Healthcare professionals' perspectives on mental health service provision: a pilot focus group study in six European countries.

Europe Health professionals Mental healthcare gap Optimal mental healthcare

Journal

International journal of mental health systems
ISSN: 1752-4458
Titre abrégé: Int J Ment Health Syst
Pays: England
ID NLM: 101294224

Informations de publication

Date de publication:
2020
Historique:
received: 09 06 2019
accepted: 29 02 2020
entrez: 14 3 2020
pubmed: 14 3 2020
medline: 14 3 2020
Statut: epublish

Résumé

The mental healthcare treatment gap (mhcGAP) in adult populations has been substantiated across Europe. This study formed part of MentALLY, a research project funded by the European Commission, which aimed to gather qualitative empirical evidence to support the provision of European mental healthcare that provides effective treatment to all adults who need it. Seven focus groups were conducted with 49 health professionals (HPs), including psychologists, psychiatrists, social workers, general practitioners, and psychiatric nurses who worked in health services in Belgium, Cyprus, Greece, the Netherlands, Norway and Sweden. The focus group discussions centered on the barriers and facilitators to providing quality care to people with mild, medium, and severe mental health problems. Analyses included deductively and inductively driven coding procedures. Cross-country consensus was obtained by summarizing findings in the form of a fact sheet which was shared for triangulation by all the MentALLY partners. The results converged into two overarching themes: (1) Minding the treatment gap: the availability and accessibility of Mental Health Services (MHS). The mhcGAP gap identified is composed of different elements that constitute the barriers to care, including bridging divides in care provision, obstacles in facilitating access via referrals and creating a collaborative 'chain of care'. (2) Making therapeutic practice relevant by providing a broad-spectrum of integrated and comprehensive services that value person-centered care comprised of authenticity, flexibility and congruence. The mhcGAP is comprised of the following barriers: a lack of funding, insufficient capacity of human resources, inaccessibility to comprehensive services and a lack of availability of relevant treatments. The facilitators to the provision of MHC include using collaborative models of primary, secondary and prevention-oriented mental healthcare. Teamwork in providing care was considered to be a more effective and efficient use of resources. HPs believe that the use of e-mental health and emerging digital technologies can enhance care provision. Facilitating access to a relevant continuum of community-based care that is responsive coordinated and in line with people's needs throughout their lives is an essential aspect of optimal care provision.

Sections du résumé

BACKGROUND BACKGROUND
The mental healthcare treatment gap (mhcGAP) in adult populations has been substantiated across Europe. This study formed part of MentALLY, a research project funded by the European Commission, which aimed to gather qualitative empirical evidence to support the provision of European mental healthcare that provides effective treatment to all adults who need it.
METHODS METHODS
Seven focus groups were conducted with 49 health professionals (HPs), including psychologists, psychiatrists, social workers, general practitioners, and psychiatric nurses who worked in health services in Belgium, Cyprus, Greece, the Netherlands, Norway and Sweden. The focus group discussions centered on the barriers and facilitators to providing quality care to people with mild, medium, and severe mental health problems. Analyses included deductively and inductively driven coding procedures. Cross-country consensus was obtained by summarizing findings in the form of a fact sheet which was shared for triangulation by all the MentALLY partners.
RESULTS RESULTS
The results converged into two overarching themes: (1) Minding the treatment gap: the availability and accessibility of Mental Health Services (MHS). The mhcGAP gap identified is composed of different elements that constitute the barriers to care, including bridging divides in care provision, obstacles in facilitating access via referrals and creating a collaborative 'chain of care'. (2) Making therapeutic practice relevant by providing a broad-spectrum of integrated and comprehensive services that value person-centered care comprised of authenticity, flexibility and congruence.
CONCLUSIONS CONCLUSIONS
The mhcGAP is comprised of the following barriers: a lack of funding, insufficient capacity of human resources, inaccessibility to comprehensive services and a lack of availability of relevant treatments. The facilitators to the provision of MHC include using collaborative models of primary, secondary and prevention-oriented mental healthcare. Teamwork in providing care was considered to be a more effective and efficient use of resources. HPs believe that the use of e-mental health and emerging digital technologies can enhance care provision. Facilitating access to a relevant continuum of community-based care that is responsive coordinated and in line with people's needs throughout their lives is an essential aspect of optimal care provision.

Identifiants

DOI: 10.1186/s13033-020-00350-1 PMID: 32165920 PMC: PMC7060571
pubmed: 32165920
doi: 10.1186/s13033-020-00350-1
pii: 350
pmc: PMC7060571
doi:

Types de publication

Journal Article

Langues

eng

Pagination

16

Informations de copyright

© The Author(s) 2020.

Déclaration de conflit d'intérêts

Competing interestsThe authors declare that they have no competing interests.

