No service is an island: towards an ecosystem approach to mental health service evaluation

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Abstract

Johnson et al1 provide an overview of the huge transformation occurring in a­­cute mental health care during the last two decades. The authors enumerate and discuss an extensive array of novel alternatives, while underscoring the lack of ro­­bust evidence to support their implementation. We provide here some complementary in­­formation to further understand the context of this reform and the current challenges related to its evaluation.

The accelerated reform of acute mental health care should be framed within the broader shift from hospital to communi­ty care occurring in the health sector as a whole. The development of vanguard services include enhanced health care at home, multispecialty community providers, integrated primary and acute care systems, and blended systems encompassing real world and digital health care2. The combined effect of these innovations is inexorably displacing care from hospitals to community in general health care and not only in the mental health field.
Original languageEnglish
Pages (from-to)237-238
Number of pages2
JournalWorld Psychiatry
Volume21
Issue number2
DOIs
Publication statusPublished - Jun 2022

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