En la montaña rusa: breve historia del modelo de atención de salud mental en España. Informe SESPAS 2020

Salvador‐Carulla, Luis; Almeda, Nerea; Álvarez‐Gálvez, Javier; García‐Alonso, Carlos R.

doi:10.1016/j.gaceta.2020.06.009

Cited by 5 publications

(2 citation statements)

References 17 publications

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“…The geographical distribution of the users and the associated accessibility of their MH services have been demonstrated to play a crucial role in the planning and decision-making processes [ 59 ]. The Helsinki-Usimaa region is medium-sized and relatively homogeneous from a MH management point of view, but future researches concerning the Finnish MH system should also include a meso-level approach [ 41 , 60 ] to incorporate a deeper analysis of the influence of geographical allocation and how they are structured in catchment areas [ 40 , 55 , 56 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of the workforce allocation on the technical performance of mental health services: the collective case of Helsinki-Uusimaa (Finland)

Diaz-Milanes,

Almeda,

Gutierrez-Colosia

et al. 2023

Health Res Policy Sys

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Background Long-term mental health (MH) policies in Finland aimed at investing in community care and promoting reforms have led to a reduction in the number of psychiatric hospital beds. However, most resources are still allocated to hospital and community residential services due to various social, economic and political factors. Despite previous research focussing on the number and cost of these services, no study has evaluated the emerging patterns of use, their technical performance and the relationship with the workforce structure. Objective The purpose of this study was to observe the patterns of use and their technical performance (efficiency) of the main types of care of MH services in the Helsinki-Uusimaa region (Finland), and to analyse the potential relationship between technical performance and the corresponding workforce structure. Methods The sample included acute hospital residential care, non-hospital residential care and outpatient care services. The analysis was conducted using regression analysis, Monte Carlo simulation, fuzzy inference and data envelopment analysis. Results The analysis showed a statistically significant linear relationship between the number of service users and the length of stay, number of beds in non-hospital residential care and number of contacts in outpatient care services. The three service types displayed a similar pattern of technical performance, with high relative technical efficiency on average and a low probability of being efficient. The most efficient acute hospital and outpatient care services integrated multidisciplinary teams, while psychiatrists and nurses characterized non-hospital residential care. Conclusions The results indicated that the number of resources and utilization variables were linearly related to the number of users and that the relative technical efficiency of the services was similar across all types. This suggests homogenous MH management with small variations based on workforce allocation. Therefore, the distribution of workforce capacity should be considered in the development of effective policies and interventions in the southern Finnish MH system.

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Section: Discussionmentioning

confidence: 99%

Impact of the workforce allocation on the technical performance of mental health services: the collective case of Helsinki-Uusimaa (Finland)

Diaz-Milanes,

Almeda,

Gutierrez-Colosia

et al. 2023

Health Res Policy Sys

Self Cite

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“…The entire European Union has historically not given adequate attention to mental health [8]. Spain has not yet implemented the reforms proposed more than two decades ago [9], highlighting the fact that only around 60 percent of public health centers provide mental health care [5]. Due to these difficulties and a lack of services, as well as the high cost of mental health care in Spain and the European Union [6,10,11] and the expensive use of psychotropic drugs to treat mental disorders [12], finding more sustainable solutions is essential.…”

Section: Introductionmentioning

confidence: 99%

Dancing toward Well-Being: Effects on Mood and Well-Being of a 12-Week Flamenco Dance Workshop in Women Aged 60–80 Years

León-Rubio,

Rivera-Rodríguez,

León-Pérez

et al. 2023

Women

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The objective of this study was to examine the effect of a flamenco dance program on the mood and subjective well-being of 34 self-selected women from the community, aged between 62 and 79 years. The mean age was 70.11 (SD = 5.13). Participants voluntarily enrolled in a 12-week flamenco dance workshop conducted by the Autoestima Flamenca Association, with one two-hour session per week. Every two weeks, mood measurements (sadness, anxiety, anger and joy) were taken, and subjective well-being assessments were conducted before and after each session. It was found that the participants’ overall mood and subjective well-being improved significantly following the intervention. These improvements were observed at both the individual and group levels. Overall, our findings suggest that participation in a free 12-week flamenco dance program had a positive impact on mood and subjective well-being in this segment of the population.

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Los retos actuales de la salud mental desde la Salud Pública y la Administración Sanitaria. Informe SESPAS 2020

Mar¹,

García-Calvente²,

Cabasés³

et al. 2020

Gaceta Sanitaria

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En la montaña rusa: breve historia del modelo de atención de salud mental en España. Informe SESPAS 2020

Cited by 5 publications

References 17 publications

Impact of the workforce allocation on the technical performance of mental health services: the collective case of Helsinki-Uusimaa (Finland)

Impact of the workforce allocation on the technical performance of mental health services: the collective case of Helsinki-Uusimaa (Finland)

Dancing toward Well-Being: Effects on Mood and Well-Being of a 12-Week Flamenco Dance Workshop in Women Aged 60–80 Years

Los retos actuales de la salud mental desde la Salud Pública y la Administración Sanitaria. Informe SESPAS 2020

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