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

Vincent Lorant, Adeline Grard, Chantal Van Audenhove, Mark Leys, Pablo Nicaise

Research output: Contribution to journalArticle

1 Citation (Scopus)

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.

Original languageEnglish
Pages (from-to)288-297
Number of pages10
JournalAdministration and policy in mental health
Volume46
Issue number3
DOIs
Publication statusPublished - 15 May 2019

Keywords

  • Continuity of care
  • Health care reform
  • Health policy
  • Mental health care
  • Networks of services
  • Severe mental disorder
  • Social integration

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