Table 1.
Operational description of integrated community care in Mental Health according to the European Service Mapping Schedule (ESMS) code groupings of "Main Types of Care" and technical characteristics of the Expert-driven Basic Model of Mental Health Community Care (B-MHCC) based on expert knowledge and characteristics of the 12 Small Health Areas (12 variables relevant for integrated community care have been included in the B-MHCC) (Salvador-Carulla et al, 2007) [9]
| Grouping of services | ESMS Coding(*) | Description of ESMS "Main Types Care" | Variables: Types (T)1, Utilisation (U)2, Places (P)3 | Technical characteristics of the Expert-driven Model of Community Care (B-MHCC)[rates per 100.000 population]4 |
|---|---|---|---|---|
| Acute Care | R2 | Residential/hospital/Acute | Types: TR2 Places (beds): PR2 Utilisation: UR2 |
High availability and utilisation by users from the area BUT avoiding over-use. 1. TR2 within a [1,1.5] range. 2. PR2 within a [9,20] range. 3. UR2 Medium-High to High avoiding over-use. Within a [10,19] range. T9 0[6], T1 (6,19], T9 (19,100]. Uw[0.10,0.15] |
| Non-acute hospital care | R4, R5, R6 and R7 | Residential/Hospital/Non-acute | Types: TR4R7 Places (beds): PR4R7 Utilisation: UR4R7 |
Low availability and utilisation BUT not "0". 4. TR4-R7 Low, within [1,3.1]. T9 [0,1.9], T1 (1.9,3.1], T11 (3.1,15]. Uw[0.20,0.25]. 5. PR4-R7 Low, within [3,13]. T9 0[3], T1 (3,13], T7 (13,200]. Uw[0.10,0.15]. 6. UR4-R7: Low use, within [3,12]. T9 0[3], T1 (3,13], T9 (13,100]. Uw[0.13,0.17]. |
| Residential community care | R8, R9, R10, R11, R12 and R13 | Residential/Non-hospital | Types: TR8R13 Places (beds): PR8R13 Utilisation: UR8R13 |
High availability and utilisation. 7. TR8-R13: High [> 3]. T9 0[3], T2 (3,20]. Uw[0.18,0.23]. 8. PR8-R13: High [> 10]. T9 0[3], T1 (3,13], T8 (13,20]. Uw[0.10,0.15]. 9. UR8-R13 High avoiding over-use, within [10,40]. |
| Day care | D1+D45 | D1: Day care/Acute (day hospitals) D4: Day care/Non-acute/Other structured activities |
Types: TD1+D4 Places: PD1+D4 Utilisation: UD1+D4 |
High availability and utilisation 10. TD1+D4 High [> 3]. T9 0[3], T2 (3,20]. Uw[0.25,0.3]. 11. PD1+D4 High [> 34]. T12 0[28], T11 (28,100]. Uw[0.025.0.05]. 12. UD1+D4 High [> 33]. T9 0[15], T1 (15,37], T2 (37,100]. Uw[0.13,0.17]. |
(*) For an explanation of ESMS service coding system see [26]. (1) T: Number of the ESMS codes or "main type of care" (R2, R4 to R7, R8 to R13 and D1+D4) per 100.000 inhabitants available within a small health area; (2) U: Utilisation per 100.000 inhabitants of the ESMS codes or "main type of care" by patients from the small health area; (3) P: Places or beds available per 100.000 inhabitants at the small health area; (4) Selected variables, T1, T2,... T12: I/O interpretation in a specific range, Uw: Uniform statistical distribution of the I/O weight; (5) Work (D2), work-related (D3) and non-structured care (D5) have not been included in this