Quality of longer term mental health facilities in Europe: validation of the quality indicator for rehabilitative care against service users' views.
<h4>Background</h4>The Quality Indicator for Rehabilitative Care (QuIRC) is a staff rated, international toolkit that assesses care in longer term hospital and community based mental health facilities. The QuIRC was developed from review of the international literature, an international...
Guardado en:
| Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Public Library of Science (PLoS)
2012
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/b8c5504983474584adeb4ed83117f1f6 |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:b8c5504983474584adeb4ed83117f1f6 |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:b8c5504983474584adeb4ed83117f1f62021-11-18T07:16:29ZQuality of longer term mental health facilities in Europe: validation of the quality indicator for rehabilitative care against service users' views.1932-620310.1371/journal.pone.0038070https://doaj.org/article/b8c5504983474584adeb4ed83117f1f62012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22675508/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The Quality Indicator for Rehabilitative Care (QuIRC) is a staff rated, international toolkit that assesses care in longer term hospital and community based mental health facilities. The QuIRC was developed from review of the international literature, an international Delphi exercise with over 400 service users, practitioners, carers and advocates from ten European countries at different stages of deinstitutionalisation, and review of the care standards in these countries. It can be completed in under an hour by the facility manager and has robust content validity, acceptability and inter-rater reliability. In this study, we investigated the internal validity of the QuIRC. Our aim was to identify the QuIRC domains of care that independently predicted better service user experiences of care.<h4>Method</h4>At least 20 units providing longer term care for adults with severe mental illness were recruited in each of ten European countries. Service users completed standardised measures of their experiences of care, quality of life, autonomy and the unit's therapeutic milieu. Unit managers completed the QuIRC. Multilevel modelling allowed analysis of associations between service user ratings as dependent variables with unit QuIRC domain ratings as independent variables.<h4>Results</h4>1750/2495 (70%) users and the managers of 213 units from across ten European countries participated. QuIRC ratings were positively associated with service users' autonomy and experiences of care. Associations between QuIRC ratings and service users' ratings of their quality of life and the unit's therapeutic milieu were explained by service user characteristics (age, diagnosis and functioning). A hypothetical 10% increase in QuIRC rating resulted in a clinically meaningful improvement in autonomy.<h4>Conclusions</h4>Ratings of the quality of longer term mental health facilities made by service managers were positively associated with service users' autonomy and experiences of care. Interventions that improve quality of care in these settings may promote service users' autonomy.Helen KillaspySarah WhiteChristine WrightTatiana L TaylorPenny TurtonThomas KallertMirjam SchusterJorge A CervillaPaulette BrangierJiri RabochLucie KalisovaGeorgi OnchevSpiridon AlexievRoberto MezzinaPina RidenteDurk WiersmaEllen VisserAndrzej KiejnaPatryk PiotrowskiDimitris PloumpidisFragiskos GonidakisJosé Miguel Caldas-de-AlmeidaGraça CardosoMichael KingPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 6, p e38070 (2012) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Medicine R Science Q |
| spellingShingle |
Medicine R Science Q Helen Killaspy Sarah White Christine Wright Tatiana L Taylor Penny Turton Thomas Kallert Mirjam Schuster Jorge A Cervilla Paulette Brangier Jiri Raboch Lucie Kalisova Georgi Onchev Spiridon Alexiev Roberto Mezzina Pina Ridente Durk Wiersma Ellen Visser Andrzej Kiejna Patryk Piotrowski Dimitris Ploumpidis Fragiskos Gonidakis José Miguel Caldas-de-Almeida Graça Cardoso Michael King Quality of longer term mental health facilities in Europe: validation of the quality indicator for rehabilitative care against service users' views. |
| description |
<h4>Background</h4>The Quality Indicator for Rehabilitative Care (QuIRC) is a staff rated, international toolkit that assesses care in longer term hospital and community based mental health facilities. The QuIRC was developed from review of the international literature, an international Delphi exercise with over 400 service users, practitioners, carers and advocates from ten European countries at different stages of deinstitutionalisation, and review of the care standards in these countries. It can be completed in under an hour by the facility manager and has robust content validity, acceptability and inter-rater reliability. In this study, we investigated the internal validity of the QuIRC. Our aim was to identify the QuIRC domains of care that independently predicted better service user experiences of care.