PMID- 34390558
OWN - NLM
STAT- MEDLINE
DCOM- 20211028
LR  - 20211028
IS  - 1105-2333 (Print)
IS  - 1105-2333 (Linking)
VI  - 32
IP  - 3
DP  - 2021 Sep 20
TI  - Assessment of the Mobile Mental Health Units' effectiveness in Cyclades islands.
PG  - 199-207
LID - 10.22365/jpsych.2021.031 [doi]
AB  - In Greece, the provision of mental health shows inefficiencies in remote and 
      inaccessible areas due to the lack of appropriate structures and access to 
      healthcare. The purpose of this study was to assess the effectiveness of the 
      Mobile Mental Health Units (MMHUs) in Cyclades with and without MMHUs' operation 
      based on Real-World Evidence (RWE). The study population consisted of 724 people 
      who visited the MMHUs of the western and northeastern Cyclades in 2015. The data 
      derived from the patients' medical records of EPAPSY classified by International 
      Statistical Classification of Diseases and Related Health Problems 10th Revision 
      (ICD-10) and the Global Assessment of Functioning (GAF) scale. The analysis 
      revealed that 60.9% of the participants were women and the average age was 50.1. 
      50.4% of the people who visited MMHUs without referral from primary health care 
      professionals and 18.8% with referral. The calculation of effectiveness was based 
      on DALYs (Disability-Adjusted Life Years) and was performed according to the 
      World Health Organization methodology. In the specific population, there are no 
      recorded deaths caused by mental disorders and thus DALYs are equal to Years Lost 
      due to Disability (YLDs) with MMHUs' operation. 18% of the population was 
      diagnosed with mood disorders (F30-F39) and morbidity burden 9.49 (YLDs), while 
      17.5% of the patients were diagnosed with neurotic, stress-related and somatoform 
      disorders (F40-F48) and corresponding morbidity burden 4.53 (YLDs). Our results 
      revealed that the effectiveness of MMHUs corresponds to 17.98 Disability-Adjusted 
      Life Years (DALYs) averted in 2015. The mood disorders and the neurotic, 
      stress-related disorders have shown a high morbidity burden. Advanced age, 
      non-permanent employment, existence of psychopathology in the family and referral 
      on patients' own will were found to significantly affect the mental health status 
      of the participants. The implementation and expansion of flexible and alternative 
      community-based interventions, such as MMHUs, constitute a best practice both for 
      obtaining higher clinical outcomes and for facing regional inefficiencies related 
      to population's access to healthcare.
FAU - Lykomitrou, Aikaterini
AU  - Lykomitrou A
AD  - Department of Social and Educational Policy, School of Social Sciences, 
      University of Peloponnese, Corinth, Greece.
FAU - Stylianidis, Stelios
AU  - Stylianidis S
AD  - Department of Psychology, Panteion University of Social and Political Sciences, 
      Athens, Greece.
FAU - Geitona, Mary
AU  - Geitona M
AD  - Department of Social and Educational Policy, School of Social Sciences, 
      University of Peloponnese, Corinth, Greece.
FAU - Pantelidou, Stella
AU  - Pantelidou S
AD  - Scientific Association for the Regional Development and Mental Health (EPAPSY).
FAU - Souliotis, Kyriakos
AU  - Souliotis K
AD  - Department of Social and Educational Policy, School of Social Sciences, 
      University of Peloponnese, Corinth, Greece.
LA  - eng
PT  - Journal Article
DEP - 20210805
PL  - Greece
TA  - Psychiatriki
JT  - Psychiatrike = Psychiatriki
JID - 101534363
SB  - IM
MH  - Female
MH  - Humans
MH  - Islands
MH  - *Mental Disorders/epidemiology/therapy
MH  - *Mental Health
MH  - Middle Aged
MH  - Mobile Health Units
MH  - Quality-Adjusted Life Years
OTO - NOTNLM
OT  - Disability-Adjusted Life Years (DALYs)
OT  - Greece
OT  - Mobile Mental Health Units (MMHUs)
OT  - mental health
OT  - remote areas
EDAT- 2021/08/15 06:00
MHDA- 2021/10/29 06:00
CRDT- 2021/08/14 17:03
PHST- 2021/08/15 06:00 [pubmed]
PHST- 2021/10/29 06:00 [medline]
PHST- 2021/08/14 17:03 [entrez]
AID - 10.22365/jpsych.2021.031 [doi]
PST - ppublish
SO  - Psychiatriki. 2021 Sep 20;32(3):199-207. doi: 10.22365/jpsych.2021.031. Epub 2021 
      Aug 5.