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Mapping mental health services in Europe.

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Ilaria Montagni

on 27 November 2013

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Transcript of Mapping mental health services in Europe.

Mapping mental health services in Europe.
project experience.

The REMAST toolkit
REfinement MApping Services Toolkit
The SES Index
within the REFINEMENT:
a first reliable classification of services for the building of the Best Practice Models of Mental Health care financing in the REFINEMENT countries

for Europe in general:

a new revised toolkit, the REMAST 2.0
Ilaria Montagni (Italy)
Federico Tedeschi (Italy)
Damiano Salazzari (Italy)
Gaia Cetrano (Italy)
Laura Rabbi (Italy)
Laura Grigoletti (Italy)
Mencia Ruiz (Spain)
Jordi Cid (Spain)
Juan Luis Gonzalez-Caballero (Spain)
Francesco Amaddeo (Italy)
Luis Salvador-Carulla (Spain)

What does mapping services mean?
The parts of the Remast toolkit
Services Inventory (DESDE-LTC)
Policies and Description
SES Index
Geographical Information

Results: Services Inventory - 1
Number of Mapped Services
The number of services does not provide full and reliable information on the mental health (and social) systems of one country. Results were weighted on population, services availability and patients' use.
Detailed descriptions of the services (contacts, staff, administration, financing etc.)
Classification of the services (codification system, DESDE-LTC)
Complete addresses of the services

Geocodification of the services
Spatial accessibility to psychiatric mobile services

Psychiatric hospital-based acute services

The interfaces between health and non-health sectors: a comparative analysis of mental health service provision

Socio-Economic Status (SES) INDEX

Psychiatric hospital-based acute services
Hospital beds for acute and not acute patients: numbers and rates
Professional staff in hospital care (percentages of FTE)
Spatial accessibility to psychiatric mobile services
The interfaces between health and non-health sectors: a comparative analysis of mental health service provision
Number of Mobile Services and Staff employed
Opening days and hours of Mobile Services
Isochronous Maps
Family composition
: Single-parent families; Individuals divorced or widowed;
: Workers employed in Industry; Workers employed in Services; Unemployment rate;
: Individuals with Tertiary qualification on people>15;
Family size
: Average number of people per household; Households made up by 1 person; Households made up by 5 or more people;
Age composition
: Ageing index; Dependency ratio; Individuals below 5 years old
: Population density; Immigrants ; Rented Accommodation

5 countries:
Italy, Austria, Spain, Finland, France

Huge differences across countries arose for rate of immigrants and population density, while similar values were found for dependency ratio, rate of people below 5 and average number of people per household
Population density very high in Italy, England (Study Area), Spain (Macro Area) and very low in Norway and (for the Macro Area) Finland
Rate of immigrants very low in Romania
Looking at the Study Area alone, huge differences also wrt Tertiary qualification (higher in Finland, Norway, France, lower in Romania) and unemployment rate (higher in Romania, lower in England and Norway)

Multigroup Factor Analysis is now being implemented
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