TY - JOUR
T1 - Healthcare in intellectual disabilities
T2 - Europe outside the UK
AU - Salvador-Carulla, Luis
AU - García-Gutierrez, Juan Carlos
N1 - Funding Information:
In 1992, a group of experts started the European Association on Mental Health in Mental Retardation (now MH-ID). The first contribution of this group was a policy document that included reviews of the care system for intellectual disability in a number of Western and Eastern European countries. This review highlighted the significant differences in the development of the conceptual framework, service provision and training provided in North-Western Europe (UK, The Netherlands and Scandinavian countries) in comparison with other European sub-regions. In any case, a generalized process of deinstitutionalization and development of community services was identified throughout Western European countries, whilst this process was far behind in Eastern Europe. This initiative was followed by a Helios-II project which developed a European consensus on basic care and treatment for intellectual disability in Europe. This is a key document for understanding the development of services during the following decade. 2 It was also relevant for the inclusion of intellectual disability as a topic in the programme calls by the European Commission, particularly in the public health programmes. Table 1 describes a series of five relevant studies funded by the EC.
PY - 2009/11
Y1 - 2009/11
N2 - Since the 1990s, many publications have provided a description of the status of care for persons with intellectual disability in Europe. This set of documents constitutes a unique case of international description and follow-up of care systems for intellectual disabilities in a single world region. The main information sources on care systems for persons with intellectual disability in Europe are presented with a special focus on projects funded by the European Commission during the past 15 years, which incorporate information on care systems (MEROPE, IDRESNET, POMONA, DECLOC). Following this knowledge base, a set of priorities has been identified as regards to training, care planning and provision, assessment and monitoring, empowerment and other related issues. These European projects highlight the fact that inequalities in the care of persons with intellectual disability persist to date, although these differences are decreasing particularly in Western Europe, and care reforms are also in progress in those Eastern European countries which have joined the European Union. The inequalities regarding people with intellectual disabilities exceed the differences found in other health sectors, such as adult mental health care, and therefore healthcare for people with intellectual disabilities should be placed as a main priority focus within equity of care strategies in Europe.
AB - Since the 1990s, many publications have provided a description of the status of care for persons with intellectual disability in Europe. This set of documents constitutes a unique case of international description and follow-up of care systems for intellectual disabilities in a single world region. The main information sources on care systems for persons with intellectual disability in Europe are presented with a special focus on projects funded by the European Commission during the past 15 years, which incorporate information on care systems (MEROPE, IDRESNET, POMONA, DECLOC). Following this knowledge base, a set of priorities has been identified as regards to training, care planning and provision, assessment and monitoring, empowerment and other related issues. These European projects highlight the fact that inequalities in the care of persons with intellectual disability persist to date, although these differences are decreasing particularly in Western Europe, and care reforms are also in progress in those Eastern European countries which have joined the European Union. The inequalities regarding people with intellectual disabilities exceed the differences found in other health sectors, such as adult mental health care, and therefore healthcare for people with intellectual disabilities should be placed as a main priority focus within equity of care strategies in Europe.
KW - care inequities
KW - care priorities
KW - European countries
KW - healthcare systems
KW - intellectual disabilities
UR - http://www.scopus.com/inward/record.url?scp=70449115856&partnerID=8YFLogxK
U2 - 10.1016/j.mppsy.2009.07.008
DO - 10.1016/j.mppsy.2009.07.008
M3 - Review article
AN - SCOPUS:70449115856
SN - 1476-1793
VL - 8
SP - 453
EP - 456
JO - Psychiatry
JF - Psychiatry
IS - 11
ER -
