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Int. J. Environ. Res. Public Health 2014, 11(8), 8456-8474; doi:10.3390/ijerph110808456

Size Matters — Determinants of Modern, Community-Oriented Mental Health Services

1
Department of Psychiatry, University Hospital Region, Hospital District of Helsinki and Uusimaa, Välskärinkatu 12, FI-00029 HUS, Finland
2
Department of Mental Health and Substance Abuse Service, National Institute for Health and Welfare, Mannerheimintie 170, FI-00270 Helsinki, Finland
3
Hjelt Institute, Medical Faculty, University of Helsinki, FI-000014 Helsinki, Finland
4
School of Health Sciences, University of Tampere, Medisiinarinkatu 3, FI-33014 Tampere, Finland
5
Department of Psychiatry, Hyvinkää Hospital Region, Hospital District of Helsinki and Uusimaa, Vanha Valtatie 198, FI-04500 Kellokoski, Finland
6
Department of Psychiatry, Porvoo Health Care Area, Hospital District of Helsinki and Uusimaa, Kaivokatu 37, FI-06100 Porvoo, Finland
*
Author to whom correspondence should be addressed.
Received: 17 June 2014 / Revised: 4 August 2014 / Accepted: 8 August 2014 / Published: 19 August 2014
(This article belongs to the Special Issue Mental Health Care)
View Full-Text   |   Download PDF [779 KB, uploaded 19 August 2014]   |  

Abstract

Governances, structures and contents of mental health services are being reformed across countries. There is a need for data to support those changes. The aim of this study was to explore the quality, i.e., diversity and community orientation, and quantity, i.e., personnel resources, of mental health and substance abuse services (MHS) and evaluate correlation between population needs and quality and quantity of MHS. The European Service Mapping Schedule—Revised (ESMS-R) was used to classify mental health and substance abuse services in southern Finland. Municipal-level aggregate data, local data on unemployment rate, length of education, age of retirement, proportion of single households, alcohol sales and a composite mental health index were used as indicators of population mental health needs. Population size correlated strongly with service diversity, explaining 84% of the variance. Personnel resources did not associate with diversity or community orientation. The indicators of mental health services need did not have the expected association with quality and quantity of services. In terms of service organization, the results may support larger population bases, at least 150,000 adult inhabitants, when aiming for higher diversity. View Full-Text
Keywords: mental health services; community mental health services; catchment area mental health services; community mental health services; catchment area
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This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

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MDPI and ACS Style

Ala-Nikkola, T.; Pirkola, S.; Kontio, R.; Joffe, G.; Pankakoski, M.; Malin, M.; Sadeniemi, M.; Kaila, M.; Wahlbeck, K. Size Matters — Determinants of Modern, Community-Oriented Mental Health Services. Int. J. Environ. Res. Public Health 2014, 11, 8456-8474.

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