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Preface The Impact of Sociocultural and Economic Changes on Psychiatry (Leon Eisenberg ) Changes in Health Care Systems and their impact on mental health care (Heinz Ha fner) Globalization and Mental Health (Glyn Lewis and Ricardo Araya) The Impact of Legislation on Mental Health Policy (Jose M. Bertolote, Jose G. Taborda, Julio Arboleda-Florz and Fransisco Torres) The New Ethical Context of Psychiatry (Ahmed Okasha) Community Mental Health Care: promises and pitfalls (Paul Bebbington, Sonia Johnson and Graham Thornicroft) Quality of Life: a new dimension in mental heath care (Heinz Katsching and Monika Krautgartner) Mental Health Problems in Refugees (Benedetto Saraceno, Shekhar Saxena and Pallab K. Maulik) The Homeless Mentally Ill (Viviane Kovess) Mental Health Consequences of Disasters (Evelyn J. Bromet and Johan M. Havenaar) Mass-media and Psychiatry (Olga Cuenca) Acknowledgements Index