A Comparison of Mental Health Care Systems in Northern and Southern Europe : A Service Mapping Study

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Sadeniemi , M , Almeda , N , Salinas-Perez , J A , Gutierrez-Colosia , M R , Garcia-Alonso , C , Ala-Nikkola , T , Joffe , G , Pirkola , S , Wahlbeck , K , Cid , J & Salvador-Carulla , L 2018 , ' A Comparison of Mental Health Care Systems in Northern and Southern Europe : A Service Mapping Study ' , International Journal of Environmental Research and Public Health , vol. 15 , no. 6 , 1133 . https://doi.org/10.3390/ijerph15061133

Title: A Comparison of Mental Health Care Systems in Northern and Southern Europe : A Service Mapping Study
Author: Sadeniemi, Minna; Almeda, Nerea; Salinas-Perez, Jose A.; Gutierrez-Colosia, Mencia R.; Garcia-Alonso, Carlos; Ala-Nikkola, Taina; Joffe, Grigori; Pirkola, Sami; Wahlbeck, Kristian; Cid, Jordi; Salvador-Carulla, Luis
Contributor: University of Helsinki, Clinicum
University of Helsinki, Department of Psychiatry
Date: 2018-06
Language: eng
Number of pages: 15
Belongs to series: International Journal of Environmental Research and Public Health
ISSN: 1660-4601
URI: http://hdl.handle.net/10138/237337
Abstract: Mental health services (MHS) have gone through vast changes during the last decades, shifting from hospital to community-based care. Developing the optimal balance and use of resources requires standard comparisons of mental health care systems across countries. This study aimed to compare the structure, personnel resource allocation, and the productivity of the MHS in two benchmark health districts in a Nordic welfare state and a southern European, family-centered country. The study is part of the REFINEMENT (Research on Financing Systems' Effect on the Quality of Mental Health Care) project. The study areas were the Helsinki and Uusimaa region in Finland and the Girona region in Spain. The MHS were mapped by using the DESDE-LTC (Description and Evaluation of Services and Directories for Long Term Care) tool. There were 6.7 times more personnel resources in the MHS in Helsinki and Uusimaa than in Girona. The resource allocation was more residential-service-oriented in Helsinki and Uusimaa. The difference in mental health personnel resources is not explained by the respective differences in the need for MHS among the population. It is important to make a standard comparison of the MHS for supporting policymaking and to ensure equal access to care across European countries.
Subject: mental health services
mental health care
deinstitutionalization
main type of care
standard comparison
community care
WELFARE-STATE REGIMES
SOCIAL DEPRIVATION
USE DISORDERS
SPAIN
COUNTRIES
SCHEDULE
BURDEN
DEINSTITUTIONALIZATION
CLASSIFICATION
SCHIZOPHRENIA
3124 Neurology and psychiatry
3142 Public health care science, environmental and occupational health
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