The mental health atlas as tools for an comprehensive spatial based management of mental health care

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Different funding schemes of mental health care coexist in Spain due to the transfer of power made to regional governments. Comparing the efficiency of those regional systems implies assessing several aspects. Among them, one of the most important is the structure and composition of the mental health network across the each region. This work attempt to present the mental health atlases (MHA) as a tool developed to describe the current state of the regional mental health network but also to support the planning of health policies. MHA offer a comprehensive approach to the mental health care since itencompasses services provided by the health care system but also services provided by other agents of the regional government. To do this, the DESDE-LTC classification as well as a geographical information system are employed. The DESDE-LTC classification allows making an inventory of the different service unit embodied within the mental health network, describing the function of each unit in a standardized way, regardless the denomination of the unit or its affiliation to a body of the regional government. To illustrate the MHA, this work present the MHA of Bizkaia and Guipuzkoa, whose mental health networks are composed by more than 150 and 130 standardized services, respectively. The MHA of Bizkaia shows that there is a high concentration of services in an area called “Ría de Bilbao”. Meanwhile the MHA of Guipuzkoa exhibits a mental health network more geographically dispersed. Despite these differences, both examples yield a good performance in terms of quality of care, except in the case of long-term stay in hospitals. This work contributes to the planning of public services by delivering a tool, which can be applied to other countries or adapted to be used to analyze the current state of public services networks across the space.
Book of proceedings: Annual AESOP Congress, Spaces of Dialog for Places of Dignity, Lisbon, 11-14th July, 2017
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