https://hdl.handle.net/20.500.12412/2547 2026-10-16T18:03:19Z 2026-10-16T18:03:19Z Salvador-Carulla, L. Furst, M.A. Tabatabaei-Jafari, H. Mendoza, J. Riordan, D. Moore, E. Rock, D. Anthes, L. Bagheri, N. Salinas-Perez, J.A. https://hdl.handle.net/20.500.12412/7426 2026-10-14T21:00:17Z 2022-12-20T00:00:00Z

Patterns of service provision in child and adolescent mental health care in Australia Salvador-Carulla, L.; Furst, M.A.; Tabatabaei-Jafari, H.; Mendoza, J.; Riordan, D.; Moore, E.; Rock, D.; Anthes, L.; Bagheri, N.; Salinas-Perez, J.A. Standard description of local care provision is essential for evidence-informed planning. This study aimed to map and compare the availability and diversity of current mental health service provision for children and adolescents in Australia. We used a standardised service classification instrument, the Description and Evaluation of Services and DirectoriEs (DESDE) tool, to describe service availability in eight urban and two rural health districts in Australia. The pattern of care was compared with that available for other age groups in Australia. Outpatient care was found to be the most common type of service provision, comprising 212 (81.2%) of all services identified. Hospital care (acute and non-acute) was more available in urban than in rural areas (20 services [9.7%] vs 1 [1.8%]). The level of diversity in the types of care available for children and adolescents was lower than that for the general adult population, but slightly higher than that for older people in the same areas. Standardised comparison of the pattern of care across regions reduces ambiguity in service description and classification, enables gap analysis and can inform policy and planning.

2022-12-20T00:00:00Z Gutiérrez-Colosía, M.R. Salinas-Perez, J.A. Salvador-Carulla, L. https://hdl.handle.net/20.500.12412/7425 2026-10-15T21:00:42Z 2022-11-15T00:00:00Z

European Union. Mental health care ecosystems Gutiérrez-Colosía, M.R.; Salinas-Perez, J.A.; Salvador-Carulla, L. Mental health care is a health policy priority in Europe and the reform and scaling-up of services a key target. For that, a more balanced hospital-ambulatory approach is needed as it has been recognized that community-based care has a positive impact in quality of life of patients. The generation and use of scientific knowledge for mental health policy and planning is essential on the path to a balanced system. Health care ecosystem research follows a bottom-up approach that intends to include the local evidence of mental health care systems to overcome the usual limited top-down perspective. For that purpose, system tools like mental health atlas are now providing standardized empirical data about service provision in an area, based on taxonomies like the ESMS/DESDE system. Atlases in turn, support advanced modelling tools like the Efficient Decision Support -Mental Health (EDeS-MH) to improve knowledge on the health ecosystem, resource allocation and management in regional planning.

2022-11-15T00:00:00Z Salvador-Carulla, L. Furst, M.A. Gillespie, J. Rosenberg, S. Aryani, A. Anthes, L. Ferdousi, S. Salinas-Perez, J.A. https://hdl.handle.net/20.500.12412/7424 2026-10-14T21:00:17Z 2022-10-07T00:00:00Z

Regional evolution of psychosocial services in Australia before and after the implementation of the National Disability Insurance Scheme Salvador-Carulla, L.; Furst, M.A.; Gillespie, J.; Rosenberg, S.; Aryani, A.; Anthes, L.; Ferdousi, S.; Salinas-Perez, J.A. Objectives: This paper compares the evolution of the psychosocial sector in two Australian regions pre and post introduction of the National Disability Insurance Scheme - a major reform to the financing, planning and provision of disability services in Australia, intended to create greater competition and efficiency in the market, and more choice for service users. Methods: We used a standardised service classification instrument based on a health ecosystems approach to assess service availability and diversity of psychosocial services provided by non-government organisations in two Primary Health Network regions. Results: We identified very different evolutionary pathways in the two regions. Service availability increased in Western Sydney but decreased in the Australian Capital Territory. The diversity of services available did not increase in either Primary Health Network 4 years after the reform. Many services were experiencing ongoing funding uncertainty. Conclusion: Assumptions of increased efficiency through organisational scaling up, and a greater diversity in range of service availability were not borne out. Implications: This study shows the urgent need for evaluation of the effects of the NDIS on the provision of psychosocial care in Australia. Four years after the implementation of the NDIS at vast expense key objectives not been met for consumers or for the system as a whole, and an environment of uncertainty has been created for providers. It demonstrates the importance of standardised service mapping to monitor the effects of major reforms on mental health care as well as the need for a focus at the local level.

2022-10-07T00:00:00Z Furst, M.A. McDonald, T. McCalman, J. Salinas-Perez, J.A. Fagan, R. Lee Hong, A. Nona, M. Saunders, V. Salvador-Carulla, L. https://hdl.handle.net/20.500.12412/7422 2026-10-14T21:00:14Z 2024-04-08T00:00:00Z

Evaluating Aboriginal and Torres Strait Islander Social and Emotional Wellbeing services: A collective case study in Far North Queensland Furst, M.A.; McDonald, T.; McCalman, J.; Salinas-Perez, J.A.; Fagan, R.; Lee Hong, A.; Nona, M.; Saunders, V.; Salvador-Carulla, L. Background: Access to a coordinated range of strengths-based, culturally appropriate community-led primary mental health and Social and Emotional Wellbeing services is critical to the mental health and wellbeing of young Aboriginal and Torres Strait Islander people, and is a policy commitment of the Australian government. However, complex and fragmented service networks and a lack of standardised service data are barriers in identifying what services are available and what care they provide. Method: A standardised service classification tool was used to assess the availability and characteristics of Social and Emotional Wellbeing services for young Aboriginal and Torres Strait Islander people in two regions in Queensland, Australia. Results: We identified a complex pattern of service availability and gaps in service provision. Non-Indigenous non-governmental organisations provided a significant proportion of services, particularly ‘upstream’ support, while Aboriginal Community Controlled Organisations were more likely to provide ‘downstream’ crisis type care. Most services provided by the public sector were through Child Safety and Youth Justice departments. Conclusions: Our findings demonstrate the complexity of current networks, and show that non-Indigenous organisations are disproportionately influential in the care received by young Aboriginal and Torres Strait Islander people, despite community goals of self-determination, and government commitment to increasing capacity of Aboriginal Community Controlled Organisations to support their local communities. These findings can be used to support decision making and planning.

2024-04-08T00:00:00Z