health care services are addressed throughout the globe. Improvement strategies should include the prevention of mental health decline, as it is a very important aspect, due to societal detriments contributing to the crisis. The mental healthcare crisis is not a healthcare problem, it is a social problem.
The Global Mental Healthcare Crisis: Transitioning From Institutionalization To Community-Based Treatment presents an examination of mental health care throughout the centuries, providing insight into the crisis, and avenues to reform the current state of mental health care provisions. There are different strategies that can be harnessed, such as the collaborative care model, the meta-community model, and the balanced care model, that can assist in establishing effective mental health services in countries. Addressing all aspects of the mental healthcare crisis during Mental Health Awareness Month and throughout the year will assist in developing stepping stones to improve mental health worldwide, decrease homelessness, and assist in recovery processes from mental illness."
Delia Marie Franklin, RN has over 40 years of experience in the healthcare industry, including 7 years as a director of nursing in the long-term care industry. She served as a psychiatric nurse for 10 years at the Hastings Regional Center in Hastings, Nebraska, and has more than 30 years of experience working with mental illness in the nursing home environment.
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"The Global Mental Healthcare Crisis: Transitioning From Institutionalization to Community-Based Treatment is valuable to anyone wanting to gain a broad perspective of historical worldwide mental healthcare as it has evolved over the past several hundred years. Ms. Franklin has also outlined the painful transition from institutionalization to community care while at the same time presenting insight into strategies for providers to improve access to care for patients and families needing crisis care or ongoing help. She has woven firsthand knowledge with careful research to illustrate the past; around the world and at home. Her dedication reads: 'to all the health care providers injured or killed serving the mentally ill, and all the patients mistreated while institutionalized' and is incredibly powerful. Substance abuse, dual diagnosis, suicide prevention, homelessness, non-compliance with treatment, community stigma, quality of life, possible victimization, lack of money/insurance, stable employment, family involvement, available housing, lack of qualified providers, access to providers, and lack of education and understanding of mental illness are all discussed. Each chapter concludes with a 'Critical Thinking Synopsis-Do you Agree' statement followed by a list of main points. I found this to be extremely helpful. In conclusion, this book is necessary for nursing, psychology, social work, and medical students and practitioners. Ms. Franklin is to be commended."
Rebecca L. Smith, RN, BSN, University of Kansas Medical Center. Director of Nursing at Hastings Regional Center, Hastings, Nebraska; Director of Nursing at Villa Grace, Hastings, Nebraska; Staff Nurse at the Behavioral Services Unit, Mary Lanning Healthcare, Hastings, NE
"The Global Mental Healthcare Crisis: Transitioning from Institutionalization to Community-Based Treatment provides a compelling examination of mental healthcare systems throughout the globe, establishing the necessity for improvement in mental health community-based treatment processes. Analysis of some of the multifactorial structures that contribute to the crisis, such as, transinstitutionalization, shortages of mental health professionals, comorbidity, the COVID-19 pandemic, homelessness, and cost factors enhances insight into specific areas that can be targeted for prevention, stabilization, and improvement in mental health worldwide. The Global Mental Healthcare Crisis offers not only a historical background on mental healthcare to establish understanding of current mental health provisions in countries, but also additional strategies, including the Balanced-Care and Meta-Community models for further development of community-based mental health treatment."
Peg Pulver, Former Registered Nurse, Hastings Regional Center, Hastings, NE
Rebecca L. Smith, RN, BSN, University of Kansas Medical Center. Director of Nursing at Hastings Regional Center, Hastings, Nebraska; Director of Nursing at Villa Grace, Hastings, Nebraska; Staff Nurse at the Behavioral Services Unit, Mary Lanning Healthcare, Hastings, NE
"The Global Mental Healthcare Crisis: Transitioning from Institutionalization to Community-Based Treatment provides a compelling examination of mental healthcare systems throughout the globe, establishing the necessity for improvement in mental health community-based treatment processes. Analysis of some of the multifactorial structures that contribute to the crisis, such as, transinstitutionalization, shortages of mental health professionals, comorbidity, the COVID-19 pandemic, homelessness, and cost factors enhances insight into specific areas that can be targeted for prevention, stabilization, and improvement in mental health worldwide. The Global Mental Healthcare Crisis offers not only a historical background on mental healthcare to establish understanding of current mental health provisions in countries, but also additional strategies, including the Balanced-Care and Meta-Community models for further development of community-based mental health treatment."
Peg Pulver, Former Registered Nurse, Hastings Regional Center, Hastings, NE
