scholarly journals An architect for mental health: An appreciation of Michele Tansella

2017 ◽  
Vol 210 (6) ◽  
pp. 379-380 ◽  
Author(s):  
Graham Thornicroft
Keyword(s):  
Mental Health ◽  
Health Service ◽  
Health Service Research ◽  
Mental Healthcare ◽  
Psychiatric Epidemiology ◽  
Service Research ◽  
Highly Effective ◽  
The University

SummaryMichele Tansella, Professor of Psychiatry at the University of Verona, died in 2015. This editorial pays tribute to his contributions to scholarship in the field of psychiatric epidemiology and health service research, and to his highly effective efforts to improve mental healthcare, locally, nationally and internationally.

Translating ethical principles into outcome measures for mental health service research

1999 ◽  
Vol 29 (4) ◽  
pp. 761-767 ◽  
Author(s):  
GRAHAM THORNICROFT ◽  
MICHELE TANSELLA
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Outcome Measures ◽  
Evidence Based Medicine ◽  
Health Service Research ◽  
Ethical Principles ◽  
Service Research ◽  
Evidence Based ◽  
Based Medicine

Background. Mental health service research continues to use only outcome measures that are available rather than develop measures that are important. This paper argues that it is necessary to select and then define a set of ethical principles that can be operationalized and validated as outcome measures to provide a wider balance of information for health policy and clinical service decisions.Methods. The method used is to adopt a five stage procedure: (i) to select ethical principles most directly relevant for mental health services and their evaluation at the local level; (ii) to propose definitions of these principles; (iii) to validate these definitions; (iv) to translate the defined principles into operationalized outcome measures; and (v) to use these outcome measures in mental health services research, within the context of evidence-based medicine.Results. We address steps (i) and (ii) of this five-stage procedure. Nine principles are selected and defined: autonomy, continuity, effectiveness, accessibility, comprehensiveness, equity, accountability, coordination and efficiency. These principles can together be referred to as the three ACEs.Conclusions. Of these nine principles, only two (effectiveness and efficiency) have so far been fully translated into quantitative outcome measures, upon which the evidence-based medicine approach depends. We propose that further concepts also be developed into a more complete multi- dimensional range of fully operationalized outcome measures.

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