Références

Health Soc Care Community. 2018 Jan;26(1):122-130
pubmed: 28670769
J Health Serv Res Policy. 2016 Oct;21(4):215-6
pubmed: 27522068
PLoS Med. 2013;10(5):e1001448
pubmed: 23737736
Psychiatry Res. 2014 Sep 30;219(1):143-50
pubmed: 24889842
J Interprof Care. 2018 Jan;32(1):1-3
pubmed: 29131697
Health Soc Care Community. 2019 Jan;27(1):105-114
pubmed: 30027604
J Med Imaging Radiat Sci. 2017 Jun;48(2):207-216
pubmed: 31047370
Int J Environ Res Public Health. 2018 May 31;15(6):
pubmed: 29857556
Int J Ment Health Syst. 2011 May 23;5(1):13
pubmed: 21600067
Healthc Manage Forum. 2019 Mar;32(2):56-62
pubmed: 30739487
Epidemiol Psychiatr Sci. 2019 Apr;28(2):210-223
pubmed: 28918762
BMC Fam Pract. 2018 May 30;19(1):78
pubmed: 29848295
J Psychiatr Ment Health Nurs. 2019 Feb;26(1-2):1-10
pubmed: 30270481
Int J Epidemiol. 2014 Apr;43(2):341-53
pubmed: 24760874
Ir J Psychol Med. 2013 Dec;30(4):237-244
pubmed: 30189476
World Psychiatry. 2010 Jun;9(2):67-77
pubmed: 20671888
Psychol Sci Public Interest. 2014 Oct;15(2):37-70
pubmed: 26171956
Int J Ment Health Nurs. 2018 Oct;27(5):1401-1410
pubmed: 29446512
Psychiatr Serv. 2017 Jan 1;68(1):9-16
pubmed: 27476805
J Health Care Poor Underserved. 2016;27(3):1159-70
pubmed: 27524758
Glob Ment Health (Camb). 2017 Jul 31;4:e14
pubmed: 29230310
Curr Opin Psychiatry. 2015 Jul;28(4):299-306
pubmed: 26001921
Br J Psychiatry. 2017 Feb;210(2):119-124
pubmed: 27908899
Lancet. 2011 Nov 5;378(9803):1654-63
pubmed: 22008420
Lancet. 2011 Oct 22;378(9801):1457-8
pubmed: 21988763
Fam Syst Health. 2009 Dec;27(4):287-302
pubmed: 20047353
Health Aff (Millwood). 2015 Sep;34(9):1498-505
pubmed: 26355051
Br J Psychiatry. 2019 Apr 26;:1-4
pubmed: 31025616
World Psychiatry. 2016 Oct;15(3):276-286
pubmed: 27717265
Schizophr Bull. 2014 Jan;40 Suppl 1:S1-S94
pubmed: 24489078
J Glob Health. 2017 Jun;7(1):010408
pubmed: 28400954
J Child Psychol Psychiatry. 2019 Apr;60(4):455-472
pubmed: 29900543
Curr Opin Psychiatry. 2016 Jul;29(4):270-5
pubmed: 27100045
Psychiatr Serv. 2014 Jan 1;65(1):24-32
pubmed: 24081188
Curr Psychiatry Rep. 2019 Apr 30;21(6):44
pubmed: 31041554
Br J Psychiatry. 2016 Nov;209(5):429-430
pubmed: 26585097
Soc Sci Med. 2017 Oct;191:1-8
pubmed: 28881215
Lancet. 2018 Nov 10;392(10159):1859-1922
pubmed: 30415748
J Clin Med. 2019 Aug 17;8(8):
pubmed: 31426460
BMC Health Serv Res. 2007 Jul 25;7:117
pubmed: 17651489
World Psychiatry. 2010 Oct;9(3):169-76
pubmed: 20975864
Int J Ment Health Syst. 2017 Nov 7;11:67
pubmed: 29151851
Curr Psychiatry Rep. 2013 Aug;15(8):383
pubmed: 23881714

Auteurs

Sofia Triliva (S)

1Department of Psychology, University of Crete, 74100 Rethymno, Crete, Greece.

Spyridoula Ntani (S)

1Department of Psychology, University of Crete, 74100 Rethymno, Crete, Greece.

Theodoros Giovazolias (T)

1Department of Psychology, University of Crete, 74100 Rethymno, Crete, Greece.

Konstantinos Kafetsios (K)

1Department of Psychology, University of Crete, 74100 Rethymno, Crete, Greece.

Malin Axelsson (M)

2Department of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden.

Claudi Bockting (C)

3Department of Psychiatry, Amsterdam UMC, Location AMC, University of Amsterdam, Amsterdam, The Netherlands.
4Institute for Advanced Studies, University of Amsterdam, Amsterdam, The Netherlands.

Ann Buysse (A)

5Department of Experimental Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.

Mattias Desmet (M)

6Department of Psychoanalysis and Clinical Consulting, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.

Alexis Dewaele (A)

5Department of Experimental Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.

Dewi Hannon (D)

5Department of Experimental Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.

Inger Haukenes (I)

7Research Unit for General Practice, NORCE-Norwegian Research Centre, Bergen, Norway.
8Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.

Gunnel Hensing (G)

9Department of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.

Reitske Meganck (R)

6Department of Psychoanalysis and Clinical Consulting, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.

Kris Rutten (K)

10Department of Educational Studies, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.

Viktor Schønning (V)

9Department of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
11Division of Mental and Physical Health, Norwegian Institute of Public Health & Department of Psychosocial Science, University of Bergen, Bergen, Norway.

Laura Van Beveren (L)

10Department of Educational Studies, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.

Joke Vandamme (J)

5Department of Experimental Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.

Simon Øverland (S)

11Division of Mental and Physical Health, Norwegian Institute of Public Health & Department of Psychosocial Science, University of Bergen, Bergen, Norway.

Classifications MeSH