Policy Implications in Psychosis

Abstract

In this book, we have thus far reviewed the current effective psychosocial interventions for psychosis adapted for a brief format at an individual or microlevel. The overarching theme has been providing these effective interventions within the context of enduring resource constraints and imperfect systems of care. Interventions at the microlevel are dependent on the agenda set by macrolevel policies, priorities, and practices. In this chapter, we describe the scenarios at a macrolevel, looking at systems of care; we examine the current limitations in the systems of care and suggest steps to address these limitations. We do recognize that the health-care systems of the USA, most European countries, and low- and middle-income countries (LAMI) differ significantly but share the same common goals of providing effective evidence-based interventions for most people in the most efficient way. The discussion will be initially global and relevant for all systems followed by more specific discussion about the different systems.