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

Sadeniemi, Minna; Almeda, Nerea; Salinas-Pérez, Jose A.; Gutiérrez-Colosía, Mencía R.; García-Alonso, Carlos; Ala-Nikkola, Taina; Joffe, Grigori; Pirkola, Sami; Wahlbeck, Kristian; Cid, Jordi; Salvador-Carulla, Luis

doi:10.3390/ijerph15061133

Submit to this Journal Review for this Journal Edit a Special Issue

Article Menu

...

Open AccessArticle

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

Minna Sadeniemi

^1,2,3,*,

Nerea Almeda

⁴,

Jose A. Salinas-Pérez

⁵,

Mencía R. Gutiérrez-Colosía

⁴

⁵,

^2,3

²,

⁶,

⁷

and

Luis Salvador-Carulla

⁸

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

⁴

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

⁵

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

⁶

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

⁷

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

⁸

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

Author to whom correspondence should be addressed.

Int. J. Environ. Res. Public Health 2018, 15(6), 1133; https://doi.org/10.3390/ijerph15061133

Received: 15 April 2018 / Revised: 21 May 2018 / Accepted: 30 May 2018 / Published: 31 May 2018

(This article belongs to the Special Issue Mental Health and its Social and Cultural Implications)

View Full-Text Download PDF

Browse Figures

Citation Export

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. View Full-Text

Keywords: mental health services; mental health care; deinstitutionalization; main type of care; standard comparison; community care

▼ Show Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Share and Cite

MDPI and ACS Style

Sadeniemi, M.; Almeda, N.; Salinas-Pérez, J.A.; Gutiérrez-Colosía, M.R.; García-Alonso, C.; Ala-Nikkola, T.; Joffe, G.; Pirkola, S.; Wahlbeck, K.; Cid, J.; Salvador-Carulla, L. A Comparison of Mental Health Care Systems in Northern and Southern Europe: A Service Mapping Study. Int. J. Environ. Res. Public Health 2018, 15, 1133. https://doi.org/10.3390/ijerph15061133

AMA Style

Sadeniemi M, Almeda N, Salinas-Pérez JA, Gutiérrez-Colosía MR, García-Alonso C, Ala-Nikkola T, Joffe G, Pirkola S, Wahlbeck K, Cid J, Salvador-Carulla L. A Comparison of Mental Health Care Systems in Northern and Southern Europe: A Service Mapping Study. International Journal of Environmental Research and Public Health. 2018; 15(6):1133. https://doi.org/10.3390/ijerph15061133

Chicago/Turabian Style

Sadeniemi, Minna, Nerea Almeda, Jose A. Salinas-Pérez, Mencía R. Gutiérrez-Colosía, Carlos García-Alonso, Taina Ala-Nikkola, Grigori Joffe, Sami Pirkola, Kristian Wahlbeck, Jordi Cid, and Luis Salvador-Carulla. 2018. "A Comparison of Mental Health Care Systems in Northern and Southern Europe: A Service Mapping Study" International Journal of Environmental Research and Public Health 15, no. 6: 1133. https://doi.org/10.3390/ijerph15061133

Find Other Styles

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Metrics

Abstract views Pdf views Html views

Article Menu

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

Abstract

Share and Cite

Article Metrics

Article Access Statistics

Article Access Map by Country/Region

Further Information

Guidelines

MDPI Initiatives

Follow MDPI