Abstract：
:The challenges of mental health and substance abuse services (MHS) require shifting of the balance of resources from institutional care to community care. In order to track progress, an instrument that can describe these attributes of MHS is needed. We created a coding variable in the European Service Mapping Schedule-Revised (ESMS-R) mapping tool using a modified Delphi panel that classified MHS into centralized, local services with gatekeeping and local services without gatekeeping. For feasibility and validity, we tested the variable on a dataset comprising MHS in Southern Finland, covering a population of 2.3 million people. There were differences in the characteristics of services between our study regions. In our data, 41% were classified as centralized, 37% as local without gatekeeping and 22% as local services with gatekeeping. The proportion of resources allocated to local services varied from 20% to 43%. Reclassifying ESMS-R is an easy way to compare the important local vs. centralized balance of MHS systems globally, where such data exists. Further international studies comparing systems and validating this approach are needed.
journal_name
Int J Environ Res Public Healthauthors
Ala-Nikkola T,Pirkola S,Kaila M,Joffe G,Kontio R,Oranta O,Sadeniemi M,Wahlbeck K,Saarni SIdoi
10.3390/ijerph15061131subject
Has Abstractpub_date
2018-05-31 00:00:00issue
6eissn
1661-7827issn
1660-4601pii
ijerph15061131journal_volume
15pub_type
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