Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Psychiatry
Published in: BMC Psychiatry 1/2019

Open Access 01-12-2019 | Care | Debate

Recovery for all in the community; position paper on principles and key elements of community-based mental health care

Authors: René Keet, Marjonneke de Vetten-Mc Mahon, Laura Shields-Zeeman, Torleif Ruud, Jaap van Weeghel, Michiel Bahler, Cornelis L. Mulder, Catherine van Zelst, Billy Murphy, Koen Westen, Chris Nas, Ionela Petrea, Guido Pieters

Published in: BMC Psychiatry | Issue 1/2019

Login to get access

Abstract

Background

Service providers throughout Europe have identified the need to define how high-quality community-based mental health care looks to organize their own services and to inform governments, commissioners and funders. In 2016, representatives of mental health care service providers, networks, umbrella organizations and knowledge institutes in Europe came together to establish the European Community Mental Health Services Provider (EUCOMS) Network. This network developed a shared vision on the principles and key elements of community mental health care in different contexts. The result is a comprehensive consensus paper, of which this position paper is an outline.
With this paper the network wants to contribute to the discussion on how to improve structures in mental healthcare, and to narrow the gap between evidence, policy and practice in Europe.

Main text

The development of the consensus paper started with an expert workshop in April 2016. An assigned writing group representing the workshop participants built upon the outcomes of this meeting and developed the consensus paper with the input from 100 European counterparts through two additional work groups, and two structured feedback rounds via email.
High quality community-based mental health care: 1) protects human rights; 2) has a public health focus; 3) supports service users in their recovery journey; 4) makes use of effective interventions based on evidence and client goals; 5) promotes a wide network of support in the community and; 6) makes use of peer expertise in service design and delivery. Each principle is illustrated with good practices from European service providers that are members of the EUCOMS Network.

