Gesher LaNefesh Social Impact Bond
Gesher LaNefesh Social Impact Bond
The Project
A Social Impact Bond with a pay-for-success model to promote community mental health, the first in Israel and the sixth globally. The goal is to develop an advanced home and community treatment service for individuals struggling with severe psychiatric disorders, which will improve and stabilize their mental and physical condition, ensure they utilize their legal rights, connect them to rehabilitation services, and reduce the length and frequency of hospitalizations in psychiatric and general wards.
The intervention program is based on the FACT principles – Flexible Assertive Community Treatment.
The Impact
Each year, over 20,000 people are hospitalized in psychiatric hospitals in Israel. 78% of them are re-admitted. This phenomenon, known as the "revolving door", points to a shortage of community mental health services. Psychiatric hospitalization disrupts psychological and functional continuity, causes detachment from the patient’s support system and familiar intimate home environment, and is often associated with regression, dependency development ("institutionalization"), and public and self-stigma.
By shifting the focus of the treatment to the community, the Meuhedet HMO in collaboration with SFI and the Sharan Company have created an intensive and holistic therapeutic response for the at-risk population.
Expected Outcomes:
- Reducing hospitalization length and psychiatric admissions
- Reducing general hospitalization and ER visits
- Increase in eligibility and utilization of disability benefits and rehabilitation services
- Community integration and improved quality of life for people struggling with mental illness
Looking Ahead
This model will create measurable social impact, enable patient-centered, tailored and flexible evidence-based case management, promote best practices for Meuhedet's members, and scale nationally.
80
Participants
~30%
Target reduction in inpatient days
3.3 million NIS
Investment in the project
Partners
Meuhedet HMO and the Sharan Company. The project was made possible thanks to the generous donation from the estate of the late Bruno Landsberg.
Status
The intervention program will end in December 2024. Measurement will continue until 2027
Decrease in Number of Dropouts
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