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Integrating care for people with depression: developments in the Netherlands
Adri H Peters1, Rob J de Leeuw, Guus J P Schrijvers
1MSc, Senior Researcher Integrated Mental Health Care, Julius Center for Health Sciences and Primary Care, Division Public Health, Utrecht University, Room: Str. 6.131, PO Box 85500, 3508 GA Utrecht, The Netherlands.
International Journal of Integrated Care
|February 4, 2011
Summary
Integrated care for depression in the Netherlands evolved in two phases. Early programs focused on specialized mental health care (MHC), with later developments emphasizing primary care collaboration and integrated packages.
Area of Science:
- Mental Health Services Research
- Healthcare Policy and Management
Background:
- The Netherlands has a history of developing integrated care models for depression.
- Understanding the evolution of these models is crucial for optimizing patient outcomes.
Purpose of the Study:
- To describe the historical development and current state of integrated care for depression in the Netherlands.
- To analyze the key phases and shifts in care delivery for depression.
Main Methods:
- Systematic review of Dutch policy and research documents.
- Analysis of a national survey conducted in 2007.
- Information gathering through reports, project descriptions, and expert consultation.
- Literature searches in PubMed and Google Scholar.
Main Results:
- Integrated care for depression in the Netherlands occurred in two phases: 1990s (specialized mental health care (MHC) programs) and post-2000 (focus on primary care integration and collaboration).
- Early MHC programs did not achieve integration with primary care.
- The second phase saw increased attention on strengthening general practitioners' (GPs) roles, inter-sectoral collaboration, and developing comprehensive care packages.
Conclusions:
- Developments in Dutch integrated care for depression can be benchmarked against international projects.
- Evidence from international reviews supports recommendations for functional costing, co-location of MHC specialists in primary care, and standardized national protocols.
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