RT Journal Article
T1 Quality of care and its determinants in longer term mental health facilities across Europe; a cross-sectional analysis.
A1 Killaspy, Helen
A1 Cardoso, Graça
A1 White, Sarah
A1 Wright, Christine
A1 Caldas de Almeida, José Miguel
A1 Turton, Penny
A1 Taylor, Tatiana L
A1 Schützwohl, Matthias
A1 Schuster, Mirjam
A1 Cervilla, Jorge A
A1 Brangier, Paulette
A1 Raboch, Jiri
A1 Kalisova, Lucie
A1 Onchev, Georgi
A1 Alexiev, Spiridon
A1 Mezzina, Roberto
A1 Ridente, Pina
A1 Wiersma, Durk
A1 Visser, Ellen
A1 Kiejna, Andrzej
A1 Adamowski, Tomasz
A1 Ploumpidis, Dimitris
A1 Gonidakis, Fragiskos
A1 King, Michael
AB The Quality Indicator for Rehabilitative Care (QuIRC) is an international, standardised quality tool for the evaluation of mental health facilities that provide longer term care. Completed by the service manager, it comprises 145 items that assess seven domains of care: living environment; treatments and interventions; therapeutic environment; self-management and autonomy; social interface; human rights; and recovery based practice. We used the QuIRC to investigate associations between characteristics of longer term mental health facilities across Europe and the quality of care they delivered to service patients. QuIRC assessments were completed for 213 longer term mental health units in ten countries that were at various stages of deinstitutionalisation of their mental health services. Associations between QuIRC domain scores and unit descriptive variables were explored using simple and multiple linear regression that took into account clustering at the unit and country level. We found wide variation in QuIRC domain scores between individual units, but across countries, fewer than a quarter scored below 50 % on any domains. The quality of care was higher in units that were smaller, of mixed sex, that had a defined expected maximum length of stay and in which not all patients were severely disabled. This is the first time longer term mental health units across a number of European countries have been compared using a standardised measure. Further use of the QuIRC will allow greater understanding of the quality of care in these units across Europe and provide an opportunity to monitor pan-European quality standards of care for this vulnerable patient group.
YR 2016
FD 2016-02-11
LK http://hdl.handle.net/10668/9825
UL http://hdl.handle.net/10668/9825
LA en
DS RISalud
RD Apr 4, 2025