BACKGROUND: Current health policy assumes better quality services lead to better outcomes. AIMS: To investigate the relationship between quality of mental health rehabilitation services in England, local deprivation, service user characteristics and clinical outcomes. METHOD: Standardised tools were used to assess the quality of mental health rehabilitation units and service users' autonomy, quality of life, experiences of care and ratings of the therapeutic milieu. Multiple level modelling investigated relationships between service quality, service user characteristics and outcomes. RESULTS: A total of 52/60 (87%) National Health Service trusts participated, comprising 133 units and 739 service users. All aspects of service quality were positively associated with service users' autonomy, experiences of care and therapeutic milieu, but there was no association with quality of life. CONCLUSIONS: Quality of care is linked to better clinical outcomes in people with complex and longer-term mental health problems. Thus, investing in quality is likely to show real clinical gains.
BACKGROUND: Current health policy assumes better quality services lead to better outcomes. AIMS: To investigate the relationship between quality of mental health rehabilitation services in England, local deprivation, service user characteristics and clinical outcomes. METHOD: Standardised tools were used to assess the quality of mental health rehabilitation units and service users' autonomy, quality of life, experiences of care and ratings of the therapeutic milieu. Multiple level modelling investigated relationships between service quality, service user characteristics and outcomes. RESULTS: A total of 52/60 (87%) National Health Service trusts participated, comprising 133 units and 739 service users. All aspects of service quality were positively associated with service users' autonomy, experiences of care and therapeutic milieu, but there was no association with quality of life. CONCLUSIONS: Quality of care is linked to better clinical outcomes in people with complex and longer-term mental health problems. Thus, investing in quality is likely to show real clinical gains.
Authors: Tony Ryan; John Carden; Robert Higgo; Rob Poole; Catherine A Robinson Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2016-04-08 Impact factor: 4.328
Authors: Helen Killaspy; Louise Marston; Nicholas Green; Isobel Harrison; Melanie Lean; Frank Holloway; Tom Craig; Gerard Leavey; Maurice Arbuthnott; Leonardo Koeser; Paul McCrone; Rumana Z Omar; Michael King Journal: BMC Psychiatry Date: 2016-04-07 Impact factor: 3.630
Authors: Rafeef Abboud; Jonathan P Roiser; Hind Khalifeh; Sheila Ali; Isobel Harrison; Helen T Killaspy; Eileen M Joyce Journal: Schizophr Res Cogn Date: 2016-06
Authors: Helen Killaspy; Sarah Cook; Tim Mundy; Thomas Craig; Frank Holloway; Gerard Leavey; Louise Marston; Paul McCrone; Leonardo Koeser; Maurice Arbuthnott; Rumana Z Omar; Michael King Journal: BMC Psychiatry Date: 2013-08-28 Impact factor: 3.630