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Tertiary mental health services: I. Key concepts
D Wasylenki1, P Goering, J Cochrane
1St Michael's Hospital, Toronto. On. donald.wasylenki@utoronto.ca
Summary
Individuals with severe mental illness needing tertiary care require specialized interventions like psychosocial rehabilitation and behavioral approaches. Flexible, efficient mental health services should focus on the level of care, not the setting.
Area of Science:
- Psychiatry
- Mental Health Services Research
Background:
- Severe and persistent mental illnesses (SPMI) often necessitate specialized tertiary care beyond primary and secondary services.
- Clients requiring tertiary care typically exhibit complex needs, including aggressiveness, medication noncompliance, and potential dangerousness.
Purpose of the Study:
- To outline the essential components and delivery models of tertiary mental health care.
- To advocate for flexible and efficient service delivery systems for individuals with SPMI.
Main Methods:
- Tertiary care integrates psychosocial rehabilitation, advanced medication management, and behavioral strategies.
- Service delivery models include assertive community treatment, specialized outreach, community residential programs, and hospital-based services.
Main Results:
- Organized systems are increasingly crucial for identifying appropriate candidates for tertiary care.
- Effective tertiary care delivery is independent of specific settings or time constraints.
Conclusions:
- Mental health services must delink the level of care from the model or location of service provision.
- This delinking fosters flexible, efficient, and effective mental health care systems for complex patient needs.
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