Allocation of Users of Mental Health Services to Needs-Based Care Clusters: An Italian Pilot Study.
In Italy, despite strong community-based mental health services, needs assessment is unsatisfactory. Using the Mental Health Clustering Tool (MHCT) we adopted a multidimensional and non-diagnosis dependent approach to assign mental health services users with similar needs to groups corresponding to...
| Publicado en: | Community Mental Health Journal Vol. 60; no. 3; pp. 494 - 504 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Apr2024
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=175831030&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 175831030 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00103853 CMH jtl: Community Mental Health Journal issn: 00103853 maglogo: N pubinfo: dt: Apr2024 vid: 60 iid: 3 pid: 237 pub: Springer Nature artinfo: ui: 175831030 10.1007/s10597-023-01200-3 ppf: 494 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P size: 1.5MB tig: atl: Allocation of Users of Mental Health Services to Needs-Based Care Clusters: An Italian Pilot Study. aug: au: Barbato, Angelo D'Avanzo, Barbara Corrao, Giovanni Di Fiandra, Teresa Ferrara, Lucia Gaddini, Andrea Jarach, Carlotta Micaela Monzio Compagnoni, Matteo Saponaro, Alessio Scondotto, Salvatore Tozzi, Valeria D Lora, Antonio affil: https://ror.org/05aspc753 Laboratory of Quality Assessment of Care and Services, Department of Health Policy, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy https://ror.org/01ynf4891 Unit of Biostatistics, Epidemiology and Public Health, Department of Statistics and Quantitative Methods, University of Milano-Bicocca, Street Bicocca degli Arcimboldi, 8, Building U7, 20126, Milan, Italy National Centre for Healthcare Research and Pharmacoepidemiology, University of Milano-Bicocca, Milan, Italy Psychologist, previously General Directorate for Health Prevention, Italian Ministry of Health, Rome, Italy https://ror.org/05crjpb27 Centre of Research on Health and Social Care Management, CERGAS SDA Bocconi School of Management (Bocconi University), Milan, Italy https://ror.org/008hssd09 Agency for Public Health, Lazio Region, Rome, Italy https://ror.org/05aspc753 Laboratory of Lifestyle Epidemiology, Department of Environment and Health, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy https://ror.org/02k57f568 General Directorate of Health and Social Policies, Emilia-Romagna Region, Bologna, Italy Department of Health Services and Epidemiological Observatory, Regional Health Authority, Sicily Region, Palermo, Italy Department of Mental Health and Addiction Services, ASST Lecco, Lecco, Italy su: Italy Personality disorders Social determinants of health Schizophrenia Medical personnel Public health Mental depression Needs assessment Community mental health services Bipolar disorder Mental illness Decision trees Community mental health service administration Medical protocols Research funding Descriptive statistics Cluster analysis (Statistics) sug: subj: Personality disorders Social determinants of health Schizophrenia Medical personnel Public health Mental depression Needs assessment Community mental health services Bipolar disorder Mental illness Italy Outpatient Mental Health and Substance Abuse Centers Residential Mental Health and Substance Abuse Facilities Other Individual and Family Services Health and Welfare Funds Decision trees Community mental health service administration Medical protocols Research funding Descriptive statistics Cluster analysis (Statistics) keyword: Determinants of Health Epidemiology MHCT Prevention Public Health Public Mental Health Determinants of Health Epidemiology MHCT Prevention Public Health Public Mental Health ab: In Italy, despite strong community-based mental health services, needs assessment is unsatisfactory. Using the Mental Health Clustering Tool (MHCT) we adopted a multidimensional and non-diagnosis dependent approach to assign mental health services users with similar needs to groups corresponding to resources required for effective care. We tested the MHCT in nine Departments of Mental Health in four Italian regions. After a brief training, 318 professionals assessed 12,938 cases with a diagnosis of schizophrenia, depression, bipolar disorder and personality disorder through the MHCT. 53% of cases were 40–59 years, half were females, 51% had a diagnosis of schizophrenia, 48% of cases were clinically severe. Clusters included different levels of clinical severity and diagnostic groups. The largest cluster was 11 (ongoing recurrent psychosis), with 18.9% of the sample, followed by cluster 3 (non-psychotic disorders of moderate severity). The MHCT could capture a variety of problems of people with mental disorders beyond the traditional psychiatric assessment, therefore depicting service population from a different standpoint. Following a brief training, MHCT assessment proved to be feasible. The automatic allocation of cases made the attribution to clusters easy and acceptable by professionals. To what extent clustering provide a sound base for care planning will be the matter of further research. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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