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Better care through an optimized mental health services continuum (Eastern Townships, Québec, Canada): A systematic and multisource literature review

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  • Mathieu Roy
  • Pierre Dagenais
  • Linda Pinsonneault
  • Véronique Déry

Abstract

Introduction In 2014, the health authorities of the Eastern Townships (Québec, Canada) commissioned an evaluation of the mental health admission system for adults (GASMA) to identify the best GASMA organizational or structural elements and optimize the mental health services continuum. Methods To develop better services, seven indicators (ie, accessibility to services, integration of levels of services, user satisfaction, guidance and management time, evaluation tools, professional composition, and interprofessional collaboration) were examined through four evaluation questions. A three‐step systematic and multisource evaluation was realized. A systematic review of the scientific and gray literature was performed. This evaluation also included key informant opinions to contextualize results from this review. Results Results from 91 scientific articles, 40 gray literature documents, and 10 interviews highlighted determinants and barriers associated with the examined indicators. From these results, 24 preliminary recommendations were formulated and discussed in a steering committee. These recommendations were then weighted and validated. This served to formulate three final recommendations. Conclusion To optimize the regional mental health services continuum, stakeholders should (1) implement a single‐window access for adults with mental health needs, (2) develop alternative services based on users' needs, and (3) test the effectiveness of new methods, initiatives, and tools.

Suggested Citation

  • Mathieu Roy & Pierre Dagenais & Linda Pinsonneault & Véronique Déry, 2019. "Better care through an optimized mental health services continuum (Eastern Townships, Québec, Canada): A systematic and multisource literature review," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 111-130, January.
    • Handle: RePEc:bla:ijhplm:v:34:y:2019:i:1:p:e111-e130
    DOI: 10.1002/hpm.2687
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    References listed on IDEAS

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    1. Mitchell, Penelope Fay, 2009. "A discourse analysis on how service providers in non-medical primary health and social care services understand their roles in mental health care," Social Science & Medicine, Elsevier, vol. 68(7), pages 1213-1220, April.
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