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Healthcare professionals' perspectives on mental health service provision : a pilot focus group study in six European countries

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Abstract
Background: The mental healthcare treatment gap (mhcGAP) in adult populations has been substantiated across Europe. This study formed part of MentALLY, a research project funded by the European Commission, which aimed to gather qualitative empirical evidence to support the provision of European mental healthcare that provides effective treatment to all adults who need it. Methods: Seven focus groups were conducted with 49 health professionals (HPs), including psychologists, psychiatrists, social workers, general practitioners, and psychiatric nurses who worked in health services in Belgium, Cyprus, Greece, the Netherlands, Norway and Sweden. The focus group discussions centered on the barriers and facilitators to providing quality care to people with mild, medium, and severe mental health problems. Analyses included deductively and inductively driven coding procedures. Cross-country consensus was obtained by summarizing findings in the form of a fact sheet which was shared for triangulation by all the MentALLY partners. Results: The results converged into two overarching themes: (1) Minding the treatment gap: the availability and accessibility of Mental Health Services (MHS). The mhcGAP gap identified is composed of different elements that constitute the barriers to care, including bridging divides in care provision, obstacles in facilitating access via referrals and creating a collaborative 'chain of care'. (2) Making therapeutic practice relevant by providing a broad-spectrum of integrated and comprehensive services that value person-centered care comprised of authenticity, flexibility and congruence. Conclusions: The mhcGAP is comprised of the following barriers: a lack of funding, insufficient capacity of human resources, inaccessibility to comprehensive services and a lack of availability of relevant treatments. The facilitators to the provision of MHC include using collaborative models of primary, secondary and prevention-oriented mental healthcare. Teamwork in providing care was considered to be a more effective and efficient use of resources. HPs believe that the use of e-mental health and emerging digital technologies can enhance care provision. Facilitating access to a relevant continuum of community-based care that is responsive coordinated and in line with people's needs throughout their lives is an essential aspect of optimal care provision.
Keywords
PATIENT, DIRECTIONS, CHALLENGES, WORLDWIDE, ILLNESS, SEEKING, STIGMA, PEOPLE, STAFF, Health professionals, Mental healthcare gap, Europe, Optimal mental, healthcare

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MLA
Triliva, Sofia, et al. “Healthcare Professionals’ Perspectives on Mental Health Service Provision : A Pilot Focus Group Study in Six European Countries.” INTERNATIONAL JOURNAL OF MENTAL HEALTH SYSTEMS, vol. 14, no. 1, 2020.
APA
Triliva, S., Ntani, S., Giovazolias, T., Kafetsios, K., Axelsson, M., Bockting, C., … Overland, S. (2020). Healthcare professionals’ perspectives on mental health service provision : a pilot focus group study in six European countries. INTERNATIONAL JOURNAL OF MENTAL HEALTH SYSTEMS, 14(1).
Chicago author-date
Triliva, Sofia, Spyridoula Ntani, Theodoros Giovazolias, Konstantinos Kafetsios, Malin Axelsson, Claudi Bockting, Ann Buysse, et al. 2020. “Healthcare Professionals’ Perspectives on Mental Health Service Provision : A Pilot Focus Group Study in Six European Countries.” INTERNATIONAL JOURNAL OF MENTAL HEALTH SYSTEMS 14 (1).
Chicago author-date (all authors)
Triliva, Sofia, Spyridoula Ntani, Theodoros Giovazolias, Konstantinos Kafetsios, Malin Axelsson, Claudi Bockting, Ann Buysse, Mattias Desmet, Alexis Dewaele, Dewi Hannon, Inger Haukenes, Gunnel Hensing, Reitske Meganck, Kris Rutten, Viktor Schonning, Laura Van Beveren, Joke Vandamme, and Simon Overland. 2020. “Healthcare Professionals’ Perspectives on Mental Health Service Provision : A Pilot Focus Group Study in Six European Countries.” INTERNATIONAL JOURNAL OF MENTAL HEALTH SYSTEMS 14 (1).
Vancouver
1.
Triliva S, Ntani S, Giovazolias T, Kafetsios K, Axelsson M, Bockting C, et al. Healthcare professionals’ perspectives on mental health service provision : a pilot focus group study in six European countries. INTERNATIONAL JOURNAL OF MENTAL HEALTH SYSTEMS. 2020;14(1).
IEEE
[1]
S. Triliva et al., “Healthcare professionals’ perspectives on mental health service provision : a pilot focus group study in six European countries,” INTERNATIONAL JOURNAL OF MENTAL HEALTH SYSTEMS, vol. 14, no. 1, 2020.
@article{8655267,
  abstract     = {Background: The mental healthcare treatment gap (mhcGAP) in adult populations has been substantiated across Europe. This study formed part of MentALLY, a research project funded by the European Commission, which aimed to gather qualitative empirical evidence to support the provision of European mental healthcare that provides effective treatment to all adults who need it.
Methods: Seven focus groups were conducted with 49 health professionals (HPs), including psychologists, psychiatrists, social workers, general practitioners, and psychiatric nurses who worked in health services in Belgium, Cyprus, Greece, the Netherlands, Norway and Sweden. The focus group discussions centered on the barriers and facilitators to providing quality care to people with mild, medium, and severe mental health problems. Analyses included deductively and inductively driven coding procedures. Cross-country consensus was obtained by summarizing findings in the form of a fact sheet which was shared for triangulation by all the MentALLY partners.
Results: The results converged into two overarching themes: (1) Minding the treatment gap: the availability and accessibility of Mental Health Services (MHS). The mhcGAP gap identified is composed of different elements that constitute the barriers to care, including bridging divides in care provision, obstacles in facilitating access via referrals and creating a collaborative 'chain of care'. (2) Making therapeutic practice relevant by providing a broad-spectrum of integrated and comprehensive services that value person-centered care comprised of authenticity, flexibility and congruence.
Conclusions: The mhcGAP is comprised of the following barriers: a lack of funding, insufficient capacity of human resources, inaccessibility to comprehensive services and a lack of availability of relevant treatments. The facilitators to the provision of MHC include using collaborative models of primary, secondary and prevention-oriented mental healthcare. Teamwork in providing care was considered to be a more effective and efficient use of resources. HPs believe that the use of e-mental health and emerging digital technologies can enhance care provision. Facilitating access to a relevant continuum of community-based care that is responsive coordinated and in line with people's needs throughout their lives is an essential aspect of optimal care provision.},
  articleno    = {16},
  author       = {Triliva, Sofia and Ntani, Spyridoula and Giovazolias, Theodoros and Kafetsios, Konstantinos and Axelsson, Malin and Bockting, Claudi and Buysse, Ann and Desmet, Mattias and Dewaele, Alexis and Hannon, Dewi and Haukenes, Inger and Hensing, Gunnel and Meganck, Reitske and Rutten, Kris and Schonning, Viktor and Van Beveren, Laura and Vandamme, Joke and Overland, Simon},
  issn         = {1752-4458},
  journal      = {INTERNATIONAL JOURNAL OF MENTAL HEALTH SYSTEMS},
  keywords     = {PATIENT,DIRECTIONS,CHALLENGES,WORLDWIDE,ILLNESS,SEEKING,STIGMA,PEOPLE,STAFF,Health professionals,Mental healthcare gap,Europe,Optimal mental,healthcare},
  language     = {eng},
  number       = {1},
  pages        = {18},
  title        = {Healthcare professionals' perspectives on mental health service provision : a pilot focus group study in six European countries},
  url          = {http://dx.doi.org/10.1186/s13033-020-00350-1},
  volume       = {14},
  year         = {2020},
}

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