ArticleEpidemiology and psychiatric sciences2019
Standard comparison of local mental health care systems in eight European countries.
Article in Epidemiology and psychiatric sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.
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Who cites it
46 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The identification of economically relevant health and social care services for mental disorders in the PECUNIA project.BMC health services research · 2023Pooled it
- Causal Modelling for Supporting Planning and Management of Mental Health Services and Systems: A Systematic Review.International journal of environmental research and public health · 2019Pooled it
- The long road to routine care: piloting the digital mental health intervention for PTSD "Radius Grow" in a psychiatric residential setting.BMC psychology · 2026Article
- A shared terminology for implementation research impact: Global Impact Analytics Framework (GIAF) Glossary.Implementation science communications · 2026Article
- Facilitating transition between adolescent and adult psychiatry: patient and parent experiences from a jointly run ward for 16-25-year-olds in Germany.Child and adolescent psychiatry and mental health · 2026Article
- Article
- The PADRIS-PRESTO cohort: A comprehensive population-based study on mental health in Catalonia.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- Provision of Evidence-Informed Psychological Interventions Following the Queensland (Australia) 2010-11 Floods and Cyclones; the Barriers and Successes.The Australian journal of rural health · 2025Article
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- Mental health service diversity and work disability: associations of mental health service system characteristics and mood disorder disability pensioning in Finland.Social psychiatry and psychiatric epidemiology · 2024Article
- The potential of psychiatric outpatient centers to reduce the length of stay in inpatient facilities and the negative impact of COVID-19 on the availability of psychiatric services: the case of Latvia.Frontiers in health services · 2024Article
- Factors associated with the revolving door phenomenon in patients with schizophrenia: results from an acute psychiatric hospital in Romania.Frontiers in psychiatry · 2024Article
- The Integrated Atlas of Dementia Care in the Australian Capital Territory: A Collective Case Study of Local Service Provision.Health services insights · 2024Article
- Patterns of mental health services and mood disorder disability pensions: a standard comparison of Finland's three largest hospital districts.BMC psychiatry · 2023Article
- Impact of the workforce allocation on the technical performance of mental health services: the collective case of Helsinki-Uusimaa (Finland).Health research policy and systems · 2023Article
- Geographic variation in the utilisation of specialist healthcare for patients with severe mental illness in Norway: a population-based registry study.Research in health services & regions · 2023Article
- Patterns of mental health care provision in urban areas: A comparative analysis for local policy in the ACT.PloS one · 2023Article
- Patterns of mental healthcare provision in rural areas: A demonstration study in Australia and Europe.Frontiers in psychiatry · 2023Article
- Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2022Article
- Prevalence, progress, and subgroup disparities in pharmacological antidepressant treatment of those who screen positive for depressive symptoms: A repetitive cross-sectional study in 19 European countries.The Lancet regional health. Europe · 2022Article
Corrections and comments
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Authors and funding
21 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThere is a need of more quantitative standardised data to compare local Mental Health Systems (MHSs) across international jurisdictions. Problems related to terminological variability and commensurability in the evaluation of services hamper like-with-like comparisons and hinder the development of work in this area. This study was aimed to provide standard assessment and comparison of MHS in selected local areas in Europe, contributing to a better understanding of MHS and related allocation of resources at local level and to lessen the scarcity in standard service comparison in Europe. This study is part of the Seventh Framework programme REFINEMENT (Research on Financing Systems' Effect on the Quality of Mental Health Care in Europe) project.
methodsA total of eight study areas from European countries with different systems of care (Austria, England, Finland, France, Italy, Norway, Romania, Spain) were analysed using a standard open-access classification system (Description and Evaluation of Services for Long Term Care in Europe, DESDE-LTC). All publicly funded services universally accessible to adults (≥18 years) with a psychiatric disorder were coded. Care availability, diversity and capacity were compared across these eight local MHS.
resultsThe comparison of MHS revealed more community-oriented delivery systems in the areas of England (Hampshire) and Southern European countries (Verona - Italy and Girona - Spain). Community-oriented systems with a higher proportion of hospital care were identified in Austria (Industrieviertel) and Scandinavian countries (Sør-Trøndelag in Norway and Helsinki-Uusimaa in Finland), while Loiret (France) was considered as a predominantly hospital-based system. The MHS in Suceava (Romania) was still in transition to community care.
conclusionsThere is a significant variation in care availability and capacity across MHS of local areas in Europe. This information is relevant for understanding the process of implementation of community-oriented mental health care in local areas. Standard comparison of care provision in local areas is important for context analysis and policy planning.
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