Community-based Mental Healthcare: A Case Study in a Cross-border Region of Germany and the Netherlands

Maria Lucia Specchia, Stefania Boccia, Antonio De Belvis, Emanuele Leoncini, Matthew J. Commers

Research output: Contribution to journalArticle


BACKGROUND: Community-based mental healthcare (CBMH) aims at supplying psychiatric patients with rehabilitative care outside the hospital. The aim of this study was to compare the organization of CBMH in a cross-border region of Germany and the Netherlands. METHOD: Semi-structured interviews gave insight into characteristics of CBMH approaches applied in the German region of Aachen (IHP) and the Dutch Province of Limburg (FACT). We applied a Delphi technique to select a performance indicator (PI) set for CBMH, which served as a conceptual model to allow comparison. RESULTS: Both approaches are flexible, patient-centred and include the evaluation of quality. Both provide financial and administrative support for the access. CONCLUSION: CBMH approaches appear to be equally valid from several perspectives even if they revealed, at the same time, important differences related to scope, integration with non-CBMH care resources and geographic coverage. Secondarily, the study provides a contribution to the development of a PI set to compare and evaluate CBMH approaches.
Original languageEnglish
Pages (from-to)/-/
Publication statusPublished - 2018


  • Case Management
  • Community-based Care
  • Mental Health
  • Performance Indicators


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