Can the World Health Organisation’s ‘QualityRights’ initiative help reduce coercive practices in psychiatry in Ireland?

Duffy, Richard M.; Kelly, Brendan D.

doi:10.1017/ipm.2020.81

Cited by 5 publications

(5 citation statements)

References 15 publications

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“…Future steps in Finland could include implementing the WHO QualityRights training program in all psychiatric hospitals [ 58 ]. As proposed by Duffy and Kelly in Ireland, [ 59 ] this training could reduce coercive practices, which we also found problematic in our study. Improvement in service users’ preferences regarding treatment, informed consent and facilities could be realized through shared decision making and keeping service users informed.…”

Section: Discussionsupporting

confidence: 45%

Quality of mental health services and rights of people receiving treatment in inpatient services in Finland: a cross-sectional observational survey with the WHO QualityRights Tool Kit

Anttila

Välimäki

2021

Int J Ment Health Syst

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Background This article aims to review the quality of mental health services and the rights of the people receiving treatment in inpatient hospital care in Finland using the World Health Organization’s QualityRights Tool Kit as a part of a randomized controlled trial VIOLIN. So far, reports on the QualityRights Tool Kit have mainly been from low- and middle-income countries or countries lacking resources for health services. Reports from countries with well-resourced health care systems, such as the Nordic countries, are still quite few. Methods A cross-sectional observational survey was conducted on 13 closed inpatient psychiatric wards (acute, rehabilitation, forensic psychiatric) at eight hospitals in Finland. The data for the survey were gathered through a document review, observations, and group interviews among staff members, service users and family members. The STROBE checklist for cross-sectional studies was followed in the reporting. Results Finnish mental health services are partially or fully achieving the standards set by the WHO QualityRights Tool Kit (final scores: 2.5–2.9 out of 3). The highest final score out of the five themes (2.9/3) was achieved under Freedom from torture or cruel, inhuman or degrading treatment or punishment and from exploitation, violence and abuse. The lowest final score out of the five themes (2.5/3) was achieved under the right to exercise legal capacity and the right to personal liberty and the security of person. Conclusions According to the findings, Finnish mental health services appear to be of high quality. However, we have identified some gaps in quality, which we have addressed in a national randomized controlled trial VIOLIN. Improvements can be realized through shared decision making and relaying information to service users.

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Section: Discussionsupporting

confidence: 45%

Quality of mental health services and rights of people receiving treatment in inpatient services in Finland: a cross-sectional observational survey with the WHO QualityRights Tool Kit

Anttila

Välimäki

2021

Int J Ment Health Syst

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“…The Irish study did not implement QualityRights training, but assessed whether their implementation would be effective in decreasing coercive practices in the country and concluded that QualityRights training resources can be a useful tool in reducing these practices, as they highlight a series of steps that can accelerate local mental health reform (Duffy & Kelly, 2023).…”

Section: Discussionmentioning

confidence: 99%

“…There are also three specialized training modules that include recovery practices, strategies to end seclusion and restraint, and decision support and advance planning. The modules are flexible and can be adjusted to the needs of the meeting participants (Duffy & Kelly, 2023).…”

Section: Introductionmentioning

confidence: 99%

The WHO QualityRights Initiative and its use worldwide: A literature review

Mion,

Ventura

2023

Int J Soc Psychiatry

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Background: To subsidize and win the fight against the violation of the human rights of people with mental disorders, an international working group has built a toolkit of quality assurance services and the exercise of human rights by users, both in low-, middle, and high-income countries. The World Health Organization’s (WHO) QualityRights Initiative has been discussed and agreed upon by government entities in many countries in its use and implementation. The program includes a service assessment kit and training modules. Aims: In this context, this article aims to synthesize, from database searches, how the QualityRights Initiative is being used worldwide. Method: This is an integrative literature review, in which 354 articles were initially obtained. After analysis, 25 articles were included in this study. Results: The results show different ways of using the initiative: service evaluation; QualityRights Initiative service evaluation and training provision; innovations on how to use the QualityRights Initiative; and QualityRights Initiative trainings. Conclusions: As the first part of the initiative, the service assessment part, was launched before the training materials, most of the articles found (17) were using it. Despite the recent launch of the training part of the initiative, five articles were found to have already conducted the training. In addition, three articles reported on the use of the initiative in other ways, such as translation and cultural adaptation of the modules; updating the document in light of the QualityRights project; and assessing whether its implementation would be effective in reducing coercive practices.

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“…They are addressed to all people involved in mental health services, from service users and family members to physicians and managers. The modules are flexible and can be adjusted to meeting the participants' needs (12) .…”

Section: These Resources Include Five Basic Training Modulesmentioning

confidence: 99%

Cultural adaptation and validation of the Strategies to end seclusion restraint module of the QualityRights ToolKit*

Zanardo

Ventura

2022

Rev. Latino-Am. Enfermagem

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Objective to adapt to the Brazilian culture and validate the module “Strategies to end seclusion restraint” of the QualityRights toolkit of the World Health Organization on mental disorders to train health professionals in Brazil. Method it is a methodological study divided into three stages. The modules were translated from the original language (English) to the target language (Brazilian Portuguese) in the first stage. In the second, the translation was assessed by a committee of judges with seven experts. In the third stage, the assessment was conducted by mental health professionals (nurses, psychologists, and lawyers), in which seven mental health professionals participated. They assessed the material using the Suitability Assessment of Materials instrument. Results in the assessment conducted by the experts (n=7), 8 items assessed obtained 100% approval and the other 6 items obtained lower approvals, with a total approval of 92%. Regarding the assessment by health professionals (n=7), 2 items had a maximum approval of 100% and the other had the approval of 86% each, with a total approval of 88%. Conclusion based on the results, it is considered that this module is adapted to the Brazilian culture and can be used to train Brazilian health professionals.

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Can the World Health Organisation’s ‘QualityRights’ initiative help reduce coercive practices in psychiatry in Ireland?

Cited by 5 publications

References 15 publications

Quality of mental health services and rights of people receiving treatment in inpatient services in Finland: a cross-sectional observational survey with the WHO QualityRights Tool Kit

Quality of mental health services and rights of people receiving treatment in inpatient services in Finland: a cross-sectional observational survey with the WHO QualityRights Tool Kit

The WHO QualityRights Initiative and its use worldwide: A literature review

Cultural adaptation and validation of the Strategies to end seclusion restraint module of the QualityRights ToolKit*

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