Quality of care in long-term care departments in mental health facilities across the Czech Republic

Abstract

Implementing a modern concept for psychosocial rehabilitation aimed at progressing the recovery of people with complex mental health problems can improve the quality of care in longer term inpatient settings.

Implementation of recovery‐oriented practice in hospital‐based mental health services: A systematic review

“…The approaches employed in these studies were diverse, including ethnographic field research (Dawson et al, 2019); action research using a file audit to assess change (Hinton et al, 2014); quasi‐experimental pre/posttest design (Kalisova et al, 2018); a double‐blind RCT (Gandi & Wai, 2010) and a single case study (Sellin et al, 2019). Limitations in quantitative designs included having no pre‐intervention measures and small sample size (Gandi & Wai, 2010), no control group (Kalisova et al, 2018), and a file audit which may have been limited by the quality of records (Hinton et al, 2014). Dawson et al .’s (2019) ethnographic field study provided good triangulation of data between observations of practice and staff interviews.…”

“…Kalisova et al . (2018) implemented the System of Unit Psychiatric Rehabilitation (SUPR) programme, which included the development of individual care plans, meaningful activities targeting individual needs, service user participation in their treatment and active contact with the community. In both Hinton et al .…”

“…The duration of models of care targeting individual services users was three months (Gandi & Wai, 2010; Sellin et al, 2019). Service‐wide models of care took place over a longer duration, from 18 months to 4 years (Dawson et al, 2019; Hinton et al, 2014; Kalisova et al, 2018). These longer‐term studies involved the gradual roll‐out of training, supervision and changes to practice over time.…”

“…Kalisova et al . (2018) also used an approach that adapted practice to individual care planning, finding a significant increase in quality of care scores from before to after the implementation of SUPR, as rated by unit managers.…”

“…Most of the inpatient services were acute care or general psychiatric units. However, one study was of long‐term care departments (Kalisova et al, 2018), and another study took place in an admissions ward (Rabenschlag et al, 2014). Some studies focused on specific populations, such as young adults (Dawson et al, 2019) or Indigenous clients (Hinton et al, 2014).…”