The relationship between deinstitutionalization and quality of care in longer-term psychiatric and social care facilities in Europe: A cross-sectional study

Salisbury, Tatiana Taylor; Killaspy, Helen; King, Michael

doi:10.1016/j.eurpsy.2016.11.011

Cited by 22 publications

(22 citation statements)

References 24 publications

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“…However, legal concerns and fiscal decisions aimed at reducing health care expenditures (85,89) were also important drivers. Globally, there is considerable variability in rates of deinstitutionalization (90,91) despite broad based philosophical support (92,93).…”

Section: Trans-institutionalization and The Criminal Justice Systemmentioning

confidence: 99%

“…Deinstitutionalization is associated with improved life expectancy for persons with mental disorders (94), disability reduction (90,91), better quality of life, and greater autonomy (95). Adverse consequences include a reported rise in transinstitutionalization, homelessness, and criminalization of persons with mental illness (96)(97)(98)(99).…”

Section: Trans-institutionalization and The Criminal Justice Systemmentioning

confidence: 99%

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The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

et al. 2020

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The lives of persons living with mental illness are affected by psychological, biological, social, economic, and environmental factors over the life course. It is therefore unlikely that simple preventive strategies, clinical treatments, therapeutic interventions, or policy options will succeed as singular solutions for the challenges of mental illness. Persons living with mental illness receive services and supports in multiple settings across the health care continuum that are often fragmented, uncoordinated, and inadequately responsive. Appropriate assessment is an important tool that health systems must deploy to respond to the strengths, preferences, and needs of persons with mental illness. However, standard approaches are often focused on measurement of psychiatric symptoms without taking a broader perspective to address issues like growth, development, and aging; physical health and disability; social relationships; economic resources; housing; substance use; involvement with criminal justice; stigma; and recovery. Using conglomerations of instruments to cover more domains is impractical, inconsistent, and incomplete while posing considerable assessment burden. interRAI mental health instruments were developed by a network of over 100 researchers, clinicians, and policy experts from over 35 nations. This includes assessment systems for adults in inpatient psychiatry, community mental health, emergency departments, mobile crisis teams, and long-term care settings, as well as a screening system for police officers. A similar set of instruments is available for child/youth mental health. The instruments form an integrated mental health information system because they share a common assessment language, conceptual basis, clinical emphasis, data collection

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Section: Trans-institutionalization and The Criminal Justice Systemmentioning

confidence: 99%

Section: Trans-institutionalization and The Criminal Justice Systemmentioning

confidence: 99%

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

et al. 2020

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“…choosing where they wish to live) and to clarify the specific steps that need to be attained within specific timeframes to achieve their recovery goals. This clarity is welcome, giving all members of the triad clear expectations of the aims of treatment and support within specific timeframes, something that has been shown to be positively associated with successful move-on from longer term mental health settings (Taylor Salisbury et al ., 2017). The ART model and its accompanying fidelity instrument is currently being validated and we plan to assess its effectiveness in future studies.…”

Section: The Active Recovery Triadmentioning

confidence: 99%

Contemporary approaches in mental health rehabilitation

Meer

Wunderink

2018

Epidemiol Psychiatr Sci

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In many European countries, deinstitutionalisation has been an ongoing process over the last few decades. Mental health organisations were transformed to provide support in a more integrated and comprehensive manner, preferably in their own homes in the community. Yet, despite the welcome aspiration of community integration for all, people with complex mental health problems (also termed severe mental illness) have continued to require high levels of support, in inpatient settings and in the community. This group's needs make them highly dependent on their caregivers. The attitudes, knowledge and skills of the staff providing treatment and support is crucial to their recovery. Rehabilitation programmes provide a much-needed framework to guide practitioners and help them organise and focus their recovery-oriented approach. In this editorial, we will provide a non-exhaustive overview of such rehabilitation programmes and interventions to illuminate the wide scope and practical usability of these interventions for this group of people with complex mental health problems.

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“…However, these kinds of institutional care have increasingly come to be regarded negatively due to residents' loss of identity; restrictions on the basic freedoms; their hierarchical structure, which makes it difficult to achieve rehabilitation goals; a style of communal living that is routinized and centered on regulations; and the psychological distance between residents and employees, among other things (6)(7)(8). As an alternative to these types of institutional care, de-institutionalization has been suggested; this involves former residents leading a self-reliant, autonomous life in the community, instead of living in a dependent state in large institutions (9,10).…”

Section: Introductionmentioning

confidence: 99%

Quality of Community-based Care Services in Korea

Yoon

In-Soo

Lee

et al. 2020

Preprint

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Background Aging societies are increasing the need for care services. In order to solve the problem of care, we suggest community care, and through this, we will provide medical services that meet individual needs. Korea provides care services in advance of the community care project and implements quality control to improve the quality of these social services. Therefore, this study aims is to intend to compare and analyze the factors affecting user satisfaction in care services in both 2013 and 2016. Methods We used quantified secondary data based on social services performed analysis reports. Based on the evaluation indexes for care service in 2013 and 2016, we used commonly used indexes for analysis. Results As a result, there was a difference between care services quality evaluation (QE) indexes by profit type, and care services evaluation indexes had an effect on user satisfaction. In addition, the change rate in the care service evaluation scores affects the change rate in user satisfaction Conclusions Therefore, in order to increase satisfaction with care service, evaluation indexes by service type should be diversified and differentiated. In addition, it should be composed of field evaluations related to user satisfaction to provide care services appropriate for local characteristics.

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The relationship between deinstitutionalization and quality of care in longer-term psychiatric and social care facilities in Europe: A cross-sectional study

Abstract: Greater deinstitutionalization of mental health mental health services is associated with higher quality of care and better service user autonomy.

Cited by 22 publications

References 24 publications

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

Contemporary approaches in mental health rehabilitation

Quality of Community-based Care Services in Korea

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