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.

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

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

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.

scholarly journals Consumer participation in mental health services: who wants it and why?

2002 ◽  
Vol 25 (3) ◽  
pp. 91 ◽  
Author(s):  
Margaret Tobin ◽  
Luxin Chen ◽  
Colleen Leathley
Keyword(s):  
Mental Health ◽  
Health Policy ◽  
Mental Health Services ◽  
Qualitative Study ◽  
Health Services ◽  
Personal Experience ◽  
Consumer Participation ◽  
Lack Of Information ◽  
The Impact

Contemporary health policy dictates that health services have a demonstrable consumer focus and actively progress the issue of consumer participation in services. Given that costs of such initiatives are not insignificant, there is a responsibility to ensure that the resources are being directed to appropriate means, and are achieving worthwhile results. In examining the impact and effectiveness of consumer participation initiatives in their own Service, the authors undertook a qualitative study exploring the extent and quality of consumer participation following a three-year period of support and funding. Using trained consumers as interviewers, current consumers were asked about their perceptions and personal experience of "participation". Findings identified low familiarity and involvement with the concept of consumer participation overall. Barriers to involvement included lack of motivation or invitation, stigma, and a lack of information. A need to integrate consumer participation activities into the wider system was also noted. The authors conclude that simply devoting energy and resources to consumer initiatives, and thereby achieving a politically correct approach, may not be a worthwhile exercise. Such initiatives need to be based on evidence, available resources and identifiable and achievable outcomes, with a balance struck between endorsing the value of consumer participation and establishing realistic goals for what can be offered and managed.

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 Routine outcome assessment in mental health services

2002 ◽  
Vol 32 (8) ◽  
pp. 1339-1343 ◽  
Author(s):  
MIKE SLADE
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Clinical Care ◽  
Outcome Data ◽  
Social Variables ◽  
The United Kingdom ◽  
Slow Decline ◽  
Routine Outcome Assessment

Measuring and interpreting outcome is more difficult in mental health services than in some other areas of health care, for at least five reasons. First, the effect of the treatment may be to slow decline or to maintain the current level, so the score on the outcome measure itself may not improve (or may even get worse) despite best quality clinical care. Secondly, the best available evidence in the United Kingdom indicates that clinical and social variables predict no more than 30% of the variance in an individual's quality of life (UK700 Group, 1999). Thirdly, different types of outcome are desynchronous (e.g. Drury et al. 1996), changing at different rates during an intervention. Fourthly, there may not be agreement regarding what is a positive change in outcome – the patient who has fewer episodes of mania as a result of treatment may see this as a negative outcome. Finally, three levels of mental health service can be differentiated: treatment (specific interventions); programme (combination of different treatment components); and system (all programmes for a defined target group in a given area) (Burns & Priebe, 1996). The outcome data needed to evaluate each level will be very different.

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