Outpatient clinics treating substance use disorders in Northwest Russia and Northern Norway: a descriptive comparative study

Dahl, Helene; Rezvyy, Grigory; Bogdanov, Anatoly; Øiesvold, Terje

doi:10.1080/22423982.2017.1411733

Cited by 5 publications

(9 citation statements)

References 18 publications

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“…Of the articles that applied ESMS/DESDE system, 48.4% carried out a cross-sectoral evaluation, in some cases focused on specific target groups. The health sector was the focus of 18.7% of the papers; 26.7% related to specific health care: one paper described primary care services for patients with depression [51], three papers evaluated mental health and substance abuse services [33, 88, 90], one paper evaluated transition services from child and adolescent to adult mental health care [36] and others assessed other specific mental health services. One article focused on the evaluation of vocational services for people with schizophrenia [70] and nine papers described services used for specific target population like people with schizophrenia [30, 52, 53, 57, 61, 62, 70, 34] and intellectual disabilities [78].…”

Section: Resultsmentioning

confidence: 99%

“…This approach was advanced 20 years ago by the EPCAT group when the assessment of services provided by ESMS was accompanied by the standard analysis of the social and demographic context using ESDS [19], and by the description of the main modalities of care using ICMHC [18]. Whilst WHO-AIMS [38] and the Mental Health Country Profile (MHCP) [100] have been used for describing national mental health systems worldwide, ESMS/DESDE is the only system that provides local, bottom-up information that can be used across different sectors (health, social, education, employment, housing and justice) [99] and for coding services for different target groups such as mental disorders [89, 51] intellectual disabilities [78], substance abuse [33, 88, 90], general disabilities [20], aging and long term care [21, 22]. The usability of ESMS/DESDE for the analysis of local change and improvement has been tested in Catalonia (Spain) where the evolution of the mental health care system was analysed before and after the implementation of the 2006 regional mental health plan (2002–2010) [81].…”

Section: Discussionmentioning

confidence: 99%

“…Two health districts in Central Chile were evaluated in 2004/05 [69], 2008/09 [95] and 2012 [94]. Three hospital districts in Finland were assessed in 2004 [71], 2011/12 [33] and 2012/14 [84].The area of Verona (Italy) has been analysed in 2002 and 2010 [89]; and the areas in Northwest Russia and Northern Norway in 2004/05 and 2011/12 [64,88].…”

Section: Use In Longitudinal Studies Of the Evolution Of Care Systemsmentioning

confidence: 99%

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Standardised description of health and social care: A systematic review of use of the ESMS/DESDE (European Service Mapping Schedule/Description and Evaluation of Services and DirectoriEs)

Romero-López-Alberca

Gutiérrez-Colosía

Salinas-Pérez

et al. 2019

European Psychiatry

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Background: Evidence-informed planning and interpretation of research results both require standardised description of local care delivery context. Such context analysis descriptions should be comparable across regions and countries to allow benchmarking and organizational learning, and for research findings to be interpreted in context. The European Service Mapping Schedule (ESMS) is a classification of adult mental health services that was later adapted for the assessment of health and social systems research (Description and Evaluation of Services and DirectoriEs-DESDE). The aim of the study was to review the diffusion and use of the ESMS/DESDE system in health and social care and its impact in health policy and decision-making. Method: We conducted a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (1997-2018). Results: Out of 155 papers mentioning ESMS/DESDE, 71 have used it for service research and planning. The classification has been translated into eight languages and has been used by seven international research networks. Since 2000, it has originated 11 instruments for health system research with extensive analysis of their metric properties. The ESMS/DESDE coding system has been used in 585 catchment areas in 34 countries for description of services delivery at local, regional and national levels. Conclusions: The ESMS/DESDE system provides a common terminology, a classification of care services, and a set of tools allowing a variety of aims to be addressed in healthcare and health systems research. It facilitates comparisons across and within countries for evidence-informed planning.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Use In Longitudinal Studies Of the Evolution Of Care Systemsmentioning

confidence: 99%

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Standardised description of health and social care: A systematic review of use of the ESMS/DESDE (European Service Mapping Schedule/Description and Evaluation of Services and DirectoriEs)

