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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

EV0759

An international perspective on financing mobile community mental health services: lessons from high- and upper-middle-income countries

INTERNATIONAL PERSPECTIVES ON FINANCING MOBILE COMMUNITY MENTAL HEALTH SERVICES: LESSONS FROM HIGH- AND UPPER-MIDDLE INCOME COUNTRIES

Countries with predictable public funding achieve greater coverage and continuity of mobile community mental health services; reliance on pilot projects limits scalability and accountability.

The study aims to compare financing models for community mental health services (CMHS) in high- and upper-middle-income countries and draw implications for Ukraine. The methodology is based on a desk review and includes an analysis of documents from PubMed, Google Scholar, and government reports; the seven countries covered are Great Britain, Norway, the Czech Republic, Poland, Lithuania, Georgia, and Ukraine. The poster classifies community-based services into three categories: community treatment services (community mental health teams, CMHT; community-based treatment teams, CBTT; assertive community treatment teams, ACTT), mobile multidisciplinary services (MMMHT, MMCMT), and crisis intervention services (CRHTT, MCHTT, MPCRT). The findings indicate that services in Great Britain and Norway operate within established public systems funded by the NHS, municipalities, and hospital trusts, with regular, standardized evaluation and comprehensive legal and policy frameworks; Lithuania and the Czech Republic, by contrast, operate pilot project systems supported by external funding, including EU Structural Funds, with irregular, project-based evaluation and fragmented legal frameworks. Georgia and Poland have publicly funded pilot systems; Poland's capitation-based system is described as a pragmatic hybrid financing model that aligns resource allocation with population needs while ensuring predictability and accountability. In Ukraine, war-related sociodemographic changes have increased the need for flexible and resilient community-based care, but institutional path dependence, budget shortfalls, workforce shortages, and excessive reliance on inpatient care have constrained implementation. The poster summarizes the lessons learned in two points: countries with predictable government funding (Norway, the United Kingdom, and Poland) have broader service coverage, more consistent outreach capacity, and better integration with other mental health services; policy frameworks and comprehensive mental health legislation accelerate system consolidation, whereas reliance on pilot programs or ministerial decrees limits scalability and accountability. In conclusion, the poster emphasizes that without predictable and adequate public funding, mobile multidisciplinary teams risk remaining fragmented and temporary, undermining continuity and coverage.

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