Developing performance indicators for homeless outreach psychiatric services

Holmes, Amy; Bradley, Gail; Carslie, Trevor; Lhuede, Kate

doi:10.1177/1039856214520794

Cited by 4 publications

(6 citation statements)

References 12 publications

(24 reference statements)

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“…We have also argued that new measures of performance, such as length of engagement and improved accommodation may help reduce cycles of crisis and disengagement. 19 The generalisability of these findings rests on the degree to which these trends reflect those occurring in other major cities. We are confident that most homeless persons with psychosis in inner Melbourne are known to services and that the findings are representative the local population.…”

Section: Discussionmentioning

confidence: 91%

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Homeless men with psychosis are spending more time shelterless

Burton

Jones

Carlisle

et al. 2020

Australas Psychiatry

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Objective: The objective of this study was to determine if homeless men with psychosis in central Melbourne have spent a greater proportion of the past 12 months in homeless settings as compared with the same group 15 years previously. Method: A 12-month accommodation history was collected from all men with psychosis assessed by a homeless outreach mental health team over a 12-month period commencing 2018 and compared with data from 2006. Results: Between 2006 and 2018, the percentage of time spent homeless in the previous 12 months rose from 50% to 80% ( p = 0.0001). The mean time spent shelterless increased from 72 days to 149 days ( p = 0.0001). Conclusions: The amount of time spent homeless has increased in men with psychosis assessed in central Melbourne. This finding suggests that men with psychosis are becoming increasingly entrenched in homeless settings. Addressing this trend requires an increased emphasis on assertive outreach, greater access to acute inpatient and long-term rehabilitation units, and more low cost affordable housing, including housing first facilities.

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Section: Discussionmentioning

confidence: 91%

“…We have also argued that new measures of performance, such as length of engagement and improved accommodation may help reduce cycles of crisis and disengagement. 19…”

Section: Discussionmentioning

confidence: 99%

Homeless men with psychosis are spending more time shelterless

Burton

Jones

Carlisle

et al. 2020

Australas Psychiatry

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“…For example, in a study of performance definitions across stakeholder groups (clinicians, health system managers, patients, policy makers, and researchers), accessibility, continuity, patient centeredness, comprehensiveness, coordination, effectiveness, equity, and safety emerged as key components, named by three or more of the five groups (UBC Centre for Health Services and Policy Research, 2015). Frameworks consisting of lists of indicators, without the organizing structure provided by domains, also did not contribute any new information over and above the more structured frameworks (e.g., American Society of Addiction Medicine, 2014; British Columbia Office of the Provincial Health Officer, 2015; Cole et al, 2012; Holmes et al, 2014; Laugharne & Shankar, 2009; Levitt et al, 2014; Nigam et al, 2008; Parameswaran et al, 2015; Samu et al, 2011).…”

Section: Resultsmentioning

confidence: 98%

“…These basic findings with respect to performance domains were reflected in frameworks that emphasized strategic goals during development (e.g., Mental Health Commission of Canada, 2015; Ministry of Health and Long-Term Care 2008; Veillard et al, 2010), as well as those that used techniques such as concept mapping or other group-based activities to identify the main components of performance (Graham et al, 2014; Holmes et al, 2014; McCusker et al, 2013; Nabitz et al., 2005a, 2005b; Resnick & Griffiths, 2010; Roeg et al, 2005; Sayal et al, 2012; Vargo et al, 2013). For example, in a study of performance definitions across stakeholder groups (clinicians, health system managers, patients, policy makers, and researchers), accessibility, continuity, patient centeredness, comprehensiveness, coordination, effectiveness, equity, and safety emerged as key components, named by three or more of the five groups (UBC Centre for Health Services and Policy Research, 2015).…”

Section: Resultsmentioning

confidence: 99%

Performance Measurement in Mental Health and Addictions Systems: A Scoping Review

