The development of the Quality Indicator for Rehabilitative Care (QuIRC): a measure of best practice for facilities for people with longer term mental health problems
Year: 2011
Type: article
Abstract: BACKGROUND: Despite the progress over recent decades in developing community mental health services internationally, many people still receive treatment and care in institutional settings. Those most likely to reside longest in these facilities have the most complex mental health problems and are at most risk of potential abuses of care and exploitation. This study aimed to develop an international, standardised toolkit to assess the quality of care in longer term hospital and community based mental health units, including the degree to which human rights, social inclusion and autonomy are promoted. METHOD: The domains of care included in the toolkit were identified from a systematic literature review, international expert Delphi exercise, and review of care standards in ten European countries. The draft toolkit comprised 154 questions for unit managers. Inter-rater reliability was tested in 202 units across ten countries at different stages of deinstitutionalisation and development of community mental health services. Exploratory factor analysis was used to corroborate the allocation of items to domains. Feedback from those using the toolkit was collected about its usefulness and ease of completion. RESULTS: The toolkit had excellent inter-rater reliability and few items with narrow spread of response. Unit managers found the content highly relevant and were able to complete it in around 90 minutes. Minimal refinement was required and the final version comprised 145 questions assessing seven domains of care. CONCLUSIONS: Triangulation of qualitative and quantitative evidence directed the development of a robust and comprehensive international quality assessment toolkit for units in highly variable socioeconomic and political contexts.
Source: BMC Psychiatry
Authors: Helen Killaspy, Sarah White, Christine Wright, Tatiana L Taylor, Penny Turton, Matthias Schützwohl, Mirjam Schuster, Jorge A Cervilla, Paulette Brangier, Jiri Raboch, Lucie Kališová, Georgi Onchev, Spiridon Alexiev, Roberto Mezzina, Pina Ridente, Durk Wiersma, Ellen Visser, Andrzej Kiejna, Tomasz Adamowski, Dimitri Ploumpidis, Fragiskos Gonidakis, José Caldas-de-Almeida, Graça Cardoso, Michael B King
Institutions: University College London, St George's, University of London, University Hospital Carl Gustav Carus, Technische Universität Dresden, Universidad de Granada, Centro de Investigación Biomédica en Red de Salud Mental, Charles University, Medical University of Sofia, University of Trieste, University Medical Center Groningen, University of Groningen, Wroclaw Medical University, University Mental Health Research Institute, University of Lisbon, Universidade Nova de Lisboa
Language: English
Subfield: Clinical Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: gold
Estimated APC paid: $3,290
Funder: European Commission
OpenAlex ID: W2148474156