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Purpose – The purpose of this paper is to examine the similarities and differences in the development of psychological therapies in three European Union countries (the United Kingdom, the Netherlands and France) in the context of national policies about health services and public mental health. Design/methodology/approach – Three case studies are utilised for this purpose as historical descriptions. The latter are then discussed in the light of traditional approaches to the sociology of the professions. Findings – Whilst some similarities are identified across the three countries (for example the recent convergence of policy interest in "evidence-based practice") it is also clear that the particular national cultures have shaped developments and their different forms of healthcare organisation have been reflected in national legislative and regulatory arrangements. Research limitations/implications – These case studies draw attention to the need to explore national variations in policy formation about the same matter (in this case the professionalization of psychological therapies) and to extend discussions within the sociology of the professions to ones of healthcare organizational contexts. In addition, the contested nature of applied psychology may require special attention relative to other forms of health work practice. Originality/value – This paper provides a particular form of understanding about psychological practices within modern healthcare and public health policies, in the light of the peculiar and contextualised aspects of the case studies provided. [ABSTRACT FROM AUTHOR]

This paper examines the right to health care. Various expressions of this right may be distinguished. These include both individual rights and social rights which could be based upon international treaties and constitutional rights. They may be found in national health legislation and, in some cases, in jurisprudence. To analyze the consequences of limiting the right to health care, a framework for judicial review has been developed which encompasses these expressions of the right to health care. The framework was used to examine legal and health policy developments in three Western and two Eastern European countries. In Italy and the Netherlands the right to health care is protected constitutionally (but on differing legal bases) while the United Kingdom does not have a written constitution. In contrast, Hungary and Poland have for many years seen the state take responsible for the provision, administration and allocation of health care services and the right to health care was guaranteed theoretically but not in practice because of the lack of (financial) means. However, the Polish Constitution explicitly anticipates possible limitations of the right to health care. What all these countries have in common is a cost containment perspective where the future will bring even tighter limits on what resources patients may consume. Despite differences in legal structure between these countries, where they seem to converge is on the consequences of putting limitations on the right to health care. The courts in Italy, the Netherlands and the UK have formulated conditions drawn from the acceptance that this right has to be judged within the context of limited resources. It may be concluded that finding a compromise between the right to health care and cost containment policies could also be an issue, Eastern European countries will have to face in the future. [ABSTRACT FROM AUTHOR]