scholarly journals SEQUenCE: a service user-centred quality of care instrument for mental health services

2015 ◽  
Vol 27 (4) ◽  
pp. 284-290 ◽  
Author(s):  
Lorraine Hester ◽  
Lorna Jane O’ Doherty ◽  
Rebecca Schnittger ◽  
Niamh Skelly ◽  
Muireann O’ Donnell ◽  
...  
Keyword(s):  
Mental Health ◽  
Quality Of Care ◽  
Mental Health Services ◽  
Health Services ◽  
Service User

Mental Health Services in Special Education: An Analysis of Quality of Care

2014 ◽  
Vol 36 (3) ◽  
pp. 175-182 ◽  
Author(s):  
C. D. Santiago ◽  
S. H. Kataoka ◽  
S. R. Forness ◽  
J. Miranda
Keyword(s):  
Mental Health ◽  
Special Education ◽  
Quality Of Care ◽  
Mental Health Services ◽  
Health Services

Quality development in mental health care in Europe. Recent contributions by WHO

1997 ◽  
Vol 6 (S1) ◽  
pp. 211-215
Author(s):  
José G. Sampaio Faria
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Quality Of Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
European Region ◽  
Quality Development

In 1984 all Member States of the European Region agreed on a Pan European Health Policy, popularly known as Targets for Health for All (Health for all targets, 1991).Among the 38 targets agreed, Target 31 states (table I).More recently the first meeting of national directors/officials of mental health services in the European Member States stated that “there should be greater concern about the quality of mental health care in each Member State, and mechanisms must be established to guarantee a quality service. These include: a.encouraging mental health care professionals to develop systems to monitor the quality of care;b.independent inspection of services;c.the participation of consumers and relatives;d.improving the basic and continuing training of mental health professionals as well as their working conditions;Special attention should be paid to the quality of care provided to those with severe long-term mental disorder, the elderly, children and adolescents. Barriers to care should be avoided, particularly for people with long-term mental disabilities.”The need for quality development and evaluation differ quite significantly across the European Region as a result of the existing differences in the pattern of mental health services and priority policies to be implemented.

The SIEP-DIRECT's Project on the discrepancy between routine practice and evidence in the treatment of schizophrenia. The design, the indicators, and the methodology of the study

2008 ◽  
Vol 17 (4) ◽  
pp. 278-290 ◽  
Author(s):  
Domenico Semisa ◽  
Antonio Lora ◽  
Pierluigi Morosini ◽  
Mirella Ruggeri
Keyword(s):  
Mental Health ◽  
Quality Of Care ◽  
Mental Health Services ◽  
Health Services ◽  
The Self ◽  
Routine Practice ◽  
Local Health ◽  
Self Evaluation ◽  
Clinical Records

SUMMARYAims– The aims of the SIEP-DIRECT'S Project (DIscrepancy betweenRoutine practice andEvidence in psychiatricCommunityTreatments onSchizophrenia) are: 1) To evaluate the appropriateness of the NICE guidelines for schizophrenia in Italian Departments of Mental Health; 2) to develop and to test a set of SIEP indicators, based on the NICE recommendations, useful to evaluate their real application in mental health services.Methods– Based on the NICE recommendations, 103 indicators have been developed, some of them qualitative and the rest quantitative. These indicators investigate five different areas: 14 indicators concern the common elements in all phases of mental health care; 11 the treatment of first episode; 24 the crisis treatment; 41 the recovery promotion; 13 the urgency, including management of violent behaviours and fast soothing. After a pilot study conducted in 2 community mental health services, the indicators were tested in 19 Italian Departments of Mental Health, to obtain a self-evaluation of the quality of care and to verify the application of NICE recommendations in the clinical routine of these Services. Data for the self-evaluation have been obtained from the DSM'ls psychiatric informative system and from the Direction of the local health authorities or of the DSM. Moreover, for some indicators, information has been gathered from the clinical records, and by means of questionnaires administered to a sample of patients and relatives. Finally, “multidisciplinary” (i.e. involving different types of professionals) or “specialized” (i.e. involving only psychiatrists) focus groups have assessed the degree of similarity between practice and recommendation for 33 indicators. Finally, the focus group methodology has been applied in all services with the aim to judge the appropriateness of each NICE recommendation in the context of the Italian Departments of Mental Health.Results and Conclusions– Most NICE recommendations have been considered useful and appropriated to measure quality of care in the context of the Italian services. The SIEP indicators have been easily used by the services participating in the DIRECT's Project. The self-evaluation process has provided several data of great relevance to improve the quality of care for schizophrenia and implement clinical guidelines in Italy.Declaration of Interest: None.

scholarly journals Improving the quality of mental health services using patient outcome data: Making the most of HoNOS

2017 ◽  
Vol 41 (3) ◽  
pp. 172-176 ◽  
Author(s):  
Mike J. Crawford ◽  
Mo Zoha ◽  
Alastair J. D. Macdonald ◽  
David Kingdon
Keyword(s):  
Mental Health ◽  
Patient Outcome ◽  
Quality Of Care ◽  
Mental Health Services ◽  
Health Services ◽  
Patient Outcomes ◽  
Outcome Data ◽  
Lack Of Information

SummaryEfforts to assess and improve the quality of mental health services are often hampered by a lack of information on patient outcomes. Most mental health services in England have been routinely collecting Health of the Nation Outcome Scales (HoNOS) data for some time. In this article we illustrate how clinical teams have used HoNOS data to identify areas where performance could be improved. HoNOS data have the potential to give clinical teams the information they need to assess the quality of care they deliver, as well as develop and test initiatives aimed at improving the services they provide.

Moving towards community mental healthcare

2016 ◽  
Vol 13 (01) ◽  
pp. 15-24
Author(s):  
M. Ruggeri ◽  
L. Iozzino
Keyword(s):  
Mental Health ◽  
Quality Of Care ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Services ◽  
Inpatient Care ◽  
Integrated System ◽  
Residential Facilities ◽  
Process Of Care

Summary Background: After the Psychiatric Reform in 1978 and the closure of large mental hospitals, a nation-wide network of Departments of Mental Health (DMH) has been developed in Italy and now delivers routinely outpatient and inpatient care, and runs semi-residential and residential facilities. Intensive effort has been promoted: inpatient care is provided all over Italy by General Hospital Psychiatric Units (GHPUs) with a maximum of 15 beds, and only a very low proportion of inpatient admissions are compulsory. Community Mental Health Centres are central to mental health services operating between 5 days per week for 12 hours a day in most Regions offering daytime and domiciliary care for those with severe and enduring mental illness; other community mental health services include residential facilities for long-term psychiatric care and day hospital/centres. However, there is still marked quantitative and qualitative variation in the provision of out- and inpatient care throughout the country, and service utilization patterns are uneven. Aim: Further efforts are required to improve quality of care and to develop a more effectively integrated system. Greater attention must be paid to topics such as quality of care and outcomes, and continuous monitoring that orient the overall process of care and particularly psychosocial interventions. Prevention and promotion of mental health, particularly in the early stages of illness, and in adolescence disorders and depression, should be promoted; outcome and quality of care in residential facilities should be targeted to prevent avoidable chronicization.

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