Frank van Hoof1, Aafje Knispel1, Jørgen Aagaard2, Justine Schneider3, Chris Beeley3, René Keet4, Marijke van Putten4. 1. a Trimbos Institute, Netherlands Institute for Mental Health and Addiction , Utrecht , the Netherlands . 2. b Centre for Psychiatric Research, Aarhus University Hospital & CSU, Aarhus Municipality , Aarhus , Denmark . 3. c Institute of Mental Health Nottingham , Nottingham , UK , and. 4. d GGZ Noord-Holland Noord , Heiloo , the Netherlands.
Abstract
BACKGROUND: The development of adequate community support of persons with severe mental health problems is an ongoing effort. National policies and national health and social care systems play an important role in the effectiveness of these efforts. AIMS: To get a better understanding of the ways in which national policies and (mental) health care systems can enhance the development of community support and social inclusion for people with severe mental illness. METHOD: A comparison was made between the experiences of 75 key persons on regional community support development regarding national policies and systems in Denmark, England and the Netherlands respectively. RESULTS: Four themes stood out as being particularly instrumental in the development of community support: - implementation of a national policy on social inclusion, - development of a national framework of responsibilities, entitlements and services, - solid funding and social inclusion incentivizing reimbursement systems, - integrated care. CONCLUSION: National governments do have opportunities to take or retake the lead to ensure that community support and social inclusion of persons with severe mental illness health problems are not just ideological slogans but solid policy.
BACKGROUND: The development of adequate community support of persons with severe mental health problems is an ongoing effort. National policies and national health and social care systems play an important role in the effectiveness of these efforts. AIMS: To get a better understanding of the ways in which national policies and (mental) health care systems can enhance the development of community support and social inclusion for people with severe mental illness. METHOD: A comparison was made between the experiences of 75 key persons on regional community support development regarding national policies and systems in Denmark, England and the Netherlands respectively. RESULTS: Four themes stood out as being particularly instrumental in the development of community support: - implementation of a national policy on social inclusion, - development of a national framework of responsibilities, entitlements and services, - solid funding and social inclusion incentivizing reimbursement systems, - integrated care. CONCLUSION: National governments do have opportunities to take or retake the lead to ensure that community support and social inclusion of persons with severe mental illness health problems are not just ideological slogans but solid policy.
Entities:
Keywords:
Community care; community support; health systems; mental health; policy
Authors: Anika Poppe; Leonie Bais; Daniëlle van Duin; Branislava Ćurčić-Blake; Gerdina Hendrika Maria Pijnenborg; Lisette van der Meer Journal: Trials Date: 2021-04-13 Impact factor: 2.279