Mental Health Reform Processes and Service Delivery Shift From the Hospital to the Community in Belgium and Hong Kong.

Aim: We aimed to illustrate and compare the processes of mental health policies aiming at a service delivery shift from the hospital to the community using implementation science, and to identify important implementation strategies. Methods: This study had a comparative case study design. The cases...

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Publicado en:Health Services Insights pp. 1 - 10
Autores principales: Honyashiki, Mina, Decoster, Jeroen, Lo, William Tak Lam, Shimazu, Taichi, Usuda, Kentaro, Nishi, Daisuke
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 11/9/2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 11/9/2023
      pid: 344
      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Mental Health Reform Processes and Service Delivery Shift From the Hospital to the Community in Belgium and Hong Kong.
      aug:
        au:
          Honyashiki, Mina
          Decoster, Jeroen
          Lo, William Tak Lam
          Shimazu, Taichi
          Usuda, Kentaro
          Nishi, Daisuke
        affil: Department of Psychiatry, Tokyo Medical University, Tokyo, Japan
      sug:
        subj:
          Health Care Delivery
          Health Care Reform
          Community Mental Health Services Hong Kong
          Community Mental Health Services Belgium
          Hospitals, Psychiatric
          Implementation Science Methods
          Human
          Belgium
          Hong Kong
          Japan
          Comparative Studies
          Content Analysis
          World Wide Web
          Collaboration
          Health Care Industry
          Funding Source
      ab: Aim: We aimed to illustrate and compare the processes of mental health policies aiming at a service delivery shift from the hospital to the community using implementation science, and to identify important implementation strategies. Methods: This study had a comparative case study design. The cases were the Belgian mental health reform, and the person-centered model of mental health in Hong Kong, China. Several documentary sources were reviewed, including the published literature and websites. Data on policy processes were extracted, analyzed using directed content analysis, and categorized into constructs of the conceptual model for evidence-informed policy formulation and implementation arranged for the mental health policy. Results: Several similarities were identified in the strategies for active implementation and dissemination; official staff allocation, and training to the community psychiatric services, an approach to adjust the number of psychiatric hospital beds, and promoting collaboration between health care sectors and social welfare sectors. Under distinct social contexts, differences were found in all processes. Conclusions: Each of the described policy processes can serve as a model for countries in similar social contexts seeking to shift their psychiatric service delivery. Furthermore, our findings suggest widely applicable implementation strategies for policies aiming at a service delivery shift.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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