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Developing a G4 Public Mental Healthcare Monitor
– Monitor Working Party –
To measure is to know
Public Mental Healthcare Monitor
• Estimates of size • Risk profiles• Trends over time• Public Mental Health
Services
• Evaluations• Benchmarking• Indicators
04/11/23 2
Starting Points
• Conceptual model• Quality characteristics• Strategy
─ Public mental healthcare ladder─ Centre for Disease Control─ Academic Collaborative Centres
11/04/23 3
Conceptual model: Public mental healthcare ladder
Rungs Target group
0,1 Risk groups
2 Vulnerable in the community
3 Vulnerable in institutions
4 Vulnerable on the street
04/11/23 4
J. Wolf 2006
Quality characteristics• Demand-driven• Uniformity in definitions• Origin of population• Quality indicators
1. Simplicity
2. Flexibility
3. Quality of the data
4. Representativeness
5. Acceptance
6. Sensitivity
7. Predictive value
8. Timeliness
5
Buehler JW. Surveillance. In: Rothman KJ, Greenland S, Lash TL. Modern epidemiology. 2008: 459-480.
Strategy- Bottom up & top-down -
04/11/23 6
National
Regional
Local
Indicator
Monitor
Rung 0, 1 Risk groups
04/11/23 7
0%
5%
10%
15%
20%
Rotterdam The Hague Utrecht
Percentage socially excluded
Social exclusion index• Netherlands Institute for Social Research• Health survey
00.10.20.30.40.50.60.70.8
2005 2006 2007 2008 2009
Number of evictions in relation to total number of corporation homes
AmsterdamThe HagueRotterdam*Utrecht
04/11/23 8
Maas, M., Planije, M.P. (2010). Monitor Plan van Aanpak Maastschappelijke Opvang (Social Support Action Plan Monitor): Report 2009, Amsterdam, The Hague, Utrecht and Rotterdam. Utrecht: Trimbos Institute + User Working Party
Rung 2 Vulnerable in the community
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
Amsterdam Rotterdam Den Haag Utrecht G4 Nat av Rest NL
aa
nta
l pe
r 1
000
inw
on
ers
Drug users* undergoing treatment / 1000 inhabitants aged 15+, 2010
Rung 3 Vulnerable in institutions
04/11/23 9
• Undergoing treatment for dependency on opiates or cocaine (injecting/smoking): source National Alcohol and Drugs Information System/Foundation for the Provision of Care Information• Municipal boundaries 2010: source Statistics Netherlands
Rung 4 Vulnerable on the streets
04/11/23 10
Collaboration
04/11/23 11
Socially Vulnerable Groups Monitor
Public Mental Healthcare Theme Group
04/11/23 12
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