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Mental Health Services in the Community

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Mental Health Services in the Community Mental Health Services in the Community [Typ hier] Funded by the European Union in the frame of the 3rd EU Health Programme (2014-2020) Funded by the European Union in the frame of the 3rd EU Health Programmeme (2014-2020) This brochure was produced under the EU Health Programme (2014-2020) in the frame of a service contract with the Executive Agency (Chafea) acting under the mandate from the European Commission. The content of this brochure represents the views of the contractor and is its sole responsibility; it can in no way be taken to reflect the views of the European Commission and/or Chafea or any other body of the European Union. The European Commission and/or Chafea do not guarantee the accuracy of the data included in this brochure, nor do they accept responsibility for any use made by third parties thereof. This brochure represents the Deliverable 11b of the EU Compass Consortium under the service contract number 2014 71 03 on “Further development and implementation of the ‘EU Compass for Action on Mental Health and Well-being’”. The EU Compass is a tender commissioned by the European Commission and Consumers, Health, Agriculture and Food Executive Agency and is implemented by a consortium led by the Trimbos Institute in the Netherlands, together with the NOVA University of Lisbon, the Finnish Association for Mental Health and EuroHealthNet under the supervision and in close cooperation with the “Group of Governmental Experts on Mental Health and Well-being”. Acknowledgements This brochure has been prepared by Bethany Hipple Walters, Jan Heijdra Suasnábar, and Ionela Petrea. The submissions have been evaluated by Bethany Hipple Walters, Ingrid Keller, Diana Frasquilho, Danijela Štimac Grbić, Claudia Marinetti, Raluca Nica, Reija Tuomisalo, and Vladimir Nakov. We are grateful to Johannes Parkkonen from the Finnish Association for Mental Health (EU Consortium partner) for facilitating the collection of the data used for this brochure. EU Compass Consortium especially like to thank the Members State representatives and stakeholders who have dedicated their time to fill in the Good Practice surveys which provided us with the information needed to complete this brochure. 1 Table of Contents INTRODUCTION .................................................................................... 3 METHODS ............................................................................................. 4 GOOD PRACTICES ................................................................................. 7 Community-based Mental Health Services ................................................................... Practice 1. First European Art Festival for Mental Health (NEFELE FESTIVAL) ............ 8 Practice 2. GET.ON - Online Health Trainings for Improving Mental Health ............ 10 Practice 3. Individual Placement and Support in Italy .............................................. 12 Practice 4. Multisystemic Therapy (MTS) ................................................................. 14 Practice 5. Mental health care delivery system reform in Belgium .......................... 16 Practice 6. Projecto CuiDando – Mobile Unit of Integrated Domiciliary Care in Mental Health ........................................................................................................................ 18 Practice 7. Flexible Assertive Community Treatment (F-ACT) .................................. 20 More Accessible Mental Health Services ...................................................................... Practice 8. Cognitive Behavioural Therapy for substance use disorder in individuals with mild intellectual disability (CBT+) ..................................................................... 24 Practice 9. Mental Health First Aid (MHFA) .............................................................. 26 2 Introduction Many European countries address mental health concerns and promote mental well-being through specialised programmes and practices which focus on, but are not limited to, community-based and more accessible mental health services. While these programmes and practices may benefit various stakeholders involved in mental healthcare, there is not currently a systematic method of disseminating quality, practical information about good practices in mental health for use by other stakeholders within Europe. The EU Compass for Action on Mental Health and Well-being addresses this gap through a variety of means, including this brochure. The mission of the EU Compass for Action on Mental Health and Well-being is to collect, monitor, exchange, analyse, and disseminate information on policy and stakeholder activities in mental health in order to improve mental health and well-being in Europe. It is intended that these activities will offer insight and guidance to other stakeholders in mental healthcare to improve the health, the delivery of healthcare and well-being services, and general well-being of European residents. Each year, a brochure with examples of good practices is published. The 2018 EU Compass for Action on Mental Health and Well-being Good Practices Brochure focuses on community-based mental health services and on more accessible mental health services. It contains programmatic information about European good practices in mental health and well-being which has been evaluated by experts. A brief summary of each practice, its addressed priority areas, the lessons learned, and recommendations to future adopters can be found within this brochure. As well, further information about each practice can be found on the practice’s website. During the yearly Compass Forum on Mental Health and Well-being, representatives from Member States and other stakeholders discuss mental health and well-being priority topics, including Good Practices, lessons’ learned from others, and consensus papers that reflect the latest scientific knowledge. 3 Methods Data collection tool An in-depth qualitative survey was developed to gather data about mental health and well-being programmes and practices in Europe. The survey was developed by the EU Good Practices team, including experts from the Trimbos Institute in the Netherlands, the NOVA University of Lisbon, the Finnish Association for Mental Health, EuroHealthNet, DG Sante, and Chafea. The tool was developed to be easily disseminated online, comprehensive, clear, and relevant to mental health and well-being stakeholders. The link to the survey was disseminated through email, through website links, through newsletters, and through presentations. Stakeholders were asked to complete this survey about their practices. Evaluation criteria In order to effectively analyse the data submitted by mental health and well-being practice stakeholders, the Good Practice team developed a rigorous evaluation tool and process. The evaluation tool used in this booklet was based on the common set of criteria approved by Member States under the Steering group on Health Promotion, Disease Prevention and Management of Non-Communicable Diseases; the EU Compass has developed a tool to collect and assess practices following these criteria and additional relevant criteria for good practices in mental health and well- being. The criteria included: • Information • Effectiveness and efficacy • Relevance • Sustainability • Theory-based • Intersectoral collaboration • Intervention characteristics • Transferability • Participation • Equity • Ethical aspects Data collection Mental health and well-being stakeholders were invited to submit data on their practice until December 31, 2017. The survey contained detailed instructions for completing the survey, including the exclusion criteria. Practices were not eligible for review and inclusion in the Good Practices brochure if they had not been evaluated in some way. Practices were submitted from 10 EU Member States: 4 Austria, Belgium, Germany, Greece, Italy, Ireland, the Netherlands, United Kingdom, Spain, and Portugal. By December 31, 2017, 26 practices had been submitted. Of the 26 practices submitted, 21 included information on evaluation and were eligible for review by Good Practice evaluators. Selection and training of evaluators Submitted practices were evaluated by specialists from a variety of sectors, especially from community-based mental healthcare. Evaluators were selected from many countries: Bulgaria, Romania, Belgium, Finland, Croatia, the Netherlands, Luxembourg, and Portugal. Evaluators were trained one-on-one. Evaluation All practices that met the inclusion criteria (having been evaluated in some form) were reviewed thoroughly by two Good Practice evaluators. Good Practice evaluators were encouraged to discuss the practice if there were any questions and come to a final decision on whether or not the practice met the criteria for inclusion in the Good Practices brochure. Limitations While steps have been taken to ensure a fair, ethical, comprehensive, and transparent data collection, evaluation, and documentation process, there remain limitations. A selection is outlined below: • While the instructions clearly highlighted the need for comprehensive information, many submissions did not provide enough information to be effectively evaluated. This may have resulted in some good practices being excluded due to incomplete information. • The time investment in completing the survey may have been a burden for some practices. However, stakeholders were encouraged to review and use information from existing reports, websites, articles, and protocols. • Data on the
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