Improvements are needed to better measure mental health care quality

2010 ◽  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Quality ◽  
Care Quality

scholarly journals Shifting to Remotely Delivered Mental Health Care: Quality Improvement in the COVID-19 Pandemic

2020 ◽  
Vol 1 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Patrick Daigle ◽  
Abraham Rudnick
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Quality Improvement ◽  
Mental Health Care ◽  
Health Care Quality ◽  
Care Quality ◽  
Health Clinic ◽  
Quality Improvement Initiative ◽  
Service Users ◽  
Specialized Mental Health

This paper presents an organizational (ambulatory) case study of shifting mental health care from in-person to remote service delivery due to the current (COVID-19) pandemic as a rapid quality improvement initiative. Remotely delivered mental health care, particularly using synchronous video and phone, has been shown to be cost-effective, especially for rural service users. Our provincial specialized mental health clinic rapidly shifted to such remote delivery during the current pandemic. We report on processes and outputs of this rapid quality improvement initiative, which serves a purpose beyond pandemic circumstances, such as improving access to such specialized mental health care for rural and other service users at any time. In conclusion, shifting specialized mental health care from in-person to remotely delivered services as much as possible could be beneficial beyond the current pandemic. More research is needed to optimize the implementation of such a shift.

Measuring patient voice matters: setting the scene for patient-reported indicators

2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Katherine de Bienassis ◽  
Solvejg Kristensen ◽  
Emily Hewlett ◽  
David Roe ◽  
Jan Mainz ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Quality ◽  
Mental Health Problems ◽  
Clinical Care ◽  
Patient Reported Outcome Measures ◽  
Care Quality ◽  
Patient Reported ◽  
Quality And Outcomes

Abstract Background Achieving people-centred health care systems requires new and innovative strategies to capture information about whether, and to what degree, health care is successful in improving health from the perspective of the patient. Patient-reported outcome measures (PROMs) and Patient-reported experience measures (PREMs) can bring some of these new insights, and are increasingly used in research, clinical care, and policymaking. Methods This paper reflects the ongoing discussions and findings of the OECD PaRIS Working Group on Patient-reported Indicators for Mental Health Care. Results The OECD has been measuring quality of care for mental health conditions over the last 14 years through the Health Care Quality and Outcomes (HCQO) program; nonetheless, information on how persons with mental health problems value the services they receive, and impact of the services, remains limited. As of 2018, a survey from the OECD showed that only five of the twelve countries surveyed (Australia, Israel, Netherlands, Sweden, United Kingdom) reported PROMs and PREMs collection on a regular basis in mental health settings. The paper details some of the challenges specific to the collection and use of PROMs and PREMs in mental health care, and examples from countries which have implemented comprehensive programmes to gather information about PROMs and PREMs for individuals receiving mental health services. Conclusions Given the health and economic impact of mental ill-health across all OECD countries, there is significant value to being able to assess the quality and outcomes of care in this area using internationally-comparable measures. Continued international harmonisation of PROMs and PREMs for mental health through international coordination is a key way to facilitate the sharing of national experiences, promote the use of PROMs and PREMs, and create meaningful indicators for national and international benchmarking.

Mental Health Care Quality Under Managed Care in the United States: A View From the Health Employer Data and Information Set (HEDIS)

2002 ◽  
Vol 159 (5) ◽  
pp. 860-862 ◽  
Author(s):  
Benjamin G. Druss ◽  
Carolyn L. Miller ◽  
Robert A. Rosenheck ◽  
Sarah C. Shih ◽  
James E. Bost
Keyword(s):  
Mental Health ◽  
United States ◽  
Health Care ◽  
Managed Care ◽  
Mental Health Care ◽  
Health Care Quality ◽  
The United States ◽  
Care Quality ◽  
Information Set

Well-Being, Wisdom, Health, and IT

2013 ◽  
pp. 1-28
Author(s):  
Andrew Targowski
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Information ◽  
Health Care Quality ◽  
Well Being ◽  
Information Infrastructure ◽  
Care Quality ◽  
The Other ◽  
Health Prevention ◽  
Good Lives

The purpose of this study is to define a comprehensive solution for the improvements of lives of Americans. It is assumed that health is one of the three major constituents of life. The other two are well-being and Health Information Infrastructure. A lack of one of these minimizes the chance for Americans, and in general humans in any country, to lead good lives. It will be a quest for the answer to the question of how to minimize civilizational negatives, particularly in the area of health and its quickly rising costs. Key goals and strategies are defined by improving well-being and health of Americans. Issues such as wisdom and intelligence of the society are evaluated in the context of mental health, prevention, and lifestyles. Special attention is given to the issues of health-care quality and costs and the role and architecture of the Health Information Infrastructure. The conclusion evaluates the chances for implementing the proposed solutions.

Unmet health care needs and health care quality in youth with autism spectrum disorder with and without intellectual disability

Autism ◽  
2021 ◽  
pp. 136236132110147
Author(s):  
Michelle Menezes ◽  
Melissa F Robinson ◽  
Christina Harkins ◽  
Eleonora Sadikova ◽  
Micah O Mazurek
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Autism Spectrum Disorder ◽  
Intellectual Disability ◽  
Mental Health Care ◽  
Autism Spectrum ◽  
Care Quality ◽  
Spectrum Disorder ◽  
Health Care Needs ◽  
Care Needs

Research indicates that youth with autism spectrum disorder often experience unmet health care needs and receive poorer quality of care. Intellectual disability commonly co-occurs with autism spectrum disorder; however, the nature of unmet health care needs and health care quality in youth with autism spectrum disorder and intellectual disability have not been investigated. As such, this study sought to examine associations among co-occurring intellectual disability, unmet physical and mental health care needs, and health care quality in youth with autism spectrum disorder. Data from this study were acquired from the 2016–2018 National Survey of Children’s Health, a nationally distributed caregiver-report questionnaire. Results found that the frequency of unmet mental health care need was significantly higher among children with autism spectrum disorder with co-occurring intellectual disability than those without intellectual disability. Using a structural equation modeling approach, it was found that the total effect of co-occurring intellectual disability on composite health care quality was significant. Investigation of indirect effects indicated that unmet mental health care need mediated the relationship between co-occurring intellectual disability and health care quality. These findings suggest that youth with autism spectrum disorder and co-occurring intellectual disability may be more likely to experience unmet mental health care needs, and that their unmet mental health care needs may negatively impact their health care quality. Lay abstract The increase in the prevalence of autism spectrum disorder has placed greater demands on the health care system. Children and adolescents with autism spectrum disorder often experience challenges accessing high-quality physical and mental health care due to characteristic social-communication deficits and behavioral difficulties, as well as high rates of complex medical and psychiatric comorbidities. Intellectual disability commonly co-occurs with autism spectrum disorder and individuals affected by this co-occurrence may have additional impairments that compound challenges accessing health care. This study investigated the relations among co-occurring intellectual disability, unmet physical and mental health care needs, and health care quality in a large, nationally distributed sample of youth with autism spectrum disorder using structural equation modeling techniques. Co-occurring intellectual disability was significantly associated with unmet mental health care needs in children with autism. In addition, unmet mental health care needs mediated the relationship between co-occurring intellectual disability and health care quality; youth with autism spectrum disorder and co-occurring intellectual disability who had a past-year unmet mental health need had significantly poorer caregiver-reported health care quality. These findings suggest that youth with autism spectrum disorder and co-occurring intellectual disability may be more likely to experience unmet mental health care needs and receive poorer quality of care than the broader autism spectrum disorder population.

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