Conclusions

Discussion among EUCOMS network members resulted in a blueprint for a regional model of integrated mental health care based upon six principles.
Literature
1.
2.
Killapsy H, McPherson P, Samele C, Keet R, Caldas de Almeida J. Providing community-based mental health services, position paper; 2018.
3.
Bouras N, Ikkos G, Craig T. Meta-community mental health care: towards a new concept. Lancet Psychiatry. 2017;4(8):581–2.PubMedCrossRef
4.
5.
6.
Winkler P, Krupchanka D, Roberts T, Kondratova L, Machů V, Höschl C, et al. Review A blind spot on the global mental health map: a scoping review of 25 years’ development of mental health care for people with severe mental illnesses in central and eastern Europe. Lancet Psychiatry. 2017;4(8):634–42 Available from: www.​thelancet.​com/​psychiatry.PubMedCrossRef
7.
McDaid D, Thornicroft G, World Health Organization. Regional Office for Europe & European Observatory on Health Systems and Policies. Mental health II : balancing institutional and community-based mental health care / by David McDaid and Graham Thornicroft. Copenhagen : WHO Regional Office for Europe; 2005.
8.
9.
10.
11.
12.
13.
14.
World Health Assembly. Comprehensive mental health action plan 2013 – 2020. In: Sixty-Sixth World Health Assembly. Geneva: World Health Organization; 2013. p. 1–27.
15.
16.
17.
Huber M, Knottnerus JA, Green L, v d HH, Jadad AR, Kromhout D, et al. How should we define health? BMJ. 2011;343(jul):1–3.
18.
19.
20.
21.
22.
23.
24.
UN General Assembly. Convention on the rights of persons with disabilities: resolution / adopted by the General Assembly. Sixty-first session UN General Assembly; 2007.
25.
Drew N, Funk M, Tang S, Lamichhane J, Chávez E, Katontoka S, et al. Human rights violations of people with mental and psychosocial disabilities: an unresolved global crisis. Lancet. 2011;378(9803):1664–75.PubMedCrossRef
26.
27.
28.
29.
30.
Hunt P. Report of the special rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health, Paul Hunt, UN General Assembly, UN Document A/HRC/11/12/Add.2 (5 May 2009); 2009.
31.
World Health Organisation. WHO quality rights tool kit to assess and improve quality and human rights in mental health and social care facilities; 2012. p. 1–90.
32.
33.
34.
Knifton L, Quinn N. Public mental health : global perspectives. New York: McGraw-Hill Education; 2013. p. 226.
35.
Patel V, Saxena S, Lund C, Thornicroft G, Baingana F, Bolton P, et al. The lancet commission on global mental health and sustainable development. Lancet. 2018;392(10157):1553–98.PubMedCrossRef
36.
Knapp M, McDaid D, Mossialos E, Thornicroft G. Mental health policy and practice across Europe. Eur Obs Heal Syst Policies Ser. 2010;20(2):267–9.
37.
38.
39.
Rüsch N, Angermeyer MC, Corrigan PW. Mental illness stigma: Concepts, consequences, and initiatives to reduce stigma. Eur Psychiatry. 2005;20:529–39.PubMedCrossRef
40.
Corrigan PW, Michaels PJ, Vega E, Gause M, Larson J, Krzyzanowski R, et al. Key ingredients to contact-based stigma change: a cross-validation. Psychiatr Rehabil J. 2014;37(1):62–4.PubMedCrossRef
41.
42.
43.
Anthony W. The decade of recovery. Psychosoc Rehabil J. 1993;16(4):1.
44.
Slade M. 100 ways to support recovery a guide for mental health professionals rethink recovery series. America (NY). 2009;1:1–32.
45.
Slade M, Williams J, Bird V, Leamy M, Le Boutillier C. Recovery grows up. J Ment Health. 2012;21(2):99–103.PubMedCrossRef
46.
Van Weeghel J, Van Zelst C, Boertien D, Hasson-Ohayon I. Conceptualizations, assessments, and implications of personal recovery in mental illness: a scoping review of systematic reviews and meta-analyses. Psychiatr Rehabil J. 2019; Advance online publication. https://​doi.​org/​10.​1037/​prj0000356.
47.
48.
National institute for Health and Care Excellence. Transition between inpatient mental health settings and community and care home settings | guidance and guidelines | NICE. London: NICE; 2016.
49.
Higgins JP, Green S. Cochrane handbook for systematic reviews of interventions: Cochrane book series. Cochrane handbook for systematic reviews of interventions: Cochrane book series; 2008.
50.
Brownson RC, Colditz GA, Proctor EK. Dissemination and implementation research in health. 2nd ed. New York: Oxford University Press; 2018.
51.
Davidson L, Drake RE, Schmutte T, Dinzeo T, Andres-Hyman R. Oil and water or oil and vinegar? Evidence-based medicine meets recovery. Community Ment Health J. 2009;45:323–32.PubMedCrossRef
52.
53.
Leucht S, Leucht C, Huhn M, Chaimani A, Mavridis D, Helfer B, et al. Sixty years of placebo-controlled antipsychotic drug trials in acute schizophrenia: systematic review, Bayesian meta-analysis, and meta-regression of efficacy predictors. Am J Psychiatr. 2017;174:927–42.PubMedCrossRef
54.
Johnsen TJ, Friborg O. The effects of cognitive behavioral therapy as an anti-depressive treatment is falling: a meta-analysis. Psychol Bull. 2015;141(4):747–68.PubMedCrossRef
55.
Pickett KE, Wilkinson RG. Inequality: an underacknowledged source of mental illness and distress. Br J Psychiatry. 2010;197:426–8.PubMedCrossRef
56.
57.
58.
59.
Solms M. The scientific standing of psychoanalysis. BJPsych Int. 2018;15(1):7–16.CrossRef
60.
Fonagy P, Felicitas R, Jo-Anne C, Susan M, Rachel T, Pasco FRM, et al. Pragmatic randomized controlled trial of long-term psychoanalytic psychotherapy for treatment-resistant depression: the Tavistock adult depression study (TADS). World Psychiatry. 2015;14:312–21.PubMedPubMedCentralCrossRef
61.
62.
