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Quality of care and its determinants in longer term mental health facilities across Europe; a cross-sectional analysis.

Killaspy, H; Cardoso, G; White, S; Wright, C; Caldas de Almeida, JM; Turton, P; Taylor, TL; Schützwohl, M; Schuster, M; Cervilla, JA; et al. Killaspy, H; Cardoso, G; White, S; Wright, C; Caldas de Almeida, JM; Turton, P; Taylor, TL; Schützwohl, M; Schuster, M; Cervilla, JA; Brangier, P; Raboch, J; Kalisova, L; Onchev, G; Alexiev, S; Mezzina, R; Ridente, P; Wiersma, D; Visser, E; Kiejna, A; Adamowski, T; Ploumpidis, D; Gonidakis, F; King, M (2016) Quality of care and its determinants in longer term mental health facilities across Europe; a cross-sectional analysis. BMC Psychiatry, 16. p. 31. ISSN 1471-244X https://doi.org/10.1186/s12888-016-0737-5
SGUL Authors: White, Sarah Jane Turton, Penelope Pamaela

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Abstract

BACKGROUND: The Quality Indicator for Rehabilitative Care (QuIRC) is an international, standardised quality tool for the evaluation of mental health facilities that provide longer term care. Completed by the service manager, it comprises 145 items that assess seven domains of care: living environment; treatments and interventions; therapeutic environment; self-management and autonomy; social interface; human rights; and recovery based practice. We used the QuIRC to investigate associations between characteristics of longer term mental health facilities across Europe and the quality of care they delivered to service patients. METHODS: QuIRC assessments were completed for 213 longer term mental health units in ten countries that were at various stages of deinstitutionalisation of their mental health services. Associations between QuIRC domain scores and unit descriptive variables were explored using simple and multiple linear regression that took into account clustering at the unit and country level. RESULTS: We found wide variation in QuIRC domain scores between individual units, but across countries, fewer than a quarter scored below 50 % on any domains. The quality of care was higher in units that were smaller, of mixed sex, that had a defined expected maximum length of stay and in which not all patients were severely disabled. CONCLUSIONS: This is the first time longer term mental health units across a number of European countries have been compared using a standardised measure. Further use of the QuIRC will allow greater understanding of the quality of care in these units across Europe and provide an opportunity to monitor pan-European quality standards of care for this vulnerable patient group.

Item Type: Article
Additional Information: © 2016 Killaspy et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Keywords: Cross-Sectional Studies, Deinstitutionalization, Europe, Female, Hospitals, Psychiatric, Humans, Long-Term Care, Male, Mental Disorders, Mental Health, Mental Health Services, Quality Assurance, Health Care, Quality Indicators, Health Care, Self Care, Humans, Deinstitutionalization, Long-Term Care, Self Care, Cross-Sectional Studies, Mental Health, Mental Disorders, Mental Health Services, Hospitals, Psychiatric, Quality Assurance, Health Care, Quality Indicators, Health Care, Europe, Female, Male, Psychiatry, 1103 Clinical Sciences
SGUL Research Institute / Research Centre: Academic Structure > Population Health Research Institute (INPH)
Journal or Publication Title: BMC Psychiatry
ISSN: 1471-244X
Language: eng
Dates:
DateEvent
11 February 2016Published
4 February 2016Accepted
Publisher License: Creative Commons: Attribution 4.0
PubMed ID: 26868834
Web of Science ID: WOS:000369790900001
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/108935
Publisher's version: https://doi.org/10.1186/s12888-016-0737-5

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