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A Comparison of Mental Health Care Systems in Northern and Southern Europe: A Service Mapping Study

Author

Listed:
  • Minna Sadeniemi

    (Department of Social Services and Health Care, City of Helsinki, Southern Psychiatric Outpatient Clinic, Työpajankatu 14, FI-00099 Helsinki, Finland
    University of Helsinki and Helsinki University Hospital, Välskärinkatu 12, FI-00029 Helsinki, Finland
    Unit for Mental Health, National Institute for Health and Welfare (THL); Mannerheimintie 168, FI-00270 Helsinki, Finland)

  • Nerea Almeda

    (PSICOST Research Association, Department of Psychology, Universidad Loyola Andalucía, C/Energía Solar 1, 41014 Sevilla, Spain)

  • Jose A. Salinas-Pérez

    (PSICOST Research Association, Department of Quantitative Methods, Universidad Loyola Andalucía, C/Energía Solar 1, 41014 Sevilla, Spain)

  • Mencía R. Gutiérrez-Colosía

    (PSICOST Research Association, Department of Psychology, Universidad Loyola Andalucía, C/Energía Solar 1, 41014 Sevilla, Spain)

  • Carlos García-Alonso

    (PSICOST Research Association, Department of Quantitative Methods, Universidad Loyola Andalucía, C/Energía Solar 1, 41014 Sevilla, Spain)

  • Taina Ala-Nikkola

    (University of Helsinki and Helsinki University Hospital, Välskärinkatu 12, FI-00029 Helsinki, Finland
    Unit for Mental Health, National Institute for Health and Welfare (THL); Mannerheimintie 168, FI-00270 Helsinki, Finland)

  • Grigori Joffe

    (University of Helsinki and Helsinki University Hospital, Välskärinkatu 12, FI-00029 Helsinki, Finland)

  • Sami Pirkola

    (University of Tampere School of Health Sciences, and Tampere University Hospital, Lääkärinkatu 1, FI-33014 Tampere, Finland)

  • Kristian Wahlbeck

    (Unit for Mental Health, National Institute for Health and Welfare (THL); Mannerheimintie 168, FI-00270 Helsinki, Finland)

  • Jordi Cid

    (Mental Health & Addiction Research Group, Institut d’Investigacions Biomèdiques de Girona (IdibGI)-Institut d’Assistència Sanitària, 17190 Salt Girona, Spain)

  • Luis Salvador-Carulla

    (VIDEA Lab, Centre for Mental Health Research, Australian National University, 63 Eggleston Rd, Acton ACT 2601, Australia)

Abstract

Mental health services (MHS) have gone through vast changes during the last decades, shifting from hospital to community-based care. Developing the optimal balance and use of resources requires standard comparisons of mental health care systems across countries. This study aimed to compare the structure, personnel resource allocation, and the productivity of the MHS in two benchmark health districts in a Nordic welfare state and a southern European, family-centered country. The study is part of the REFINEMENT (Research on Financing Systems’ Effect on the Quality of Mental Health Care) project. The study areas were the Helsinki and Uusimaa region in Finland and the Girona region in Spain. The MHS were mapped by using the DESDE-LTC (Description and Evaluation of Services and Directories for Long Term Care) tool. There were 6.7 times more personnel resources in the MHS in Helsinki and Uusimaa than in Girona. The resource allocation was more residential-service-oriented in Helsinki and Uusimaa. The difference in mental health personnel resources is not explained by the respective differences in the need for MHS among the population. It is important to make a standard comparison of the MHS for supporting policymaking and to ensure equal access to care across European countries.

Suggested Citation

  • Minna Sadeniemi & Nerea Almeda & Jose A. Salinas-Pérez & Mencía R. Gutiérrez-Colosía & Carlos García-Alonso & Taina Ala-Nikkola & Grigori Joffe & Sami Pirkola & Kristian Wahlbeck & Jordi Cid & Luis Sa, 2018. "A Comparison of Mental Health Care Systems in Northern and Southern Europe: A Service Mapping Study," IJERPH, MDPI, vol. 15(6), pages 1-15, May.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:6:p:1133-:d:149981
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    References listed on IDEAS

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    3. Javier Alvarez-Galvez & Maria Luisa Rodero-Cosano & Emma Motrico & Jose A. Salinas-Perez & Carlos Garcia-Alonso & Luis Salvador-Carulla, 2013. "The Impact of Socio-Economic Status on Self-Rated Health: Study of 29 Countries Using European Social Surveys (2002–2008)," IJERPH, MDPI, vol. 10(3), pages 1-15, February.
    4. Minna Sadeniemi & Sami Pirkola & Maiju Pankakoski & Grigori Joffe & Raija Kontio & Maili Malin & Taina Ala-Nikkola & Kristian Wahlbeck, 2014. "Does Primary Care Mental Health Resourcing Affect the Use and Costs of Secondary Psychiatric Services?," IJERPH, MDPI, vol. 11(9), pages 1-12, August.
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    6. Taina Ala-Nikkola & Sami Pirkola & Minna Kaila & Samuli I. Saarni & Grigori Joffe & Raija Kontio & Olli Oranta & Minna Sadeniemi & Kristian Wahlbeck, 2016. "Regional Correlates of Psychiatric Inpatient Treatment," IJERPH, MDPI, vol. 13(12), pages 1-16, December.
    7. Juan Oliva-Moreno & Luz Peña-Longobardo & Cristina Vilaplana-Prieto, 2015. "An Estimation of the Value of Informal Care Provided to Dependent People in Spain," Applied Health Economics and Health Policy, Springer, vol. 13(2), pages 223-231, April.
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    Cited by:

    1. Nerea Almeda & Carlos R. García-Alonso & José A. Salinas-Pérez & Mencía R. Gutiérrez-Colosía & Luis Salvador-Carulla, 2019. "Causal Modelling for Supporting Planning and Management of Mental Health Services and Systems: A Systematic Review," IJERPH, MDPI, vol. 16(3), pages 1-20, January.
    2. Lampros Samartzis & Michael A. Talias, 2019. "Assessing and Improving the Quality in Mental Health Services," IJERPH, MDPI, vol. 17(1), pages 1-31, December.
    3. Hossein Tabatabaei-Jafari & Jose A. Salinas-Perez & Mary Anne Furst & Nasser Bagheri & John Mendoza & David Burke & Peter McGeorge & Luis Salvador-Carulla, 2020. "Patterns of Service Provision in Older People’s Mental Health Care in Australia," IJERPH, MDPI, vol. 17(22), pages 1-18, November.
    4. Sebastian Rosenberg & Luis Salvador-Carulla & Graham Meadows & Ian Hickie, 2022. "Fit for Purpose—Re-Designing Australia’s Mental Health Information System," IJERPH, MDPI, vol. 19(8), pages 1-14, April.
    5. Joanne Lawrence-Bourne & Hazel Dalton & David Perkins & Jane Farmer & Georgina Luscombe & Nelly Oelke & Nasser Bagheri, 2020. "What Is Rural Adversity, How Does It Affect Wellbeing and What Are the Implications for Action?," IJERPH, MDPI, vol. 17(19), pages 1-13, October.
    6. Anna Alonso-Solís & Susana Ochoa & Eva Grasa & Katya Rubinstein & Asaf Caspi & Kinga Farkas & Zsolt Unoka & Judith Usall & Elena Huerta-Ramos & Matti Isohanni & Jussi Seppälä & Elisenda Reixach & Jesú, 2020. "A Method to Compare the Delivery of Psychiatric Care for People with Treatment-Resistant Schizophrenia," IJERPH, MDPI, vol. 17(20), pages 1-13, October.

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