Author/Editor		Flaker, Vito
Title		Kaj je duševno zdravje v skupnosti?
Translated title		What is community mental health?
Type		članek
Source		Zdrav Vars
Vol. and No.		Letnik 40, št. 1-2
Publication year		2001
Volume		str. 60-73
Language		slo
Abstract		Community mental health is a relatively new concept denoting an interdisciplinary practice. Ostentative definition would be pointing at a variety od different practices, different actors, spaces and images which are of newer date and radically differ from the triangle of traditional treatment of mental distress: hospital, doctor and a patient. We cannot talk of the object of this area but of the goals. These can be subsumed into four groups: 1st Improvement of the status of the users of the mental health services: 2nd Change of the services to serve the needs, wants, desires and necessities of the users: 3rd Social re-evaluation of madness, mental distress and otherness; 4th Removing and preventing of those social processes that would lead anybody into a destructive crises and enabling of everybody to confront life challenges and stress creatively. Achieving of these goals can happen on the basis of community principles, which means spatial shift from the hospital into the community, from isolated into integrated space, where the dyad of a physician and a patient is diffused into a network of different actors, where domination of the physician is transformed into egalitarian relationships and where contextual methods preside over healing reduced to the body of the patient.
Summary		Duševno zdravje v skupnosti je nov pojem, ki označuje interdisciplinarno prakso. Ostentativna definicija bi kazala na mnoštvo različnih oblik, različnih akterjev, prostorov in podob, ki so nove in ki so radikalno različne od trikotnika tradicionalne obravnave: bolnišnica, zdravnik in bolnik. Ne moremo govoriti o predmetu, temveč o ciljih tega področja. Ti so raznovrstni in jih lahko združimo v štiri skupine: 1. izboljšanje položaja uporabnikov služb duševnega zdravja oz. ljudi z duševno stisko; 2. spreminjanje uslug in služb duševnega zdravja, da bodo služile predvsem njihovim potrebam, hotenjem, željam in nujam; 3. družbeno prevrednotenje in drugačno vrednotenje norosti, duševne stiske, drugačnosti; 4. odpravljanje in preprečevanje tistih procesov v družbi, ki bi utegnili kogarkoli pripeljati v destruktivne krize, osebni propad, kot tudi za usposabljanje vseh ljudi za bolj ustvarjalno soočanje z življenskimi izzivi in s stresom. Doseganje teh ciljev se lahko dogaja na temeljih skupnostnega načela, ki pomeni prostorski premik iz bolnišnice ali ordinacije v skupnost, iz izoliranega v integriran prostor, kjer se diada zdravnika in pacienta spremeni v enakopravne odnose in kjer se uporabljajo kontekstualne metode in ne zgolj zdravljenje, reducirano na telo bolnika.
Descriptors		COMMUNITY HEALTH SERVICES MENTAL HEALTH PATIENT CARE TEAM COMMUNITY PSYCHIATRY