Norden T, Malm U, Norlander T. Resource group assertive community treatment (RACT) as a tool of empowerment for clients with severe mental illness: a meta-analysis. Clin Pract Epidemiol Ment Heal. 2012;8:144–51.CrossRef
63.
Seikkula J, Olson ME. The open dialogue approach to acute psychosis: its poetics and micropolitics. Fam Process. 2003;42(3):403–18.PubMedCrossRef
64.
Tsemberis S, Gulcur L, Nakae M. Housing first, consumer choice, and harm reduction for homeless individuals with a dual diagnosis. Am J Public Health. 2004;94(4):651–6.PubMedPubMedCentralCrossRef
65.
Bond GR, Drake RE, Becker DR. Generalizability of the individual placement and support (IPS) model of supported employment outside the US. World Psychiatry. 2012;11(1):32–9.PubMedPubMedCentralCrossRef
66.
Trainor J, Church K. A framework for support for people with severe mental disabilities. Toronto: Canadian Mental Health Association/National Office; 1984. p. 1984.
67.
Holloway F, Kalidindi S, Killaspy H, Roberts G. Enabling recovery : the principles and practice of rehabilitation psychiatry. 2nd edi ed. London: RCPsych Publications; 2015. p. 475.
68.
European Forum for Primary Care. Mental health in Europe, role and contribution of primary care, position paper [internet]. 2006 [cited 2019 Apr 25]. Available from: www.​euprimarycare.​org.
69.
70.
71.
Nugter MA, Engelsbel F, Bähler M, Keet R, van Veldhuizen R. Outcomes of FLEXIBLE assertive community treatment (FACT) implementation: a prospective real life study. Community Ment Health J. 2016;52(8):898–907.PubMedCrossRef
72.
Firn M, Hindhaugh K, Hubbeling D, Davies G, Jones B, White SJ. A dismantling study of assertive outreach services: comparing activity and outcomes following replacement with the FACT model. Soc Psychiatry Psychiatr Epidemiol. 2013;48(6):997–1003.PubMedCrossRef
73.
Frisman LK, Mueser KT, Covell NH, Lin H-J, Crocker A, Drake RE, et al. Use of integrated dual disorder treatment via assertive community treatment versus clinical case Management for Persons with co-Occurring Disorders and Antisocial Personality Disorder. J Nerv Ment Dis. 2009;197(11):822–8.PubMedCrossRef
74.
75.
Chircop A, Bassett R, Taylor E. Evidence on how to practice intersectoral collaboration for health equity: a scoping review. Crit Public Health. 2015;25(2):178–91.CrossRef
76.
77.
Wahlbeck K, Cresswell-Smith J, Haaramo P, Parkkonen J. Interventions to mitigate the effects of poverty and inequality on mental health. Soc Psychiatry Psychiatr Epidemiol. 2017;52:505–14.PubMedCrossRef
78.
79.
80.
Knapp M, McDaid D, Amaddeo F, Constantopoulos A, Oliveira MDD, Salvador-Carulla L, et al. Financing mental health care in Europe. J Ment Health. 2007.
81.
Farkas M, Boevink W. Peer delivered services in mental health care in 2018: infancy or adolescence? World Psychiatry. 2018;17(2):221–2.CrossRef
82.
Solomon P. Peer Support/Peer Provided Services Underlying Processes, Benefits, and Critical Ingredients. Psychiatr Rehabil J. 2004;27(4):392–401 [Internet] [cited 2018 Sep 7]. Available from: Available from: http://​doi.​apa.​org/​getdoi.​cfm?​doi=​10.​2975/​27.​2004.​392.​401.​PubMedCrossRef
83.
Repper J, Carter T. A review of the literature on peer support in mental health services. J Ment Health. 2011;20(4):392–411.PubMedCrossRef
84.
Charlton J. Nothing about us without us. New York: University of California Press; 2000.CrossRef
85.
Marino CK, Child B, Campbell Krasinski V. Sharing experience learned firsthand (SELF): Self-disclosure of lived experience in mental health services and supports. Psychiatr Rehabil J. 2016;39(2):154–60.PubMedCrossRef
86.
Doughty C, Tse S. Can consumer-led mental health services be equally effective? An integrative review of CLMH services in high-income countries. Community Ment Health J. 2011;47(3):252–66.PubMedCrossRef
87.
88.
89.
Thornicroft G, Tansella M. The balanced care model for global mental health. Psychol Med. 2012;43:1–15.
90.
91.
92.
van Weeghel J, van Audenhove C, Colucci M, Garanis-Papadatos T, Liégeois A, McCulloch A, et al. The components of good community care for people with severe mental illnesses: views of stakeholders in five European countries. Psychiatr Rehabil J. 2005;28(3):274–81.PubMedCrossRef
Metadata
Title
Recovery for all in the community; position paper on principles and key elements of community-based mental health care
Authors
René Keet
Marjonneke de Vetten-Mc Mahon
Laura Shields-Zeeman
Torleif Ruud
Jaap van Weeghel
Michiel Bahler
Cornelis L. Mulder
Catherine van Zelst
Billy Murphy
Koen Westen
Chris Nas
Ionela Petrea
Guido Pieters
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2019
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-019-2162-z

Other articles of this Issue 1/2019

BMC Psychiatry 1/2019 Go to the issue

Research article

Effects of Attentional Bias Modification on residual symptoms in depression: a randomized controlled trial

Research article

The trajectory of symptom burden in exposed and unexposed survivors of a major avalanche disaster: a 30 year long-term follow-up study

Research article

Prescription practices in the treatment of agitation in newly hospitalized Chinese schizophrenia patients: data from a non-interventional naturalistic study

Research article

Gender-disease interaction on brain cerebral metabolism in cancer patients with depressive symptoms

Case report

A case report of the successful administration of clozapine in the face of myocardial infarction, pulmonary embolism and hyperlipidaemia resulting in the termination of long-term seclusion

Research article

Associations of psychological distress with positive psychological variables and activities of daily living among stroke patients: a cross-sectional study