Integrated mental health atlas of the Western Sydney Local Health District: gaps and recommendations
Integrated mental health atlas of the Western Sydney Local Health District: gaps and recommendations
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DOI：
10.1071/ah15154
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发表时间：
2017-01-01
影响因子：
1.8
通讯作者：
Salvador-Carulla, Luis
中科院分区：
文献类型：
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作者：
Fernandez, Ana;Gillespie, James A.;Salvador-Carulla, Luis
Objective.澳大利亚的精神卫生保健仍然以医院为中心，支离破碎;它充满了差距，对促进康复几乎没有帮助。改革必须建立在更好地了解现有服务的基础上。心理健康地图集是这一知识库的重要组成部分，可以与其他地区和管辖区进行比较，但必须以严格的服务分类为基础。本研究的主要目的是创建一个综合的心理健康地图集的西悉尼LHD，以帮助决策者更好地规划知情的当地证据。标准的分类系统，即描述和评价的服务和目录在欧洲的长期护理模式，被用来描述和分类在西悉尼当地卫生区（LHD）的成人精神卫生服务。这些信息提供了无障碍地图的基础，并分析了在西悉尼LHD的精神疾病的生活经历的人提供护理。所有这些数据被用来创建西悉尼LHD. Results. Integrated心理健康地图集。该地图集确定了西悉尼LHD精神卫生保健的四个主要差距：（1）缺乏急性和亚急性社区寄宿护理;（2）缺乏提供急性日托和非急性日托的服务;（3）为有精神病生活经历的人提供的特定就业服务很少;（4）缺乏对精神病患者的治疗。（4）缺乏关于保障性住房可用性的全面数据。西悉尼LHD的综合心理健康地图集提供了一种工具，用于循证规划和成人心理健康护理模式的批判性分析。
Objective. Australian mental health care remains hospital centric and fragmented; it is riddled with gaps and does little to promote recovery. Reform must be built on better knowledge of the shape of existing services. Mental health atlases are an essential part of this knowledge base, enabling comparison with other regions and jurisdictions, but must be based on a rigorous classification of services. The main aim of this study is to create an integrated mental health atlas of the Western Sydney LHD in order to help decision makers to better plan informed by local evidence.Methods. The standard classification system, namely the Description and Evaluation of Services and Directories in Europe for Long-term Care model, was used to describe and classify adult mental health services in the Western Sydney Local Health District (LHD). This information provided the foundation for accessibility maps and the analysis of the provision of care for people with a lived experience of mental illness in Western Sydney LHD. All this data was used to create the Integrated Mental Health Atlas of Western Sydney LHD.Results. The atlas identified four major gaps in mental health care in Western Sydney LHD: (1) a lack of acute and sub-acute community residential care; (2) an absence of services providing acute day care and non-acute day care; (3) low availability of specific employment services for people with a lived experience of mental ill-health; and (4) a lack of comprehensive data on the availability of supported housing.Conclusions. The integrated mental health atlas of the Western Sydney LHD provides a tool for evidence-informed planning and critical analysis of the pattern of adult mental health care.