Romero-López-Alberca

Gutiérrez-Colosía

Salinas-Pérez

et al. 2019

European Psychiatry

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“…The DESDE-LTC tool adapted and extended to long-term care (e.g., child and adolescents, drug and alcohol, disabilities, elderly, and chronic illness) the previous classification system provided by the ESMS for mental health care [ 32 ]. These instruments have been used in several previous studies that compared the mental health care provision: (i) In the same region or country [ 10 , 33 , 34 ], (ii) between divergent regions or districts in two countries [ 35 , 36 , 37 , 38 ], and (iii) in local areas across different countries in Europe [ 2 ].…”

Section: Methodsmentioning

confidence: 99%

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

Sadeniemi

Almeda

Salinas-Pérez

et al. 2018

IJERPH

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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.

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“…areas in two countries such as Spain and Italy (Salvador-Carulla et al, 2005), Spain and Finland (Sadeniemi et al, 2018), Spain and Chile (Salvador-Carulla et al, 2008), and Norway and Russia (Dahl et al, 2017). This methodology can be used in future studies for longitudinal monitoring of service change within an area, for monitoring mental health reform in different world regions, as well as being applied to other areas of integrated care, such as for older people.…”

Section: Epidemiology and Psychiatric Sciencesmentioning

confidence: 99%

The balance of adult mental health care: provision of core health versus other types of care in eight European countries

Cetrano

Salvador‐Carulla

Tedeschi

et al. 2018

Epidemiol Psychiatr Sci

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Aims Although many mental health care systems provide care interventions that are not related to direct health care, little is known about the interfaces between the latter and core health care. ‘Core health care’ refers to services whose explicit aim is direct clinical treatment which is usually provided by health professionals, i.e., physicians, nurses, psychologists. ‘Other care’ is typically provided by other staff and includes accommodation, training, promotion of independence, employment support and social skills. In such a definition, ‘other care’ does not necessarily mean being funded or governed differently. The aims of the study were: (1) using a standard classification system (Description and Evaluation of Services and Directories in Europe for Long Term Care, DESDE-LTC) to identify ‘core health’ and ‘other care’ services provided to adults with mental health problems; and (2) to investigate the balance of care by analysing the types and characteristics of core health and other care services. Methods The study was conducted in eight selected local areas in eight European countries with different mental health systems. All publicly funded mental health services, regardless of the funding agency, for people over 18 years old were identified and coded. The availability, capacity and the workforce of the local mental health services were described using their functional main activity or ‘Main Types of Care’ (MTC) as the standard for international comparison, following the DESDE-LTC system. Results In these European study areas, 822 MTCs were identified as providing core health care and 448 provided other types of care. Even though one-third of mental health services in the selected study areas provided interventions that were coded as ‘other care’, significant variation was found in the typology and characteristics of these services across the eight study areas. Conclusions The functional distinction between core health and other care overcomes the traditional division between ‘health’ and ‘social’ sectors based on governance and funding. The overall balance between core health and other care services varied significantly across the European sites. Mental health systems cannot be understood or planned without taking into account the availability and capacity of all services specifically available for this target population, including those outside the health sector.

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Outpatient clinics treating substance use disorders in Northwest Russia and Northern Norway: a descriptive comparative study

Cited by 5 publications

References 18 publications

Standardised description of health and social care: A systematic review of use of the ESMS/DESDE (European Service Mapping Schedule/Description and Evaluation of Services and DirectoriEs)

Standardised description of health and social care: A systematic review of use of the ESMS/DESDE (European Service Mapping Schedule/Description and Evaluation of Services and DirectoriEs)

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

The balance of adult mental health care: provision of core health versus other types of care in eight European countries

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