Eléments de revue de littérature et de bibliographie en matière d'organisation des soins et de recherche sur les services de santé mentale (2010)

2011 I In ns st ti it tu ut te e o of f H He ea al lt th h & & S So oc ci ie et ty y La recherche-évaluation "réforme des soins de santé mentale" est commanditée par le 1. The issue: fragmentation and integration of care in mental health care delivery 4 References 6 2. A framework for evaluating public-sector organisational networks, the work of Provan and Milward 8 Network governance 11 Sustainability, stability, and conflict response 15 References 16 3. Individual care plan: the case of Psychiatric Advance Directives 18 References 19 4. General bibliography and highlights 21 The ESEMeD Project 21 Length of hospitalisation for people with severe mental illness, Cochrane Database of Systematic Reviews 23 Psychiatric services for people with severe mental illness across western Europe 24 Providing continuity of care for people with severe mental illness-A narrative review 26 Intensive case management for severe mental illness, Cochrane Database of Systematic Reviews 27 The EUNOMIA project 31 Around-the-clock mobile psychiatric crisis intervention: Another effective alternative to psychiatric hospitalization 34 Involving users in the delivery and evaluation of mental health services: Systematic review 35 Assertive Community Treatment 36 Components of a modern mental health service: A pragmatic balance of community and hospital care. Overview of systematic evidence 38 IRSS-UCL – Mental Health Services Research 4 1. The issue: fragmentation and integration of care in mental health care delivery As a result of the deinstitutionalisation of psychiatric service users, fragmentation in mental health care delivery systems has become a public mental health issue in many Western countries (Morrissey 1999; Glasby and Dickinson 2008). Fragmentation contributes to inefficiency and ineffectiveness in healthcare delivery, and to health inequalities (Fiscella et al. 2000). There is in particular a lack of continuity and coordination in health and social care delivery, due to many structural divisions, separate administrative and policy sectors, complex and diverse funding schemes, and distinct professional backgrounds. This particularly affects people with chronic, multiple, and complex needs, such as socially marginalised people with mental health disorders. Vulnerable patients require care of both a medical and social nature within a multidisciplinary integrated approach, covering a wide variety of physical, mental health, and social care interventions. However, in a fragmented delivery system, care is provided by separate agencies, with few effective partnership agreements. The overall quality of care therefore depends on the effectiveness of each agency but also …