Identifying Local and Centralized Mental Health Services-The Development of a New Categorizing Variable.
Int J Environ Res Public Health
; 15(6)2018 05 31.
Article
em En
| MEDLINE
| ID: mdl-29857540
ABSTRACT
The challenges of mental health and substance abuse services (MHS) require shifting of the balance of resources from institutional care to community care. In order to track progress, an instrument that can describe these attributes of MHS is needed. We created a coding variable in the European Service Mapping Schedule-Revised (ESMS-R) mapping tool using a modified Delphi panel that classified MHS into centralized, local services with gatekeeping and local services without gatekeeping. For feasibility and validity, we tested the variable on a dataset comprising MHS in Southern Finland, covering a population of 2.3 million people. There were differences in the characteristics of services between our study regions. In our data, 41% were classified as centralized, 37% as local without gatekeeping and 22% as local services with gatekeeping. The proportion of resources allocated to local services varied from 20% to 43%. Reclassifying ESMS-R is an easy way to compare the important local vs. centralized balance of MHS systems globally, where such data exists. Further international studies comparing systems and validating this approach are needed.
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Base de dados:
MEDLINE
Assunto principal:
Serviços de Saúde Mental
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article