Mental health quality and outcome measurement and improvement in Scotland

Coia, Denise; Glassborow, Ruth

doi:10.1097/yco.0b013e3283319ac2

Cited by 8 publications

(15 citation statements)

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“…Other studies indicate that comprehensive, servicespecific interventions and guideline implementation improve the quality of mental healthcare [116,118]. Against the background of this limited and inconclusive evidence, it is recommendable to use guideline recommendations for quality assurance in mental healthcare (recommendation 10). Note that such guidelines should not only cover psycho-pharmacotherapy, but also the ''talking'' aspects of psychosocial interventions used in mental healthcare.…”

Section: Guideline Development and Implementationmentioning

confidence: 94%

European Psychiatric Association (EPA) guidance on quality assurance in mental healthcare

et al. 2015

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Evidence-based graded recommendations for quality assurance in mental healthcare were developed which should next be implemented and evaluated for feasibility and validity in some European countries. Due to the small evidence base identified corresponding to the practical obscurity of the concept and methods, a European research initiative is called for by the stakeholders represented in this Guidance to improve the educational, methodological and empirical basis for a future broad implementation of measures for quality assurance in European mental healthcare.

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Section: Guideline Development and Implementationmentioning

confidence: 94%

European Psychiatric Association (EPA) guidance on quality assurance in mental healthcare

et al. 2015

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“…9–12 In a systematic review of governmental and non-governmental organizations in the U.S., Herbstman (2009) found 36 initiatives that applied quality indicators for mental disorders, ranging from federal and state governments, health plans, and non-governmental and professional organizations. 13 Currently, one of the most extensive implementations of mental health quality measures is the International Initiative for Mental Health Leadership Clinical project on mental health quality measurement, described in detail in this issue.…”

Section: Introductionmentioning

confidence: 99%

Challenges and Opportunities in Measuring the Quality of Mental Health Care

2010

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The purpose of this paper is to delineate the barriers to mental health quality measurement, and identify strategies to enhance the development and use of quality measures by mental health providers, programs, payers, and other stakeholders in the service of improving outcomes for individuals with mental health and substance use disorders. Key reasons for the lag in mental health performance measurement include lack of sufficient evidence regarding appropriate mental health care, poorly defined quality measures, limited descriptions of mental health services from existing clinical data, and lack of linked electronic health information. We discuss strategies for overcoming these barriers that are being implemented in several countries, including the need to have quality improvement as part of standard clinical training curricula, refinement of technologies to promote adequate data capture of mental health services, use of incentives to promote provider accountability for improving care, and the need for mental health researchers to improve the evidence base for mental health treatment.

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“…Several strategies have been proposed to improve the quality of mental health services as experienced by consumers. For example, several high-income countries have developed national strategic approaches to mental health reform with quality initiatives to achieve clinical improvements [2][3][4][5]. Specifically, quality checklists, glossaries, and documentation of health policy, programs, and institutional quality assurance reviews have been implemented by professional and government agencies to determine, monitor and improve the level of quality of services [2,3].…”

Section: Introductionmentioning

confidence: 99%

Mediation and moderation effects of health system structure and process on the quality of mental health services in Ghana – structural equation modelling.

Badu¹,

O’Brien²,

Mitchell³

et al. 2020

PLoS ONE

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Introduction Incorporating consumers' perspectives into the quality of mental health service measurement is a growing priority among mental health professionals' and policymakers. Despite this, there is limited empirical evidence related to consumer perspectives of quality of mental health services. This study, therefore, aims to measure the mediation and moderation effects of health system structure and process on mental health quality in Ghana. Methods A random sample of 510 consumers were recruited to complete the Verona Satisfaction Scale (54-items), together with the WHO Disability Assessment Instrument (36 items) using the Redcap application. Confirmatory factor analysis (CFA) and Structural Equation Modelling were used to test the hypothesised theory using STATA 15. Results The CFA showed that the hypothesised model had a good fit to the data. The findings confirmed the hypothesis that the process constructs mediate the relationship between the health system structure and the outcome of mental health services. Specifically, the health system structure had a positive and significant causal relationship with the mediator-process (β = 0.60; p<0.01) and outcome (β = 0.47; p<0.01). Additionally, the mediator-process had a positive causal relationship with the outcome of the mental health services (β = 0.32; p<0.01). Insurance status (β = 0.07; p>0.05) and type of services (β = 0.025; p>0.05) had a positive moderating effect on the relationship between health system structure and outcome but were not significant.

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Mental health quality and outcome measurement and improvement in Scotland

Cited by 8 publications

References 0 publications

European Psychiatric Association (EPA) guidance on quality assurance in mental healthcare

European Psychiatric Association (EPA) guidance on quality assurance in mental healthcare

Challenges and Opportunities in Measuring the Quality of Mental Health Care

Mediation and moderation effects of health system structure and process on the quality of mental health services in Ghana – structural equation modelling.

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