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Effectiveness of Health and Social Service Networks for Severely Mentally Ill Patients’ Outcomes: A Case–Control Study

Authors
  • Lorant, Vincent1
  • Grard, Adeline1
  • Van Audenhove, Chantal2
  • Leys, Mark3
  • Nicaise, Pablo1
  • 1 Université Catholique de Louvain, Institute of Health and Society (IRSS), Clos Chapelle-Aux-Champs B1.30.15, Brussels, 1200, Belgium , Brussels (Belgium)
  • 2 Katholieke Universiteit Leuven, LUCAS-Centre for Care Research and Consultancy, Minderbroedersstraat 8, Leuven, 3000, Belgium , Leuven (Belgium)
  • 3 Vrije Universiteit Brussel, Organisation, Policy, and Social Inequalities in Health Care (OPIH), Laerbeeklaan 103, Brussels, 1090, Belgium , Brussels (Belgium)
Type
Published Article
Journal
Administration and Policy in Mental Health and Mental Health Services Research
Publisher
Springer US
Publication Date
Dec 04, 2018
Volume
46
Issue
3
Pages
288–297
Identifiers
DOI: 10.1007/s10488-018-0910-x
Source
Springer Nature
Keywords
License
Green

Abstract

Mental health and social care services networks aim to provide patients with continuity of care and support their recovery. There is, however, no conclusive evidence of their effectiveness. Since 2011, Belgium has been implementing a nation-wide reform of mental health care by commissioning service networks. Using a case–control design, we assessed the reform’s effectiveness for continuity of care, social integration, quality of life, and re-hospitalization for 1407 patients from 23 networks. Greater reform exposure was associated with a slight improvement in continuity of care, but not with other outcomes. We concluded that service networks alone do not affect patient-level outcomes.

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