RESIDENTIAL SERVICES AS A MAJOR COST DRIVER IN MENTAL HEALTH AND SUBSTANCE USE SERVICES IN SOUTHERN FINLAND
Mental health and substance abuse services (MHS) have gone through major changes throughout Western countries. In searching for best practices, there is a need for benchmarking data on ways to allocate resources and organize services. In Finland, the closing of psychiatric hospitals during the las...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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The Finnish Foundation for Psychiatric Research
2021-11-01
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| Series: | Psychiatria Fennica |
| Subjects: | |
| Online Access: | https://www.psykiatriantutkimussaatio.fi/wp-content/uploads/2021/11/Psychiatria_Fennica-2021-Sadeniemi_et_al.pdf |
| _version_ | 1818568864713146368 |
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| author | Minna Sadeniemi, MD Grigori Joffe, Professor, MD, PhD Sami Pirkola, Professor, MD, PhD Taina Ala-Nikkola, MSci, PhD Raija Kontio, MSci, PhD Kristian Wahlbeck, Professor, MD, PhD |
| author_facet | Minna Sadeniemi, MD Grigori Joffe, Professor, MD, PhD Sami Pirkola, Professor, MD, PhD Taina Ala-Nikkola, MSci, PhD Raija Kontio, MSci, PhD Kristian Wahlbeck, Professor, MD, PhD |
| author_sort | Minna Sadeniemi, MD |
| collection | DOAJ |
| description | Mental health and substance abuse services (MHS) have gone through major changes throughout Western countries. In
searching for best practices, there is a need for benchmarking data on ways to allocate resources and organize services. In
Finland, the closing of psychiatric hospitals during the last 50 years has partly led to transinstitutionalization to non-hospital
residential services. We set out to study the provision of beds and personnel resources in non-hospital residential services in
southern Finland, and whether the residential services’ personnel resources and primary care orientation of services predict
the total personnel costs of the MHS. We mapped the MHS with the European Service Mapping Schedule – Revised (ESMS-R).
For the statistical analysis, we used the Spearman correlation and linear regression models. There were 333 non-hospital
residential service beds per 100,000 adults and 119.5 full-time equivalent (FTE) personnel per 100,000 adults in the nonhospital residential services. The personnel resources in the hospital and non-hospital residential services were both significant
predictors of total personnel costs. The association between non-hospital personnel and total personnel costs was not explained
by sociodemographic indicators of the need for services. Of the personnel in the non-hospital residential services, 0.8% were
physicians, 16.8% were nurses, 0.1% were psychologists, 0.6% were social workers and 82% were other professionals (mostly
auxiliary nurses). Non-hospital residential services are a significant part of the MHS in Finland, and special attention should
be paid to the coordination and the quality of care in these institutions. |
| first_indexed | 2024-12-14T06:40:40Z |
| format | Article |
| id | doaj.art-18b0fdfb72a04a7a98acb7d256e91b5c |
| institution | Directory Open Access Journal |
| issn | 2489-6152 |
| language | English |
| last_indexed | 2024-12-14T06:40:40Z |
| publishDate | 2021-11-01 |
| publisher | The Finnish Foundation for Psychiatric Research |
| record_format | Article |
| series | Psychiatria Fennica |
| spelling | doaj.art-18b0fdfb72a04a7a98acb7d256e91b5c2022-12-21T23:13:14ZengThe Finnish Foundation for Psychiatric ResearchPsychiatria Fennica2489-61522021-11-01526074RESIDENTIAL SERVICES AS A MAJOR COST DRIVER IN MENTAL HEALTH AND SUBSTANCE USE SERVICES IN SOUTHERN FINLANDMinna Sadeniemi, MD0Grigori Joffe, Professor, MD, PhD1Sami Pirkola, Professor, MD, PhD2Taina Ala-Nikkola, MSci, PhD3Raija Kontio, MSci, PhD4Kristian Wahlbeck, Professor, MD, PhD5Mental Health Unit, Finnish Institute for Health and Welfare (THL), Mannerheimintie 170, FI-00270 Helsinki, Finland, University of Helsinki and Helsinki University Hospital, Department of Psychiatry, Välskärinkatu 