As a result of the deinstitutionalisation of psychiatric service users, fragmentation in mental health care delivery systems has become a public mental health issue in many Western countries. Research indicate that it should be addressed at the system level. Leutz described three levels of care integration: linkage, coordination, and full integration. Within a European cross-national research on mental health in socially marginalised groups, we used several measures from Social Network Analysis to describe those three levels of care integration across inter-organisational networks of mental health and social care agencies. The study revealed gaps in the implementation of all three levels of care integration: levels of linkage (density) and coordination (centrality) were low across all networks, there were few fully integrated services, and these services were generally positioned in peripheral positions. We suggest that these social network indicators are relevant to compare integration models across different welfare systems.
Queen Mary University of London, London, UKUnit for Social and Community Psychiatry
Etablissement public de santé Maison Blanche, Paris, FranceLaboratoire de recherche
Ludwig Boltzmann Institute for Social Psychiatry, Vienna, AustriaLudwig Boltzmann Institute for Social Psychiatry
National University of Ireland, Galway, IrelandHealth Promotion Research Centre
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Nicaise, P., Dubois, V., Matanov, A., Tulloch, S., Greacen, T., Straßmayr, C., Canavan, R., Priebe, S., & Lorant, V. (2012). Integration of care in mental health and social care delivery systems: Social Network Analysis comparisons across Europe. 8th UKSNA Conference, Bristol (UK). https://hdl.handle.net/2078.5/225512