Measuring Quality of Mental Health Care: An International Comparison

Spaeth-Rublee, Brigitta; Pincus, Harold Alan; Silvestri, Fran; Peters, Janet

doi:10.3390/ijerph111010384

Cited by 9 publications

(8 citation statements)

References 10 publications

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“…One notable finding is the small number of recovery-oriented measures in behavioral health care, which prioritize patient autonomy and independence in striving to achieve his or her definition of health [18]. These findings are consistent with prior studies of international behavioral health quality measures [19•]. …”

Section: Methods To Identify Existing Measures In Behavioral Health Asupporting

confidence: 76%

Quality Measures at the Interface of Behavioral Health and Primary Care

Goldman

Spaeth-Rublee

Nowels

et al. 2016

Curr Psychiatry Rep

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The development of quality measures has gained increasing attention as health care reimbursements transition from fee-for-service to value-based payment models. As behavioral health care moves towards integration of services with primary care, specific measures and payment incentives will be needed to successfully expand access. This study uses a keyword search to identify 730 quality indicators that are relevant to behavioral health and general medical health. Measures identified have been coded and grouped into domains based on a taxonomy developed by the authors. The analysis reveals that quality measures focusing on general medical conditions exceed those focused on behavioral health diagnoses for evidence-based treatments, patient safety, and outcomes. Furthermore, measures predominantly concentrate on care during or following hospitalizations, which represents a minority of behavioral health care and does not characterize the outpatient settings that are the focus of many models of integrated care. The authors offer recommendations for future steps to identify the quality measures that can best evaluate the evolving behavioral health care system.

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Section: Methods To Identify Existing Measures In Behavioral Health Asupporting

confidence: 76%

Quality Measures at the Interface of Behavioral Health and Primary Care

Goldman

Spaeth-Rublee

Nowels

et al. 2016

Curr Psychiatry Rep

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“…Moreover, there were an insufficient number of studies to determine whether apparent differences in suicide rates between regions were real or simply the result of available studies. Differences between rates of postdischarge suicide between countries are plausible because of differences in national suicide rates,10 progress towards deinstitutionalisation25 and likely national differences in the quality of mental healthcare systems26.…”

Section: Discussionmentioning

confidence: 99%

Meta-analysis of suicide rates in the first week and the first month after psychiatric hospitalisation

et al. 2019

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ObjectiveTo assess the magnitude of suicide rates in the first week and first month postdischarge following psychiatric hospitalisation.DesignMeta-analysis of relevant English-language, peer-reviewed papers published in MEDLINE, PsycINFO or Embase between 01 January 1945 and 31 March 2017 and supplemented by hand searching and personal communication. A generalised linear effects model was fitted to the number of suicides, with a Poisson distribution, log link and log of person years as an offset. A random effects model was used to calculate the overall pooled rates and within subgroups in sensitivity analyses.Outcome measuresSuicides per 100 000 person years in the first week and the first month after discharge from psychiatric hospitalisation.ResultsThirty-four included papers comprised 29 studies that reported suicides in the first month postdischarge (3551 suicides during 222 546 patient years) and 24 studies that reported suicides in the first week postdischarge (1928 suicides during 60 880 patient years). The pooled estimate of the suicide rate in the first month postdischarge suicide was 2060 per 100 000 person years (95% CI=1300 to 3280, I2=90). The pooled estimate of the suicide rate in the first week postdischarge suicide was 2950 suicides per 100 000 person years (95% CI=1740 to 5000, I2=88). Eight studies that were included after personal communication had lower pooled rates of suicide than studies included after data extraction and there was evidence of publication bias towards papers reporting a higher rate of postdischarge suicide.ConclusionAcknowledging the presence of marked heterogeneity between studies and the likelihood of bias towards publication of studies reporting a higher postdischarge suicide rate, the first week and first month postdischarge following psychiatric hospitalisation are periods of extraordinary suicide risk. Short-term follow-up of discharged patients should be augmented with greater focus on safe transition from hospital to community care.PROSPERO registration numberPROSPERO registration CRD42016038169

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“…This points not only to a broader gap with regard to recovery measurement but the development and operationalization of recovery concepts and the integration of recovery in the broader arena in general. Building on work of Phase I and applying a modified Delphi process, Phase II of the study focused on developing consensus for a core set of performance and outcomes measures that could potentially be collected by all participating countries [5]. However, due to the underrepresentation of recovery measures within the overall portfolio of outcomes measures in participating countries, recovery measures were not part of the Delphi process and further consideration for inclusion into the core set of performance and outcomes measures.…”

Section: Introductionmentioning

confidence: 99%

A review of mental health recovery programs in selected industrialized countries

Pincus

Spaeth-Rublee

Sara

et al. 2016

Int J Ment Health Syst

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The concept of recovery has gained increasing attention and many mental health systems have taken steps to move towards more recovery oriented practice and service structures. This article represents a description of current recovery-oriented programs in participating countries including recovery measurement tools. Although there is growing acceptance that recovery needs to be one of the key domains of quality in mental health care, the implementation and delivery of recovery oriented services and corresponding evaluation strategies as an integral part of mental health care have been lacking.

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Measuring Quality of Mental Health Care: An International Comparison

Cited by 9 publications

References 10 publications

Quality Measures at the Interface of Behavioral Health and Primary Care

Quality Measures at the Interface of Behavioral Health and Primary Care

Meta-analysis of suicide rates in the first week and the first month after psychiatric hospitalisation

A review of mental health recovery programs in selected industrialized countries

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