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Recommendations for the organization of mental health services for children and adolescents in Belgium: Use of the soft systems methodology

Author

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  • Vandenbroeck, Philippe
  • Dechenne, Rachel
  • Becher, Kim
  • Eyssen, Marijke
  • Van den Heede, Koen

Abstract

The prevalence of mental health problems among children and adolescents in Western countries is high. Belgium, like many other Western countries, struggles with the set-up of a coherent and effective strategy for dealing with this complex societal problem. This paper describes the development of a policy scenario for the organization of child and adolescent mental health care services (CAMHS) in Belgium. The development process relied on Soft Systems Methodology including a participatory process with 66 stakeholders and a review of the existing (inter-)national evidence. A diagnostic analysis illustrated that the Belgian CAMHS is a system in serious trouble characterized by fragmentation and compartmentalization. A set of 10 strategic recommendations was formulated to lay down the contours of a future, more effective CAMHS system. They focus on mastering the demands made on scarce and expensive specialized mental health services; strengthening the range of services – in particular for those with serious, complex and multiple mental health problems – and strengthening the adaptive capacity of and the ethical guidance within the future CAMHS system.

Suggested Citation

  • Vandenbroeck, Philippe & Dechenne, Rachel & Becher, Kim & Eyssen, Marijke & Van den Heede, Koen, 2014. "Recommendations for the organization of mental health services for children and adolescents in Belgium: Use of the soft systems methodology," Health Policy, Elsevier, vol. 114(2), pages 263-268.
    • Handle: RePEc:eee:hepoli:v:114:y:2014:i:2:p:263-268
    DOI: 10.1016/j.healthpol.2013.07.009
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    Cited by:

    1. Payam Hanafizadeh & Mohammad Mehrabioun, 2018. "Application of SSM in tackling problematical situations from academicians’ viewpoints," Systemic Practice and Action Research, Springer, vol. 31(2), pages 179-220, April.
    2. Alexandre de A. Gomes Júnior & Vanessa B. Schramm, 2022. "Problem Structuring Methods: A Review of Advances Over the Last Decade," Systemic Practice and Action Research, Springer, vol. 35(1), pages 55-88, February.

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