Kramer Amit, Brunstein-Klomek Anat, Neuthal Nili, Nakash Bar Tal, Tzur Bitan Dana
Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Mount Carmel, Haifa, 31905, Israel.
Shalvata Mental Health Center, Hod Hasharon, Israel.
Isr J Health Policy Res. 2025 Aug 7;14(1):48. doi: 10.1186/s13584-025-00710-7.
A recent call has been made in Israel to address the needs of citizens inflicted by multiple adversities such world pandemic, internal conflicts, events of mass trauma and ongoing war. Nonetheless, public's and mental health professional's view regarding these needs and their prioritization is not well understood. This study aims to bridge this gap in knowledge, by assessing mental health service users and professionals' views regarding the future of mental health in Israel.
Two surveys were distributed to mental health professionals and service users. Responders (286 professionals and 522 service users) were asked about their vision for future mental health services and their views regarding the integration of technology and innovation, using a close-ended measure developed by mental health professionals to address local challenges.
The top-rated category among professionals and service users was improving accessibility, with 75% of the service users and 82% of the professionals ranking this item as one of top-three items. Individuals with less experience with the mental healthcare system tended to rank personalized care as second-ranked priority (OR = 0.48, p = 0.04), whereas highly experienced individuals were more likely to rank alternatives to psychiatric hospitalization as third-ranked priority (OR = 2.99, p < 0.001). Professionals ranked the level of innovation in Israel's mental healthcare as 3.37 (SD = 1.82), and service users ranked 3.18 (SD = 2.12) out of 10. Among mental health professionals, lack of resources was rated as the predominant challenge in implementing technology and innovation.
Policy and decision-makers in Israel should consider addressing the issue of mental healthcare accessibility as top priority when planning a mental health reform, as well as routes to improve personalized care and alternative to psychiatric admissions. Steps should be taken to improve innovation and technology as means to improve the quality of mental healthcare in Israel.
以色列近期呼吁满足受多种逆境影响的公民的需求，这些逆境包括全球大流行、内部冲突、大规模创伤事件和持续的战争。然而，公众和心理健康专业人员对这些需求及其优先级的看法尚不清楚。本研究旨在通过评估心理健康服务使用者和专业人员对以色列心理健康未来的看法来弥合这一知识差距。
向心理健康专业人员和服务使用者发放了两份调查问卷。使用心理健康专业人员制定的封闭式量表询问受访者（286名专业人员和522名服务使用者）对未来心理健康服务的愿景以及他们对技术和创新整合的看法，以应对当地挑战。
专业人员和服务使用者中排名最高的类别是提高可及性，75%的服务使用者和82%的专业人员将此项目列为前三项目之一。对心理保健系统经验较少的个体倾向于将个性化护理列为第二优先事项（OR = 0.48，p = 0.04），而经验丰富的个体更有可能将精神科住院替代方案列为第三优先事项（OR = 2.99，p < 0.001）。专业人员对以色列心理保健的创新水平评分为3.37（标准差 = 1.82），服务使用者评分为3.18（标准差 = 2.12）（满分10分）。在心理健康专业人员中，资源匮乏被评为实施技术和创新的主要挑战。
以色列的政策和决策者在规划心理健康改革时应考虑将心理保健可及性问题作为首要任务，以及改善个性化护理和精神科住院替代方案的途径。应采取措施提高创新和技术水平，以改善以色列心理保健的质量。
