OBJECTIVES: There is a demand for international comparisons of mental health care in Latin America. The purpose of this study was to describe mental health care in catchment health areas in Chile and Spain in order to complement information reported at the macro-level (countries or regions). METHODS: Availability and utilization of services for the adult population were assessed in two urban areas in Chile and in three urban areas in Spain by using the European Service Mapping Schedule (meso-level data). Indicators from a previous data envelopment analysis (DEA) model of basic community care were applied to this analysis. RESULTS: For the two countries, local data on beds and staff differed from data provided at the national level. In Chile meso-level data indicated more available beds and more psychologists per capita than did macro-level data. Quantitative indicators of community care were described, and the main gaps in Chile's urban areas were identified, particularly in day care and nonhospital residential care. There was nearly a tenfold difference in use of residential and day care between the benchmark area in Spain and the areas explored in Chile. In Chile's catchment areas there was no availability of nonacute hospital services, any work-related services for persons with mental disorders, or 24-hour mobile or nonmobile emergency psychiatric care. The meso-level data indicated that delivery and use of care in Chile was more similar to the pattern found in the poorer area in southern Spain than macro-level data would indicate. CONCLUSIONS: The European Service Mapping Schedule was useful for describing mental health care outside of Europe and allowed for an international comparison between Chile and Spain. The meso-level description gathered in this study adds to the macro-level information on the mental health care system that has been provided in other reports. The gap between mental health treatment needed and mental health treatment received in Chile may be lower than expected.
OBJECTIVES: There is a demand for international comparisons of mental health care in Latin America. The purpose of this study was to describe mental health care in catchment health areas in Chile and Spain in order to complement information reported at the macro-level (countries or regions). METHODS: Availability and utilization of services for the adult population were assessed in two urban areas in Chile and in three urban areas in Spain by using the European Service Mapping Schedule (meso-level data). Indicators from a previous data envelopment analysis (DEA) model of basic community care were applied to this analysis. RESULTS: For the two countries, local data on beds and staff differed from data provided at the national level. In Chile meso-level data indicated more available beds and more psychologists per capita than did macro-level data. Quantitative indicators of community care were described, and the main gaps in Chile's urban areas were identified, particularly in day care and nonhospital residential care. There was nearly a tenfold difference in use of residential and day care between the benchmark area in Spain and the areas explored in Chile. In Chile's catchment areas there was no availability of nonacute hospital services, any work-related services for persons with mental disorders, or 24-hour mobile or nonmobile emergency psychiatric care. The meso-level data indicated that delivery and use of care in Chile was more similar to the pattern found in the poorer area in southern Spain than macro-level data would indicate. CONCLUSIONS: The European Service Mapping Schedule was useful for describing mental health care outside of Europe and allowed for an international comparison between Chile and Spain. The meso-level description gathered in this study adds to the macro-level information on the mental health care system that has been provided in other reports. The gap between mental health treatment needed and mental health treatment received in Chile may be lower than expected.
Authors: C Robert Cloninger; Luis Salvador-Carulla; Laurence J Kirmayer; Michael A Schwartz; James Appleyard; Nick Goodwin; JoAnna Groves; Marc H M Hermans; Juan E Mezzich; C W van Staden; Salman Rawaf Journal: Int J Pers Cent Med Date: 2014
Authors: Taina Ala-Nikkola; Sami Pirkola; Raija Kontio; Grigori Joffe; Maiju Pankakoski; Maili Malin; Minna Sadeniemi; Minna Kaila; Kristian Wahlbeck Journal: Int J Environ Res Public Health Date: 2014-08-19 Impact factor: 3.390
Authors: Taina Ala-Nikkola; Sami Pirkola; Minna Kaila; Grigori Joffe; Raija Kontio; Olli Oranta; Minna Sadeniemi; Kristian Wahlbeck; Samuli I Saarni Journal: Int J Environ Res Public Health Date: 2018-05-31 Impact factor: 3.390
Authors: Minna Sadeniemi; Nerea Almeda; Jose A Salinas-Pérez; Mencía R Gutiérrez-Colosía; Carlos García-Alonso; Taina Ala-Nikkola; Grigori Joffe; Sami Pirkola; Kristian Wahlbeck; Jordi Cid; Luis Salvador-Carulla Journal: Int J Environ Res Public Health Date: 2018-05-31 Impact factor: 3.390
Authors: Luis Salvador-Carulla; Javier Alvarez-Galvez; Cristina Romero; Mencia R Gutiérrez-Colosía; Germain Weber; David McDaid; Hristo Dimitrov; Lilijana Sprah; Birgitte Kalseth; Giuseppe Tibaldi; Jose A Salinas-Perez; Carolina Lagares-Franco; Maria Teresa Romá-Ferri; Sonia Johnson Journal: BMC Health Serv Res Date: 2013-06-15 Impact factor: 2.655
Authors: Taina Ala-Nikkola; Minna Sadeniemi; Minna Kaila; Samuli Saarni; Raija Kontio; Sami Pirkola; Grigori Joffe; Olli Oranta; Kristian Wahlbeck Journal: BMC Psychiatry Date: 2016-08-12 Impact factor: 3.630