[PMA17] The European service mapping schedule (ESMS): a new instrument for mental health services research, results of a French study

[PMA17] The European service mapping schedule (ESMS): a new instrument for mental health services research, results of a French study

2001 Value in health

Azorin, JM. | Goudemand, M. | Toumi, M. | Johnson, S. | Pettersson, Ã. | Volume: 4, Issue: 2, Pages: 187-188, mental health, Mental Health Services, Health Services, classification, France, methods,

OBJECTIVES: When comparing patient management
and patient outcomes, the available services within a
catchment area appear to be a major confounding factor.
The ESMS aims to classify services and measure their activity
in a standardized way, which opens new opportunities
to adjust for service offer. The ESMS allows to map
the services available in a set of catchment areas and to
identify different profiles. In addition we evaluate the accuracy
of the French standardized classification of mental
health services and the applicability of the instrument in
France. METHODS: 171 services in 24 catchment areas
were involved in the study, which focused on the French
public mental health care system. Each service was classified
according to the ESMS and data were collected on
service use. The data for each catchment area were aggregated
in residential use, structured day activities, continuous
out patient care and emergency out patient care, then
a cluster analysis was performed. The ESMS classification
of the services based on function was compared to
the official French description of services. RESULTS:
Four classes were identified: Class 1 high activity in all
services, class 2 low activity in all services, class 3 low activity
in continuous ambulatory care, class 4 high activity
in continuous ambulatory care. The ESMS confirmed the
consistency between the French official description of the
services’ missions and the actual activity. 10% of the services
had at least one additional “non official” function.
The study showed that the ESMS was adapted for use in
France, but it requires expert supervision for large-scale
implementation. CONCLUSIONS: The ESMS proves to
be useful not only in mental health service research, but
can also bring the possibility to adjust for the catchment
area’s service profile in outcomes research.

https://www.doi.org/10.1046/j.1524-4733.2001.40202-311.x