12, FI-00029 Helsinki, Finland University of Helsinki and Helsinki University Hospital, Department of Psychiatry, Välskärinkatu 12, FI-00029 Helsinki, FinlandTampere University, Faculty of Social Sciences and Tampere University Central Hospital, Department of Psychiatry, Arvo Ylpönkatu 34, FI-30014 Tampere University, FinlandUniversity of Helsinki and Helsinki University Hospital, Department of Psychiatry, Välskärinkatu 12, FI-00029 Helsinki, FinlandUniversity of Helsinki and Helsinki University Hospital, Hyvinkää Hospital Area, Sairaalankatu 1, FI-05850 Hyvinkää, FinlandMental Health Unit, Finnish Institute for Health and Welfare (THL), Mannerheimintie 170, FI-00270 Helsinki, FinlandMental health and substance abuse services (MHS) have gone through major changes throughout Western countries. In searching for best practices, there is a need for benchmarking data on ways to allocate resources and organize services. In Finland, the closing of psychiatric hospitals during the last 50 years has partly led to transinstitutionalization to non-hospital residential services. We set out to study the provision of beds and personnel resources in non-hospital residential services in southern Finland, and whether the residential services’ personnel resources and primary care orientation of services predict the total personnel costs of the MHS. We mapped the MHS with the European Service Mapping Schedule – Revised (ESMS-R). For the statistical analysis, we used the Spearman correlation and linear regression models. There were 333 non-hospital residential service beds per 100,000 adults and 119.5 full-time equivalent (FTE) personnel per 100,000 adults in the nonhospital residential services. The personnel resources in the hospital and non-hospital residential services were both significant predictors of total personnel costs. The association between non-hospital personnel and total personnel costs was not explained by sociodemographic indicators of the need for services. Of the personnel in the non-hospital residential services, 0.8% were physicians, 16.8% were nurses, 0.1% were psychologists, 0.6% were social workers and 82% were other professionals (mostly auxiliary nurses). Non-hospital residential services are a significant part of the MHS in Finland, and special attention should be paid to the coordination and the quality of care in these institutions.https://www.psykiatriantutkimussaatio.fi/wp-content/uploads/2021/11/Psychiatria_Fennica-2021-Sadeniemi_et_al.pdfdeinstitutionalizationmental health carehealth service researchcommunity carehealth personnelcosts and cost analysis |
| spellingShingle | Minna Sadeniemi, MD Grigori Joffe, Professor, MD, PhD Sami Pirkola, Professor, MD, PhD Taina Ala-Nikkola, MSci, PhD Raija Kontio, MSci, PhD Kristian Wahlbeck, Professor, MD, PhD RESIDENTIAL SERVICES AS A MAJOR COST DRIVER IN MENTAL HEALTH AND SUBSTANCE USE SERVICES IN SOUTHERN FINLAND Psychiatria Fennica deinstitutionalization mental health care health service research community care health personnel costs and cost analysis |
| title | RESIDENTIAL SERVICES AS A MAJOR COST DRIVER IN MENTAL HEALTH AND SUBSTANCE USE SERVICES IN SOUTHERN FINLAND |
| title_full | RESIDENTIAL SERVICES AS A MAJOR COST DRIVER IN MENTAL HEALTH AND SUBSTANCE USE SERVICES IN SOUTHERN FINLAND |
| title_fullStr | RESIDENTIAL SERVICES AS A MAJOR COST DRIVER IN MENTAL HEALTH AND SUBSTANCE USE SERVICES IN SOUTHERN FINLAND |
| title_full_unstemmed | RESIDENTIAL SERVICES AS A MAJOR COST DRIVER IN MENTAL HEALTH AND SUBSTANCE USE SERVICES IN SOUTHERN FINLAND |
| title_short | RESIDENTIAL SERVICES AS A MAJOR COST DRIVER IN MENTAL HEALTH AND SUBSTANCE USE SERVICES IN SOUTHERN FINLAND |
| title_sort | residential services as a major cost driver in mental health and substance use services in southern finland |
| topic | deinstitutionalization mental health care health service research community care health personnel costs and cost analysis |
| url | https://www.psykiatriantutkimussaatio.fi/wp-content/uploads/2021/11/Psychiatria_Fennica-2021-Sadeniemi_et_al.pdf |
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