<h4>Method</h4>At least 20 units providing longer term care for adults with severe mental illness were recruited in each of ten European countries. Service users completed standardised measures of their experiences of care, quality of life, autonomy and the unit's therapeutic milieu. Unit managers completed the QuIRC. Multilevel modelling allowed analysis of associations between service user ratings as dependent variables with unit QuIRC domain ratings as independent variables.<h4>Results</h4>1750/2495 (70%) users and the managers of 213 units from across ten European countries participated. QuIRC ratings were positively associated with service users' autonomy and experiences of care. Associations between QuIRC ratings and service users' ratings of their quality of life and the unit's therapeutic milieu were explained by service user characteristics (age, diagnosis and functioning). A hypothetical 10% increase in QuIRC rating resulted in a clinically meaningful improvement in autonomy.<h4>Conclusions</h4>Ratings of the quality of longer term mental health facilities made by service managers were positively associated with service users' autonomy and experiences of care. Interventions that improve quality of care in these settings may promote service users' autonomy. |
| format |
article |
| author |
Helen Killaspy Sarah White Christine Wright Tatiana L Taylor Penny Turton Thomas Kallert Mirjam Schuster Jorge A Cervilla Paulette Brangier Jiri Raboch Lucie Kalisova Georgi Onchev Spiridon Alexiev Roberto Mezzina Pina Ridente Durk Wiersma Ellen Visser Andrzej Kiejna Patryk Piotrowski Dimitris Ploumpidis Fragiskos Gonidakis José Miguel Caldas-de-Almeida Graça Cardoso Michael King |
| author_facet |
Helen Killaspy Sarah White Christine Wright Tatiana L Taylor Penny Turton Thomas Kallert Mirjam Schuster Jorge A Cervilla Paulette Brangier Jiri Raboch Lucie Kalisova Georgi Onchev Spiridon Alexiev Roberto Mezzina Pina Ridente Durk Wiersma Ellen Visser Andrzej Kiejna Patryk Piotrowski Dimitris Ploumpidis Fragiskos Gonidakis José Miguel Caldas-de-Almeida Graça Cardoso Michael King |
| author_sort |
Helen Killaspy |
| title |
Quality of longer term mental health facilities in Europe: validation of the quality indicator for rehabilitative care against service users' views. |
| title_short |
Quality of longer term mental health facilities in Europe: validation of the quality indicator for rehabilitative care against service users' views. |
| title_full |
Quality of longer term mental health facilities in Europe: validation of the quality indicator for rehabilitative care against service users' views. |
| title_fullStr |
Quality of longer term mental health facilities in Europe: validation of the quality indicator for rehabilitative care against service users' views. |
| title_full_unstemmed |
Quality of longer term mental health facilities in Europe: validation of the quality indicator for rehabilitative care against service users' views. |
| title_sort |
quality of longer term mental health facilities in europe: validation of the quality indicator for rehabilitative care against service users' views. |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2012 |
| url |
https://doaj.org/article/b8c5504983474584adeb4ed83117f1f6 |
| work_keys_str_mv |
AT helenkillaspy qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT sarahwhite qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT christinewright qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT tatianaltaylor qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT pennyturton qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT thomaskallert qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT mirjamschuster qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT jorgeacervilla qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT paulettebrangier qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT jiriraboch qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT luciekalisova qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT georgionchev qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT spiridonalexiev qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT robertomezzina qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT pinaridente qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT durkwiersma qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT ellenvisser qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT andrzejkiejna qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT patrykpiotrowski qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT dimitrisploumpidis qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT fragiskosgonidakis qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT josemiguelcaldasdealmeida qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT gracacardoso qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews AT michaelking qualityoflongertermmentalhealthfacilitiesineuropevalidationofthequalityindicatorforrehabilitativecareagainstserviceusersviews |
| _version_ |
1718423689507110912 |