Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-26T03:23:31.509Z Has data issue: false hasContentIssue false
  • English
  • Français

Use of an integrated Atlas of Mental Health Care for evidence informed policy in Catalonia (Spain)

Published online by Cambridge University Press:  16 September 2014

A. Fernandez ,
J. A. Salinas-Perez ,
M. R. Gutierrez-Colosia ,
B. Prat-Pubill ,
A Serrano-Blanco ,
C. Molina ,
E. Jorda ,
C. R. Garcia-Alonso  and
L. Salvador-Carulla
A. Fernandez
Affiliation:
Faculty of Health Sciences, Centre for Disability Reseach and Policy and Mental Health Policy Unit, Brain and Mind Research Institute, University of Sydney, Sydney, Australia Research and Development Unit, Fundacio Sant Joan de Deu, Sant Boi de Llobregat, Barcelona, Spain
J. A. Salinas-Perez
Affiliation:
Universidad Loyola Andalucia, Spain
M. R. Gutierrez-Colosia
Affiliation:
PSICOST, Scientific Association, Spain
B. Prat-Pubill
Affiliation:
Department of Health, Generalitat de Catalunya, Barcelona, Spain
A Serrano-Blanco
Affiliation:
Research and Development Unit, Fundacio Sant Joan de Deu, Sant Boi de Llobregat, Barcelona, Spain
C. Molina
Affiliation:
Department of Health, Generalitat de Catalunya, Barcelona, Spain
E. Jorda
Affiliation:
Department of Health, Generalitat de Catalunya, Barcelona, Spain
C. R. Garcia-Alonso
Affiliation:
Universidad Loyola Andalucia, Spain
L. Salvador-Carulla*
Affiliation:
Faculty of Health Sciences, Centre for Disability Reseach and Policy and Mental Health Policy Unit, Brain and Mind Research Institute, University of Sydney, Sydney, Australia
*
*Address for correspondence: Professor L. Salvador-Carulla, Faculty of Health Sciences, Centre for Disability Research and Policy, Mental Health Policy Unit, Brain and Mind Research Institute, University of Sydney, T315a Cumberland Campus, 75 East Street, Lidcombe NSW 2141, Sydney, Australia. (Email: luis.salvador-carulla@sydney.edu.au)
Get access Rights & Permissions [Opens in a new window]

Abstract

Background.

This paper aims to present the Integrated Atlas of Mental Health of Catalonia (2010) focusing on: (a) the importance of using a taxonomy-based coding and standard system of data collection when assessing health services; and (b) its relevance as a tool for evidence-informed policy.

Method.

This study maps all the care-related services for people with mental disorders available in Catalonia in 2010, using the ‘Description and Evaluation of Services and Directories in Europe for long-term care’ (DESDE-LTC). The unit of analysis is the Basic Stable Input of Care (BSIC), which is the minimal organisation unit composed by a set of inputs with temporal stability. We presented data on: (a) availability of BSICs and their capacity; (b) the adequacy of the provision of care, taking into account availability and accessibility; (c) the evolution of BSCIs from 2002 to 2010; and (d) the perceived relevance of Atlas of Mental Health as a tool for evidence-informed policy.

Results.

We identified a total of 639 BSICs. A lack of Health services was detected in highly rural areas, although there was moderate availability of Social Services. Overall, more than 80% of the small mental health areas in Catalonia had an adequate core mental health service. Since 2002 the availability of mental health services has increased. Decision makers found the Atlas a useful and relevant tool for evidence informed policy.

Conclusions.

Policy makers can use Atlases to detect gaps and inequities in the provision of care for people with mental health needs.

