Ala-Nikkola , T , Pirkola , S , Kaila , M , Joffe , G , Kontio , R , Oranta , O , Sadeniemi , M , Wahlbeck , K & Saarni , S I 2018 , ' Identifying Local and Centralized Mental Health ServicesThe Development of a New Categorizing Variable ' , International Journal of Environmental Research and Public Health , vol. 15 , no. 6 , 1131 . https://doi.org/10.3390/ijerph15061131
Title: | Identifying Local and Centralized Mental Health ServicesThe Development of a New Categorizing Variable |
Author: | Ala-Nikkola, Taina; Pirkola, Sami; Kaila, Minna; Joffe, Grigori; Kontio, Raija; Oranta, Olli; Sadeniemi, Minna; Wahlbeck, Kristian; Saarni, Samuli I. |
Contributor organization: | Clinicum Department of Psychiatry Department of Public Health University of Helsinki HUS Psychiatry |
Date: | 2018-06 |
Language: | eng |
Number of pages: | 16 |
Belongs to series: | International Journal of Environmental Research and Public Health |
ISSN: | 1660-4601 |
DOI: | https://doi.org/10.3390/ijerph15061131 |
URI: | http://hdl.handle.net/10138/237335 |
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. |
Subject: |
mental health care
health service research integrated care European Service Mapping Schedule-Revised MIDDLE-INCOME COUNTRIES INTERNATIONAL CLASSIFICATION MAPPING SCHEDULE PRIMARY-CARE SCHIZOPHRENIC DISORDERS COMMUNITY DISABILITY SPAIN DEINSTITUTIONALIZATION REHABILITATION 3142 Public health care science, environmental and occupational health |
Peer reviewed: | Yes |
Rights: | cc_by |
Usage restriction: | openAccess |
Self-archived version: | publishedVersion |
Total number of downloads: Loading...
Files | Size | Format | View |
---|---|---|---|
ijerph_15_01131_v2.pdf | 582.8Kb |
View/ |