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[Psychiatry: Economic perspective and/or treatment options?]

Abstract : In this paper, we aim to define the links that can exist between the current economic paradigm in the field of health and the treatment options promoted in psychiatry. To do this, we study the origins of health economics, particularly those in psychiatry, before moving on to analyze the French and English literature on the rehabilitation tools currently promoted by mental health policies in order to identify its objectives. It appears that health economics has its roots in strategic research conducted during the ColdWar by the United States and supported by industry players. Public policies have encouraged treatment on the basis of cost-effectiveness in order to reduce expenditure. For twenty years, mental illness has been considered a cost to society. Some indicators of the effectiveness of the approaches promoted using this logic connect economic efficiency and recovery. We identify the effects that this has had in the field of care, taking into account how the economic paradigm has guided treatment practices. What drivers are at work, and how in this context is it possible to maintain a clinical practice that takes into account the uniqueness of each patient? We finish by discussing the managerial logic that guides hospital directors, as well as looking at the ethical capacity of the practitioner to adapt the models to the needs of each subject, outside of a normativizing objective. Copyright © 2020 John Libbey Eurotext.
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https://hal.ehesp.fr/hal-03702150
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Submitted on : Wednesday, June 22, 2022 - 6:27:27 PM
Last modification on : Thursday, June 23, 2022 - 3:30:05 AM

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  • HAL Id : hal-03702150, version 1

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Mickaël Peoc'H, Quentin Dumoulin, Pierre Bonny, Angeline Delalande, yohan Trichet. [Psychiatry: Economic perspective and/or treatment options?]. Information Psychiatrique, John Libbey Eurotext, 2020, 96 (4), pp.261-268. ⟨hal-03702150⟩

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