Keywords

Atlas of health careevidence-informed policyintegrated caremental health
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 24 , Issue 6 , December 2015 , pp. 512 - 524
Copyright
Copyright © Cambridge University Press 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Almeida, OP (2003). Atlas: mental health resources in the world 2001. Psychological Medicine 33, 568–568.Google Scholar
Berger, EL (2007). Mental Health Atlas 2005. Journal of Nervous and Mental Disease 195, 358–359 CrossRefGoogle Scholar
Bosch-Capblanch, X, Lavis, JN, Lewin, S, Atun, R, Rottingen, JA, Droschel, D, Beck, L, Abalos, E, El-Jardali, F, Gilson, L, Oliver, S, Wyss, K, Tugwell, P, Kulier, R, Pang, T, Haines, A (2012). Guidance for Evidence-informed policies about health systems: rationale for and challenges of guidance development. Plos Medicine 9.CrossRefGoogle ScholarPubMed
Cronenwett, JL, Birkmeyer, JD (2000). The Dartmouth Atlas of vascular health care. Cardiovascular Surgery 8, 409–410.Google ScholarPubMed
Garcia-Alonso, C, Salvador-Carulla, L, Alvarez-Galvez, J, Salinas-Perez, JA, Fernandez, A, Serrano-Blanco, A, Prat-Pubill, B, Jorda-Samprieto, E (2013). Modelling the quality and technical efficiency of the mental health system in Catalonia (Spain). Tenth International Conference of the European Network for Mental Health Service Evaluation (ENMESH 2013) Recovery-oriented mental health services: Therapeutic, organisational and economic challenges: Verona.Google Scholar
Goodwin, N (2013). Understanding integrated care: a complex process, a fundamental principle. International Journal of Integrated Care 13.CrossRefGoogle ScholarPubMed
Johnson, S, Kuhlmannr, R, the Group Epcat (2000). The European Service Mapping Schedule (ESMS): development of an instrument for the description and classification of mental health services. Acta Psychiatrica Scandinavica 102, 14–23.CrossRefGoogle Scholar
Knapp, M, Funkm, M, Curran, C, Prince, M, Grigg, M, McDaid, D (2006). Economic barriers to better mental health practice and policy. Health Policy and Planning 21, 157–170.CrossRefGoogle ScholarPubMed
Lomas, J (2000). Using ‘linkage and exchange’ to move research into policy at a Canadian foundation. Health Affairs 19, 236–240.CrossRefGoogle Scholar
Mcbain, R, Salhi, C, Morris, JE, Salomon, JA, Betancourt, TS (2012). Disease burden and mental health system capacity: WHO Atlas study of 117 low- and middle-income countries. British Journal of Psychiatry 201, 444–450.CrossRefGoogle ScholarPubMed
Meier, DE, Beresford, L (2008). Dartmouth Atlas Data can support palliative care development. Journal of Palliative Medicine 11, 960–963.CrossRefGoogle ScholarPubMed
Moran, V, O'connor, S, Borowitz, M (2013). International approaches to measuring the quality of mental health care. Epidemiology and Psychiatric Sciences 22, 3–7.CrossRefGoogle ScholarPubMed
Noble, M (1994). New Practice Atlas Outlines variations in health-care provided across Ontario. Canadian Medical Association Journal 151, 218–219.Google ScholarPubMed
Parrott, R, Hopfer, S, Ghetian, C, Lengerich, E (2007). Mapping as a visual health communication tool: promises and dilemmas. Health Communication 22, 13–24.CrossRefGoogle ScholarPubMed
de la Puente, ML (2006). Preface. Acta Psychiatrica Scandinavica 14 (Suppl. 432), 4.CrossRefGoogle Scholar
Rocha, KB, Rodriguez-Sanz, M, Perez, K, Obiols, JE, Borrell, C (2013). Inequalities in the utilization of psychiatric and psychological services in Catalonia: a multilevel approach. Administration and Policy in Mental Health and Mental Health Services Research 40, 355–363.CrossRefGoogle ScholarPubMed
