Implementing a Nation-Wide Mental Health Care Reform: An Analysis of Stakeholders' Priorities

Community Mental Health Journal
Vincent LorantTitle 107 Study Group

Abstract

Belgium has recently reformed its mental health care delivery system with the goals to strengthen the community-based supply of care, care integration, and the social rehabilitation of users and to reduce the resort to hospitals. We assessed whether these different reform goals were endorsed by stakeholders. One-hundred and twenty-two stakeholders ranked, online, eighteen goals of the reform according to their priorities. Stakeholders supported the goals of social rehabilitation of users and community care but were reluctant to reduce the resort to hospitals. Stakeholders were averse to changes in treatment processes, particularly in relation to the reduction of the resort to hospitals and mechanisms for more care integration. Goals heterogeneity and discrepancies between stakeholders' perspectives and policy priorities are likely to produce an uneven implementation of the reform process and, hence, reduce its capacity to achieve the social rehabilitation of users.

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Citations

Jan 14, 2020·Journal of Interprofessional Care·Pablo NicaiseVincent Lorant
Mar 28, 2017·Administration and Policy in Mental Health·Vincent LorantUNKNOWN Title107 Study Group
Jan 3, 2021·Administration and Policy in Mental Health·Pierre SmithVincent Lorant

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