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Identifying Local and Centralized Mental Health Services—The Development of a New Categorizing Variable

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 Servi...

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Autores principales: Ala-Nikkola, Taina, Pirkola, Sami, Kaila, Minna, Joffe, Grigori, Kontio, Raija, Oranta, Olli, Sadeniemi, Minna, Wahlbeck, Kristian, Saarni, Samuli I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6025394/
https://www.ncbi.nlm.nih.gov/pubmed/29857540
http://dx.doi.org/10.3390/ijerph15061131
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author Ala-Nikkola, Taina
Pirkola, Sami
Kaila, Minna
Joffe, Grigori
Kontio, Raija
Oranta, Olli
Sadeniemi, Minna
Wahlbeck, Kristian
Saarni, Samuli I.
author_facet Ala-Nikkola, Taina
Pirkola, Sami
Kaila, Minna
Joffe, Grigori
Kontio, Raija
Oranta, Olli
Sadeniemi, Minna
Wahlbeck, Kristian
Saarni, Samuli I.
author_sort Ala-Nikkola, Taina
collection PubMed
description 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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spelling pubmed-60253942018-07-16 Identifying Local and Centralized Mental Health Services—The Development of a New Categorizing Variable Ala-Nikkola, Taina Pirkola, Sami Kaila, Minna Joffe, Grigori Kontio, Raija Oranta, Olli Sadeniemi, Minna Wahlbeck, Kristian Saarni, Samuli I. Int J Environ Res Public Health Article 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. MDPI 2018-05-31 2018-06 /pmc/articles/PMC6025394/ /pubmed/29857540 http://dx.doi.org/10.3390/ijerph15061131 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ala-Nikkola, Taina
Pirkola, Sami
Kaila, Minna
Joffe, Grigori
Kontio, Raija
Oranta, Olli
Sadeniemi, Minna
Wahlbeck, Kristian
Saarni, Samuli I.
Identifying Local and Centralized Mental Health Services—The Development of a New Categorizing Variable
title Identifying Local and Centralized Mental Health Services—The Development of a New Categorizing Variable
title_full Identifying Local and Centralized Mental Health Services—The Development of a New Categorizing Variable
title_fullStr Identifying Local and Centralized Mental Health Services—The Development of a New Categorizing Variable
title_full_unstemmed Identifying Local and Centralized Mental Health Services—The Development of a New Categorizing Variable
title_short Identifying Local and Centralized Mental Health Services—The Development of a New Categorizing Variable
title_sort identifying local and centralized mental health services—the development of a new categorizing variable
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6025394/
https://www.ncbi.nlm.nih.gov/pubmed/29857540
http://dx.doi.org/10.3390/ijerph15061131
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