Evidence map›Paper›PMID 40724132›Full record

SynthesisInternational journal of environmental research and public health2025

Transition of Mental Health Services from Institutional to Community-Based Care Abroad and Its Context for Slovenia-Advantages and Risks.

Katja Horvat Golob, Alenka Temeljotov Salaj, Brigita Novak Šarotar

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Katja Horvat GolobUniversity Psychiatric Clinic Ljubljana, Chengdujska 45, 1000 Ljubljana, Slovenia.
Alenka Temeljotov SalajDepartment of Civil and Environmental Engineering, Faculty of Engineering, Norwegian University of Science and Technology, NO-7491 Trondheim, Norway.ORCID 0000-0002-4139-5278
Brigita Novak ŠarotarUniversity Psychiatric Clinic Ljubljana, Chengdujska 45, 1000 Ljubljana, Slovenia.ORCID 0000-0001-6217-8873

Funding

The Slovenian Research and Innovation Agency P3-0456
6 · The paper itself

Abstract

Deinstitutionalization is a transition from psychiatric hospitals and other mental health institutions as the primary setting for treatment of individuals with chronic mental health disorders to a range of services, including psychiatric care, that support independent functioning of an individual within the community. The transition has been encouraged by guidelines from the European Expert Group and further specified in the Slovenian Resolution on the National Programme of Mental Health 2018-2028. This integrated systematic and narrative literature review includes 47 international articles from PubMed, along with information on Slovenian mental health legislation and its implementation, to provide insights into deinstitutionalization abroad and its relevance for Slovenia. Although the transition to community-based care is welcomed for promoting independence and respecting individuals' wants, there are cases where institutional care remains necessary to ensure safety and treatment during the exacerbation of chronic mental health disorders. The quality of care and outcomes generally improve with community-based care. However, the closure of institutions can lead to many unintended consequences, such as the revolving door phenomenon and transinstitutionalization. Both the advantages of community-based care and the important roles of mental health hospitals and other institutions are emphasized.

Indexed as

Community Mental Health ServicesDeinstitutionalizationMental DisordersMental Health ServicesHospitals, PsychiatricHumansSloveniacommunity-based caredeinstitutionalizationdestigmatizationmental healthpublic health

Identifiers

PMID40724132
PMCPMC12294201

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.