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...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Taina Ala-Nikkola [verfasserIn] Sami Pirkola [verfasserIn] Minna Kaila [verfasserIn] Grigori Joffe [verfasserIn] Raija Kontio [verfasserIn] Olli Oranta [verfasserIn] Minna Sadeniemi [verfasserIn] Kristian Wahlbeck [verfasserIn] Samuli I. Saarni [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2018 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: International Journal of Environmental Research and Public Health - MDPI AG, 2005, 15(2018), 6, p 1131 |
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| Übergeordnetes Werk: |
volume:15 ; year:2018 ; number:6, p 1131 |
| Links: |
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| DOI / URN: |
10.3390/ijerph15061131 |
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DOAJ007140088 |
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10.3390/ijerph15061131 doi (DE-627)DOAJ007140088 (DE-599)DOAJaf8036f353574878a6ec79ba7677fd23 DE-627 ger DE-627 rakwb eng Taina Ala-Nikkola verfasserin aut Identifying Local and Centralized Mental Health Services—The Development of a New Categorizing Variable 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. mental health care health service research integrated care European Service Mapping Schedule-Revised Medicine R Sami Pirkola verfasserin aut Minna Kaila verfasserin aut Grigori Joffe verfasserin aut Raija Kontio verfasserin aut Olli Oranta verfasserin aut Minna Sadeniemi verfasserin aut Kristian Wahlbeck verfasserin aut Samuli I. Saarni verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 15(2018), 6, p 1131 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:15 year:2018 number:6, p 1131 https://doi.org/10.3390/ijerph15061131 kostenfrei https://doaj.org/article/af8036f353574878a6ec79ba7677fd23 kostenfrei http://www.mdpi.com/1660-4601/15/6/1131 kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2018 6, p 1131 |
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10.3390/ijerph15061131 doi (DE-627)DOAJ007140088 (DE-599)DOAJaf8036f353574878a6ec79ba7677fd23 DE-627 ger DE-627 rakwb eng Taina Ala-Nikkola verfasserin aut Identifying Local and Centralized Mental Health Services—The Development of a New Categorizing Variable 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. mental health care health service research integrated care European Service Mapping Schedule-Revised Medicine R Sami Pirkola verfasserin aut Minna Kaila verfasserin aut Grigori Joffe verfasserin aut Raija Kontio verfasserin aut Olli Oranta verfasserin aut Minna Sadeniemi verfasserin aut Kristian Wahlbeck verfasserin aut Samuli I. Saarni verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 15(2018), 6, p 1131 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:15 year:2018 number:6, p 1131 https://doi.org/10.3390/ijerph15061131 kostenfrei https://doaj.org/article/af8036f353574878a6ec79ba7677fd23 kostenfrei http://www.mdpi.com/1660-4601/15/6/1131 kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2018 6, p 1131 |
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10.3390/ijerph15061131 doi (DE-627)DOAJ007140088 (DE-599)DOAJaf8036f353574878a6ec79ba7677fd23 DE-627 ger DE-627 rakwb eng Taina Ala-Nikkola verfasserin aut Identifying Local and Centralized Mental Health Services—The Development of a New Categorizing Variable 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. mental health care health service research integrated care European Service Mapping Schedule-Revised Medicine R Sami Pirkola verfasserin aut Minna Kaila verfasserin aut Grigori Joffe verfasserin aut Raija Kontio verfasserin aut Olli Oranta verfasserin aut Minna Sadeniemi verfasserin aut Kristian Wahlbeck verfasserin aut Samuli I. Saarni verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 15(2018), 6, p 1131 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:15 year:2018 number:6, p 1131 https://doi.org/10.3390/ijerph15061131 kostenfrei https://doaj.org/article/af8036f353574878a6ec79ba7677fd23 kostenfrei http://www.mdpi.com/1660-4601/15/6/1131 kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2018 6, p 1131 |
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10.3390/ijerph15061131 doi (DE-627)DOAJ007140088 (DE-599)DOAJaf8036f353574878a6ec79ba7677fd23 DE-627 ger DE-627 rakwb eng Taina Ala-Nikkola verfasserin aut Identifying Local and Centralized Mental Health Services—The Development of a New Categorizing Variable 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. mental health care health service research integrated care European Service Mapping Schedule-Revised Medicine R Sami Pirkola verfasserin aut Minna Kaila verfasserin aut Grigori Joffe verfasserin aut Raija Kontio verfasserin aut Olli Oranta verfasserin aut Minna Sadeniemi verfasserin aut Kristian Wahlbeck verfasserin aut Samuli I. Saarni verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 15(2018), 6, p 1131 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:15 year:2018 number:6, p 1131 https://doi.org/10.3390/ijerph15061131 kostenfrei https://doaj.org/article/af8036f353574878a6ec79ba7677fd23 kostenfrei http://www.mdpi.com/1660-4601/15/6/1131 kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2018 6, p 1131 |
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10.3390/ijerph15061131 doi (DE-627)DOAJ007140088 (DE-599)DOAJaf8036f353574878a6ec79ba7677fd23 DE-627 ger DE-627 rakwb eng Taina Ala-Nikkola verfasserin aut Identifying Local and Centralized Mental Health Services—The Development of a New Categorizing Variable 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. mental health care health service research integrated care European Service Mapping Schedule-Revised Medicine R Sami Pirkola verfasserin aut Minna Kaila verfasserin aut Grigori Joffe verfasserin aut Raija Kontio verfasserin aut Olli Oranta verfasserin aut Minna Sadeniemi verfasserin aut Kristian Wahlbeck verfasserin aut Samuli I. Saarni verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 15(2018), 6, p 1131 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:15 year:2018 number:6, p 1131 https://doi.org/10.3390/ijerph15061131 kostenfrei https://doaj.org/article/af8036f353574878a6ec79ba7677fd23 kostenfrei http://www.mdpi.com/1660-4601/15/6/1131 kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2018 6, p 1131 |
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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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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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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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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. 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