EPA guidance on the quality of mental health services: A systematic meta-review and update of recommendations focusing on care coordination.

Autor:	Gaebel W; Department of Psychiatry, Medical Faculty, LVR-Klinikum Düsseldorf, Heinrich-Heine-University, Düsseldorf, Germany.; WHO Collaborating Centre on Quality Assurance and Empowerment in Mental Health, Düsseldorf, Germany., Kerst A; Department of Psychiatry, Medical Faculty, LVR-Klinikum Düsseldorf, Heinrich-Heine-University, Düsseldorf, Germany.; WHO Collaborating Centre on Quality Assurance and Empowerment in Mental Health, Düsseldorf, Germany., Janssen B; LVR-Klinik Langenfeld, Langenfeld, Germany., Becker T; Department of Psychiatry II, University of Ulm, Bezirkskrankenhaus Günzburg, Germany., Musalek M; Anton Proksch Institute, Vienna, Austria., Rössler W; Department of Psychiatry and Psychotherapy, Charité, Universitätsmedizin Berlin, Berlin, Germany.; Psychiatric University Hospital, University of Zurich, Zurich, Switzerland.; Laboratory of Neuroscience (LIM 27), Institute of Psychiatry, University of Sao Paulo; Sao Paulo, Brazil., Ruggeri M; Section of Psychiatry, Department of Public Health and Community Medicine, University of Verona, Verona, Italy., Thornicroft G; Centre for Global Mental Health, Institute of Psychiatry, Psychology &Neuroscience, King's College, London, United Kingdom., Zielasek J; LVR-Institute for Healthcare Research, Cologne, Germany., Stricker J; Department of Psychiatry, Medical Faculty, LVR-Klinikum Düsseldorf, Heinrich-Heine-University, Düsseldorf, Germany.; WHO Collaborating Centre on Quality Assurance and Empowerment in Mental Health, Düsseldorf, Germany.
Jazyk:	angličtina
Zdroj:	European psychiatry : the journal of the Association of European Psychiatrists [Eur Psychiatry] 2020 Jul 24; Vol. 63 (1), pp. e75. Date of Electronic Publication: 2020 Jul 24.
DOI:	10.1192/j.eurpsy.2020.75
Abstrakt:	Background: The quality of mental health services is crucial for the effectiveness and efficiency of mental healthcare systems, symptom reduction, and quality of life improvements in persons with mental illness. In recent years, particularly care coordination (i.e., the integration of care across different providers and treatment settings) has received increased attention and has been put into practice. Thus, we focused on care coordination in this update of a previous European Psychiatric Association (EPA) guidance on the quality of mental health services. Methods: We conducted a systematic meta-review of systematic reviews, meta-analyses, and evidence-based clinical guidelines focusing on care coordination for persons with mental illness in three literature databases. Results: We identified 23 relevant documents covering the following topics: case management, integrated care, home treatment, crisis intervention services, transition from inpatient to outpatient care and vice versa, integrating general and mental healthcare, technology in care coordination and self-management, quality indicators, and economic evaluation. Based on the available evidence, we developed 15 recommendations for care coordination in European mental healthcare. Conclusions: Although evidence is limited, some concepts of care coordination seem to improve the effectiveness and efficiency of mental health services and outcomes on patient level. Further evidence is needed to better understand the advantages and disadvantages of different care coordination models.
Databáze:	MEDLINE
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