The Development of Care Pathways and Packages in Mental Health Based on the Model of Human Occupation Screening Tool

Abstract

Payment by Results (PbR) is a funding mechanism used to pay for National Health Service (NHS) acute hospital services in England (Department of Health 2009). It reimburses for services on the basis of Healthcare Resource Groups. These groups are either condition-related categories (that imply the services to be provided) or categories of procedures, interventions or treatments. Until recently, this system of reimbursement has not been applied to mental health. Traditionally, hospitals providing mental health services were allocated funding of fixed sums, or block cost contracts. However, the financial reforms to deliver the NHS Plan (Department of Health 2002, 2010a) call for major changes to the way in which money flows within the NHS; according to current plans, it will begin to be based on PbR. In England, currencies (formulae for reimbursement) for mental health care are being introduced, with an expectation that, by 2011-2012, all health economies should be using the currencies in some form, and be establishing local prices (Department of Health 2008, 2010a). This will determine what services are commissioned and how funds will flow for service provision in mental health. As recently as July 2010, the coalition government reconfirmed the centrality of PbR as a system for paying providers of health care services (Department of Health 2010b).

Examining the Structural Aspect of the Construct Validity of the Japanese Version of the Model of Human Occupation Screening Tool

“…This was further exacerbated by the limitations of a hospital environment, within both the acute and the rehabilitation wards. These results contrast with those in other studies where the majority of participants experienced mental health difficulties and the motor skills items were the least difficult , Lee et al 2011.…”

Impact of using the Model of Human Occupation: A survey of occupational therapy mental health practitioners' perceptions

“…Additionally, there has been a constant emphasis on linking this model's development with current and future practice needs and with the pressure for more standardized pathways of care (19). MOHO has substantial resources to guide its use.…”

Abstracts

“…The development of a vocational carepathway by occupational therapists that recognises the contribution of professional core skills to vocational attainment but also includes the multi-agency provision discussed is illustrated. Finally, the relationship between the networks developed through Forwards, the professional carepathway, and the anticipated impact on capacity to deliver occupational packages of care for Payment by Results, developed locally by the Trust Lead for Occupational Therapy and based on work by Lee et al (2011), is considered. Ethical considerations:…”