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

Bibliographic Data

ID15490686
AuthorsTaina Ala-Nikkola (0000-0003-0834-1195, University of Helsinki, corresponding author), Sami Pirkola (0000-0003-0138-3130, Finnish Institute for Health and Welfare), Raija Kontio (Hospital District of Helsinki and Uusimaa), Grigori Joffe (0000-0002-0782-6812, Hospital District of Helsinki and Uusimaa), Maiju Pankakoski (0000-0002-2074-9559, Finnish Institute for Health and Welfare), Maili Malin (Finnish Institute for Health and Welfare), Minna Sadeniemi (Hospital District of Helsinki and Uusimaa), Minna Kaila (0000-0002-9645-4925, University of Helsinki), Kristian Wahlbeck (0000-0003-3754-3933, Finnish Institute for Health and Welfare)
Year2014
Volume11
Issue8
Pages8456-8474
Publication date2014-08-19
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph110808456
PMID25153471
PMCIDPMC4143871
OpenAlexW2106937566
LanguageEN
Citations received5
References cited21

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

Business · Diversity (politics · Environmental health · Mental health · Political science · Population · Psychiatry · Quality (philosophy · Service (business · Substance abuse · Employment and Welfare Studies · Health disparities and outcomes · Medicine · Mental Health Treatment and Access · Psychology · Gerontology · Marketing

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