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BACKGROUND Depression is a worldwide problem warranting global solutions to tackle it. Enhancing well-being has benefits in its own right and could be a good strategy for preventing depression. Providing well-being interventions via the Internet may have synergetic effects. OBJECTIVE Psyfit ("mental fitness online") is a fully automated self-help(More)
One way to meet the challenges in creating a high performance organization in health care is the approach of the European Foundation for Quality Management (EFQM). The Foundation is in the tradition of the American Malcolm Baldrige Award and was initiated by the European Commission and 14 European multi-national organizations in 1988. The essence of the(More)
Mortality studies demonstrate that, in all the Countries evaluated, alcoholics die twenty years earlier than expected. Causes of death vary according to drinking patterns. Though mortality data seem crude, they can detect changes due to clinical intervention. Alcoholism studies should benefit by improvement of research methodologies as already applied to(More)
Professionals in healthcare organizations, who generally produce high-quality work, commonly operate in isolation or locally. However, due to developments in society and legislation, healthcare organizations are forced to integrate healthcare activities, and achieve integral quality management, instead of suboptimal, local quality management. Eindhoven(More)
The Jellinek Center is a treatment service for prevention, care and cure of clients with addiction problems. Ten years ago the first quality improvement program was started. In 1994 the management team did the first formal self-assessment based on the European Foundation for Quality Management (EFQM) Model and three assessors from the "Instituut Nederlandse(More)
The Dutch substance abuse treatment system is in the middle of a major reorganization. The goal is to improve outcomes by redesigning all major primary treatment processes and by implementing a system of regular monitoring and feedback of clinical outcome data. The new program includes implementing standardized psychosocial behavior-oriented treatment(More)
AIMS This review assessed the published data on the cost-effectiveness of acamprosate for the treatment of alcohol dependence. METHODS Four Markov modelling studies have assessed the therapeutic benefit and economic impact of acamprosate on the treatment of alcohol dependence. These have evaluated both short-term and long-term outcomes and have used(More)
AIM To identify and specify the structure and the elements of a quality framework for addiction treatment programs. METHOD Concept mapping strategy was applied. In brainstorm sessions, 70 statements were generated and rated by 90 representatives of three stakeholder groups. Using multivariate statistical analyses, the statements were positioned on a map.(More)
In the Amsterdam region of The Netherlands, with 7000 drug addicts, 42% are estimated to commit criminal offences regularly. About 1500 drug users can be characterized as highly criminal drug addicts. The traditional reactions of the judicial system hardly contributed to a decrease in the number of these addicted delinquents. The Street Junk Project was(More)