Table 1.
The development of integrated mental health services in the Netherlands 1975–2007
| Before 1980 | Fragmented mental health services |
| 1975–1990 (approximately) | Creation of mental health care in two tiers: 1. regional outpatient mental health services (RIAGG); 2. institutional mental health services (APZ, PAAZ, UMC) |
| 1988 | First mental health care (MHC) programmes involving both tiers appear (pilot projects) |
| 1992 | Strategy document ‘Mental Health Care in Programmes’ |
| 1997 | Publications of four concise MHC programmes, including the first Mood Disorders Programme |
| 2001 | First elaborate care programme for mood disorders |
| 2004–2008 | Breakthrough projects to bridge the gap between primary health care and mental health care |
| 2005 | National Depression Basic Programme |
| 2006 | National study on collaboration between primary care and mental health care |
| 2007 | Multidisciplinary Guideline Depression |
| 2007 | 66 care programmes for mood disorders or depression and 17 programmes for anxiety and mood disorders. |
Table 2.
Quality criteria care programmes mood disorders
| General quality criteria | Number of programmes (n=20) |
|---|---|
| 1. Description preventive interventions | 18 |
| 2. Description target group | 16 |
| 3. Use of scientific knowledge | 16 |
| 4. Client route through programme (tree diagram) | 16 |
| 5. Description patient's problem | 15 |
| 6. Description crisis intervention | 15 |
| 7. Description comorbidity | 15 |
| 8. Relationship with referrers | 12 |
| 9. Scientific evidence components | 11 |
| 10. Quality control (indicators) | 11 |
| 11. Description gender-specific aspects | 10 |
| 12. Description theoretical framework | 8 |
| 13. Immigrant component | 8 |
| 14. Collaboration with other (MHC) organizations | 7 |
| 15. Internal collaboration with other departments | 4 |
| 16. Use experience-based knowledge | 4 |
| 17. Evaluation, adjustment, update | 4 |
| Criteria modules | |
| 18. Indications/contraindications | 16 |
| 19. Description content, aim, activity | 14 |
| 20. Description scientific basis | 9 |
| 21. Organizational aspects (disciplines, progress monitoring) | 6 |
| Specific programme criteria | |
| 22. Cognitive behaviour therapy | 20 |
| 23. Interpersonal psychotherapy | 20 |
| 24. Psycho-education | 19 |
| 25. Distinction seriousness depression in connection with type treatment | 16 |
| 26. Diagnosis on the basis of DSM IV | 15 |
| 27. Regional incidence/prevalence | 14 |
| 28. Basic principles treatment | 14 |
| 29. Section suicidal tendencies | 10 |