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

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Starting Points

• Conceptual model• Quality characteristics• Strategy

─ Public mental healthcare ladder─ Centre for Disease Control─ Academic Collaborative Centres

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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

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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 -

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National

Regional

Local

Indicator

Monitor

Rung 0, 1 Risk groups

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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

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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

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• 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

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Collaboration

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Socially Vulnerable Groups Monitor

Public Mental Healthcare Theme Group

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