Urbanoski

Inglis²

2019

J. Stud. Alcohol Drugs Suppl.

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Objective:The purpose of this study was to evaluate how performance is defined, conceptualized, and measured in mental health and addiction service systems around the world.Method:We conducted a systematic scoping review of English-language scientific and gray literature published from 2005 to 2015. Eligible documents (n = 222) described performance measurement systems and outlined the theory or empirical evidence for indicators. We used a structured approach for data extraction and descriptive and thematic analysis, supplemented with stakeholder consultation.Results:We identified seven themes in the literature: similarity in performance domains across frameworks; the ability of frameworks to inform care quality at client, program/facility, and system levels; the predominance of indicators of process and outcome, over structure; the lack of evidence on the links between domains and/or indicators; common, but limited, evaluation of family/caregiver involvement; equity as a cross-cutting domain of performance; and limited attention to performance measurement in peer support services.Conclusions:The literature on performance measurement in mental health and addictions services is vast, and a wide variety of indicators is available to those designing a measurement system. Evaluations of commonly used performance indicators have yielded mixed evidence on their ability to discriminate high- and low-performing service providers, and their sensitivity to changes in policies and practices. As performance measurement efforts grow in scope and complexity, work will be needed to ensure that indicators are fair, appropriate, and suited to support quality improvement in services of different types.Objectif :Évaluer la façon dont le rendement est défini, conceptualisé et mesuré dans les services en santé mentale et en toxicomanie à travers le monde.Méthode :Nous avons mené un examen de la portée à l’aide d’une revue systématique des écrits scientifiques et de la littérature grise de langue anglaise publiés entre 2005 et 2015. Les documents admissibles (n = 222) décrivaient les systèmes de mesure du rendement et présentaient les théories ou les données empiriques concernant les indicateurs. Nous avons utilisé une approche structurée pour l’extraction des données, suivie d’une analyse descriptive et thématique en complément à une consultation des acteurs impliqués.Résultats :Nous avons identifié sept thèmes dans les écrits : similarité dans les domaines de rendement entre les systèmes; la capacité des systèmes à documenter la qualité des soins tant au niveau du client, du programme que de l’organisation; la prédominance des indicateurs de processus et de résultats sur ceux liés à la structure; le manque de données sur les liens entre les domaines et/ou les indicateurs; l’évaluation commune, mais limitée, de l’implication des familles et des proches-aidants; l’équité en tant que domaine transversal du rendement; et une attention limitée à la mesure du rendement dans les services de soutien par les pairs.Conclusion:L’ensemble des éc...

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“…When considering the wider literature presented, Holmes et al (2014) developed performance indicators which considered the needs of their key stakeholders to be able to decide if they were achieving the main aims of the programme. This exercise resulted in changes to practice to ensure that the outreach offered in their field was more effective.…”

Section: Theorymentioning

confidence: 99%

Devising a Unique Model for Science Outreach Programmes With Critical Engagement From Teachers Across the 5-19 Age Range

Brennan¹,

Mallaburn²,

Seton³

2019

EDULEARN Proceedings

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This thesis utilises teachers' reflections regarding their experiences of science outreach activities, they have encountered and identify features of these programmes that attracts schools to engage (or not engage) with these extra-curricular events. This is useful as science outreach work is considered a fun and satisfying venture which can enhance the learning experience, spark scientific interest in learners which can promote further engagement within the subject (Shanahan et al, 2011). Teachers are also an important group to focus upon within this field, as teachers are gatekeepers to these experiences.However, wider research warns that there is little evidence to suggest whether these types of activities achieve their overarching goal; to encourage people to enter and persist within science careers (Banerjee, 2018;Bogue et al, 2013; Van De Hurk et al, 2019). Therefore, this PhD aims to further explore which type of outreach activities participants believe to be the most successful in enthusing learners in science, to provide recommendations as to the future designs of these programmes.To do so, this PhD was divided into two Phases and collected data from participants across all formal educational levels (eg. from primary to college in the context of England). Phase One involved conducting questionnaires (n=52) and interviews (n=8) and generated both quantitative and qualitative data. Standard statistical analysis was used to determine who participants felt that science outreach should be aimed at and thematic analysis (Braun and Clarke, 2006) of the qualitative data provided a more detailed understanding of what teacher's expectations are with regards to these programmes. Data revealed that despite wider research stating that children formed interests at a young age (Oppermann et al, 2018), participants felt that outreach was more important at higher educational levels. Participants did however agree that it was of equal important for both genders and those from a lower socio-economic background. Responses from the openquestions and interviews also revealed that although teachers value these types of activities to assist with the formal science curriculum, barriers such as time and cost may limit their engagement with these programmes. These findings, along with more focused wider literature, were then used to develop a preliminary model for the 'optimum' delivery of science outreach activities.Phase Two was designed to further refine the proposed model using principles of Modified Grounded Theory via conducting focus groups (n=4). As part of these focus groups participants were also specifically asked which aspects of the model would be most beneficial for those learning from lower socio-economic backgrounds. Findings from this ~ iii ~ phase of the PhD study indicated that the key to effective outreach work in science is to ensure that clear objectives are defined at the start of the design process to ensure that all key stakeholders such as teachers, parents and learners are included. It is anticipated tha...

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Developing performance indicators for homeless outreach psychiatric services

Cited by 4 publications

References 12 publications

Homeless men with psychosis are spending more time shelterless

Homeless men with psychosis are spending more time shelterless

Performance Measurement in Mental Health and Addictions Systems: A Scoping Review

Devising a Unique Model for Science Outreach Programmes With Critical Engagement From Teachers Across the 5-19 Age Range

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