Abstract
Objective: To review the literatures and lessons learnt from foreign countries in implementing a comprehensive psychiatric service system, and preliminarily assessing the feasibility of comprehensive psychiatric service system in Thailand. Methods: Searching for literatures, policy documents, research related to the keyword “comprehensive psychiatric service system” for the provision of comprehensive psychiatric services in various countries over the past 5 years were 127 copies, then reviewed and selected based on objectives, leaving final to be reviewed 29 documents. Result: Comprehensive psychiatric service system is a collaboration between policy makers and budget health agencies, as well as personnel specialists in psychiatry, relevant network partners, people involved in community mental health, and including participation of psychiatric patients and relatives. This study presents examples of policy implementation and guidelines for organizing a comprehensive psychiatric service system in various countries, where considered as a recognized prototype such as Australia, United Kingdom, Canada, etc. The situation of psychiatric service system in the Thai context, which still encountered obstacles to development both at the national policy level that should focus on transition to human rights-based approach following the international guidelines, including manpower problems, mental health / psychiatric personnel knowledge and understanding of mental health/psychiatry among health personnel. The policy gap also found on linking systems between psychiatric service units in various affiliations and transferring policies into practice Including participation in policy formulation of stakeholders at each level. Summary: The development of comprehensive psychiatric service system emphasis on developing the potential of public health personnel and related agencies in caring for people with mental/psychiatric problems. Together with the development of the community's potential (including school and workplace) to care for and rehabilitate people with mental/psychiatric problems so that they can live life to the fullest possible.
