The Use of a Ward-Based Art Group to Assess the Occupational Participation of Adult Acute Mental Health Clients

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).

Section: Methodsmentioning

confidence: 99%

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

Lee

Morley

Taylor

et al. 2011

“…These reports typically covered two sides of A4 paper and proved helpful in explaining the unique contribution that occupational therapy offers within the multidisciplinary team. Using professional language that is easily understood by colleagues (Mitchell and Neish 2007), they have aided communication with other health disciplines to ensure that clients receive the appropriate treatment and assisted social care colleagues in making robust cases for scarce services and funding. The formulation of MOHOST reports also helped the participants to prioritise competing demands and decide whether continued intervention was necessary or whether it was sufficient to make recommendations to others.…”

Section: Doug Hawes and Daniel Houldermentioning

confidence: 99%

Reflections on Using the Model of Human Occupation Screening Tool in a Joint Learning Disability Team

Hawes

Houlder

2010

“…Returning to the key question of interest, the issue concerns use of the MOHOST-SOF as a standalone assessment versus the full MOHOST. The full MOHOST is clearly a clinically useful tool, and practitioners report it to be a relatively quick and easy to use assessment (Forsyth et al, 2011;Hawes and Houlder, 2010;Mitchell and Neish, 2007). This, however, comes at the cost of length of requirements for multiple observations.…”

Section: Discussionmentioning

confidence: 99%

“…The results were that the MOHOST demonstrated good construct validity, item separation reliability, and concurrent validity, and the authors concluded the MOHOST was suitable for research and clinical purposes. Other research has shown that therapists using the MOHOST report it to be useful, helpful when making decisions, supportive of occupation-focused thinking, and useful for structuring client-centred practice (Forsyth et al, 2011;Hawes and Houlder, 2010;Mitchell and Neish, 2007).…”

Section: Previous Research On the Mohostmentioning

confidence: 99%

A Rasch analysis of the model of human occupation screening tool single observation form (MOHOST-SOF) in mental health

Maciver

Morley

Forsyth

et al. 2015

Introduction: This study examined the psychometric properties of the model of human occupation screening tool single observation form. Method: Clinical records were extracted pre-and post-treatment for 152 mental health service users. Data were model of human occupation screening tool single observation form scores and demographics. We investigated the form using Rasch analysis; we also present an analysis of change over time. Results: We identified four misfitting items and evidence of instability with respect to change over time. After anchoring to adjust for unstable estimates, it was possible to measure client change, and there were significant differences in scores pre-post treatment indicating client improvement in ability. Conclusion: The study provides initial psychometric assessment of this version of the model of human occupation screening tool.