Organisation of mental health care for adults in Belgium
KCE Reports 318 (2019)
Mental health services have undergone a number of reorganisations, all of which are characterised by a desire to discharge patients from hospital to enable them to live in the community.
KCE was given the task of mapping the current landscape for these services and identifying their shortcomings and possible overlaps. But since the needs of the Belgian population are not known – as there are no reliable figures on the subject – KCE has not been able to verify whether the services provided meet those needs. Priority must therefore be given to implementing efficient encoding systems for data relating to mental health problems, the care services needed, the services provided and how these services are used, their costs, their quality, etc.
The number of care access points must also be increased and made more accessible from a financial point of view. The access points could be general practitioners, medical centres, health services in the workplace, Public Welfare Centres (CPAS/OCMW), etc. Several networks are already tackling this. In addition, all the information on the provision of mental and physical health services should be combined online in a single portal.
The provision of adapted dwellings must be increased significantly in order to promote social reintegration and prevent institutionalisation. Lastly, preventing mental health problems and managing them early cannot be achieved without their destigmatisation, both in the general population and among employers and the care providers themselves.
How to refer to this document?
Full report: Mistiaen P, Cornelis J, Detollenaere J, Devriese S, Farfan-Portet MI, Ricour C. Organisation of mental health care for adults in Belgium. Health Services Research (HSR) Brussels: Belgian Health Care Knowledge Centre (KCE). 2019. KCE Reports 318. D/2019/10.273/50.
Chapter 01: Detollenaere J, Cornelis J, Devriese S, Mistiaen P, Ricour C. Description of the Belgian mental health care within the general health care organisation. In: Mistiaen P, Cornelis J, Detollenaere J, Devriese S, Farfan-Portet MI, Ricour C (Editors) Organisation of mental health care for adults in Belgium. Health Services Research (HSR) Brussels: Belgian Health Care Knowledge Centre (KCE). 2019. KCE Reports 318. D/2019/10.273/50
Chapter 02: Detollenaere J, Gisle L, Mistiaen P. Prevalence of mental health problems. In: Mistiaen P, Cornelis J, Detollenaere J, Devriese S, Farfan-Portet MI, Ricour C (Editors) Organisation of mental health care for adults in Belgium. Health Services Research (HSR) Brussels: Belgian Health Care Knowledge Centre (KCE). 2019. KCE Reports 318. D/2019/10.273/50
Chapter 03: Detollenaere J, Bruffaerts R, Gisle L, Mistiaen P. Comparability of ESeMED and HIS. In: Mistiaen P, Cornelis J, Detollenaere J, Devriese S, Ricour C (Editors) Organisation of mental health care for adults in Belgium. Health Services Research (HSR) Brussels: Belgian Health Care Knowledge Centre (KCE). 2019. KCE Reports 318. D/2019/10.273/50
Chapter 04: Ricour C, Detollenaere J, Cornelis J, Devriese S, Mistiaen P. International frameworks for mental health service organization. In: Mistiaen P, Cornelis J, Detollenaere J, Devriese S, Farfan-Portet MI, Ricour C (Editors) Organisation of mental health care for adults in Belgium. Health Services Research (HSR) Brussels: Belgian Health Care Knowledge Centre (KCE). 2019. KCE Reports 318. D/2019/10.273/50
Chapter 05: Laguesse R, Lambert M, Van Nuffel R, De Coen M, Van Speybroeck J, Bontemps C. Mapping mental health care services in Belgium. In: Mistiaen P, Cornelis J, Detollenaere J, Devriese S, Farfan-Portet MI, Ricour C (Editors) Organisation of mental health care for adults in Belgium. Health Services Research (HSR) Brussels: Belgian Health Care Knowledge Centre (KCE). 2019. KCE Reports 318. D/2019/10.273/50
Chapter 06: Thunus S, Neyens I, Walker C, Hermans K, Smith P, Nicaise P, Van Audenhove C, Lorant V. Strengths, weaknesses, gaps, and overlaps in the current mental health care supply: a focus group study. In: Mistiaen P, Cornelis J, Detollenaere J, Devriese S, Farfan-Portet MI, Ricour C (Editors) Organisation of mental health care for adults in Belgium. Health Services Research (HSR) Brussels: Belgian Health Care Knowledge Centre (KCE). 2019. KCE Reports 318. D/2019/10.273/50
Chapter 07: Smith P, Nicaise P, Neyens I, Hermans K, Thunus S, Walker C, Van Audenhove C, Lorant V. Values and sets of possible organisational solutions: a choice-based stakeholder analysis survey. In: Mistiaen P, Cornelis J, Detollenaere J, Devriese S, Farfan-Portet MI, Ricour C (Editors) Organisation of mental health care for adults in Belgium. Health Services Research (HSR) Brussels: Belgian Health Care Knowledge Centre (KCE). 2019. KCE Reports 318. D/2019/10.273/50
Chapter 08: Cornelis J, Detollenaere J, Devriese S, Mistiaen P, Ricour C. Acceptability of possible recommendations for future mental health care organisation in Belgium: a stakeholder survey. In: Mistiaen P, Cornelis J, Detollenaere J, Devriese S, Farfan-Portet MI, Ricour C (Editors) Organisation of mental health care for adults in Belgium. Health Services Research (HSR) Brussels: Belgian Health Care Knowledge Centre (KCE). 2019. KCE Reports 318. D/2019/10.273/50
How to refer to this report