Transcript Presentation Title - G4-USER

To measure is to know
Developing a G4 Public Mental
Healthcare Monitor
– Monitor Working Party –
Public Mental Healthcare Monitor
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•
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Estimates of size
Risk profiles
Trends over time
Public Mental Health
Services
• Evaluations
• Benchmarking
• Indicators
7/18/2015
2
Starting Points
• Conceptual model
─ Public mental healthcare ladder
• Quality characteristics ─ Centre for Disease Control
• Strategy
─ Academic Collaborative Centres
18/07/2015
3
Conceptual model: Public mental
healthcare ladder
Rungs
Target group
0,1
Risk groups
2
Vulnerable in the community
3
Vulnerable in institutions
4
Vulnerable on the street
J. Wolf 2006
7/18/2015
4
Quality characteristics
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•
•
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Demand-driven
Uniformity in definitions
Origin of population
Quality indicators
1.
2.
3.
4.
5.
6.
7.
8.
Simplicity
Flexibility
Quality of the data
Representativeness
Acceptance
Sensitivity
Predictive value
Timeliness
Buehler JW. Surveillance. In: Rothman KJ, Greenland S, Lash TL.
Modern epidemiology. 2008: 459-480.
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Strategy
- Bottom up & top-down National
Indicator
Regional
Local
Monitor
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6
Rung 0, 1 Risk groups
Social exclusion index
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•
Netherlands Institute for Social Research
Health survey
Percentage socially excluded
20%
15%
10%
5%
0%
Rotterdam
The Hague
Utrecht
7/18/2015
7
Rung 2 Vulnerable in the community
Number of evictions in relation to total number of
corporation homes
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
Amsterdam
The Hague
Rotterdam*
Utrecht
2005
2006
2007
2008
2009
Maas, M., Planije, M.P. (2010). Monitor Plan van Aanpak Maastschappelijke Opvang (Social
Support Action Plan Monitor): Report 2009, Amsterdam, The Hague, Utrecht and Rotterdam.
Utrecht: Trimbos Institute + User Working Party
7/18/2015
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Rung 3 Vulnerable in institutions
Drug users* undergoing treatment / 1000 inhabitants aged 15+, 2010
4.0
aantal per 1000 inwoners
3.5
3.0
2.5
2.0
1.5
1.0
0.5
0.0
Amsterdam
Rotterdam
Den Haag
Utrecht
G4
Nat av
Rest NL
• Undergoing treatment for dependency on opiates or cocaine (injecting/smoking): source National
Alcohol and Drugs Information System/Foundation for the Provision of Care Information
• Municipal boundaries 2010: source Statistics Netherlands
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Rung 4 Vulnerable on the streets
7/18/2015
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Collaboration
Socially Vulnerable Groups Monitor
Public Mental Healthcare Theme Group
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