Salinas-Perez, JA, Garcia-Alonso, CR, Molina-Parrilla, C, Jorda-Sampietro, E, Salvador-Carulla, L (2012). Identification and location of hot and cold spots of treated prevalence of depression in Catalonia (Spain). International Journal of Health Geographics 11, 36.CrossRefGoogle ScholarPubMed
Salvador-Carulla, L, Mezzich, JE (2012). Person-centred medicine and mental health. Epidemiology and Psychiatric Sciences 21, 131–137.CrossRefGoogle ScholarPubMed
Salvador-Carulla, L, Garrido, M, McDaid, D, Haro, JM (2006). Financing mental health care in Spain: context and critical issues. European Journal of Psychiatry 20, 29–44.CrossRefGoogle Scholar
Salvador-Carulla, L, Costa-Font, J, Cabases, J, McDaid, D, Alonso, J (2010 a). Evaluating Mental Health Care and Policy in Spain. Journal of Mental Health Policy and Economics 13, 73–86.Google ScholarPubMed
Salvador-Carulla, L, Salinas-Perez, JA, Martin, M, Grane, MS, Gibert, K, Roca, M, Bulbena, A (2010 b). A preliminary taxonomy and a standard knowledge base for mental-health system indicators in Spain. International Journal of Mental Health Systems 4, 29.CrossRefGoogle Scholar
Salvador-Carulla, L, Dimitrov, H, Weber, G, McDaid, D, Venner, B, Sprah, L, Romero, C, Ruiz, M, Tibaldi, G, Johnson, S (2011). DESDE-LTC: Evaluation, and Classification of Services for Long Term Care in Europe. Psicost and Catalunya Caixa: Barcelona. Availabe at: www.edesdeproject.eu/ (last accessed 18 August 2014)Google Scholar
Salvador-Carulla, L, Putnam, M, Bigby, C, Heller, T (2012). Advancing a research agenda for bridging ageing and disability. International Journal of Integrated Care 12, e204.CrossRefGoogle ScholarPubMed
Salvador-Carulla, L, Alvarez-Galvez, J, Romero, C, Gutierrez-Colosia, MR, Weber, G, McDaid, D, Dimitrov, H, Sprah, L, Kalseth, B, Tibaldi, G, Salinas-Perez, JA, Lagares-Franco, C, Roma-Ferri, MT, Johnson, S (2013 a). Evaluation of an integrated system for classification, assessment and comparison of services for long-term care in Europe: the eDESDE-LTC study. BMC Health Services Research 13, 218.CrossRefGoogle ScholarPubMed
Salvador-Carulla, L, Serrano-Blanco, A, Garcia-Alonso, C, Fernandez A,Salina-Perez, JA, Gutierrez-Colosia, MR, Marfull-Blanc, T, Rodero-Cosano MLPrat-Pubill, B, Molina, C (2013 b). GEOSCAT: Atles integral dels serveis d'atenció a la salut mental de Catalunya, 2010. Pla director de salut mental i addiccions. Direcció General de Planificació i Recursos Sanitaris, Generalitat de Catalunya: Barcelona.Google Scholar
Saxena, S, Maulik, PK, O'Connell, K, Saraceno, B (2002). Editorial: mental health care in primary and community settings: results from Who's project atlas. International Journal of Social Psychiatry 48, 83–85.CrossRefGoogle ScholarPubMed
Saxena, S, Sharan, P, Cumbrera, MG, Saraceno, B (2006). World Health Organization's mental health atlas 2005: implications for policy development. World Psychiatry 5, 179–184.Google ScholarPubMed
Saxena, S, Thornicroft, G, Knapp, M, Whiteford, H (2007). Global Mental Health 2 – resources for mental health: scarcity, inequity, and inefficiency. Lancet 370, 878–889.CrossRefGoogle Scholar
Thigpen, S, Puddy, RW, Singer, HH, Hall, DM (2012). Moving knowledge into action: developing the rapid synthesis and translation process within the interactive systems framework. American Journal of Community Psychology 50, 285–294.CrossRefGoogle ScholarPubMed
Supplementary material: File

Fernandez Supplementary Material

Supplementary Material

Download Fernandez Supplementary Material(File)
File 62.6 KB